Permit (224) CITY OF TIGARD MECHANICAL PERMIT
114 , COMMUNITY DEVELOPMENT Permit#: MEC2019-00565
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/08/2019
T t i ;i R C 9 Parcel: 1S136DCO2504
Jurisdiction: Tigard
Site address: 7301 SW DARTMOUTH ST
Project: Lumber Liquidators Subdivision: None Lot: None
Project Description: Replace rooftop HVAC unit.
Contractor: ARJAE SHEET METAL CO, INC. Owner: AMERICAN INDUSTRIES INC
8545 SE MCLOUGHLIN BLVD. 1750 NW FRONT AVE STE#106
PORTLAND, OR 97222 PORTLAND, OR 97209
PHONE: 503-231-7717 PHONE:
FAX: 503-230-4888
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 08/08/2019 $474.71
Class of Work: ALT Type of Const: VB Plan Review 08/08/2019 $118.68
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 08/08/2019 $56.97
Stories: Info Process/Archiving-Sm$0.50(up to 08/08/2019 $1.50
$15,000.00 11x17)
Project Valuation:
Fuel Air Handlers
Fuel Types: Units<10000 cfm:
Gas Pressure: Units>10000 cfm:
Furnaces Boilers&Compressors
Furnaces<100K BTU: 0-3 HP:
Furnaces>=100K BTU: 3-15 HP:
Floor Furnaces: 15-30 HP:
Unit Heaters: 30-50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $651.86
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions t NC by calling 503.232.1987 or 1.800.332.2344.
Issued By: , Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
t 13125 SW hall Blvd, Rat wed ,J
City of Tigard e- Permit
DECEIVED Date,By(Y/`�i, C �9 - 5"6�
Tigard,OR 9 3
I 1 m Revietiv �f) Other Permit.
Phone: X03.7152439 Fax: 503.III
5)8.1960 Date By
TIGARII Inspection Line. 503.639 4175 AUG 1 2019 Date Ready,By: furk Fa See Page 2 for
Internet www.tigard-or.gov Notified,Ndethod:g -7 /..,-, Information
CITY OF TIGARD �?
TYPE OF $. ING DIUIS{(JN 2"' t1V/ (OtMMMERCI L EEE* SC EIEDt LE - 1ISE CIIE(1KLIST
Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor.overhead,and profit.
Value $ )bp00
CATEGORY OE (ONS Ilt1 E I ION RESIDENTIAL EQIIPAIE1NT/SYSTEMS FEES'
0 1-and 2-family dwelling Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
,
Job site address:?3O I '' %'/'•/, 3 W Dar-i-51,41004 3 T. Furnace 100.000 BID(ducts/vents) 46.75
City/State/ZIP: 1 )*-4.(a)--ci i o gFurnace 100.000+BTU(ducts/vents) 54.91
Suite/bldg apt.no.: Project name: Heat pump 61.06
'� (fWl l"Q_(Jlj"S Duct work 23.32
Cross street/directions to job site: r I lydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision: 1 Lot no.: Other: 23.32
Other fuel appliances:
'fax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39 ,
7^ Flue vent for water heater or gas
/ /OWE ,51`4.6 Ckovv,yep au•4" - �7-( fireplace 23.32
I� "��J1 Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
0 P1tOPERT1=OWNER ( i TENAN1`
�� �'�" Environmental exhaust and ventilation:
Name: ( V ) U D oh Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
A PPI,C C A NT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name: 1 f-, oe ��eefiin
,� $14.15 for first four;S4.03 for each additional
Contact name: ��-`-0----„,."4" �Ir' :• fitt. / s- ,/¢ etti l Furnace.etc.
.Address: �! �0: 4. 151s 5E �IClaE fiii Bl Gas heatpump
r
I►e �f�_...._-�/.� Will/suspended/unit heater
.._..City/Statv(7IP• -- ' I ` • ..� f L/ 7 R T .2-Z Water-hefltef
Phone:(SC'3) 23(- 33- i 7 / Fast :( ) Fireplace
Range
F-mail (iiittly i4-6 r7Llr3ot =.Co Wt. Barbecue
('ON"I t.1("1 ORClothes dryer(gas)
Other
Business name: 5 � ...5 �,v3/IE('F1.1N1C3L PERMIT FEE'S*
Address:
Subtotal
City/State/ZIP: Minimum permit fee($90.00) .
Plan review(25`5o of permit fee)
Phone:( ) Fax:( ) State surcharge(12°of permit fee)
CCB lie.:
°1 35T(YIU, LFERMIfIEE` /, 4,
This permit application evinces if a permit is not obta ed rsithin ISO
days after it has been accepted is complete
Authorized signature: ��..e, ''/ Fee methodology set by tri-County Building Industry Service Board
Print name: P01tf1`i 4,etrec&LAI?Y2 Date: Oct) ( 2,7t?
I Building Permits.MFC Pel 11111,1pp_010113 doe 440-46171'1 1 111 ("(1st 15L13i
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
$0.00 to $500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to $10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof, to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof, to and including
$50,000.00.
$50.000.01 to$100.000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
1:v,Building\Permits\MEC_PermitApp_040113.doe 2
City of Tigard
Ill a COMMUNITY DEVELOPMENT DEPARTMENT
I
Building Permit Review — Commercial - No Land Use
TIGARD
Building Permit #: /1-1 --C,,,,20/9 00-5C-S-
Site Address: 13O( SW DaY.F►Y10-14- -. Suite/Bldg#:
Project Name: Int {yv r I-101u.tG rs-
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: R.-e p a.c& roof-N p ht-VAC, uvt IA"
Existing Business Activity: 0Pc ao. , I
Proposed Business Activity: N/
Verify site address/suite# exists and active in permit system.
River Terrace Neighborhood: El Yes KNo
X Zoning: I I-/�°l"',,((
Permitted Use: IK.Yes El No ❑ Spec Space
X.Confirm no land use required.
Business License:
Exists: `I Yes �❑,,`No,applicant notified to obtain business license
Notes: eXeMI7± -I (vm SEMII IA41 t 8.1o(O.070 . C-fL
Approved by Planning: ( Date: e3/1 I
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date:
j
Site Plans: # -
Building Plans: # -2
Building Permit#: Enter building permit#above.
Workflow Routing: i-e-Planning ❑ Permit Coordinator [wilding
Workflow Sign-off:
a-Sign-off for Planning(include notes from planning review)
Route Application Documents: —Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: A,,,..j.p. . . _, Date: 1)1/4/(,
I:\Building\Forms\BldgPennitRvw_COM_NoLandUse_060116.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal onl`
Revision Notice 1: Date Sent t Appli nt:
Revision Notice 2: Date Sent to A cant:
Revision Notice 3: Date Sent to pplicant:
❑ SDC Fees Entered: Wash • Trans Dev Tax: ❑ Yes ❑ N/A
Ti. d Trans SDC: ❑ Yes ❑ N/A
'arks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Pe Coordinator: Date:
I:\Building\Forms\B1dgPermitRvw_COM_NoLandUse_070915.docx