Permit (170) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2019-00603
Date Issued: 08/27/2019
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110A600200
Jurisdiction: Tigard
Site address: 14305 SW PACIFIC HWY
Project: Canterbury Coin Laundry Subdivision: CANTERBURY PLACE,AMENDED Lot: PTS 1-4
Project Description: Reconnecting(11)dryer vents and(11)gas lines and adding(2)fresh air vents.
Contractor: PACIFIC NW HEATING &COOLING INC Owner: BULL MOUNTAIN INVESTMENTS LLC
14790 SE 232ND DR ATTN JERRY KOLVE
DAMASCUS, OR 97089 14389 SW PACIFIC HWY
TIGARD, OR 97224
PHONE: 503-425-9013 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 08/27/2019 $191.86
Class of Work: ALT Type of Const: VB Plan Review 08/27/2019 $47.97
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 08/27/2019 $23.02
Stories: Info Process/Archiving-Sm$0.50(up to 08/27/2019 $4.00
Project Valuation: $4,500.00 11x17)
Fuel Air Handlers
Fuel Types: Natural Gas 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 $266.85
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: clothes
DuctV'tfcr ft dryers
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-00` You may 11pof the rules
or direct questions to OUNC by calling 503.232.1987 or 1 :416,332.2344.
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
3
Mechanical Permit Applica1ibin EOR OFFICE I_SE ONE.\
City Of Tigard
s Receiveyd of/s79 /4' 24o fe �C/`�/ ..air,
� ```III �
Date/B !moi
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review _
I Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Q • � Other Permit:
I I GA RD Inspection Line: 503.639.4175 Date Ready/By: / �� Juris: ® See Page 2 for
Internet: www.tigard-or.gov otified Me �� /�'J/ ../.
Supplemental Information
v
COMMERCIAL FEE* SCIiEDULB USE CHECKLIST
""' Mechanical permit fees*are based on thevalue of the work
❑New construction VAddition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
El Demolition ❑''\Other: mechanical materials,equipment,labo,overhead,and profit.
Value:$ 'Lj( ). ( )
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 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:
1 , c)s• S'� ^�`tom '` "' r 1 conditioning 46.75
Job site address: �`/ , 1�CV Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: I 1 Lpare..� o� Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: 1 Project name: r r
_ Duct work 23.32
Cross street/directions to job site: &err\k i _-GvOL /.j -44eI Hydronic hot water system 23.32
Y ' 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
' 23.32
Subdivision: ( Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK . Gas fireplace/insert 33.39
� � ANY)
Flue vent for water heater or gas
124-1 a(4-- 1 i �f� 1 k 'J l). ANY) fireplace , 23.32
1 1 C Al CS . -s � ' `e Log lighter(gas) 23.32
l� !T, t1 Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
fl 'PROP11diT7�'^"°OWI+iER - ` 'h" U' E$AN - ,.'' Environmental exhaust and ventilation:
Name: Range hood/other kitchen
Address: equipment 33.39
Clothes dryer exhaust $ 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawls ace fans 23.32
❑ AP CANT 0 CONTACT PERSON
• Other:11111N•��v '`� a 23.32
Fuel piping:
Furnace,etc.
Business nam
$14.15 for first four;$4.03 for each additional
Contact name: 1 —�
A-`7)(L
Gas heat pump
Address:
Wall/suspended/unit heater
City/SlutelZH1: Water heater
1 1- 2�, 7 cO'� Fir lace
Phone:(`7L.a / Fax::(rt ) (�1 �
E-mail: ,lr I t V 1e/0C-CO Het,
CONTRACTORClothes dryer(gas) I I
Business name: PIA.c.;' C/�� fit-t1},1 'N Other'
+ MECHANICAL PERMIT FEES*
Address: l 4710 J(� '7 C 93 a�0 Subtotal
City/State/ZIP:Des Iq.�' r ���s9. Minimum permit fee($90.00)
�'7� ''JJ Plan review(25%of permit fee)
Phone:(( •• L Z.r-9 Ls Fax:( ) State surcharge(12%of permit fee)
CCB lit.: a I S^ � TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
-.-.'
days after it has been accepted as complete.
Authorized simature: * Fee methodology set by Tri-County Building Industry Service Board
Print name: be\) 1 - • ,,A Date: )f c)1
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(I I/02/COM/WEB)
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.
I:\Building\Permits\MEC_PermitApp_040113.doc 2
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
14305 SW PACIFIC HWY, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Mechanical MEC2019-00603
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Existing gas line fixed and standard pressure verified
Violation Summary:
Inspector Contractor