Permit CITY OF TIGARD MECHANICAL PERMIT
•
COMMUNITY DEVELOPMENT Permit#: MEC2020-00034
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/16/2020
TIGARI7 Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 6650 SW REDWOOD LN 190
Project: Integrity Medical Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: TI for existing tenant: Demolition and office reconfiguration.
Contractor: EXCEL HVAC INC Owner: PACIFIC REALTY ASSOCIATES
PO BOX 1188 ATTN: N PIVEN
CANBY, OR 97013 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 971-930-7194 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 01/16/2020 $207.21
Class of Work: ALT Type of Const: Plan Review 01/16/2020 $51.80
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 01/16/2020 $24.87
Stories: Info Process/Archiving-Lg$2.00(over 01/16/2020 $4.00
11x17)
Project Valuation: $5,000.00
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 $287.88
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010through OAR 952-001-0090. ou may obtain a opy of the rules
or direct questions to OUNC by calling 503.232.1987 a. .2344.
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLI'
` � Received
City25 of Tigard CE�V E �t Permit No.: ��y'`'� ��]1
g 11'�'��� G Date/By: (.900 s e^W v30.. _1
111‘ - ` 13125 SW Hall Blvd.,Tigard,OR Ft
Phone: 503.718.2439 Fax: 503.5 8.1960 Plan Review
P 1 6 rlo�o Date/By: Other Permit: /i/.n�1�j 1C/_6sr1 3Y/
Inspection Line: 503.639.4175 N L Date Ready/By: Jsris: �Vi SSeeee/P"agee 2 for
AJ
TIGARD Internet: www.tigard-or.gov �� L7F TIGAR� Notified/Method: '�/ Supplemental Information
,ITY / '�j
TYPE OF (' �'�1'Sl�h COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
�,{ Mechanical permit fees*are based on the value of the work
O New construction W Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition /❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ St00oM
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling )4CotmnercialJindustrial ❑Accessory building For special information use checklisr.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: cf.. 60 5 thi Rc0IA/000 Lb Ni Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 7 ^to o j a x2,.q Furnace 100,000+BTU(ducts/vents) 54.91
`T �f� Heat pump 61.06
Suite/bldg./apt.no.:pi)o Project name: i n /I/EOhc 4t✓ Duct work 23.32
Cross street/directions to job site: Hydronic 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: Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.. Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
REL0441E. Otxi Ogle- "I 5...1Ei1-CE.5 FdL NeK/ fireplace 23.32
Log
FLOOR- 1,1.6 0-1
Wood/pellet(gas) 23.32
stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
"'PROPERTY OWNER 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: p -7ku5T Range hood/other kitchen
equipment 33.39
Address: /C3 -6 51.E 5 @ L//,nol r CW l'e300 Clothes dryer exhaust 33.39
City/State/ZIP: p -riAN D •012._ 9'72 4 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(5b ) r f 430.0 Fax:( ) Attic/crawlspace fans 23.32
XAPPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name:
Y� $t14.15 for first four;$4.03 for each additional
Contact name: �6 /4 5 � Furnace,etc.
Address: , Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax: :( ) Fireplace
- � tS Ika 1 Range
GA
E-mail: (' a e$ e( c .r.t_i Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: // am, Other:
�XC�L �T u�G _roc
MECHANICAL PERMIT FEES*
Address: pv Rby //68 Subtotal
City/State/ZIP: Cjtoti 6y Ole_ q 70/3 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(co j ) 5-50 (voct Q Fax:( ) State surcharge(12%of permit fee)
CCB lie.: /qJ q5 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
� days after it has been accepted as complete.
Authorized signature: � � * Fee methodology set by Tri-County Building Industry Service Board
"
Print name: 7 7 8.46� Date: /�G/Z
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