Permit CITY OF TIGARD MECHANICAL PERMIT
_ ■ COMMUNITY DEVELOPMENT Permit#: MEC2020-00595
Date Issued: 10/15/2020
T I G A R 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S101 DA00100
Jurisdiction: Tigard
Site address: 13010 SW 68TH PKWY 140
Project: Spec Space Subdivision: VARNS ACRES Lot: 9
Project Description: Adding supply and return to new conference room,relocating cooling unit for new server.
Contractor: DYNAMIC HVAC, LLC Owner: PACIFIC NW PROPERTIES LIMITED PA
12013 NE 99TH ST, SUITE 1670 STERN FAMILY LIMITED PARTNERSHIP
VANCOUVER,WA 98682 STERN FAMILY LLC
6600 SW 105TH AVE#175
BEAVERTON, OR 97008
PHONE: 503-400-0295 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 10/15/2020 $115.11
Class of Work: ALT Type of Const: IIIA Plan Review 10/15/2020 $28.78
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 10/15/2020 $13.81
Stories: Info Process/Archiving-Sm$0.50 (up to 10/15/2020 $0.50
11x17)
Project Valuation: $2,000.00
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 $158.20
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 10
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 a et forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 50 . .1987 or 1.800.332.2344.
Issued By: Permittee Signature: A /6711
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.
q(c1j2 _g i
Mechanical Permit Application grallilialialffroa orrlcE USE oNL1'
City of Tigard RECEIVE u R`tei Pemnit No.
DaidB D��b •20Zo 1I7Ec2b20-00596-
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review a I
_ f Ottar Permit:
Phone: 503.718.2439 Fax 503.598.1960 SEP 0 9 2020 Date/By:
Inspection Line: 503.639.4175 Date Ready/tiy: kirk; ® See Page 2 for
TIUAAD Internet: www.tigard-or.gov CITY OF TIGARD Notificd/Mettwd:/0 :sizo 40 D Supplemental Information
BUILDING DIVI.SIC)N i t3'."i/3 e:f —,.
COMIIIERCIAL FEE" SCHEDULE—USE CHECKLIST
TYPE OF WORK - Mechanical permit fees*are based on the value of the work
0 performed.Indicate the value(rounded to the nearest dollar)of all
New construction OthAdder:
mechanical materials,equipment,labor,overhead,and profit.
❑Demolition ❑Other: Value:S ZCCID _
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling, Dil Commetcialfindustrial ❑Accessory.building For special information use checklist
Description I Qty. I Ea. Total
❑Multi-family 0 Master builder CI Other:
Heating/cooling
JOB SITE INFORMATION AND LOCATION Air conditioning 46.75
Job site address: 11)01 0 61.0 (D 4) Furnace 100,000 BTU tducta/vents) 46.75
Furnace 100,000+BTU(ducts/vents) 54.91
Cn _y/StetefZJP: ( I TrA, ��i ' �� i Heat pump 61.06
Suite/bldg./apt.no.: (0 Project name: Irie,- )LI:C) T.T. Duet work 23.32
Jill hot water system 23.32
Cross street/directions to job site: 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
Other: 23.32
Subdivision: Lot no.: Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas firvlacelinsett 33.39
Flue vent for water heater or gas
' ` y � yr��� fireplace 23.32
a!4• 6 opp J) ( {ia , .} rfll 1- t .Q_3 cp h'4. t.'a.''-�'' fog lighter(gas) 2332
if / 1 ems, 1.1.1 — `T'oi r I) 'V Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
(�a PROPERTY OWNER ❑ TENANT Environmental exhaust and ventilation:
Name: f c NW Vrry Rangehood/otherkitchen
fhb��""""""' ��� } `{�` equipment 33.39 I
Address:4, 0 OIL) /t�5+1,C te/�.� Clothes dryer exhaust 3339
Ci /StatefZ.IP: j(f" 'i � —( •00 0 Single-duct exhaust(bathrooms,
tY toilet compartments,utility moms) 23.32
Phone:(9-05)`C' bo Fax:( ) Attic/crawlspace fans 23.32
fia APPLICANT ,��1L ,' 11 ! 0 CONTACT PERSON Other 23.32
nc tc, T'4U LF Fuel piping:
Bus tress name: St4.15Inr tint foar;54.03 for each additional
Contact name: Furnace,etc.
Address: 110lb lug r,i 1`t 64. 5ke /b Gas heat pump
Well/suspended/unit heater
City/State/Z1P: V art iY+lE'.' WO C' & 52_ Water healer
Phone:(fib-3)WW V b2:7 g Fax::(GLJa Fireplace
Range
E-:nail:Pr lya'ilt�-' nL-e0j'n Barbecue
7 CONTRACTOR Clothes dryer(gas)
Other:
Business name:,1jn( F L ?. 1
"`"t �j 1�� 71t1iCHANICALPERRRITFEES' '
Address: l2-01? � 1 I 51' i� Subtotal
City/state/ZIP: VOr y U )e Y !,I) %"tYi7 ,7 Minimum permit fee($90.40)
1 Plan review(25%of permit fee)
Phona: ) Fax ( ) State surcharge(12%of permit fee)
CCB lie. 'lj 1 J TOTAL PERMIT FEE
This permit application moires if a permit is not obtained within ma
tke
,days after it has bees accepted as complete.
Authorized signature:
. Fec methodology set by Tri-Cavalry Building Indtutry Service Board
rPrint name: 1l J, , F3,,, k Date: . [a
I'\ttuildiegiFenedeoMEC_1 0 itAPp,0A01 I i.doe 440-4617T(I i/021coMwEE)