Permit CITY OF TIGARD MECHANICAL PERMIT
: a COMMUNITY DEVELOPMENT Permit#: MEC2021-00107
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 3/1/2021
T I i;;1 I f. g Parcel: 1 S 126BC01506
Jurisdiction: Tigard
Site address: 9020 SW WASHINGTON SQUARE RD, STE#501
Project: Lithia Subdivision: None Lot: None
Project Description: Ducting,returns,fan coil,heat pump installation
Contractor: RITE WAY HEATING&A/C INC Owner: LITHIA REAL ESTATE INC
PO BOX 1815 ATTN DEBOER, MARK
HILLSBORO,OR 97123 150 N BARTLETT ST
MEDFORD, OR 97501
PHONE: 503-693-3161 PHONE:
FAX: 503-647-9999
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/25/2021 $474.71
Class of Work: ALT Type of Const: Plan Review 02/25/2021 $118.68
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 02/25/2021 $56.97
Stories: Info Process/Archiving-Lg$2.00(over 02/25/2021 $2.00
11x17)
Project Valuation: $15,000.00 Info Process/Archiving-Sm$0.50(up to 02/25/2021 $12.50
11x17)
Fuel Air Handlers
Fuel Types: Electricity 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: 1
Appliances
Vent Fans: Vent Systems: Total $664.86
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 are set 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 503.232.1987 or 1.800.332.2344.
Issued By: V-t--0\t\I C \ `..A ems"' Permittee Signature: on G0)1 IC h�
Call 503.639.4175 by7:00 a.m.for the next available inspection date.
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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.
a- 2 21
Mechanical Permit Applich CEIVEn y �, +: i E L s1 tl^+L
Cityof Tigard FEB 9 2021 Received Z`�1Z` NS(.202\- by\01
Date Received
Permit No.:
- n 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
" t, Phone: 503.718.2439 Fax: 503.598.(��i OF TIGARD Date/By: a'awl-D.,/ Other Permit:
.if;oin! Inspection Line: 503.639.4175 UatcReadr/By: !a SeePnge2forfff
Internet: www.tigard-or.gov ulLDl'vG DIVISION milled/Method:: /2 j!' e Supplemental Information
TYPE OF WORK COM QRCJA,L FEE' SCHEDULE- USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction pi Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$$15,000
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
0 1-and 2-family dwelling RI Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family 0 Master builder ❑Other: Description Qty. + Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Ai9020 SW Washington Square Rd, STE#501 Furnacer conditioning 46.75
Job site address: � Cl 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Tigard, OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Lip,
Heat pump 61,06
Suite/bldg./apt.no.: Project name: Np j 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 r WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
Mechanical for TI under related permit BUP2020-00217 fireplace 23.32
To include returns minor ducting Variable Air Volume Log lighter ) 33.39
s g� - Wood/pepelletllet s stotove 33.39
Units, fan coil, and heat pump installation. Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
EaPROPERTY OWNER ElTENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Lithia Real Estate Inc 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
ra APPLICANT D CONTACT PERSON Other: 1 23.32
I Business name: Faster Permits Fuel piping:
$14 15 for first four;S4.03 for each additional
Contact name: Dan Williams Furnace,etc.
Address: 2000 SW 1 St Ave, Suite 420 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Portland, OR 97201 Water heater
Phone:(503) 819-7754 Fax::( ) Fireplace
Range
E-mail: dan@fasterpermits.com Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name: Rite Way Heating MECHANICAL PERMIT FEES*
Address: PO Box 1815 Subtotal
City/State/ZIP: Hillsboro, OR 97123 Minimum permit fee(S90.00)
888-6891 _J- ( Plan rev (12%ofpermit fee)
Phone:(503) Fax: ) State surcharge(!2%of permit fee)
CCB lie.: 71242 / ) �/ Z TOTAL PERMIT FEE
b�+�' ' / Thin permit application expires if a permit is not obtained within 180
/ days after It has been accepted as complete.
Authorized signature: I or" ZV ,'U' Fee methodology set by Tri-County Building industry Service Board
Print name: D illiams Date: 2/9/21
I fluildinK'.Permili,MEC PetmilAoo 040113 doc 440-4611"r it lio_'COSUwEmm