Permit CITY OF TIGARD MECHANICAL PERMIT
S.. COMMUNITY DEVELOPMENT Permit#: MEC2021-00289
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/19/2021
T f G A R D 9 Parcel: 2S112DC00500
Jurisdiction: Tigard
Site address: 15895 SW 72ND AVE 220
Project: Hair Club For Men Subdivision: FANNO CREEK ACRE TRACTS Lot: 40
Project Description: (1)VAV Box modify duct work,(10) 100 cfm exhaust fans,fans to be vent(2)common roof vent termination
Contractor: PROTEMP ASSOCIATES INC Owner: PACIFIC REALTY ASSOCIATES LP
9788 SE 17TH AVE ATTN: N PIVEN
PORTLAND, OR 97222 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-233-6911 PHONE:
FAX: 503-238-9767
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/19/2021 $378.19
Class of Work: ALT Type of Const: VB Plan Review 05/19/2021 $94.55
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 05/19/2021 $45.38
Stories: Info Process/Archiving-Lg$2.00(over 05/19/2021 $4.00
11x17)
Project Valuation: $11,200.00 Info Process/Archiving-Sm$0.50(up to 05/19/2021 $6.00
11x17)
Fuel Air Handlers
Fuel Types: Electricity Units< 10000 cfm: 1
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: 1 Vent Systems: Total $528.12
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Holly Vag',Vie/ UPcC Permittee Signature: OYLAppUC _ttov
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
b 2
Mechanical Permit ApplicatiO FIR O( I FI(l l ,,1.IINI 1
•City of Tigard �Cv�' V o teayy:: d5�0'E I. �{/102/ Meuaz/^Q'�Z,S9
Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.718.2439 Fax 503.598.1960 AY 0 3 7021 DPlan ate/By:e �)J . i Other Permit:
Inspection Line: 503.639.4175 Date Ready/By: him s
('"�" gar g CITY OF TIGARIJ E8d' ....417
y. S See Page 2Inr
Internet: www.ti d-or. oV B No...• � - ����� �/� �i �� Supplemental Information
/ k ' I 1 I�e /I.//ff/�'�.' + .7 111\\\
TYPE OF WORK CO I RCIAL FEE* SCHEDULE-USE CHECKLIST
Mechanical permit fees*are based on the vaTue or the work
❑New construction a Addition/alteration/replacement perforated.Indicate the value(rounded to the nearest dollar)of all
❑Demolition El Other:
mechanical materials,equipment,labor,overhead,and profit
Value:$ 11,200
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES*
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist
El Multi-family 0 Master builder ❑Other: Description I Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 15895 SW 72nd Ave Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard Oregon 97223 Furnace 100,000+BTU(nucts/vents) 54.91
Suite/bldg./apt.no.220: Project name: Heat pump 61.06
Hair club for men Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
f A Residential boiler(radiator or
e 16 k C-?p/(7td ,.AA* Lc g.7/r hydronic) 23.32
-W 1 „ _l W `//��PPG el I ® . Unit n-d(fuel-type,us not electric),
//L -frd Y DtJ QoC�C in-wall,in-duct,ter suspended,etc. 46.75
0 fi�'' �y I��/ • Other:Flue/vent for any of above 23.32
S sion: /(/ 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
1 VAV Box modify duct work, (10) 100 cfm EXHAUST fireplace 23.32 ,
FANS,FANS TO Log lighter(gas) , 23.32
BE VENT (2)COMMON ROOF VENT TERMINATION Wood/pellet ove 33.39
Wood fireplacce/insert 23.32
Chimney/liner/flue/vent 23.32
0 PROPERTY OWNEROther: 23.32
0 TENANT
Environmental exhaust and ventilation:
Name: Pactrust 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
0 APPLICANT 0 CONTACT PERSON Other: 23.32
Business name: Fuel piping:
$1435 for first four;S4.03 for each additional
Contact name: Louis leon Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:igets.
Fax::( ) Fireplace
�-� Range
l:�E-mair� I O V I S Z P r'p p. am Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name: Protemp Associates MECHANICAL PERMIT FEES*
Address: 9788 SE 17th ave Subtotal
City/State/ZIP: milwaukie Oregon 97222 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503) 519-3083 Fax:(503)238-9767 State surcharge(12%of permit fee)
CCB tic.: Qom_ Sr'r�/--•vv f r..4 TOTAL PERMIT FEE
�- This permit application expires if a permit is not obtained within 180
days after it has hem accepted as complete.
Authorized signature: • Fee methodology set by Tri-County Building Industry Service Board
LPrint name: Louis Leon Date: 4/29/2021
1:\Building\Pennits\MEC_PermNApp_040113.doc 440-4617T(I1102/COM/WEB)