Permit CITY OF TIGARD MECHANICAL PERMIT
. • COMMUNITY DEVELOPMENT Permit#: MEC2021-00732
Date Issued: 10/7/2021
TIGARD 13125 SW Hall Blvd,Tigard OR 97223 503.718.2439
Parcel: 1 S 136DA00100
Jurisdiction: Tigard
Site address: 11308 SW 68TH PKWY
Project: Comcast Subdivision: None Lot: None
Project Description: Install(3)FDVAV,(4)fire dampers,GRD,ductwork and demo.
Contractor: PROTEMP ASSOCIATES INC Owner: BENENSON 68TH PARKWAY KEY LLC, THE
9788 SE 17TH AVE 708 3RD AVE,28TH FLOOR
PORTLAND,OR 97222 NEW YORK, NY 10017
PHONE: 503-233-6911 PHONE:
FAX: 503-238-9767
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 09/29/2021 $1,986.21
Class of Work: ALT Type of Const: VB Plan Review 09/29/2021 $496.55
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 09/29/2021 $238.35
Stories: Info Process/Archiving-Lg$2.00(over 09/29/2021 $10.00
11x17)
Project Valuation: $75,000.00 Info Process/Archiving-Sm$0.50(up to 09/29/2021 $12.50
11x17)
Fuel Air Handlers
Fuel Types: Unknown 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 $2,743.61
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: 4
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
Issued By: Ho-4 J Vag pe,Wege. Permittee Signature: OiA,A
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.
0- 'lc 2)1. ,
Mechanical Permit Applic4ECEwEL RR` FOR OFFICE USE ONLI
Received / .�)Jt Permit Noh1 L/ ^7 0 z i_n/1 City of Tigard e `� .2 /IV 11 / l L y L l•' `7 3.2
Ill
• 13125 SW Hall Blvd.,Tigard,OR 97223 SEP 1 4 2021 Plan Revie
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 1 -.a9'-a1 t Other Permit:
Inspection Line: 503.639A175 L ITY OF I IGAI D rPage
r 1 ii ARC) Date Ready �..� Supplemental See 2 for
Internet: wvvw.tigard-or.gov _otified/Meth. v '`N Information
lUILUING DIVISIONSp
TYPE OF WORK COM14 CIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction RAdditionlalteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:S 115 000
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling V Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Fa. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: )13 Q? 5 w 6/1p /1/ Ii<!►e'`1/ Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 'rt a r_ 0 k 97 2 2 3 Furnace 100,000+BTU(ducts/vents) 54.91
1 Heat pump 61.06
Suite/bldg.'apt.no.: Project name: C 0`�1 C 61 f 7" 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: I 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
I h 5-4 A
p f--,07(/ Y / f/q/1(V) -/ tr t iv) -fS fireplace 23.32
0 u c J k q h d 0 G� 0 Log lighter(gas) 23.32
/( / Wood pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
0 PROPERTY OWNER I ,TENANT Other:
Environmental exhaust and ventilation: 23.32
Name: /�O r q f} Range hood/other kitchen
C equipment 33.39
Address: 0?
S LI/ G a tVt/y Clothes dryer exhaust 33.39
City/State/ZIP: /, 6r6 ✓e'! O Q 92223 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
11.4 APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name: p r 0 rYA^'1 e /9iS0 C/GI 1r f il C Fuel piping:
Ii / $14.15 for first four,$4.03 for each additional
Contact name: L O-i f L •e al-) Furnace,etc.
Address: Gas heat pump
g S �v Wall/suspended/unit heater
B
City/State/ZIP: o r1/4 r �jJ /�0 U` T ) 2 2 2 Water heater
Phone:(5-o3)S 9 - 3O8? Fax: :(5'03) 2 3P - 97t -y Fireplace
1 Range
E-mail: /(0 U /5 @ e r 07/ l/Iy ✓0 o COH-i Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: 1".ci c 5 AYPI C 4414 Other:
MECHANICAL PERMIT FEES*
Address:
Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Phone:( ) Fax:( ) Plan review(25%of permit fee)
State surcharge(12°u of permit fee)
CCB lie.: 3 k 0 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