Permit n CITY OF TIGARD MECHANICAL PERMIT
1:11111
1 COMMUNITY DEVELOPMENT Permit#: MEC2021-00815
Date Issued: 10/27/2021
T[G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503 718.2439 Parcel: 2S101 DC03702
Jurisdiction: Tigard
Site address: 7185 SW SANDBURG ST
Project: Northpoint Wealth Management Subdivision: None Lot: None
Project Description: Work to include duck work modification,add(10 SPLIT SYSTEM,(10 VAV and(5)exhaust fans
Contractor: AMERICAN HEATING INC Owner: NORTH POINT HOLDINGS LLC
5035 SE 24TH AVE 11135 SE COUGAR CT
PORTLAND, OR 97202-4765 HAPPY VALLEY, OR 97086
PHONE: 503-239-4600 PHONE:
FAX: 503-239-7038
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 10/25/2021 $2,135.61
Class of Work: ALT Type of Const: VB Plan Review 10/25/2021 $533.90
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 10/25/2021 $256.27
Stories: Info Process/Archiving-Lg$2.00(over 10/25/2021 $10.00
Project Valuation: $80,953.00 11x17)
Info Process/Archiving-Sm$0.50(up to 10/25/2021 $27.50
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: 1
Appliances
Vent Fans: 5 Vent Systems: Total $2,963.28
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc
Duct Work: 100
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
Issued By: Ha-( Vavv pe,\A/e-ee, Permittee Signature: (�w AppLi.c..a2fLo-v1,
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.
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Mechanical Permit Applica
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1.14 4 City W Tigard Received Date/By: b�� ��! Permit No.:�,/u5(20 /- (S
13125 SW Hall Blvd,Tigard,OR 97223 OCT 13 2021
g Plan Review
Phone: 503.718.2439 Fax: 503.598.19 +�-a0 .. Other Permit:
Cr Panne
i-I�_ Ii D Inspection Line: 503.639.4175 (ATV OF I It7AH�J Date Ready/By: turfs: ® See Page 2 for
Internet: www.tigard-or.gov p�1II_S JIIYl7 lJIVI`ll�l Ngt•ted/Meth /j t Mei Supplemental Information
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(. ._... ..._... TXPE OF'WORK COL UAL FEE* SCHEDULE- USE CHECKLIST
t.__-__ --- -- Mechanical permit fees*are based on the value of the work
Ej New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$80.953
C.A'FEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES*
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist
0 Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOH SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 7185 SW Sandburg St Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: Northpoint WM TI 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
Other: 23.32
Subdivision: Lot no.:
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
TI of existing space to include: — fireplace 23.32
Ductwork modifications, add(1)split system,(1)VAV and(5)exhaust fans Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
0 PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation:
Name: 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:( 1 Attic/crawlspace fans 23.32
APPLICANT 0 CONTACT PERSON Other: 23.32
- Fuel piping:
Business name: American Heating
$14.15 for first four;$4.03 for each additional
Contact name: Melina Vaca Furnace,etc.
Address: 5035 SE 24th Ave Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Portland,OR 97202 Water heater
Phone: 503-519-1337 Fax:: Fireplace
Range
E-mail: m.vaca@americanheating.net Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: American Heating Other:
MECHAN'ICAL.PERMIT FEES*
Address: 5035 SE 24th Ave _ Subtotal
City/State/ZIP: Portland,OR 97202 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone: 503-519-1337 Fax: State surcharge(12%of permit fee)
CCB lic.: 33135 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within Igo
'dwt��iw��n.a ad by Melina Vace days after it has been accepted as complete.
Authorized signature: Melina Vaca wcC.US,E aca@amencanfeaang.set,C5.MBIina Vacs
OM:2021 0g29 13.58 55-0700 * Fee methodology set by Tri-County Building Industry Service Board
Print name: Melina Vaca Date: 09/29/21
1:\BuildingiPermiisUtEC_PemritApp_040113.doc 440-4617T(I 1/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi-Famil Fee Schedule:
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I:\Building\Permits\MEC_PermitApp_040113.doc 2