Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2021-01028
Date Issued: 1/27/2022
JIG A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112DB00300
Jurisdiction: Tigard
Site address: 7257 SW KABLE LN 100
Project: Trane Subdivision:HERN PACIFIC TIGARD INDUSTRIAL Lot: 5
Project Description: Install Mitsubishi VRF ductless split system for teaching laboratory. Provide piping for all to connections at all
equipment.
Contractor: MACDONALD MILLER FACILITY SOLUTIONS LLC Owner: PACIFIC REALTY ASSOCIATES
12911 NE AIRPORT WAY ATTN: N PIVEN
PORTLAND, OR 97230 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 206-768-4062 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 01/24/2022 $2,959.11
Class of Work: ALT Type of Const: VB Plan Review 01/24/2022 $739.78
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 01/24/2022 $355.09
Stories: Info Process/Archiving-Lg$2.00(over 01/24/2022 $16.00
Project Valuation: $112,000.00 11x17)
Info Process/Archiving-Sm$0.50(up to 01/24/2022 $61.50
11x17)
Fuel Air Handlers
Fuel Types: Electricity Units< 10000 cfm: 6
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 $4,131.48
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
Issued By: o{1y Vain,Pe We. a Permittee Signature: Ow App{,t,GGf1.Pw
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.
Mechanical Permit Analicati FOR OFFICE USE ONLY
Cityof Tigard T1ECEI�IE I Received Jry�/� ��� / C/Qz(i
b Date/By:10//,47�•��� Permit No.:/`7•et,� Q
13125 SW Flail Blvd.,Tigard,OR 97223
' Plan Review
s • Phone: 503.718.2439 Fax: 503.598.1960 DEC 2 3 T[+11 Date/By: J- 13 QED.. --�It° Other Permit:
Inspection Line: 503.639.4175
TIC�,�ND ell T or IIUHHD Date Ready/By: /���j//y�, luoris: ® See Page 2 for
Internet: www.tigard-or.gov Not ed/Metho . 2 . Supplemental Information
EUILUINP nIVISinN
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
' Mechanical permit fees*are based on the value of the work
❑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:$112000
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ®Commercialindustrial ❑Accessory building Fan special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
7257 SW Kable Lane Air conditioning 46.75
Job site address: Furnace ace100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Tigard OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: 100 Project name: Tran e V R F Lab 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.: �' 23.32
5
Other fuel appliances:
Tax map/parcel no.: R1009982 Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
Install mitsubishi vrf and ductless split systems for teaching laboratory. fireplace 23.32
equipment provided by owner. Provide p ping to connections at all Log lighter(gas) 23.32
equliment Equipment is for instrurtiona and damonsfratinn ilea, all Wood/pellet stove 33.39
equipment is non-building function. Existing building hvac systems and Wood fireplace/insert _ 23.32
equipment in unaffected by this project scope of work. Chimney/liner/flue/vent 23.32
Oth
ElPROPERTY OWNER [X TENANT S' 23.32
Environmental exhaust and ventilation:
Name: Trane Range hood/other kitchen
equipment 33.39
Address: 7257 SW Kable Lane Clothes dryer exhaust 33.39 _
City/State/ZIP: Tigard OR 97224 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32 _
Phone:(503)809-0348 Fax:( ) Attic/crawlspace fans 23.32 _
It APPLICANT [X CONTACT PERSON Other: 23.32 _
' Fuel piping:
Business name: MacDonald Miller FacilitySolutions
$14.15 for first four;$4.03 for each additional
Contact name: Ammone Bembry Furnace,etc.
Gas heat pump
Address: 12911 NE Airport Way Wal/suspended/unitheater
City/State/ZIP: Portland, OR 97230 Water heater
Phone:(206) 768-4062 Fax: :( ) Fireplace
Range
E-mail: permits@macmiller.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: MacDonald Miller Facility Solutions Other:
MECHANICAL PERMIT FEES*
Address: 12911 NE Airport Way Subtotal
City/State/ZIP: Portland, OR 97230 Minimum permit fee($90.00)
Phone:(206) 768-4062 Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lie.: 232943 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within l80
.M.Te4 a*^^°^•....r days after it has been accepted as complete.
g Ammone Bembry &I. .E.. .�.m.e'"��. u°°"�° y p p
Authorized signature: v ,° ,eae tlo" 'c" "`°`exn`" * Fee methodology set by Tri-County Building Industry Service Board
Print name: Ammone Bembry Date: 12/16/2021
!:Buitding\Permits\MEC)Building Permits _PermitApp_0401 13.doe 440-46I7T(I1/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
$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 S100,000.00 $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:1Building\Permits\MEC_PermitApp_040113.doc 2