Permit CITY OF TIGARD
COMMUNITY DEVELOPMENT MECHANICAL PERMIT
i n Permit#: MEC2022-00251
Date Issued: 3/31/2022
T f GA R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S101 D60010D
Jurisdiction: Tigard
Site address: 7320 SW HUNZIKER RD 103
Project: Neighborhood Health Center Subdivision: None Lot: None
Project Description: Move grills to accommodate new office layout.
Contractor: RELIABLE MECHANICAL LLC Owner: HILLTOP BUSINESS CENTER LLC
13215 SE MILL PLAIN BLVD STE C8#537 9430 NW KAISER RD
VANCOUVER, WA 98684 PORTLAND, OR 97231
PHONE: 360-334-1598 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/31/2022 $72.13
Class of Work: ALT Type of Const: Plan Review 03/31/2022 $18.03
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 03/31/2022 $8.66
Stories: Info Process/Archiving-Sm$0.50 (up to 03/31/2022 $1.50
11x17)
Project Valuation: $600.00
Fuel Air Handlers
Fuel Types: 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 $100.32
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
w Issued By: Permittee Signature:41.1
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
ECEIVEG
Mechanical Permit Application FOR Oli ICh: (`SE ONLY
City Tigard3 of MAR 9 0 L 2 diq RDateeceived/
2 JBy:r// /1247.22 t'cmitt No..l"l W(1/22_"Q02y-/
II, .4 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598 1960,4 I Y UI— Date/By: Other Penmr.
I 1i ti i\1, Inspection Line: 503.639.4175 ,( rll r ��r Date Ready/13y: /►i rvds: ®' See Page 2 for
Internet: www.tigard-or.gov - ' '•? DIVISION Notified(Method:3/N/202i ,j/!/ /+ Supplemental Information
_ 1 !;, TYPE OF WORK �. j IAL * X.: w:s t ';.''-_
Mechanical permit fees*are based on the value of the work
D New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
mechanical materials,equipment,labor,overhead,and profit.
❑Demolition El Other:
:: u;; Value:$ - G.Ja�
1* ORY OF CONSTRUCTION ,a ff� xatsti „1"..s , ry ^
❑ 1-and 2-family dwelling x Commercial/industrial ❑Accessory building For special information use checklist
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
(R LO0VMON AirHeating/cooling:
`"i " Air conditioning 46.75
Job site address: 732 0 s(e,f f24Alr.ZiYI v1 J^ dFurnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: / +3 fa a 9 72_2-3 Furnace 100,000+BTU(ducts/vents) 54.91
je
Suite bldg./apt.no.: ;0 3 I Project name: Heat pump
Ne1311l c j 2X� N /fin Duct work 61.0623.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
hydronie) 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
Gas fireplace/insert 33.39
�`� 3sa,n--r ➢ESC ►ON OF W� `I'' " '' " Flue vent for water heater or gas
r r tie 5n''//s tC.> C- CCC3:✓Ione-,ekd r J la ) fireplace 23.32
�r��s // t Log lighter(gas) 23.32
V' (�,C I C Le GtA T. f l�(1 yJ mil.✓ FC!LA.t,D�/1 L�Y►?-
Wood pellet stove 33.39
t tS h P 11/1j I t.n 5 TO. //r-c/ L , Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
P P Y O N R ' ;� Other: 23.32
/, P r= = - T Environmental exhaust and ventilation:
Name:fit't'l(V t / Range hood/other kitchen
�itv1T"5�'i �Y�i�U�J �[.-C. equipment 33.39
Address:Z/ 0 A,n-✓y)l ..,,,.ovd r3r', Clothes dryer exhaust 33.39
City/State/ZIP: T" C ` c 7/2 I' Single-ductcompartments,exhents(bathrooms,rooms)
s,
toilet utility ro 23.32
Phone:(673) f I"..---&9(1,-3/ Fax:( ) Attic/crawlspace fans 23.32
v,,,,..: AI ICANT`' Other: 23.32
r ❑ _ ti� CONTACT PERSON
lLlII ltitit rJ Wei
Fuel piping:
Business name:
$14.I5 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Gas heat pump
Address:
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) I Fax::( ) Fireplace
Range
E-mail: dein rr,I?l f C+ Barbecue
CON I RACTOR 1 Clothes dryer(gas)
Other
Business name: /_['y 1-4 . 1/17 cue.ti GVI-`Cc( Lc-C
2 r 'mil 1 n / p MECHANICAL PERMrr FEES*
Address:I3215 5L- Y,/tr/( li�/Crr'`j^ /'112 �p (5 L-G 7 Subtotal
City/State/ZIP: UcivlCCu L!ef^ f.✓/r 9 �.0 p `7 Minimum permit fee fee)
Plan review(25%of permit fee)
Phone:(SCO c.— 3_7 3 Fax:( ) State surcharge(12%or permit fee)
CCB lie.: / t} 9 Z p y 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:/��J-------------. * Fee methodology set by Tri-County Building Industry Service Board
Print name: r96,,A.....„. {hfiC/✓t Date: 3/2_ /ZZ
l:\Building\Permits\MhC_PermitApp_040113_doc 440-06171(I1/02/COM/Wan)