Permit CITY OF TIGARD MECHANICAL PERMIT
I ~ g COMMUNITY DEVELOPMENT Permit#: MEC2022-00403
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/24/2022
Parcel: 2S101 DA00104
Jurisdiction: Tigard
Site address: 13333 SW 68TH PKWY, STE#220
Project: Total Quality Logistics Subdivision: VARNS ACRES Lot: 9
Project Description: Mechanical for TI:(1)new VAV box and air distribution revisions.
Contractor: OREGON HEATING&AIR CONDITIONING LLC Owner: TRIANGLE POINTE TWO LLC
6950 SW 111TH AVE 901 NE GLISAN ST, STE 100
BEAVERTON, OR 97008 PORTLAND, OR 97232
PHONE: 503-691-9699 PHONE:
FAX: 503-691-8556
FEES
Specifics: Description Date Amount
Permit Fee 05/24/2022 $408.67
Type of Use:
Class of Work: Type of Const: Plan Review 05/24/2022 $102.17
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 05/24/2022 $49.04
Stories: Info Process/Archiving-Lg$2.00(over 05/24/2022 $2.00
11x17)
Project Valuation: $12,350.00
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 $561.88
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 O - 1-0010 through OAR 952-001-0090. Y u may obtain a copy of the rules
Issued By: p Permittee Signature:
C 503.639.4175 by 7:00 a.m.for the next available inspecti n 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 Application FOR OFFICE USE ONLY
City of Tigard CEIVEa Received
el y:
-14 • 13125 SW Hall Blvd.,Tigard,OR 972 3 girt 'f�
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review
Inspection Line: 503.639.4175 NAY 2 4 Z022 DateBy: Ot er Permit: i 4`��rL7rt�3
.I; 1Fr Irl.7f I�i�
TIGARDNote Ready/By: 0 See Paget for
Internet: www.tlgaidoLgov Notified/Method: Supplemental Information
CITY OF TIGARD q �r ��• S
TYPE OF W fILDING DIVISION *OF' 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 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$12,350.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special infOrmalien use checklist.
❑Multi-family 0 Master builder ❑Other: Description Qty. Fa. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address:13333 SW 68th Pkwy Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Tigard, OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
8 P ProjectTQL EXPANSION Heal pumpk 23.32
SuitePold ./a t.no.: 220 name: Duct work 23.32
Cross street/directions to job site: T (XL�l.l ti t V 3,1,fJ 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.: 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
Provide and install (1) new VAV box. fireplace 23.32
Provide and install air distribution revisions. 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 ❑ 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:( ) Attic/crawlspace fans 23.32
0 APPLICANT 0 CONTACT PERSON Other: 23.32
Fuel piping:
Business name: Oregon Heating and Air Conditioning
S14.15 for first four;S4.03 for each additional
Contact name: Jeff Sanchez Furnace,etc.
Address: 6950 SW 111th Ave Gas heat pump
Wal/suspended/unit heater
City/State/ZIP: Beaverton OR 97008 Water heater
Phone:(508) 572-6984 Fax::( ) Fireplace
Range
E-mail: jsanchez@oregonheating.com Barbecue
CONTRACTOR Clothes dryer(gas)
I Business name: Oregon Heating and Air Conditioning Other:
MECHANICAL PERMIT FEES*
Address: 6950 SW 111th Ave Subtotal
cityistate/zrn: Beaverton OR 97008
Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503) 572-6984 Fax:( ) State surcharge(12%of permit fee)
CCB lie.: 137653 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
-7�,�� n , days after it has been accepted as complete.
Authorized signature:.f0 //K%P tt.czCd' * Fee methodology set by Tri-County Building Industry Service Board
Print name: Amy McDonald Date: 05/23/2022
I:IBuildng1PermitseMEC PermitApp_040113.doc 440-4617T(I I/02/COMIWEB)