Permit CITY OF TIGARD MECHANICAL PERMIT
a COMMUNITY DEVELOPMENT Permit#: MEC2022-00384
Date Issued: 6/9/2022
T t C A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S 108DCO2200
Jurisdiction: Tigard
Site address: 15609 SW PEACE AVE
Project: River Terrace Crossing, Lot 23 Subdivision: RIVER TERRACE CROSSING Lot: 22
Project Description: Mechanical for a sales office in model home:(1)mini split system.
Contractor: AREA HEATING&COOLING INC Owner: CND-RIVER TERRACE LLC
2721 NE 65TH AVE 1111 N POST OAK RD
VANCOUVER, WA 98661 HOUSTON, TX 77055
PHONE: 360-737-0811 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/09/2022 $84.41
Class of Work: ALT Type of Const: VB Plan Review 06/09/2022 $21.10
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 06/09/2022 $10.13
Stories: Info Process/Archiving-Lg$2.00(over 06/09/2022 $2.00
11x17)
Project Valuation: $1,000.00
Info Process/Archiving-Sm$0.50(up to 06/09/2022 $12.00
11x17)
Fuel Air Handlers
Fuel Types: Natural Gas 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: 1
Appliances
Vent Fans: Vent Systems: Total $129.64
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: heat pump
Duct Work: water heater
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. u may obtain a copy of the rules
"7/
Issued By: Permittee Signature. Pn't)e4__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 Application FOR OFFICE USE ONLY
City of Tigard Received
_ Permit No.: �
13125 SW Hall Blvd.,Tigard,OR 9722 \I S)70i� .yO (� ,
Phone: 503.718.2439 Fax: 503.598.19EC
w L. Date/By:Plan Review
•„.,. J.2�Date/By: � Other Permit: /�140 1 A_I m,36
1 1 G n R D Inspection Line: 503.639.4175 Date Read /B / ms: �fS I CJ W f
Internet: www.tigard-or.gov y y / ® See Page 2 for
appY 1 6 2g2Z Notified/Method: �q[fin ..- I Supplemental Information
TYPE OF WORIV t" t1 i- .IGAHD COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteratid (r l ettQIVI•510I' performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment,labor,overhea ,and profit.
-- Value 34 / 0 4 0
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT, FENS FEES*�`
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
❑ Multi-family ❑ Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address:15609 SW Peace AVE Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Portland,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name:River Terrace
Heat pump 61.06
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:River Terrace Lot no.:23 Other Mini split syst 1 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
Sales office located in garage of SFR fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
ElPROPERTY OWNER 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Pacific Lifestyle Homes Range hood/other kitchen
to equipment 33.39
Address:11815 NE 99 St.Suite 1200 Clothes dryer exhaust 33.39
City/State/ZIP:Vancouver,WA 98682 Single-duct exhaust(bathrooms,
toilet compartments,utility moms) 23.32
Phone:(360)573-8081 Fax:( ) Attic/crawlspace fans 23.32
>I APPLICANT 4 CONTACT PERSON Other: 23.32
Fuel piping:
Business name:Pacific Lifestyle Homes
$14.15 for first four;$4.03 for each additional
Contact name:Permit Coordinator Furnace,etc.
Address:11815 NE 99th Street,Suite 1200 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Vancouver,WA 98682 Water heater
Phone:(360)573-8081 Fax::(360)574-6401 Fireplace
Range
E-mail:permits@buildplh.com Barbecue 1
CONTRACTOR Clothes dryer(gas)
Business name:Area Heating+Cooling Other:
MECHANICAL PERMIT FEES*
Address:2721 NE 65th Ave
Subtotal
City/State/ZIP:Vancouver,WA Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(360)737-0811 Fax:(360)737-6946 State surcharge(12%of permit fee)
CCB lic.:64801 l TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
r_,-(/')
days after it has been accepted as complete.
Authorized signature:,/ �� * Fee methodology set by Tri-County Building Industry Service Board
Print name:Summer Dowell Date:05/16/2022
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/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_040I 13.doc 2