Permit (9) CITY OF TIGARD MECHANICAL PERMIT II`'�! a COMMUNITY DEVELOPMENT Permit#: MEC2022-00696
Date Issued: 8/2/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S112DC01400
Jurisdiction: Tigard
Site address: 15865 SW 74TH AVE 110
Project: SC Labs Subdivision: FANNO CREEK ACRE TRACTS Lot: 4
Project Description: Ductwork and grills for TI.
Contractor: PACIFIC CREST STRUCTURES INC Owner: JDS LLC
17750 SW UPPER BOONES FERRY RD SUITE CRITERION CREEKVIEW LLC
190 BY SPECTRUM REAL ESTATE ADVISORS
DURHAM, OR 97224 1125 SE DIVISION ST#209
PORTLAND, OR 97202
PHONE: 503-968-8949 PHONE:
FAX: 503-598-6658
FEES
Specifics: Description Date Amount
Type of Use: Permit Fee 08/02/2022 $235.31
Class of Work: Type of Const: Plan Review 08/02/2022 $58.83
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 08/02/2022 $28.24
Stories: Info Process/Archiving-Sm$0.50(up to 08/02/2022 $0.50
11x17)
Project Valuation: $5,929.00
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 $322.88
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 OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
‘2,
Issued By: �►� Permittee Signature: j,,. "/X �`
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 Applicatio ECEIVE . FOR OFFICE USE ONLY
City of Tigard C V V Received
IL!?�l`" ' ' ���2 �,�
ill r 13125 SW Hall Blvd.,Tigard,OR 972232 Date/By:
'
_ 202 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 AUGUDate/By: Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGAFIV Date Ready/By: Juris: Ed See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information
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:$5929.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ I-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: 15865 SW 74th Ave Furnace 100,000 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.: 110 Project name:SC Laboratories-HVAC Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
SW 74th off SW Durham Rd 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: Fanno Creek Acre Tracts Lot no.: 4 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
RELOCATE EXISTING SUPPLY AIR GRILLES AND ASSOCIATED DUCTWORK TO fireplace 23.32
SERVE NEW ENCLOSED SPACES. PROVIDE NEW RETURN AIR GRILLES AND Log lighter(gas) 23.32
ASSOCIATED DUCTWORK TO SERVE NEW ENCLOSED SPACES VENT OWNER Wood/pellet stove 33.39 _
PROVIDED EXHAUST HOOD THROUGH ROOF Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
® PROPERTY OWNER 0 TENANT
Environmental exhaust and ventilation:
Name: JDS LLC,Criterion Creekview LLC by Spectrum Real Estate Advisors Range hood/other kitchen
equipment 33.39
Address: 1125 SE Division St Clothes dryer exhaust 33.39
City/State/ZIP:Portland,OR 97202 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
DK] APPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name: Hunter Davisson
$14.15 for first four;$4.03 for each additional
Contact name: Rob Butler Furnace,etc.
Address: 1800 SE Pershing St Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Portland,OR 97202 Water heater
Phone:( 503 ) 542-3616 Fax: :( ) Fireplace
Range
E-mail: rbutler@hunterdavisson.com Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name: Pacific Crest Structures INC
MECHANICAL PERMIT FEES*
Address: 17750 SW Upper Boones Ferry Rd Suite 190 Subtotal
City/State/ZIP: Durham,OR 97224 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( 503 ) 968-8949 Fax:( 503 ) 598-6658 State surcharge(12%of permit fee)
CCB lie.: 66915 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
--,
`� days after it has been accepted as complete.
Authorized Sigttatur4/------N---- J * Fee methodology set by Tri-County Building Industry Service Board
Print name: Rob Butler Date:8/2/2022
1:,Building\Permits\MEC_PermitApp_0401 13.doc 440-4617T(II/02/COM/WEB)