Permit CITY OF TIGARD MECHANICAL PERMIT
1 - COMMUNITY DEVELOPMENT Permit#: MEC2022-01043
Date Issued: 11/14/2022
T t GA RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 15135BC01100
Jurisdiction: Tigard
Site address: 11117 SW GREENBURG RD
Project: Apex Shell Subdivision: None Lot: None
Project Description: Install(2)new curbs for 12.5 ton RTU's.Modify gas line for new 12.5 ton RTU's.
Contractor: OREGON HEATING&AIR CONDITIONING LLC Owner: GREENBURG SPACE CENTER LLC
6950 SW 111TH AVE 4804 NW BETHANY BLVD STE 1-2#243
BEAVERTON,OR 97008 PORTLAND, OR 97229
PHONE: 503-691-9699 PHONE:
FAX: 503-691-8556
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 11/14/2022 $670.29
Class of Work: NEW Type of Const: VB Plan Review 11/14/2022 $167.57
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 11/14/2022 $80.43
Stories: Info Process/Archiving-Lg$2.00(over 11/14/2022 $2.00
11x17)
Project Valuation: $22,700.00 Info Process/Archiving-Sm$0.50(up to 11/14/2022 $4.00
Fuel Air Handlers 11x17)
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:
Appliances
Vent Fans: Vent Systems: Total $92429
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: 2 Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: r. Permittee Signature: 171-ri
Call 504175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
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City of Tigard R c" , !• ! .=Date/By LI /8 3a_ Permit re.:/i*c., , 010 4,3
1114
--• 13125 SW Hall Blvd.,Tigard,OR 97223
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Phone: 503.718.2439 Fax: 503.598.1960 NOV 8L0l PDat
. 1l 8 ) Other Permit
Review
y:
T I G A R D Inspection Line: 503.639.4175 -Date Ready/By: JJ funs: ® See Page 2 for
Internet: www.tigard-or.gov CITY Or TIGAF alotifiediMethod: jl/, Iqt / _ Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*arc based on the value of the work
0 New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 22,700.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ I-and 2-family dwelling ®CommerciaL/industrial 0 Accessory building For special information use checklist
❑Multi-family 0 Master builder 0 Other: Description Qty. I Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 11117 SW Greenburg Rd Furnace 100,000 BTU(ducts/vents) 46.75
city/State/ZIP: Tigard, OR 97223 Furnace 100,000+BTU(duets/vents) 54.91
g P ProjectAPEX SHELL Ductwork 23.32
Suite/bld ./a t.no.: name: 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
Other: 23.32
Subdivision: Lot no.:
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 (2) new curbs for 12.5 ton RTU's fireplace 23.32
Modify gas line for new 12.5 ton RTU's Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
ElPROPERTY OWNER 0 TENANTS 23.32
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
❑ APPLICANT ® CONTACT PERSON Other: 23.32
Business name: Oregon Heating and Air Conditioning Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: Josh Foster Furnace,etc.
Address: 6950 SW 111th Ave Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Beaverton OR 97008 Water heater _
Phone:(503) 453-4938 Fax::( ) Fireplace
Range
E-mail: permits@oregonheating.com Barbecue
CONTRACTOR Clothes dryer(gas) _
Business name: Oregon Heating and Air Conditioning Other:
MECHANICAL PERMIT FEES*
Address: 6950 SW 111th Ave Subtotal
City/Slate/ZIP: Beaverton OR 97008 Minimum permit fee($90.00)
Phone:(503) 691-9699 Fax:( ) Plan review(25%of permit fee)
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�,1%Ii �/ s days after It has been accepted as complete.
.r0 Authorized signature: 1 /"ztCBGiL * Fee methodology set by Tri-County Building Industry Service Board
Print name: Amy McDonald Date:10/14/2022
I:\Building"Permns"MEC_PennitApp_0401 13.doc 440-4617T(11/02,fCOM/WEB)