Permit • CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2022-01155
T r GA RD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/29/2022
Parcel: 2S101 DA00102
Jurisdiction: Tigard
Site address: 13221 SW 68TH PKWY 10
Project: Fitness Center Triangle Subdivision: None Lot: None
Project Description: Installing(1)3 ton ductless split system on roof.
Contractor: AMERICAN HEATING INC Owner: G&I X TRIANGLE CORPORATE PARK LLC
5035 SE 24TH AVE BY DRA ADVISORS LLC
PORTLAND, OR 97202-4765 ATTN TAX DEPT
575 FIFTH AVENUE 38TH FL
NEW YORK, NY 10017
PHONE: 503-239-4600 PHONE:
FAX: 503-239-7038
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 12/27/2022 $423.91
Class of Work: ALT Type of Const: VB Plan Review 12/27/2022 $105.98
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 12/27/2022 $50.87
Stories: Info Process/Archiving-Lg$2.00(over 12/27/2022 $2.00
11x17)
Project Valuation: $13,000.00 Info Process/Archiving-Sm$0.50(up to 12/27/2022 $4.00
Fuel Air Handlers 11x17)
Fuel Types: Electricity Units<10000 cfm:
Gas Pressure: Units> 10000 cfm.
Furnaces Boilers 8 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 $586 76
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
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
Issued B
Y� / Permittee Signature:
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 ` - I' 'it- FOR OFFICE USE ONLY
yam.;r It. ...
City of Tigard Received C C
Date/By: (a f,`12 y . Permit No.: f ut --j 1 55
11 • 13125 SW IIall Blvd.,Tigard,OR 97223
s Phone: 503.718.2439 Fax: 503.598.1960 Date/By:
Review tail
+
ateBy: i a.�ot�.. �+x..l Other Permit
I I G:\RI.) Inspection Line: 503.639.4175 Date Ready/By: - lurk: H See Page 2 for
Internet: www.tigard-or.gov - Notified/Method: jra7/9- - Supplemental Information
TI,.yrcZ.t1 e el ttr/r r"
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*arc based on the value of the work
O New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
El Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$13,000.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder El Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 13221 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
Heat pump 61.06
Suite/bldg./apt.no.: Project name: Fitness Center Triangle 3(122313) 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: 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
Installation of(1)3-ton ductless split system,DX.electric cooling,electric heat with condensing unit located on roof of building, fireplace 23.32
condensate pump and drain(hub drain by others)and wall mounted programmable thermostat. Log lighter(gas) 23.32 -
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
0 PROPERTY OWNER D TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address:
Clothes dryer exhaust 33.39 ,
City/Stale/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
r APPLICANT tEl CONTACT PERSON Other: 23.32
Fuel piping:
Business name: American Heating, Inc. $14.15 for first four;$4.03 for each additional
Contact name: Melanie Hart Furnace,etc.
Gas heat pump •
Address: 5035 SE 24th Ave.
Wall/suspended/unit heater
City/State/ZIP: Portland,OR 97202 Water heater
Phone: 503-239-4600 Fax: : Fireplace
Range •
E-mail: m.hart@americanheating.net Barbecue •
CONTRACTOR Clothes dryer(gas) i
Business name: American Heating, Inc. Other:
MECHANICAL PERMIT FEES*
Address: 5035 SE 24th Ave. Subtotal
City/State/ZIP: Portland,OR 97202 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone: 503-239-4600 Fax: State surcharge(12%of permit fee)
CCB lie.: 33135 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Melanie Hart olgaally aimed by Melanie Hart days after it has been accepted as complete.
DN:G-Us.E-maarse,, icanlieatinaneu 01-Melanie Hui
Authorized signature: Dab.2022.11.2212u8:02.OW00 • Fee methodology set by Tri-County Building Industry Service Board
Print name: Melanie Hart Date: 11/22/2022
1:`,Ruilding\Permits\MEC PermitApp 040113doe 440-4617T(I I/02/COM:WEB)