Permit N CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2023-00014
Date Issued: 1/9/2023
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S136DD03400
Jurisdiction: Tigard
Site address: 11740 SW 68TH PKWY 225
Project: Loyal Source Subdivision: WEST PORTLAND HEIGHTS Lot: 9
Project Description: Mechanical for TI: Relocating(6)existing supply diffusers,ducts,and(2)return air grilles;Adding(2)new return
grilles with acoustical plenums.
Contractor: AMERICAN HEATING INC Owner: 11740 SW 68TH PARKWAY LLC
5035 SE 24TH AVE 111 SW COLUMBIA ST STE 1380
PORTLAND,OR 97202-4765 PORTLAND, OR 97201
PHONE: 503-239-4600 PHONE:
FAX: 503-239-7038
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 01/09/2023 $235.31
Class of Work: ALT Type of Const: Plan Review 01/09/2023 $58.83
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 01/09/2023 $28.24
Stories: Info Process/Archiving-Lg$2.00(over 01/09/2023 $2.00
Project Valuation: $6,000.00 11x17)
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: 3050 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $324.38
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mach Units:
Gas Outlets: Other Desc:
Duct Work: 1
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 at set fo in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: l,�aZz' ;!i 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 Application1 7 1 FOR OFFICE USE ONLY
`t�
City of Tigard RECEIVE Dat ved Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 y !
P
Phone: 503.718.2439 Fax: 503.598.1960 JAN 9 Review
ia°
Date/By: Other Permit:
r
Inspection Line: 503.639.4175 Date Ready/By- Juris: H See Page 2 for
Internet: www.tigardor.gov L11 1 OF TIGAR Notfied/Method: 7"fsi. Supplemental Information
11
- Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/replacement perforated.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials a ui men labor.overhead and profit.
Value:$6,000.00
10,11 ftll
❑
I-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist
❑Multi-family ❑Master builder ❑ Other: Description Qty. Ea. Total
Heating/cooling:
Arr
co—itioning 46.75
Job site address: 11740 SW 68th Parkway Furnace 100,000 BTU ducts/vents 46.75
City/State/ZIP: Tigard, OR 97223 Furnace 100,000+BTU ducts/vents 54.91
Heat um 61.06
Suite/bidg./apt.no.: Project name: Loyal Source Suite (122370) Duct work 23.32
Cross street/directions to job site: H dronic hot water s stem 23.32
Residential boiler(radiator or
h dronic) 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
j;_.. Gas fir lace/insert 33.39
Flue vent for water heater or gas
Relocate(6)existing supply diffusers and ducts,relocate(2)existing return air grilles,relocate(1)existing thermostat, fireplace 23.32
Add(2)new return air grilles with acoustical plenums Lo lighter 23.32
Wo llet stove 33.39
Wood fir lace/insert 23.32
Chime /liner/flue/vent 23.32
Other: 23.32
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address: Clothes dryerexhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawls ace fans 23.32
°t " " Other. 23.32
Fuel piping:
Business name: American Heating
$14.15 for first four;$4.03 for each additional
Contact name: Melanie Hart Furnace etc.
Address: 5035 SE 24th Ave. Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Portland,OR 97202 Water heater
Phone: 503-239-4600 Fax:: 503-239-7038 Fireplace
Range
E-mail: m.hart@americanheating.net Barbecue
V X___
- Clothes dryer as
Business name: American Heating Other:
Address: 5035 SE 241h Ave. Subtotal
City/State/ZIP: Portland,OR 97202 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone: 503-239-4600 Fax: 503-239-7038 State surcharge(12%of permitfee)
CCB tic.: 33135 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Melanie Hart y°nB1�""'"°"'°N m""°"" days after it has been accepted as complete.
Authorized signature: E2x01 Nft: =a + Fee methodology set by Tri-County Building Industry Service Board
Print name: Melanie Hart Date: 1/09/23
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