Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2023-00013
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 1/9/2023
Parcel: 2S 101 DA00102
Jurisdiction: Tigard
Site address: 13221 SW 68TH PKWY 450
Project: ECI Subdivision: None Lot: None
Project Description: Mechanical for TI: (1)new exhaust fan for IT room.
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 01/09/2023 $69.06
Class of Work: ALT Type of Const: Plan Review 01/09/2023 $17.27
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 01/09/2023 $8.29
Stories: Info Process/Archiving-Lg$2.00(over 01/09/2023 $2.00
Project Valuation: $400.00 11x17)
Info Process/Archiving-Sm$0.50(up to 01/09/2023 $1.00
Fuel Air Handlers 11x17)
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: 1 Vent Systems: Total $97.62
Hgods: Comm Incinerators:
Required Items and Reports(Conditions)
jNoodstoves: 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 m the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. T se rule are s ort
in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
r
Issued By: .,J/ ermittee 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 FOR OFFICE USE ONIA'
City of Tigard ReceivedDatelBy: l Permit No.: � r
13125 S50 Hall Blvd.,Tigard,OR �C E I,r E D Plan Review L
• Phone: 503.718.2439 Fax: 503.59 .1 tl Other Permit:
049A 7
Inspection Line: 503.639.4175 Date/.By:
Date Ready/By: loris: See Page 2 for
Internet: www.tigard-0r.gov JIB 9 Notified/Method: Supplemental Information
TYPJ QFffivswffiffiE — uSE CIIECKLLST
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alt performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials a ui men labor,overhead and profit.
Value:$400.00
MOM
T?SYST
❑ l-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information we checklist
❑Multi-family ❑Master builder ❑ Other: Description Qty, I Ea. I Total
Heatin coolin :
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[lame: VSP suite 450 Triangle III(122414) Duct work 23.32
Cross street/directions to job site: H dronic hot waters stem 1 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 anyof above 23.32
Subdivision: Lot no.:
Other. 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
Gas fireplaceiinsert 33.39
RK.i
- - Flue vent for water heater or gas
Add(1) new exhaust fan to IT room fireplace 23.32
Log lighter as 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/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/crawlspace fans 23.32
Other. 23.32
Fuel i in :
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
ourno
Wall/suspendedlimit 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
it CONTR " Clothes drver as
Business name: American Heating Other.
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: 503-239-7038
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 "Y0a*"°"'" days after It has been accepted as complete.
.��
Authorized signature: amio�.ae n5txtamr Pee methodology set by Tri-County Building Industry Service Board
Print name: Melanie Hart Date: 1106/23 771
i:ABuildingAPe iWMEC PennitApp_040113.doc 440-4617T(1I/02/COM(WEB)