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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)