Permit (23) CITY OF TIGARD MECHANICAL PERMIT
IIIIICOMMUNITY DEVELOPMENT Permit#: MEC2023-00797
T[GAR R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/15/2023
Parcel: 2S 115AB01900
Jurisdiction: Tigard
Site address: 16200 SW PACIFIC HWY
Project: The Joint Chiropractic Clinic Subdivision: 1994-028 PARTITION PLAT Lot: 2
Project Description: Relocating registers and installing new ceiling mounted exhaust fan for TI.
Contractor: WILLAMETTE HVAC LLC Owner: SN PROPERTIES PARTNERSHIP
3075 SE CENTURY BLVD STE 206 1121 SW SALMON ST
HILLSBORO, OR 97123 PORTLAND, OR 97205
PHONE: 503-259-3200 PHONE:
FAX: 503-848-2597
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 11/01/2023 $215.64
Class of Work: ALT Type of Const: VB Plan Review 11/01/2023 $53.91
12%State Surcharge-Mechanical 11/01/2023 $25.88
Occupancy Grp: B Occupancy Load:
Stories: 1 Info Process/Archiving-Lg$2.00(over 11/01/2023 $4.00
Project Valuation: $5,295.40 11x17)
Fuel Air Handlers
Fuel Types: Electricity 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: 1 Vent Systems: Total $299.43
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: 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 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:
Call 503.639.4175 by :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 RECEIVE eceived FOR OFFICE USE ONI,v
City of Tigard •Date/By: I ry 3 , Permit No. Q.U'*-00777
41 13125 SW Hall Blvd.,Tigard,OR 97223 OCT 0 4 2023 Plan Review �j
Phone: 503.718.2439 Fax: 503.598.1960 r 7 Date/By: Jo . h a •��...4 Other Permit:
T l( A R I) Inspection Line: 503.639.4175 vITY OF i IGARDDate Ready/By: )) 3u*� See Page 2 for
Internet: www.tigard-or.gov Notified/Method: /�/I Lq t. Supplemental Information
3UILDING DIVISION /� O J
::,-.4.-
' Mechanical permit fees*are based on the value of the work
❑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:
eCATEGORY OFCONSTRCTION " y ,�
M7_
▪ and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist
❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total
'� ios slit INFO lION-AND LOCATION Heating/cooling:
" .-
Air conditioning 46.75
Job site address:16200 SW Pacific Hwy Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard, OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.:G2 Project name:Joint Chiropractic 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: I Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DES o�:OF; 4O* ' f Gas fireplace/insert 33.39
,, `,. ".' ...-, , _.- °' "'` x Flue vent for water heater or gas
Relocate existing registers as needed for new office layout. fireplace 23.32
Install new ceiling mounted exhaust fan. Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
*OPERTY UWNER I <• El TENA' 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
Other: 23.32
Business name:Willamette HVAC Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Sharon Nelson Furnace,etc.
Address:3075 SE Century Blvd, Suite 206 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Hillsbor, Or 97123 Water heater
Phone:(503- 59-3200 Fax::( ) Fireplace
Range
E-mail:snelson@willamettehvac.com Barbecue
:tis CONTRACTOR Clothes dryer(gas)
Business name:Willamette HVAC Other:
Address:3075 SE Century Blvd, Suite 206 Subtotal
City/State/ZIP:Hillsbor, Or 97123 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( 50-259-3200 Fax:( ) State surcharge(12%of permit fee)
CCB lie.:56951 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
�� � � ^ days after it has been accepted as complete.
Authorized signature: yti (✓ * Fee methodology set by Tri-County Building Industry Service Board
Print name: 1 Cl n n `„Q`S 0� Date: iQ)3) 2_3
\P \M I:\BuildingermitsEC_PermitApp_040113.doc` 440-4617T(11/02/COM/WEB)