Permit (5) CITY OF TIGARD MECHANICAL PERMIT
_ # COMMUNITY DEVELOPMENT Permit#: MEC2021-00011
Date Issued: 2/16/2021
T I G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S 1016B01300
Jurisdiction: Tigard
Site address: 11952 SW GARDEN PL
Project: Spec Space Subdivision: CROW PARK 217 Lot: 1
Project Description: Landlord work prior to TI: Installing(3)restroom exhaust fans,and relocating ductwork and registers for new office
layout.
Contractor: WILLAMETTE HVAC LLC Owner: BKM PARK BC 252 LLC
3075 SW 234TH AVE.#206 1701 QUAIL ST STE 100
HILLSBORO, OR 97123 NEWPORT BEACH,CA 92660
PHONE: 503-259-3200 PHONE:
FAX: 503-848-2597
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/05/2021 $398.51
Class of Work: ALT Type of Const: VB Plan Review 02/05/2021 $99.63
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 02/05/2021 $47.82
Stories: Info Process/Archiving-Lg$2.00(over 02/05/2021 $10.00
11x17)
Project Valuation: $12,000.00 Info Process/Archiving-Sm$0.50(up to 02/05/2021 $22.50
11x17)
Fuel Air Handlers Misc Administration Fee 02/05/2021 $25.00
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: 3 Vent Systems: Total $603.46
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 10
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
or direct questions to OUNC by calling 503,232.1987 or 1.800.332.2344.
Issued By: 1.10 Vouyt,Pe/we Permittee Signature: 0w,4ppUcc twat
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.
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''.P 4-et"" ,t'fit.'•-•. .'''."'',r1","..''""ef r''....i Mechanical Permit Application 1' ...'. rollAke/M3145100.14gi4nw- -
, City of Tigard E , rt,0 v. i ,10,
N.-__ 13125 SW Hall Blvd.,Tigard,OR 97223 RECEIV . Ass Irer'law 1 6/914 if remd ki4).ilia:1 ?ZV4-- 20
' Phone: 503.71,1.2439 Datt,e3,: , .-.3.,.. .---tk other Pewit Askyatio,7010„. ,..f .01
:,,,1„.„,A:, Inspection UV: 503.639.4175
• Internet www.tIgard-or.gov Doi y: tere6r I Ernes Pagel 1Z- soo
Nov 5 mg Nali.demethot (lx( T
•
j • Tyra or wiz=CITY 01-11 . COMMERCIAL lfilrE*KNEWSLET,BRE cknEcialsT
0 New construction Eir AddilionrallwatioalM01)114G DIVISION Mechanics]permit fees are based on the value of the work
perforated.Indicate the value(mended to the nearestdollar)ofall
Et Demolition [3 Other: mechanical materials,equipment, d.
• • • CATECORY OE CONSTRIUCTE3N Vallul:$ 12,000
wampum/.,i I '
0 1-and 2-fandly dwelling E2 CornmereillAnditstrial 0 Accessory building I I
For specter iVirmation use Oen/at
El Multi-family 0 Neater builder GI Other Descriptiom [ Qty. I Es. I Total._
• JOB SITE INFORMATION Ate LOCATION •
:- - - ' Reatingkoollnap
,
Job she address: 11952 SW Garden PL Air ecnditioning 46.75
Farm=100,000 BTU(kenhvets) 46.75
cityntawmit ifigard, OR 97223 Furnace 100.000+Efu hitursdymie 54.91
SulteibldgJapt.no.: Project name:Tigard business park Heat pump 61.06
Duet work 2332
Cross street/directions to job site: sw garden p1 @ pacific hwy
flvd lc hot water system 23.32
- . Residential bolter(radiator or
hydroids) 23.32
Unit heales(fuehtype,tun electric),
to-watk,in-duct,=voided,ele. 46.75
Melt/ant for any of above 2332
Subdivision: I Lot no.: Other 2332
Other Part a Winona:
Tex map/parcel t10.:
Water iststuer 23.32
BERCRIPT1ON OP WORK Gm fissniscsikszst 3339
-----1
tenant 1 Re-work ductwork and registers to —
accommodate the new office layout. Install three
,
Ikiu ,,..piii fcs water heater or gas
1 reeptst s
— Log in 2332
htes(IV'S)
Wectiteret stove 33.39
— Wood rircelserilased 2332
Chinuteydirerfilucheat 23.32
restroom fans.
2332
#4141611111TV OWNER - in TENANT • Other 23.32
NtAtIc' 131CM &Cot ei 51 t...FIN TIZS 22y, ccc Emdronmental exhaust end ventilation:
Range hoodfother hitches
Address: 1811 ‘0 (6)au ii I $
4„ pre jots
ii equipment
Clothes dive mammal 33.39
33.39
2332
CilfrStelealP: es.wit./9- BeA. iii. , 6A- 124674 taiSingietk-dcomuoilwatmentscabsest.(utibelluorinahuivommo
Phone:(19p e$i.- ,,,,, 1 if Fax:( )
. Altiecrevelspace litns 23.32
"APPLICANT a CONTACT PERSON Other 23.32
Business safer aA4 D s ovi, it"O` Feel piping:
514.13 tbr nrst Soon SW ibr tack additional
Contact name: oieltf ei to.II cle y+.4 .. Funece,etc.
Address:13 is EN c c...4.1. ,,, Thrill -,:#1-310 Gas heal inallP
Wall/suspendedttatil heater
Cltallarr;Z7V11"te. i C it 9 26 it/ weer heater
Ph°ne.-(4., 3-1.461"r 24,teCr Faie ( ) First's=
Emil:YVIiip;es ElatIG 4-'ropaklletkii,45 ill C . (p KA Rome
13arbeeue
moo Clothes dzyer(aes)
Business noune:70friiir-'4,41/ Other: 1
111111aLLEICAL PEIRPRT FEES*
Address: 30 71' st,J AA ?, ..e-Mo Subtotal
City/StatefZIP: ify//jco,diC of-2/.. . Minimum permit fee($90.00)
Phone:(T" ) ?cal—4.342gia I Fax:( ) Plan review(2596 of parte fee)
State surdas.(12%of pennit ire)
CCB lie: 5-6 TOTAL PERMIT FEE .4
I
tif This transit application expires Ira permit b sot Adana within ISO ,
.s.
days snarl,his bean seeeptad as complete. ,
Authorized sign -e• ' 1
• Fee methodology set by Tm-Ceataty building Meaty Service Baud
til nanap(- lre. Date:a iTi3O
1:11kollatehreeksWICPennitApp 0112330.dat 44 17T.1IIMICOhiffireD) ;C,Ill a COPJ . i
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