Permit (53) CITY OF TIGARD MECHANICAL PERMIT
1111 . COMMUNITY DEVELOPMENT Permit #: MEC2013 -00727
1 3125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/10/2013
T E U r� R fj g Parcel: 1 S 135 BD00100
Jurisdiction: Tigard
Site address: 9600 SW OAK ST
Project: Plaza West Subdivision: ASHBROOK FARM Lot: PTS 5 &
Project Description: Replace (2) rooftop units. (Unit #5 & #8) These units service multiple tenants.
Contractor: HUNTER DAVISSON INC Owner: SUN LIFE ASSURANCE CO OF CANADA
1800 SW PERSHING ST BY NORRIS BEGGS & SIMPSON
PORTLAND, OR 97202 121 SW MORRISON ST #200
PORTLAND, OR 97204
PHONE: 503 - 542 -3628 PHONE: 503 - 273 -0381
FAX: 503 - 542 -3654
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 12/10/2013 $812.53
Class of Work: ALT Type of Const: IIB Plan Review 12/10/2013 $203.13
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 12/10/2013 $97.50
Stories: 5 Info Process /Archiving - Sm $0.50 (up to 12/10/2013 $7.50
11x17)
Project Valuation: $28,243.00
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: 30 -50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $1,120.66
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports (Conditions)
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 obtain a copy of the rules
or direct questions to 0 ■ " . calling 503.232.1987 or 1.800.332.2344.
Issued By: `L t= Permittee Signature: 7.14117111
1, Call 503.639.4175 by 7:00 a.m. for the next available inspe • on 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 rolz ou I I( I: l SE ONE.l
Rece
t �/
: MGe e / v
III City of Tigard
• Rec Permit No.: G /. • 13125 SW Hall Blvd., Tigard, OR 97223
Plan Review.
Phone: 503.639.4171 Fax: 503.598.1960 / �r T r Permit:
Inspection Line: 503.639.4175
T I G A R D C Date Ready/By: (,, ]aria. See Page 2 for
Internet: www.tigard or.gov CITY Notified/Method:,4 //2 J fir- Supplemental Information
(o '4V yI / / wi. � .2. 4
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ New construction Addition/alteration/replacement Mechanical permit fees' are based on the value of the work
performed. Indicate the val .. i . e. s u - • : of all
❑ Demolition ❑ Other: mechanical materials, - • . tpment, labor, overhead, and pro. .
CATEGORY OF CONSTRUCTION Value: $ 20/ ZL.{ 3
dwelling RESIDENTIAL E I i' u NT / SYST
❑ 1 - and 2-family g 'Commercial industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: R Si-, Air conditioning
(requires site plan showing placement) 46.75
City/State /ZIP: l l VV / / c z 3 Furnace 100,000 BTU (ducts/vents) 46.75
/ 1 )(_ Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldgJapt. no.: Project name: Uties-l-- > Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
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: Lot no.:
er 23.32
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 23.32
t Gas fireplace 33.39
p ♦ - 1 ; Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Or PROPERTY OWNER I 0 TENANT Chimney /liner /flue/vent 23.32
Other: 23.32
Name: f ,,s c,v S, / Environmental exhaust and ventilation
2l Y � f Range hood/other kitchen
Address: If r Y L
,',!:.0 ` e 70C) equipment 33.39
City/State/ZIP: Po, ..�. r 2 Clothes dryer exhaust 33.39
()-
( � - ^ ' . /• Single -duct exhaust (bathrooms,
c73 Phone: (.5;5) Z 3 - � -3( Fax: ( Z7 -2 SD toilet compartments, utility rooms) 23.32
at APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32
Other: 23.32
Business name: -4 , l . �Jl t I C,., Fuel piping
Contact name:
� � ^^'' �t �` -}- t $14.15 for first four; $4.03 for each additional
Address: (! ) L ` e . _ Furnace, etc.
(�`�V c T< < Gas heat pump
City/State/ZIP: Y , O' ( V 2 Wall/suspended/unit heater
Phone: X03) 4 - `1 Fax: (58 ) 5.4 Z _365C, Water heater
Z ,• Fireplace
E -mail: l /t om ) �� i ' son c ��\ Range
`y CONTRACTOR Barbecue
141.Artis )1 ' 1 , ( / 1- ��es dryer (gas)
Business name:
Address: (C.IX) , l 3 MECHANICAL PERMIT FEES*
City/State /ZIP: T • • Or mi (�"Z Subtotal
Phone: ( ) -.2:34 l �` ''�� (, 1^� Minimum permit fee ($90.00)
((,f2__ 4 �"�) �J sq Plan review (25% of permit fee)
CCB lic.: State surcharge (12% of permit fee)
TOTAL PERMIT FEE /' ?Q , 66
. / / � ,' I This permit application expires if a permit is not obtswithin 180
Authorized signature: k ; u days after it has been accepted as complete.
n_n_.. / n_._. • Fee mrthMc,lnw crt by Tri -Cremty Rnildino Tndnctry Nervier Rnarri