Permit ` �rq CITY OF TIGARD MECHANICAL PERMIT
°a I. COMMUNITY DEVELOPMENT Permit #: MEC2010 -00225
Date Issued: 05/18/2010
TIGARL7 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S101 DA00102
Jurisdiction: Tigard
Site address: 13221 SW 68TH PKWY 500
Subdivision: TRIANGLE CORPORATE PARK Lot: 2
Project: University of Phoenix
Project Description: HVAC modifications for TI
Owner: FEES
GK TRIANGLE CORPORATE PARK III L Description Date Amount
BB# 73- 1771- GK1130, CBRE, PO BOX 2096
WARREN, MI 48090 Permit Fee 05/18/2010 $198.00
12% State Surcharge - Mechanical 05/18/2010 $23.76
PHONE:
Contractor:
AMERICAN HEATING INC
1339 SE GIDEON ST
PORTLAND, OR 97202
PHONE: 503 - 239 -4600
FAX: 503 - 239 -7038
Type of Use: COM
Class of Work: ACS Type of Const:
Occupancy Grp: Occupancy Load:
Stories:
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressue: 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 $221.76
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 • • • • • Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or •• ect questions to •UN •y calling 503.246.6699 or 1.800.332.2344.
Iss . ed By: / / � � Permittee Signature
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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 ONLY
City of Tigard o Date/By: 5 IX /0 1 PermitNo.: -fe Ai) •_/r2c t Received
• 13125 SW Hall Blvd., Tigard, OR 97223 �j � an Review
111 Q V
f � a� �
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Phone: 503.639.4171 Fax: 503. � p�`! „� \ 0 Date/By: Other Penult: Abe -t•/
y: �6
-r 1G A It D Inspection Line: 503.639.4175 ; '\. `• Date Ready/By: Jude ® See Page 2 for
Internet: www.tigard or.gov Notified/Method: Supplemental Information
TYPE OF WORK.. U C�
❑ New construction �Addition/alteratio s � \ COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
\ Mechanical permit fees* are based on the value of the work
ment performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $ y62 ej
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling /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: /3221 Sw 8 + h �G r lb Air conditioning
w y (requires site plan showing placement) 46.75
City /State /ZIP: ��Gr-� O R j 7 2 2 3 ✓ Fumace 100,000 BTU ( ducts/vents) 46.75
Fumace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: 500 Project name: On ve15 I f • J �/ o _p ph oen i X 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
Subdivision: Lot no.: Flue /vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 23.32
Gas fireplace 33.39
H VA G m i -r) c4 04 S t(,7 T L Flue vent for water heater or gas
fireplace 23.32
S j7a C C/ Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace /insert 23.32
❑ PROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 23.32
1 1 Other: 23.32
Name: ' Environmental exhaust and ventilation
.. �...
Range hood/other kitchen
Address . equipment 33.39
City/State /ZIP: Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32
Other: 23.32
Business name:Ame / G ,,,, e q �
�e57< y Fuel piping
Contact name: 8 1 y-- $14.15 for first four; $4.03 for each additional
Address: 133 5 E 6p 101 e 0 n S 'I Fumace, etc.
J Gas heat pump
City /State /ZIP: 0r•'f/CfnO OR 972 O 2. Wall/suspended/unitheater
Phone: (S03) 231- - y (POO Fax: : (5o3) 23 -703 8 Water heater
Fireplace
E -mail: Range
• CONTRACTOR Barbecue ,
Business name: A , t; a a f c i /n Clothes dryer (gas)
Other:
Address: 133 q S g G 1 J el, '{ MECHANICAL PERMIT FEES*
City /State /ZIP: r f - f 1a cI Og 972 d Z Subtotal / / g•
Phone: (.50 3) //- Fax: p3 ) 2 3 70 g Minimum permit fee permit Ph fee)
_ 239` t to Plan review (25% permit fee) -t9”
CCB lic.: 33/3 5 State surcharge (12% of permit fee) A3.76,
// _ A TOTAL PERMIT FEE �al. 7�p
i� This permit application expires if a permit is not obtained within 180
Authorized signature: c- 4C after it has been accepted as complete.
Print name: / ?c / /Vatic `j e5 7e/- Date: 5-17-10 • Fee methodology set by Tri- County Building Industry Service Board
1:\ Building \Permits\MEC- PennitApp.doc 10/01/09 440-4617T(11 /02/COM/WEB)