Permit V CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2010 -00557
T [ G A A D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 11/03/2010
Parcel: 2S113BA00400
Jurisdiction: Tigard
Site address: 7632 SW DURHAM RD 300
Subdivision: Lot: 0
Project: Optum Health
Project Description: Relocate ducts and grilles for TI
Owner: FEES
BEHRINGER HARVARD WESTERN Description Date Amount
PORTFOLIO LP, BY EASLEY MCCALEB & Permit Fee 11/03/2010 $176.51
ASSOCIATES 1, PO BOX 190700 12% State Surcharge - Mechanical 11/03/2010 $21.18
PHONE:
Contractor:
HUNTER DAVISSON INC
1800 SW PERSHING ST
PORTLAND, OR 97202
PHONE: 503 - 234 -0477
FAX: 503- 542 -3654
Type of Use: COM
Class of Work: ALT 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 $197.69
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
issuan >, . 1 work is • •ended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Uti Notification Center. , ose -s are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You ma : tain a copy of the rules
direct questions to OUNC •, allin. 50 46.6699 or 1.800.332.2344.
ssued By: - � /4 // Permittee Signature: ` ow
Call 503.639.4175 by 7:00 a.m. for an inspection that bu ss day.
This permit card shall be kept in a conspicuous place on the job site u completion of the project.
Approved plans are required on the job site at the time o each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard RECEIVED P No.: � `/
I II4 ° 13125 SW Hall Blvd., Tigard, OR 97223 Date/By: � • �� }7�t?pZD�d'O� �s�
Phone: 503.639.4171 Fax: 503.598.196 Plan Review
R i Date/By: • Other Permit:
T I G A R D Inspection Line: 503.639 NOV V 3 2 010
Date Read /B tern+
Internet: www.ti ard -or. ov Ready /By: S See Pent l Information
g g Notified/Method: Supplementalnformation
CITY OF TIGARD -
TYPE (JAMINitmuivisiON COMMERCIAL FEE* SCHEDULE — USECHECKLIST
El New construction Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition Other: mechanical materials, equipment, laleroverhead, and profit.
CATEGORY OF CONSTRUCTION Value $ �0 v
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
Ell- and 2- family dwelling Commerciallindustrial ❑ Accessory building
Multi M builder For special information use checklist.
El y ❑ ❑Ot her: Description 1 Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
�
I , Air conditioning or heat pump
Job site address:
Q3 tJ �ui i (requires site plan showing placement) 14.00
,
City /State/ZIP: ' Q D� Furnace 100,000 BTU (ducts /vents) 14.00
! Project name: /'') #1-„,2 , , Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt.
�i* l /w& / �-� Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Subdivision: I Lot no.: Flue/vent for any of above 6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
/L4Mi4fe .SU� � i d � c � ' . / Gas fireplace g as
10.00
�' 'vv������ // ` � c.��.lflN / Flue vent for water heater or
,1 ,t �� , � t fireplace 10.00
1 / v2 3 %./ ' 3 s1,40ZkS /1 `3 / v'�7� Avt- Log lighter (gas) 10.00
X 91, 4� l C / Wood/pellet stove 10.00
„ Wood fireplace/insert 10.00
❑ PROPERTY OWNER I TENANT
Chimney/liner/flue/vent vent 10.00
Other: 10.00
Name: �Q4� ,; 4! q/ , Environmental exhaust and ventilation
Address: �fl " r 7 � .w �/ 5 ,,, -) ��� A Range hood/other kitchen
Jv " equipment 10.00
City / State/ZIP: d D, Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
X APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Business name: / _ Other: 10.00
/
�AI �/ S $9A ` e i Fuel piping
Contact name: M/ h P��Z //lam/ .3�' $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
��Q Q� Gas heat pump
City /State/ZIP: �Q�L t2. /D �� j'7vYJ� Wall/suspended/unit heater
Phone: ( ) n Fax: : ) 53p_36.5-5,/ Water heater
�� O�y _ 7 � Fireplace .
E -mail: t
1 G4iQz yA/ /iad dedev Seth/ fit✓! Range
J / NTRACTOR Barbecue
� Clothes dryer (gas)
Business name: ■
Other:
Address: MECHANICAL PERMIT FEES*
City /State/ZIP: Subtotal /76.51
Minimum permit fee ($72.50)
Phone: ( ) Fax:( )
Plan review (25% of permit fee) _
CCB lic.: i6A:7? y`� 4/ State surcharge (12% of permit fee) . I K
r ' TOTAL PERMIT FEE ! p,_ (Dy
Authorized signature: w ' This permit application expires if a permit is not obtained within 180
d ays after it has been accepted as complete.
I Print name 7 , dlipey .nAL I Date: // 3 /D * Fee methodology set by Tri- County Building Industry Service Board
I:\ Building \Perm \ PermitApp.dtx u1 /dtlK '(r' / 1-461 (11 /02/COM/W1:11)