Permit 111 q CITY OF TIGA MECHANICAL PERMIT
111
COMMUNITY DEVELOPMENT CITY
MEC2012 -00057
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/18/2012
Parcel: 2S 101 DA00104
Jurisdiction: TIGARD
Site address: 13333 SW 68TH PKWY
Project: Clear Channel Radio Subdivision: VARNS ACRES Lot: 9
Project Description: Mechanical for TI: 3rd and 4th floor for offices and radio broadcast facilities. Scope includes RTU's and
reconfiguring existing ductwork.
Contractor: TRI TECH HEATING INC Owner: TRIANGLE POINTE LLC
6603 NE 137TH AVE 901 NE GLISAN ST, #100
VANCOUVER, WA 98652 PORTLAND, OR 97232
PHONE: 360 - 891 -2002 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 04/18/2012 $11,076.71
Class of Work: ALT Type of Const: IIB Plan Review 04 /18/2012 $2,769.18
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 04 /18/2012 $1,329.21
Stories: 4
Project Valuation: $390,000.00
Fuel Air Handlers
Fuel Types: Units < 10000 cfm: 11
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 $15,175.10
Hoods: Comm Incinerators:
Required Items and Reports (Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: VRV
Duct Work: 1
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 ou to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 95 r 11-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2
�
Issued By: ermittee Signature: .�'.`� .
Call 503.639.41 • : '.m. for the next available inspect • n date.
This permit card shall be kept in a conspicuous place on the job site until co • lotion o he project.
Approved plans are required on the job site at the time of each inspec • .
Mechanical Permit Applicatian,. . FOR OFFICE USE ONLY
l7 f [D Received ed
City of Tigard �J Permit No.: /� �!`
City g ( Date/By: ` /•t�it✓P✓ lot— (,ICUs]
q 13125 SW Hall Blvd., Tigard, OR 972 3 Plan Review
' C Phone: 503.718.2439 Fax: 503.598.1960 D ateBy: �/
� other Permit: t — r •
T I G A R D Inspection Line: 503.639 JAN O Date Read : kris: n See 'age 2 for
Internet: www.tigard - or.gov Notified/Method: ) j Supplemental Information
CITY OF TIGeAne�I_D,' ll «llllll"''"""""```�' ,
TYPE OF cDING DI V'JiON "Km ' CIAL FEE* SCHEDULE — USE CHECKLIST
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 ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $ 00C)
• 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:
Air conditioning
Job site address: 13333 SW 68 Parkway (requires site plan showing placement) 46.75
Furnace 100,000 BTU (ducts /vents) 46.75
City /State /ZIP: Portland, OR 97223 Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: 300 Project name: Clear Channel Radio Heat pump
(requires site plan showing placement) 61.06 -
Cross street/directions to job site: at intersection of 1 -5 and 217 Duct work 23.32
From 217, exit onto SW 72 Avenue -- north; turn right onto SW Hampton Street Hydronic hot water system 23.32
Residential boiler (radiator or
then right onto SW 68 Parkway and right into site. hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Subdivision: Lot no.: 00104 Flue /vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: Map 2S101 DA / Lot 00104 Other fuel appliances:
DESCRIPTION OF WORK Water heater 23.32
vent f
Interior tenant improvements on 3 and 4 floors for offices & radio broadcast Gas f 33.39
Flue vent for water heater or gas
facilities. Related mechanical includes reconfiguring existing ductwork to fireplace 23.32
Log lighter (gas) 23.32
accommodate new layout; add rooftop condensing units to provide additional Wood/pellet stove 33.39
cooling for broadcast equipment. Wood fireplace /insert 23.32
❑ PROPERTY OWNER ® TENANT Chimney/liner /flue /vent 23.32
Other: 23.32
Name: Clear Channel Radio Environmental exhaust and ventilation:
Address: 2625 South Memorial Drive
Range hood/other kitchen
equipment 33.39
City /State /ZIP: Tulsa, OK 74129 Clothes dryer exhaust 33.39
( D � 4 � / t Single-duct exhaust (bathrooms,
Phone: o ( ) // � Fax: ( ) toilet t compartments, ments, utility lity rooms) 23.32
® APPLICANT ® CONTACT PERSON Attic /crawlspace fans 23.32
Business name: Luckett & Farley Other: 23.32
Fuel piping:
Contact name: Michael W. Mazeika $14.15 for first four; $4.03 for each additional
Address: 737 South Third Street Furnace, etc.
Gas heat pump
City /State /ZIP: Louisville, KY 40202 Wall /suspended/unit heater
Phone: (502) 585 -4181 Fax: : (502) 587 -0488 Water heater
Fireplace
E -mail: MMazeika @luckett - farley.com Range
CONTRACTOR Barbecue
Business name: to be determined — T ft j _'MA (44,1 Clothes dryer (gas)
Address: b6 k k 0 Other
MECHANICAL PERMIT FEES *
City /State /ZIP: v oh & 9 e o $'L Subtotal
Phone: �y 9 ZC0L Fax: Q q Q
Minimum permit fee ($90.00)
( 9r I I ) E [ L "- ( 1 1 O Plan review (25% of permit fee)
CCB lie.: t(0 ( • <0 . "'2 State surcharge (12% of permit fee)
/ // �� TOTAL PERMIT FEE
Authorized signature: frill This permit application expires if a permit is not obtained within 180
Ivo
da after it has been accepted as complete.
Print name: An/; Date: �Ff 1 Z
• Fee methodology set by Tri- County Building Industry Service Board vit
1 :\ Building \Permits\MEC- PermitApp.doc 0' r• . 440- 4617T(II /02/COM/WEB)