Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2012 -00290
T 1 G AR O 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/06/2012
Parcel: 1 S136DA02300
Jurisdiction: Tigard
Site address: 6900 SW ATLANTA ST 100
Project: OME Subdivision: FRUITLAND ACRES Lot: 5
Project Description: TI (same tenant, in suites: 100, 110, 120 & 200)
Contractor: MCDONALD MILLER FACILITY SOLUTIONS Owner: OREGON EDUCATION ASSN
12801 NE AIRPORT WAY 6900 SW ATLANTA ST
PORTLAND, OR 97230 TIGARD, OR 97223
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PHONE: 971 - 244 -0901 PHONE: 503 - 684 -3300
FAX: 971 - 244 -0902
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/06/2012 $291.51
Class of Work: ALT Type of Const: VB Plan Review 06/06/2012 $72.88
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 06/06/2012 $34.98
Stories: 2 Info Process /Archiving - Sm $0.50 (up to 06/06/2012 $1.00
11x17)
Project Valuation: $8,000.00
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 $400.37
Hoods: Comm Incinerators: Required Items and Reports (Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Registers
Duct Work: 1 •
Fire /Smoke Dampers:
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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 -0 Yo ay obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: .4 / dAtkit- Pernittee Signature:
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.
Mechanical Permit ApplicatioRECE VED FOR OFFICE USE ONLY
IN Received /
City of Tigard • JUN 04 2012 Date/By: (O r /A. .4. ;moo Permit No C,24/� -IV 029 )
q 13125 SW Hall Blvd., Tigard, OR 97223
Plan Revie ��j
Phone: 503.718.2439 Fax: 503.598.19 Date/By: 4 P � - / ( Other Permit�u� A2 . y /Ty T I G 1 R D Inspection Line: 503.639 OF TIGARD Date Ready/B • aria: See Page 2 for
Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method: /02. .q ' 77 Supplemental Information
/(Pt__ v 1
TYPE OF WORK COMMERCIAL 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.
Value: $ $8,000.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building For special informalion 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: 6900 SW Atlanta Street (requires site plan showing placement) 46.75
Furnace 100,000 BTU (ducts/vents) 46.75
City/State /ZIP: Portland, Oregon 97233 Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: Project name: 0 A1g- Heat pump
— (requires site plan showing placement) 61.06
Cross street/directions to job site: 0 k e 60ij Duct work 23.32
irt � Hydronic hot water system 23.32 .0 2 ,L
i . �LOO/L — $ -(417 /co //0 /aa Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
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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
• Adjusting ceiling diffusers as needed to accommodate new walls Gas f vent f w 33.39
Flue vent for water heater or gas
e fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace /insert 23.32
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❑ PROPERTY OWNER ❑ TENANT Chimney/liner /flue /vent 23.32
Other: _ 23.32
Name: Environmental exhaust and ventilation:
Address: Range hood/other kitchen
equipment 33.39
City/State /ZIP: Clothes dryer exhaust 33.39
Fax: Single -duct exhaust (bathrooms,
Phone:
( ) ( ) toilet compartments, utility rooms) 23.32
® APPLICANT ® CONTACT PERSON Attic /crawlspace fans 23.32
Business name: MacDonald - Miller Facility •Solutions Other: 23.32
Fuel piping:
Contact name: Kevin Simmons $14.15 for first four; $4.03 for each additional
Address: 12801 NE Airport Way Furnace, etc.
Gas heat pump
City/State /ZIP: Portland, OR. 97230 Wall /suspended/unit heater
—"Phone: (503) 793-1835 Fax: : (9701 -) 244 -0902 Water heater
Fireplace .
E -mail: kevin.simmons @macmiller.com Range
CONTRACTOR Barbecue
Business name: MacDonald - Miller facility Solutions Clothes dryer (gas)
Other:
Address: 12801 NE Airport Way MECHANICAL PERMIT FEES*
City/State /ZIP: Portland, OR. 97230 Subtotal
Minimum permit fee ($90.00)
Phone: (971) 244 -0901 Fax: (971) 244 -0902
Plan review (25% of permit fee)
% / CCB lic.: 154368 6 1- /3 State surcharge (12% of permit fee)
_ TOTAL PERMIT FEE _
Authorized signature: This permit application expires if a permit is not obtained within 180
gn days after it has been accepted as complete.
Print name: K r,r\1 SIMMc)..3 S Date: (- Z– /2-- • Fee methodology set by Tri -County Building Industry Service Board
I:\ Building \Permits\MEC- PermitApp.doc 03/07/12 440-4617T (1 l/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi- Family Fee Schedule:
Total Valuation: Permit Fee:
$0.00 to $500.00 Minimum fee $69.06
$500.01 to $5,000.00 $69.06 for the first $500.00 and
$3.07 for each additional $100.00 or
fraction thereof, to and including
$5,000.00.
$5,000.01 to $10,000.00 $207.21 for the first $5,000.00 and
$2.81 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,000.01 to $50,000.00 $347.71 for the first $10,000.00 and
$2.54 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,000.01 to $100,000.00 $1,363.71 for the first $50,000.00 and
$2.49 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first $100,000.00 and
$2.92 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
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