Permit p CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2013 -00141
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/13/2013
T tG1Ri7= 9 Parcel: 2S101 DA00102
Jurisdiction: Tigard
Site address: 13221 SW 68TH PKWY 410
Project: Spec Space Subdivision: VARNS ACRES Lot: 9
Project Description: Remove (3) supply ducts and diffusers, remove (1) return air grill, relocate (8) supply diffusers & relocate (4) return
air grills
Contractor: AMERICAN HEATING INC Owner: GK TRIANGLE CORPORATE PARK III L
1339 SE GIDEON ST BY THOMSON REUTERS INC
PORTLAND, OR 97202 ATTN: MEGAN DOWLING
PO BOX 130174
CARLSBAD, CA 92013
PHONE: 503 - 239 -4600 PHONE:
FAX: 503 - 239 -7038
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/13/2013 $173.44 -
Class of Work: ALT Type of Const: Plan Review 03/13/2013 $43.36
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 03/13/2013 $20.81
Stories:
Project Valuation: $3,894.00
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 _. . - - $237.61
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 Notifi - - - - -r. T •se rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy the r les
or direc •uestions to OU .y c -Ilin. 03.232.1987 or 1.800.332.2344. '/ 'n/ c Q
Issue' By: /i Permittee Signature: m /S/
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.
HECEI V
Mechanical Permit Application FOR OFFICE USE ONLY
jig MAR 1 3 2013 Received 3 � M �. oZo 0 �
Date/By: �7 / 5 f ' 3 4 Per No.: O
_ q City of Tigard
13125 SW Hall Blvd., Tigard, OR ' ! • fir I ^ ^ Plan Review
Phone: 503.718.2439 Fax: 503 I v �K7/1ruJ Other Pe rmit:64p� (��
� Date /By: O(3- ant
TI GA RD Inspection Line: 503.639 u V O NG DIVISIOP Date Ready/By: Jut s: ®See Page 2 for
Internet: www.tigard - or.gov fY Notified/Method: Supplemental Information
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: $ $3,894.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1 - and 2- family dwelling ® Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: 13221 SW 68 Parkway (requires site plan showing placement) 46.75
City/State /ZIP: Tigard OR 97223 Furnace 100,000 BTU (ducts /vents) 46.75
Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: 410 Project name: Space Prep Heat pump
(requires site plan showing placement) 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
supply ducts and diffusers Gas fireplace/insert 33.39
remove 3 existing PP y Flue vent for water heater or gas
remove 1 existing return air grills fireplace 23.32
Log lighter (gas) 23.32
relocate 8 existing supple diffusers Wood/pellet stove 33.39
relocate 4 existing return air grills Wood fireplace/insert 23.32
❑ 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: American Heating Other: 23.32
Fuel piping:
Contact name: Brad Manchester $14.15 for first four; $4.03 for each additional
Address: 1339 SE Gideon Street Furnace, etc.
Gas heat pump
City/State /ZIP: Portland OR 97202 Wall/suspended/unit heater
Phone: (503) 2329 -4600 Fax: : (503) 239 -7038 Water heater
E - mail: Fireplace
Range
CONTRACTOR Barbecue
Business name: American Heating Clothes dryer (gas)
Other:
Address: 1339 SE Gideon St MECHANICAL PERMIT FEES*
City/State /ZIP: Portland OR 97202 Subtotal /73. t {y
Phone: (503) 239 -4600 Fax: (503) 239 -7038 Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB lie.: 33135 /, State surcharge (12% of permit fee) Acs • $
!/ ��./ //.c � GV TOTAL PERMIT FEE 37.
Authorized signature: Thi perm application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Brad Manchester Date: 3/11/13 * Fee methodology set by Tri -County Building Industry Service Board
I:\Building \Permits \MEC- PermitApp.doc 03/07/12 440-4617T (11/02 /COM/WEB) it 3?1 •, &I