Permit y p CITY OF TIGARD MECHANICAL PERMIT
1 14
COMMUNITY DEVELOPMENT Permit #: MEC2013 -00250
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/28/2013
Parcel: 1 S136DA00100
Jurisdiction: Tigard
Site address: 11308 SW 68TH PKWY
Project: Comcast Tech Ops West Subdivision: PFAFFLE PLAZA CONDO Lot: 2
Project Description: Low pressure ductwork and hydronic piping revisions for both new and existing VAV systems
Contractor: HUNTER DAVISSON INC Owner: BENENSON 68TH PARKWAY KEY LLC, T
1800 SW PERSHING ST BY PROVIDENCE HEALTH SYSTEM
PORTLAND, OR 97202 ATTN: PROPERTY MANAGEMENT
1235 NE 47TH STE 160
PORTLAND, OR 97213
PHONE: 503 - 542 -3628 PHONE:
FAX: 503 - 542 -3654
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/28/2013 $5,274.67
Class of Work: ALT Type of Const: IIB Plan Review 05/28/2013 $1,318.67
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 05/28/2013 $632.96
Stories: 2 Info Process /Archiving - Lg $2.00 (over 05/28/2013 $8.00
11x17)
Project Valuation: $191,300.00
Fuel Air Handlers
Fuel Types: Units < 10000 cfm: 2
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: 2
Heat Pump:
Appliances
Vent Fans: 5 Vent Systems: Total $7,234.30
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: VAV's
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 you to follow the rules adopted b - - • regon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 - 00• ' You ma obtainer c.. of the rb es
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Is ued B . `/ u� Permittee Si nature: `.: Jf Y \ R Signature:
� r _
Call 503.639.4175 by 7:00 a.m. for the next available i = pecti . date.
This permit card shall be kept in a conspicuous place on the job si unt ompletion of the project.
Approved plans are required on the job site at the tim • each inspection.
Mechanical PermifApplication 1EVE FOR OFFI(E 1 SE 0:N1,1 City of Tigard � � �' Received 3 (13 �i Permit No. / /j 3_ 0 pa �
13125 SW Hall Blvd., Tigard, OR 97 '"1 r.L
P lan Revie
Phone: 503.639.4171 Fax: 503.598.1960 MAY 1 3 Z 013 Other Permit: (�� Q
DateBy: e-f ol9i3'
T 1 G A R D Inspection Line: 503.639 Date ReadyBy: / _ Juris: H See Page 2 for
Internet: www.tigard- or.gov CITY OF TIGARD Notified/Metho / /3 �11 ( e Supplemental Information
BUILDING DIVISION ina, / A) _7! o
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ 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, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $ /94 r ive, GO
RESIDENTIAL EQUIPMENT / S FEES*
❑ 1- and 2- family dwelling KCommercial/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
� j� Air conditioning
Job site address:
//3ag �) O ' / $JQiC� (requires site plan showing placement) 46.75
City /State /ZIP: Furnace 100,000 BTU (ducts/vents) 46.75
,T.1/�iS 'D D� 9 9 7 ;'3 Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg./apt. no.: Project name: CD/ L $r - 7,....r, 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
`Ai) A�f'�u e4 i ) /c - Gt fQA "], i //7/0124/2-c Flue vent for water heater or gas
A Q Y� Ai x/ ' /AA) 44 /4 L l lighter 23.32
v' /C.f .:S�r/•Ll/� � � / f' Log lighter (gas) 23.32
. /Xj.7 p' 2 / -57/57:e , Wood/pellet stove 33.39
Wood fireplace /insert 23.32
Chimney /liner /flue /vent 23.32
X PROPERTY OWNER JYTENANT Other: 23.32
Name: .0 -- Environmental exhaust and ventilation
/ Range hood/other kitchen
Address: `
//:3a . — Lti 68d /9l1�C'ct1/ equipment 33.39
City /State /ZIP: .t r/Lhe D 97i2/ Clothes dryer exhaust 33.39
i ��/` Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
k
APPLICANT CONTACT PERSON Attic /crawlspace fans 23.32
1/ / Other: 23.32
Business name: /7.‘v-3„--", � � �J/vCi Fuel piping
Contact name: G f/ Jeg / P�y�j/ $14.15 for first four; $4.03 for each additional
Address: /2w S� A, i, ;1/2 - P Gas heat p um
P
City /State /ZIP: "�4az,,/,,j ,72„a Wall/suspended/unit heater
Phone: (AS) . 57( 0 2 — , aG� Fax: : ( )
Water heater
/
Fireplace
E -mail: c__/ V /'L�//✓,019- VTRA A.li✓ �r�� /�t7�'✓. /rf Range
�/ CO CTOR Barbecue
Business name: 45,77/7,- Clothes dryer (gas)
Other:
Address: MECHANICAL PERMIT FEES*
City /State/ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($90.00)
1 i Plan review (25% of permit fee)
CCB lic.: /t/a ' State surcharge (12% of permit fee)
TOTAL PERMIT FEE
elt, This permit application expires if a permit is not obtained within 180
Authorized signature: d �'y7 ? days after it has been accepted as complete.
n - = —. - -.-- _. Q N '?r/V. ( 1 ri...,.. s�,r/ / 1 * Fee methndnlnw cet by Tri-r :nnnty Rnildinv Tndnshv Crrviee Retard
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11308 SW 68TH PKWY, TIGARD, OR, 97223
Commercial - Mechanical
615 Mechanical rough-in
06/12/2013 00:00
MEC2013-00250
PASS
Violation Summary:
Inspector Contractor