Permit CITY OF TIGARD MECHANICAL PERMIT
:4 a COMMUNITY DEVELOPMENT Permit #: MEC2013 -00298
Date Issued: 06/05/2013
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503 718.2439 parcel: 1S126D602800
Jurisdiction: Tigard
Site address: 9370 SW GREENBURG RD 311
Project: Dr. Bilstrom Subdivision: 1991 -018 PARTITION PLAT Lot: 1
Project Description: Push /pull 3 -ton heat pump located on the ground
Contractor: WILLAMETTE HVAC LLC Owner: FRANKLIN COMMONS ASSOCIATES, LLC
3075 SW 234TH AVE. #206 BY NORRIS & STEVENS
HILLSBORO, OR 97123 621 SW MORRISON STE 800
PORTLAND, OR 97205
PHONE: 503 - 259 -3200 PHONE:
FAX: 503 - 848 -2597
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/05/2013 $252.17
Class of Work: ALT Type of Const: VB Plan Review 06/05/2013 $63.04
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 06/05/2013 $30.26
Stories: Info Process /Archiving - Sm $0 50 (up to 06/05/2013 $3.50
11x17)
Project Valuation: $6,600.00
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 $348.97
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 Noti ion Ce -r Those rules are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0090. You may obtain a copy of the rules
or direct •uestions to OU by - ' g 03 232.1987 or 1.800 332.2344. I /
Issued • /1 /.../.41( /1 i j Permittee 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 ApplicationRECEIVED I FOR OFFICE USE ONLY
City of Tigard R ,19 a /3
JUN 04 2013 Permit N 9" 1EZ ' 0/3 aoay ;
13125 SW Hall Blvd., Tigard, OR 97223
NI :
•
Phone 503 718.2439 Fax. 503 598.1960 Plan Review
C, OFTIGt>1LW
(� D ate /By r ( 3 Other Permit
T I G A R D Inspection Line 503 639 ^��pp�� Date Ready/ y ////// ////// / tuns tZ See Page 2 for •
Internet www.tigard -or gov BUILDING DIVISIOT Notified/Method' fiL3 4 , 776 Supplemental Information
TYPE OF WORK / COMMERCIAL FEE* SCHEDULE – USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction Z Addition /alteration /replacement performed Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. •
Value: $ $6,600.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ I- 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 Ap
Job site address: 9370 SW Greenburg Rd (requires site plan showing placement) 46 75
— Furnace 100,000 BTU (ducts/vents) 46.75 , -.
City /State /ZIP: Tigard OR 97224
Furnace 100,000+ BTU ( ducts/vents) 54.91 ,
Suite/bldg. /apt. no.: 311 I Project name: Dr. Bilstrom 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: I 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/insert
Push /pull 3 ton heat pump that is located on the ground 33.39
Flue veent nt foor r water heater or gas
fireplace 23.32
- Log lighter (gas) 23.32
Wood /pellet stove 33.39 '
Wood fireplace/insert 23.32 •,
❑ PROPERTY OWNER I ❑ 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
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
® APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 23 32
Business name: same as below Other. 23 32
Fuel piping:
Contact name: $14.15 for first four; $4.03 for each additional
Address: Furnace, etc.
Gas heat pump
City /State/ZIP: Wall /suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail:
Range
CONTRACTOR Barbecue
Business name: Willamette HVAC, LLC
Clothes dryer (gas)
Other
Address: 3075 SW 234 Ave Suite 206 MECHANICAL PERMIT FEES*
City /State /ZIP: Hillsboro, OR 97123 Subtotal
Phone: (503) 259.3200 Fax: (503) 848.2597 Minimum permit fee ($90 00)
Plan review (25% of permit fee) ' • .•
CCB lic.: 56951 State surcharge (12% of permit fee) .
i
TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized signature: days after it has been accepted as complete.
Print name: michael malstrom Date: 6/4/13 • Fee methodology set by Tn- County Building Industry Service Board
I \Building\Permits\MEC•PermitApp doe 03/07/12 440 -4617T (t t /02/COM/WEB)