Permit CITY OF TIGARD MECHANICAL PERMIT
:11111. • COMMUNITY DEVELOPMENT Permit #: MEC2013 00313
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439
D ate Issued: 06/19/2013
Parcel: 2S 101 AA06400
Jurisdiction: Tigard
Site address: 12323 SW 66TH AVE
Project: Selectron Subdivision: WEST PORTLAND HEIGHTS Lot: 32
Project Description: Modification of existing ductwork, install (2) ductless units for server and build rooms. Add (2) exhaust fans and
modify existing restroom exhaust fan. 7/1/13, Revised to add 7.5 and 8.5 ton RTU's.
Contractor: AMERICAN CONTRACTING Owner: STONER, DAVID S
7855 SW OLESON RD 338 SE SPOKANE ST
PORTLAND, OR 97223 PORTLAND, OR 97202
PHONE: 503 - 407 -8538 PHONE: 503 - 597 -3303
FAX: 503 - 244 -9556
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/19/2013 $1,986.21
Class of Work: ALT Type of Const: VB Plan Review 06/19/2013 $496.55
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 06/19/2013 $238.35
Stories: 1 Info Process /Archiving - Lg $2.00 (over 06/19/2013 $4.00
11x17)
Project Valuation: $93,000.00 Info Process /Archiving - Sm $0.50 (up to 06/19/2013 $6.50
11x17)
Fuel Air Handlers Permit Fee 07/25/2013 $448.20
Fuel Types: Units < 10000 cfm: 2 Plan Review 07/25/2013 $112.05
Gas Pressure: Units > 10000 cfm: 12% State Surcharge - Mechanical 07/25/2013 $53.78
Furnaces Boilers 8 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: 2 Vent Systems: Total $3,345.64
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: duct work
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 'otification Ce = . Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or . rect questions to OUN : calli • :03.232.1987 or 1.800.332.2344.
Is ued By: I / _ ' / A Permittee Signa ure:
c y,�ee
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.
IN �� CITY OF TIGARD MECHANICAL PERMIT
l: COMMUNITY DEVELOPMENT Permit #: MEC2013 -00313
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/19/2013
Parcel: 2S 101 AA06400
Jurisdiction: Tigard
Site address: 12323 SW 66TH AVE
Project: Selectron Subdivision: WEST PORTLAND HEIGHTS Lot: 32
Project Description: Modification of existing ductwork, install (2) ductless units for server and build rooms. Add (2) exhaust fans and
modify existing restroom exhaust fan.
Contractor: AMERICAN CONTRACTING Owner: STONER, DAVID S
7855 SW OLESON RD 338 SE SPOKANE ST
PORTLAND, OR 97223 PORTLAND, OR 97202
PHONE: 503 -407 -8538 PHONE: 503 - 597 -3303
FAX: 503 - 244 -9556
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/19/2013 $1,986.21
Class of Work: ALT Type of Const: VB Plan Review 06/19/2013 $496.55
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 06/19/2013 $238.35
Stories: 1 Info Process /Archiving - Lg $2.00 (over 06/19/2013 $4.00
11x17)
Project Valuation: $75,000.00 Info Process /Archiving - Sm $0.50 (up to 06/19/2013 $6.50
11x17)
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: 2 Vent Systems: Total $2,731.61
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: duct work
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 No • - ion - -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 dire• questions to OUN .y . - • g 503.232.1987 or 1.800.332.2344.
Issue ' By: \ , ` / I/ 0 Permittee Signature: 7 14
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 Applic • �,t l l�" I� I QIZ oFF CE USE oN1 a
2 2
City of Tigard Received Dale /By: Le (0 f ?j Permit No.: H f eabf 7 O0 5/ Q
• 13125 SW Hall Blvd., Tigard, OR 97223 JJ 1 e
B ! Phone: 503.718.2439 Fax: 503.598.196U U N 1 O 2013 Plan Date /ByRe 6[ I 1 (0 Other Permit: $ 5_ 04,V
T I G A Rb; Inspection Line: 503.639.4175 Date Ready /By: Juris: ® See Page 2 for
Internet: www.tigard - or.gov CITY OF TIGARD Notified /Method: 3 h-0 ] 7 Supplemental Information
Bull nlNr rnvisInrl 0 spau.. ( ......07- . --Pity
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: $ 75
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 Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
' ` Air conditioning 46.75
Job site address: 12Z ? 2...b S Lc) ( ' Ai)- . Furnace 100,000 BTU (ducts /vents) 46.75
City/State /ZIP l oya../v---ei O >Z Ct 1� J Furnace 100,000+ BTU (ducts /vents) 54.91
1 Heat pump 61.06
Suite /bldg. /apt. no.: Project name: .7I S - s4...O'I4 ? r- Duct work 23.32
Cross street /directions to job site: 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
Flue/vent for any of above 23.32
Subdivision: Lot no.: Other: 23.32
Other fuel appliances:
Tax map /parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
�p
Flue vent for water heater or gas
/ 'O � _ &/Sty ,��7 A ,Y �•^ res v � ��)S -71 _ fireplace 23.32
_ e 1l!��� " Ced ✓ c /.,C / 2 J [l et d Lace Log lighter (gas) 23.32
/- Wood/pellet stove 33.39
/ /n a l Cd cu.i -/ Seri -75 cce'r .??,r e..- K room . - � a.,„, Wood fireplace /insert 23.32
gOdicc eft t 5 1:N5 igS'�DOµ'ex/tci.eS -7 7 Chimney /liner /flue /vent 23.32
L PROPERTY OWNER ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City /State /ZIP: Single -duct exhaust (bathrooms,
toilet compartments, utility rooms) 23.32
Phone: ( ) Fax: ( ) Attic /crawlspace fans 23.32
[a APPLICANT
oNTACT PERSON Other: 23.32
Fuel piping:
Business name: p P $14.15 for first four; $4.03 for each additional
Contact name: p v ��� Furnace, etc.
Address: \ Gas heat pump
Wall/suspended/unit heater
City/State /ZIP: Water heater
Phone: ( Lj07,-_ w/ V� _ I Fax: : ( ) Fireplace
Range
E -mail: Barbecue
CONTRACTOR Clothes dryer (gas)
V , / > Other:
Business name: V\ C6ty / MECHANICAL PERMIT FEES*
Address: '1 5 ,-IA:.„ O p c rrn 5 1 Subtotal
City /State /ZIP: To--At Avj V 1 L c7 ? " 3 Minimum permit fee ($90.00)
'l��l) 1 Plan review (25% of permit fee)
Phone: �VJ Lk40 f 'l) I l Fax: ( 1 Lf ey 5 %,
State surcharge (12% of permit fee)
CCB lic.: e ,M a�.Zr 7C--e) 7C--e) TOTAL PERMIT FEE
t This permit application expires if a permit is not obtained within 180 cl
n a, days after it has been accepted as complete.
Authorized Sign tune. a / * F ee methodology set by Tri- County Building Industry Service Board
L Print name: ( \ 1 1/ 4 , 4i - +/ a � Date
1: \ Building \ Penults \ Iv¢C_Pert\itApp_04 113.doc ' ' 440 -46 I Tr (I I /02 /COM WEB)
Mecha I1 ical Permit Application ' ' .,
QR c)I I /�cl u�l oil �''
s
II City of Tigard c,_1. o ' I ° Date /By: Permit No : i /, 013 3
° 131 SW Hall Blvd., Tigard, OR 97223 1 !/ s�,Qp Plan Review
®: Phone: 503.718.2439 Fax: 503.598.1960 17 l Other Permit:
�, n Date/By:
T I G A 12 D Inspection Line: 503.639.4175 ( -,1�' '� Date Ready /By: 1 u 5 : ® See Page 2 for
Internet: www.tigard - or.gov � r �'� Notified/Method: Supplemental Information
,
.e, t N ?
/ l �O COMMERCIAL FEE* SCHEDULE - USE CHECKLIST •
— i' Mechanical permit . e .ased on the value o rk
❑ New construction D2Md s ition/alteration/replacement performed. • _' ate the v. . rounded to e -.. t dollar all
❑ Demolition ❑ Other: mech. •' al material :.uipment, labor, overhead, and profit.
Value: $ /7, &.'a
CATEGORY OF CONSTRUCTION RESIDE TIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling £ otnmercial /industrial ❑ Accessory building Fo pecial information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description • . .. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: /7Q "? 6-6,, C ,C x -4 A
Furnace 100,000 BTU (ducts /vents) 46.75
City/State /ZIP:
7"-t �/ _i (e) c� ?a ,? Furnace 100,000+ BTU (ducts/vents) 54.91
:5
Heat pump 61.06
Suite/bldg. /apt. no.: Project name: 3/ s - s Duct work 23.32
Cross street/directions to job site: 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
Flue/vent for any of above 23.32
Subdivision: I Lot no.: Other: 23.32
Other fuel appliances:
Tax map /parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
p /ir Qr' ` 7 f- i ery g- fireplace 23.32
/ Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace /insert 23.32
Chimney /liner /flue/vent 23.32
❑ PROPERTY OWNER I ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address:
Clothes dryer exhaust 33.39
City/State /ZIP: Single -duct exhaust (bathrooms,
toilet compartments, utility rooms) 23.32
Phone: ( ) Fax: ( ) Attic /crawlspace fans 23.32
❑ APPLICANT ❑ CONTACT PERSON Other: 23.32
Q i /+ -,L yc Fuel piping:
Business name: ,
//7 Imo/' /� 4,J C rim //`ac / r S $14.15 for first four; $4.03 for each additional
Contact name: /�44ac Kr., e �e� / _Furnace, etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/State /ZIP: Water heater
�3 L/D7 g --0 ( ) Fireplace
Phone: F ax:
Range
E -mail: Barbecue
n CONTRACTOR Clothes dryer (gas)
Business name: /9/i7,4,,,)C.,,r,i) �'ovo c 4 LNL Other MECHANICAL PERMIT FEES*
Address: '2 ,3 s'S s e) / lam/- Subtotal
City/State /ZIP: i L°r ce a 92 .2.23 _ Minimum permit fee ($90.00)
—
't/ � � r Plan review (25% of permit fee)
Phone: (5273) yo? _ gs3R Fax: (5 0) 95 - 1 ^4 — State surcharge (12% of permit fee)
CCB lic.: /� 79'7 rileih., 7S 99. TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name: wadtr k' 0 . e7 , r - Date: 7 -19
I:\Building\ Permits \MEC_PermitApp_040113.doc 440 -4617T (11 /02 /COM/WEB)
FOR OFFICE USE ONLY — SITE ADDRESS:
This form is recognized by most building departments in the Tri- County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Letter
T I G A R n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov
TO: CL,4)11-1 DATE 43 ?'
DEPT: BUILDING DIVISION I .
JUL 01 2013
FROM: L,...S y .s4 CITY OF TIGRRD
BUILDING DIVISION
COMPANY: f.� l _
PHONE: 5CYD — 407 -C
(Site Address) ` (Pemit Number)
(Project name or subdivision name -' d lot number)
ATTACHED ARE THE FOLLOWI ∎' G ITEMS:
Copies: I Description: C i I ies: Description:
Additional set(s) of plan-. Revisions:
Cross section(s) and de : ils. Wall bracing and/or lateral analysis.
Floor /roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other (explain):
ARKS: iM c.K.. 12pcw^.)2A4A4 -1 a
nn
.
'�^. - ��-a- c� •
i -
FOR OFFICE USE ONLY
Routed to Permit clinician: Date: '7/ ( Initials: a
Fees Due: es ❑ No Fee Description: Amount Due:
$ / iz 03
$
Special
Instructions:
Reprint Permit (per PE): is es 11 N. ❑ Don
licant Notified: Date: 7 V'M ip - nitial :
1: \Building\ Forms \TransmittalLetter - Revisions.doc 05/25/2012 -