Permit CITY OF TIGARD MECHANICAL PERMIT
"� COMMUNITY DEVELOPMENT Permit#: MEC2013 00447
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/05/2013
Parcel: 2S 101 DA00102
Jurisdiction: Tigard
Site address: 13221 SW 68TH PKWY 120
Project: Precoa Subdivision: VARNS ACRES Lot: 9
Project Description: Install(1)new duct run,(1)new diffuser&(2)new return grilles.
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 08/05/2013 $112.04
Class of Work: ALT Type of Const: Plan Review 08/05/2013 $28.01
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 08/05/2013 $13.44
Stories:
Project Valuation: $1,900.00
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 $153.49
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 Notification Center. 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 questio o OUN calling 503.232.1987 or 1.800.332.2344.
Issued By: /j Permittee Signature: 34-CI /4-4 C PS C✓
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 Applicati tEC IVED FOR OFFICE USE ONLY
2
City of Tigard Received ("® m Permit No.: 1!2,3 cz q 7
Plan Review
q 13125 SW Hall Blvd.,Tigard,OR 97223 AUG 5 2013 Plan Review
_ Phone: 503.718.2439 Fax: 503.598.1960 Other Permit: n 6))j--66/�je
Date/By: N
TI G A R D Inspection Line: 503.639.4175 CITY 1 V OF TIGARD Date Ready/By: Jura: 61 See Page 2 for
Internet: www.tigard-or.gov Vl Notified/Method: Supplemental Information
BUILDING DIVISION
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:$$1,900.00
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. I Ea. Total
JOB SITE INFORMATION AND LOCATION - Heating/cooling:
Air conditioning 46.75
Job site address: 13221 SW 68th Parkway Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard Oregon 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: 120 Project name: Precoa
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
Flue vent for water heater or gas
one new duct run fireplace 23.32
—
one new supply diffuser Log lighter(gas) 23.32
Wood/pellet stove 33.39
two new retun grilles Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ 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
® APPLICANT ❑ CONTACT PERSON Other: 23.32 .
Business name:American Heating Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Brad Manchester Fumace,etc.
Address:5035 SE 2411'Ave Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Portland OR 97202 Water heater
Phone:(503)239-4600 Fax: :(503)239-7038 Fireplace
Range
E-mail:
Barbecue
CONTRACTOR - Clothes dryer(gas)
Business name:American Heating Other:
MECHANICAL PERMIT.FEES* ,
Address:5035 SE 24th Ave /12 cr
Subtotal 0
City/State/ZIP: Portland OR 97202 Minimum permit fee($90.00) r-
Plan review(25%of permit fee) ag.a/
Phone:(503)239-4600 Fax:(503)239-7038
State surcharge(12%of permit fee) /3•yy
CCB lic.:33135 TOTAL PERMIT FEE /5 • iep
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: /144-;"'646-4.----... * Fee methodology set by Tti-County Building Industry Service Board
Print name:Brad Manchester Date:8/5/2013
r:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(I I/02/COM/WEB)