Permit CITY OF TIGARD MECHANICAL PERMIT
1111 a • COMMUNITY DEVELOPMENT Permit#: MEC2013-00543
TIGARD 13125 SW Hall Blvd..Tigard OR 97223 503.718.2439 Date Issued: 10/03/2013
Parcel: 1 S136D005300
Jurisdiction: Tigard
Site address: 11850 SW 67TH AVE, STE#200
Project: Kronos Subdivision: WEST PORTLAND HEIGHTS Lot: 9
Project Description: 2 ton ductless split system,(6)new terminals and new ductwork and grilles.
Contractor: AMERICAN HEATING INC Owner: PNWP LLC#2
1339 SE GIDEON ST PNWP LLC
PORTLAND,OR 97202 6600 SW 105TH AVE#175
BEAVERTON, OR 97008
PHONE: 503-239-4600 PHONE:
FAX: 503-239-7038
FEES
Specifics: Description Date Amount
Type of Use: COM Misc Administration Fee 10/03/2013 $5.00
Class of Work: ALT Type of Const: IIB Permit Fee 10/03/2013 $1,117.33
Occupancy Grp: B Occupancy Load: Plan Review 10/03/2013 $279.33
Stories: 12%State Surcharge-Mechanical 10/03/2013 $134.08
Project Valuation: $40,252.00 Info Process/Archiving-Lg$2.00(over 10/03/2013 $4.00
11x17)
Info Process/Archiving-Sm$0.50(up to 10/03/2013 $9.00
Fuel Air Handlers 11x17)
Fuel Types: Units<10000 cfm: 6
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: Vent Systems: Total $1,548.74
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: grills
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 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 questions to OUNC by calling 503.232.1987 or 1.800.33 _.
Issued By: Permittee Signature: raC/
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 ApplicathSECEWED
Received
City of Tigard Permit No.:
IN
13125 SW Hall Blvd.,Tigard,OR 97223 ti - D Date/By: A� 3 ee�D/?j —0D5U�j
1 2 4 ?_J 13
Phone: 503.718.2439 Fax: 503.598.1960 I Plan Review
Date/By: to(( (I Other Permit: 15u,�13 _Od/9/
T I G A R D Inspection Line: 503.639.4175 CITY OFTIGARD Date Ready/By: Juris: El See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: lokii) Supplemental Information
TYPE OF WORK R/�7COMMERCIAL 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:$$40,252.00
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. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 11850 SW 671°Ave Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.:200 Project name: Kronos TI 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
2 ton ductless split system fireplace 23.32
6 new terminal units Log lighter(gas) 23.32
Wood/pellet stove 33.39
new ductwork and grilles 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
Fuel piping:
Business name:American Heating Inc
$14.15 for first four;$4.03 for each additional
Contact name:Brad Manchester Furnace,etc.
Address:5035 SE 24th 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 Subtotal
City/State/ZIP:Portland OR 97202 Minimum permit fee($90.00)
Phone:(503)239-4600 Fax:(503)239-7038 Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lic.:33135 TOTAL PERMIT FEE
This permit application expires if a permit Is not obtained within 180
days after it has been accepted as complete.---7-----
Authorized signature: �f,r1�iJ * Fee methodology set by Tri-County Building Industry Service Board
Print name:Brad Manchester Date:9/23/2013
1:\Building\Permits\MEC_PermitApp_0401 t 3.doc 440-4617r(1 I/02/COM/WEB)