Permit CITY OF TIGARD MECHANICAL PERMIT
: 4
s COMMUNITY DEVELOPMENT Permit#: MEC2014-00082
Date Issued: 03/12/2014
TIGARD 13125 SW Hall Blvd..Tigard OR 97223 503.718.2439 Parcel: 1 S126D602800
Jurisdiction: Tigard
Site address: 9370 SW GREENBURG RD A
Project: Dr Gebeau Dental Subdivision: 1991-018 PARTITION PLAT Lot: 1
Project Description: New RTU.new fans&new grilles and ductwork
Contractor: ARJAE SHEET METAL CO, INC. Owner: FRANKLIN COMMONS ASSOCIATES, LLC
5510 SE MCLOUGHLIN BLVD. BY NORRIS& STEVENS
PORTLAND, OR 97202 621 SW MORRISON STE 800
PORTLAND, OR 97205
PHONE 503-231-7717 PHONE
FAX: 503-230-4888
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/12/2014 $467 09
Class of Work: ALT Type of Const: VB Plan Review 03/12/2014 $116.77
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 03/12/2014 $56.05
Stories: Info Process/Archiving-Lg$2 00(over 03/12/2014 $2.00
11x17)
Project Valuation: $14.700 00 Info Process/Archiving-Sm$0 50(up to 03/12/2014 $10.00
11x17)
Fuel Air Handlers
Fuel Types. Natural Gas 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: 2 Vent Systems. Total $651 91
Hoods Comm Incinerators.
Required Items and Reports(Conditions)
Woodstoves Gas Fireplaces
Clothes Dryers: Other Mech Units:
Gas Outlets Other Desc:
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 1.800.332.2344.
Issued By: Perm ittee 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.
r Lech Inical Permit Applic FOR OFFICE USE ONLY
priCity of Tigard 4 Nate By: Permit No.:tyee f —ere a�
13125 SW Hall Blvd.,Tigard,OR J Received Plan Review 07,7) / ter Permit: Q OCa/8.
Phone: 503.718.2439 Fax: 503.598.19tti9EB 2 6 2014 Date By: Ar�. m� /�u Pte/�-
TIGARD Inspection Line: 503.639.4175 l Date Ready :y: Juns Iia See Page 2 for
Internet: www.tigard-or.gov ^,ani fr rin Dr; Method: 5/!/`�h.' Supplemental Information
-14'sI
TYPE OF WORK i'" to MMERC F'LE* SCHEDULE - ISE CHECKLIST
Mechanical pennit fees*are based on the value of the work
❑ New construction ® Addition:alteration.replacemnent performed. Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑ Other: mechanical materials,equipment.1 r.overhead.and profit.
Value:S 14100,0
CATEGORV OF CONSTRUCTION RESIDENTIAL.EQUIPMIFNT/SYSTEMS FEES*
❑ I.and 2-family dwelling ®Commercial-industrial ❑Accessory building For special information use checklist.
❑ Multi-family ❑ Master builder ❑Other: Description I Qty. l Ea. l Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
p Air conditioning 46.75
Job site address: 4110 Sh) Gnu Q't)f_6 i�0 Furnace I(K),(XX)BTU(ducts\rnts) 46.75
City/State/ZIP: ¶\G 2-o ow.._ Furnace 1(X).U00+BTU(ducts vents) 54.91 .
Heat pump 61.06
Suite/bldg./apt.no.: Project name: Dv_ Ge6E/1-V 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
Other: 23.32
Subdivision: Lot no.:
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
t4E-1
W r-i-J / oevd f-perJS / NciWf ipteA S 0.1GtiNd 44. fireplace 23.32 ,
Log lighter(gas) 23.32
Wood pellet stove 33.39
Wood fireplace insert 23.32
Chimne\ liter flue vent 23.32
❑ PROPERTY OWNER 1 Q TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: DYE-- (off tild4 Range hood:other kitchen
equipment 33.39•
Address: 1310 Sw kl-c ni�o■f-(, t0 Clothes dryer exhaust 33.39
City/State'ZIP: -fit 4,p�6 a V--. Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:I ) Attic'crawlspace fans - 23.32
IEL APPLICANT R CONTACT PERSON Other: _ 23.32 .
^ S � M G N-L. Fuel piping:
Business name: �{ G
$14,15 for first four;$4.03 for each additional
Contact name: } Mli t 6J1LIACG IS'it_ Furnace.etc.
Address: B S 4 S. SE. Ma00661t10 gu. Gas heat pump
Wall,'suspended unit heater
City/State/ZIP: t'LN fit u E OW- '1724, Water heater
Phone:( 'b3 ) 251 • Tin Fax::(11)) ) 253 ,yfbot Fireplace
Range
E-mail:
Barbecue
CONTRACTOR Clothes dryer(gas) ,
SIU r. p#\ Other:
Business name: /� Cy t✓r MECHANICAL PERMIT FEES*
Address: BS'{ SF MG Loo b1441.) 3i,U t) Subtotal
City/State/ZIP: Mikt,WMJ te-4E O t q12711, Minimum permit tee(590.00)
Plan review(25%of permit fee)
Phone:(Sb)) x,31. 11('j Fax:( )3) %,)0 -1(990 State surcharge(12%of permit fee)
CCB lic.: (001)3 S' TOTAL PERMIT FEE
This permit application expires if a permit is not obtained ssithin 180
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Iii-County Building Industry Service Board
Print name: 01{ S (1Yl fJ Date: Z.Zk" I`1
I nuJduu Pct nuts\MEC.PennitApp 040113.doc 440-46171 11 1 1)2 tOM W110
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9370 SW GREENBURG RD A, TIGARD, OR,
97223
Commercial - Mechanical
699 Mechanical final
2014-04-04 00:00:00
MEC2014-00082
PASS - No C of O
Violation Summary:
Inspector Contractor