Permit CITY OF TIGARD MECHANICAL PERMIT
I COMMUNITY DEVELOPMENT Permit#: MEC2014-00143
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/26/2014
Parcel: 2S 101 AD03500
Jurisdiction: Tigard
Site address: 6600 SW HAMPTON ST
Project: Pacific Parkway Center Subdivision: WEST PORTLAND HEIGHTS Lot:
Project Description: Gas piping for new RTU's
Contractor: HVAC INC Owner: PACIFIC REALTY ASSOCIATES
5188 SE INTERNATIONAL WAY ATTN: N PIVEN
MILWAUKIE,OR 97222 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-462-4822 PHONE:
FAX: 503-462-6555
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/26/2014 $136.60
Class of Work: ALT Type of Const: Plan Review 03/26/2014 $34.15
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 03/26/2014 $16.39
Stories:
Project Valuation: $2,700.00
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: Vent Systems: Total $187.14
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 direc :•-s ion : SUNG • icalling 503.232.1987 or 1.800.332.2344. _-- 1
Issu d By: • ) #1 4 1 ` Permittee Si nature:
Call 503.639.4175 by 7:00 a.m.for the next available insp ion 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.
03/26/2014 15:11 5034626555 HVAC INC PAGE 03/04
14)K 014l( {'.I sit iJ\I 1
echaoical Permit A lieatians, � EE'1l:e��,edf�,' ���ddl� '
�J Permit No.: - ,
City of Tigard Dateday: i '
1114_ 13125 SW Hall Blvd.,Tigard,OR 91223 Plan Review Othcr Permit 4 44,11Q/3—�, /
I Phone: 503.718.2439 Fax: 503.598,1960 G 6 2014 Drta/By' 7urir m yet rage 2 far
Inspection Line: 503.639 4175 Data Ready/By" Supplemental rant 2 farlrrmation
i i _ �'tir Internet' www.tisgnrd-or gov Natificd/Method'
COMMERCIAL FEE' SCHEDL`Li> — USE CHECKLIST
TYPE OF WORK Mechanical permit fees'are based on the value of the work
. 0 New construction ® Addition/alteration/replacement erfe n lmaterialsndicgte
altthe value(rounded to dnollla)ik f all
Q Ucmolition ❑Other Value:5$2,700.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQVIPMEN'T/SYSTEMS FEES"
Commercial/industrial 0 Accessory building For special Information ruse checklist.
[] I-and 2-family dwelling ® Description � Qty. � Ea. � Total
Q Multi-family 0 Master builder ❑Other: --
}Tea tinyJeoolinE_
JOB SITE [INFORMATION AND LOCATION Air conditioning l 46 75
requires site plan showing placement)
Job site address:6600 SW Hampton St i r Furnace woo BTU(ductsNents) ] 46 75
City/State/ZIP:Portland,OR 97224 Furnace 100.000 BTU(ducts/vents) 5491
Heat pump 6 t.06
Suite/bldg./apt.nn.: Project name:Pacific Parkway (regnirea one 'km showt0gplacement)
_ _23.32
Cross street/directions to job site: Duct work — 23.32
._ Hydronic hot water system
Residential boiler(radiator or
hydronic) 1..23.32
Unit heaters(fuel-type.not electric), 1
in-wall.in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision: Lot nn.: Other 23.32
Tax map/parcel no.: Other fuel appliances: _ —
DESC.RIPT1ON OF WORK Water heater ` 2 3.32
' Gas fireplace/insert 4 33.39
as Piping for new RTL's Flue vent fix watt r heater or gas
fireplace I 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Lc1hhu / 11 , 23.32
0 PROPERTY OWNER — 0 TENANT i Other: 23.32
Name: Environmental exhaust and ventilation: _
Range hood/other kitchen
Address: equipment 33.39
City/State/ZIP: Clothes dryer exhaust _ 33.39
u Single-duet exhaust(bathrooms.
Phone:( ) 1 FaY ( ) toilet compartments,utility rooms) 23.32
CONTACT PERSON I Attie/crawlspacc fans 23.32
APPLICANT 23.32
Other:
Business name:HVAC,Inc. Fuel piping: -_
I Contact.name:Jody D¢Pew 514.15 for first four;54.03 ror each additional Furnace,etc.
Address:5188 5E International Way Gas heatpump
City/Stan/ZTP:N1llwaukie,OR 97222 Wall/suspended/unit heater 1
Phone:(503)462-4822 I Fax::(503)462-6555 Water heater ,
Fireplace
• E-mail:jodydghvneincorp.eom Range _
—CONTRACTOR Barbecue
Clothes dryer(ens)
Business name:i{vAC.Inc. Other:
Address:same as above MECHANICAL PERMIT FEES*
- Subtotal
City/State/ZIP:ry — Minimum permit fee(590.00)
Phone:( ) Fax:( ) i Plan review(25%of permit fee)
CCB lie.:50897 State surcharge(12%of permit fee)� TOTAL PERMIT FEE
[/� Thipermit appltattinn expires if a permit is not obtained within I a
Authorized signature: �. / days after It has been accepted as complete.
Print name:Jody DePew
Date:3/26/14 • roe mcthodok+gy net by Tri-County Building ladustry Renee Board
,.,o...,..,...i.. .,.aemr_n..m:a Aar dr, 111/1"17/,2 44n4a11r(u,ozCOMAV6a1
03/26/2014 15:11 5034626555 HVAC INC PAGE 01/04
MENT1Ei H 4
1 986 2:1
ANNIVIR(
�� ---- ,
OR GCB#50897 WA L&I#HVACI`4125J6 CA 863290
HVAC FAx # (503) 462-6555
DATE:3/26/2014 FROM: JODY DEPEW
To: PERMIT DEPT
COMPANY: CITY OF TIGARD
SUBJECT: MECH PERMIT FOR GAS PIPING ONLY @ PACIFIC PARKWAY
FAx#: (503) 598-1960 No. OF PAGES: 4
(INCLUDING THIS SHEET)
PLEASE FAX PERMIT BACK AFTER PROCESSING AND RECEIPT FOR CREDIT IIP f'
CARD. 11
503-462-6555 IM
lief
THANK YOU,
JODY DEPEW
HVAC, INC. ;ItJi1
Iii►ji j
1!!!011
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•
IF ALL PAGES ARE NOT RECEIVED, PLEASE CALL US AT (503) 462-4822
5188 SE INTERNATIONAL WAY, MILWAUKIE, OR 97222-4602
03/26/2014 15:11 5034626555 HVAC INC OCrIril irn PAGE 04/04
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I ` I I +a' IBOO SW HAMPTON STREET r V 1_— I _ LEI . „.,L.. w1 PORTLAND OREGON 97224 -_ ._ __...�I .. ..-• ----
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
6600 SW HAMPTON ST, TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2014-00143
Chip Barnett
Violation Summary:
Inspector Contractor