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Permit CITY OF TIGARD MECHANICAL PERMIT 11111 * COMMUNITY DEVELOPMENT Permit#: MEC2014-00161 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/16/2014 Parcel: 2S 101 AA02900 Jurisdiction: Tigard Site address: 12123 SW 69TH AVE Project: Capital One-Building A Subdivision: WEST PORTLAND HEIGHTS Lot: B Project Description: HVAC modifications for TI,(1)VAV terminal unit Contractor: ALLIANT SYSTEMS LLC Owner: TIGARD CORPORATE CENTER LP 1600 NW 167TH PL#330 15325 SW BEAVERTON CREEK CT BEAVERTON,OR 97006 BEAVERTON,OR 97006 PHONE: 503-619-4066 PHONE: FAX: 503-230-9238 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 04/16/2014 $492.49 Class of Work: ALT Type of Const: Plan Review 04/16/2014 $123.12 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 04/16/2014 $59.10 Stories: Project Valuation: $15,624.00 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 $674.71 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct q - • OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By. I Permittee Signature: ` ` / Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 1",CEIVEJ Mechanical Permit Application FOR OFFICE USE ONLY - City of Tigard Received Permit No.: h g pPR 15 2014 D�eBy: �/ �s iY C�L�,D, 1`t f c o��/�-ad�(p1 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review 4,1,,,,,,/- fal"7 Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: u CJ 7 TIGARD Inspection Line: 503.639.4175 CITY OFTIGARD DateReadB mri5 Page 2 for Internet: www.tigard-or.gov Notified/Method: SSupplemenalInformation BUILDING DIVISION COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees*are based on the value of the work ❑ New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. CATEGORY OF CONSTRUCTION Value:$rS3Er66 '� 1-1 ri..-/ RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist ❑Multi-family ❑Master builder ❑Other: Description I Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: 12123 sw 69th Ave. Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.:A Project name:Capital One Bldg A 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 modifications to existing mechanical system for new tenant layout. fireplace 23.32 (1)VAV Terminal unit Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ❑ PROPERTY OWNER ® TENANT Other: 23.32 Environmental exhaust and ventilation: Name:Capital One 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:Alliant Systems $14.15 for first four;$4.03 for each additional Contact name:Eddie Stoyan Furnace,etc. Address: 1600 NW 167th PI.Suite 330 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Beaverton,OR 97006 Water heater Phone:(503)619-4066 Fax::(503)230-9238 Fireplace Range E-mail:e.stoyanra allant-systems.com Barbecue CONTRACTOR Clothes dryer(gas) Business name:Alliant Systems Other: MECHANICAL PERMIT FEES* Address: 1600 NW 167th PI.Suite 330 Subtotal 1/yr2•I9 City/State/ZIP:Beaverton,OR 97006 Minimum permit fee($90.00) Phone:(503)619-4066 Fax:(503)230-9238 Plan review(25%of permit fee) /A5,12- State surcharge(12%of permit fee) .51' r© CCB lie.: 153420 TOTAL PERMIT FEE Co 7'i,7/ This permit application expires if a permit is not obtained whim rev days after it has been accepted as complete. Authorized signature' ' Fee methodology set by Tri-County Building Industry Service Board Print name:Eddie Stoyan Date:4/14/2014 I:\Building\Permits\MEC_PermitApp_040113.doc 440-46171(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. 1:\Building\Permits\MEC_PermitApp_040113.doc 2 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 12123 SW 69TH AVE, TIGARD, OR, 97223 Commercial - Mechanical 699 Mechanical ﬁnal PASS - No C of O MEC2014-00161 Chip Barnett Violation Summary: Inspector Contractor