Permit CITY OF TIGARD MECHANICAL PERMIT
s COMMUNITY DEVELOPMENT Permit#: MEC2014-00163
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/16/2014
Parcel: 2S 101 AA09100
Jurisdiction: Tigard
Site address: 12447 SW 69TH AVE
Project: Capital One-Building C Subdivision: WEST PORTLAND HEIGHTS Lot: A
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 $467.09
Class of Work: ALT Type of Const: Plan Review 04/16/2014 $116.77
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 04/16/2014 $56.05
Stories:
Project Valuation: $14,677.00
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 $639.91
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questi ns to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit ApACa�[i�tiv�1 n FOR OFFICE USE ONLY '/ /
City g
Date/By: '///544/ ( /1�e�/z _AifcO 3
Cl of Tigard Permit No.
Iliq • 13125 SW Hall Blvd.,Tigard,O pp9r32 Plan Review
I Phone: 503.718.2439 Fax: 50h11)&19160)
2 014 Date/By: Other Permit 4,4 ilerple j 4/-466 9/5---
F I G A R D Inspection Line: 503.639.4175 Date Ready/By: luris: ® See Page 2 for
Internet: www.tigard-or.go.cITY OF TIGARU Notified/Method: Supplemental Information
BUILDING DIVISION
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees'are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$S2242t'lir /4 ee 77
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ l-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist.
❑ Multi-family ❑ Master builder ❑Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 12447 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.:C Project name:Capital One Bldg C 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: ( I Attic/crawlspace fans 23.32
IS APPLICANT ❑ CONTACT PERSON Other: 23.32 _
Business name:Alliant Systems Fuel piping:
$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.stoyan'alliant-systems.com Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name:Alliant Systems -- - -
MECHANICAL PERMIT FEES*
Address: 1600 NW 167'"PI.Suite 330 Subtotal '/4."'7,c''i
City/State/ZIP:Beaverton,OR 97006 Minimum permit fee($90.00) ------ '
Phone: Plan review(25%of permit fee) f j eeh 7
hone:(503)619-4066 Fax:(503)230-9238 77
State surcharge(12%of permit fee) D T[f5
CCB lie.:153420 TOTAL PERMIT FEE 3c),dr
OF This permit application expires if a permit is not obtained within MU
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_0401 I 3 doe 440-46I 7T(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.
I:\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
12447 SW 69TH AVE, TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2014-00163
Chip Barnett
Violation Summary:
Inspector Contractor