Permit CITY OF TIGARD MECHANICAL PERMIT
ill a COMMUNITY DEVELOPMENT Permit#: MEC2014-00179
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2014
Parcel: 2S113AC00101
Jurisdiction: TIGARD
Site address: 16655 SW 72ND AVE 300
Project: Advantage Waypoint Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 37
Project Description: Installing a freezer and refrigeration equipment.
Contractor: PORTLAND MECHANICAL CONTRACTORS Owner: PACIFIC REALTY ASSOCIATES LP
2000 SE HANNA HARVESTER DR ATTN: N PIVEN
MILWAUKIE,OR 97222 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-656-7400 PHONE:
FAX: 503-655-0620
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 04/28/2014 $1,229.09
Class of Work: ALT Type of Const: IIIB Plan Review 04/28/2014 $307.27
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 04/28/2014 $147.49
Stories: 1 Info Process/Archiving-Sm$0.50(up to 04/28/2014 $20.00
11x17)
Project Valuation: $44,660.00
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 $1,703.85
Hoods: Comm Incinerators: .
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Walk in
Duct Work: cooler and
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow he rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-10.0. Yo may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.8 . 4.
Issued By: ' Permittee Signature:
Call 5 . 3 . 75 by 7:00 a.m.for the next available inspect• date.
This permit card shall be kept in a conspicuous place on the job site until c• pletion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
Received
City of Tigard ��
Date/By: t ie ^ Permit No.:U r. � , _ d, ,
_ " 13125 SW Hall Blvd.,Tigard,OR 972
g Plan Review''
II -
Phone: 503.718.2439 Fax: 50 �.- 1 Other Permit:
Inspection Line: 4 3.639.4175 Date/By: di:/ �/�
TIGARD p 1. Date Re.. d li eemene2for
Internet: www.tigard-or.gov �� �n�O�R Notified/Method: q f /u ,. �� Supplemental Information
TYPE OF WORK ' 'l+'�`..i * I 'r COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
sI ,�C.� "4 Mechanical permit tees*are based on the value oldie work
❑New construction ® Add ition/alter h/itHi x`11 i t performed. Indicate the value(rounded to the nearest dollar)of all
El Demolition ❑Other: .7.,A`tA mechanical materials,equipment,labor,overhead,an �ofit.
Value:$ 660
' .
CATEGORY OF
GTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES*
❑ 1-and 2-family dwelling ®C'ommercial/industrial ❑Accessory building For special information use checklist.
❑ Multi-family ❑ Master builder ❑Other: Description Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 16655 SW 72"Avenue,Suite 300 Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:Advantage Wetypeinr L(kyPc i.,1-t— VI Duct work 23.32
Cross street/directions to job site: „s �5 v I Hydronic hot water system 23.32
. 0f(J: A+ Residential boiler(radiator or
. hydronic) 23.32
Unit heaters(fuel-type,not electric),
AA _ a in-wall,in-duct,suspended,etc. 46.75
fara Flue/vent for any of above 23.32
Subdivision: e lip Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
q r� �+ n Flue vent for water heater or gas
ti eil. od klA a o�QX2Lg gft Ir{�Q�.' Q"/ w'In) fireplace 23.32
1 1��tc11�r �,,�, �� j Log lighter(gas) 23.32
vA wC a 3CQ t` �1 y_v >J to in � � Wood/pellet stove 33.39 _
I'
V Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER ® TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Advantage Waypoint Range hood/other kitchen
equipment 33.39
Address:16655 SW 72"Avenue,Suite 300 Clothes dryer exhaust 33.39
City/State/ZIP:Tigard OR 97224 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
24 APPLICANT ® CONTACT PERSON Other: 23.32
Business name: Portland Mechanical Contractors Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:John Makris Furnace,etc.
Address:2000 SE Hanna Harvester Drive Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Milwaukie OR 97222 Water heater
Phone:(503)656-7400 Fax::(503)655-0620 Fireplace
Range
E-mail:jmakris'c pmc-g.com
Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name:Same as above.
Address: Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee)
CCB lie.: 151807 TOTAL PERMIT FEE
. ' This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: / • Fee methodology set by Tri-County Building Industry Service Board
Print name:John Makri- I Date: 4\2224001
i..\Building\Permits\MEC_PennitApp_040113.doe 44046i 7T(1 I/02/COM/WEB)