Permit CITY OF TIGARD MECHANICAL PERMIT
` COMMUNITY DEVELOPMENT Permit#: MEC2015-00090
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/04/2015
Parcel: 251018801300
Jurisdiction: Tigard
Site address: 11950 SW GARDEN PL 100
Project: Vesta Subdivision: CROW PARK 217 Lot: 1
Project Description: Install(1)20 ton RTU
Contractor: HUNTER DAVISSON INC Owner: WALTON CWOR PARK BC 8 LLC
1800 SW PERSHING ST BY RYAN
PORTLAND, OR 97202 PO BOX 460169
HOUSTON,TX 755056
PHONE: 503-542-3628 PHONE:
FAX: 503-542-3654
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/04/2015 $553.45
Class of Work: ALT Type of Const: IIIB Plan Review 03/04/2015 $138.36
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 03/04/2015 $66.41
Stories: Info Process/Archiving-Sm$0.50(up to 03/04/2015 $12.50
11x17)
Project Valuation: $18,050.00
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 $770.72
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow e rul-s adopted by the Oregon
Utility Notification Center. Those rules are set foi ill 2-001-0010 through OAR 952-001-0090. Yo' m y/obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1. 4.
Issued By: Permittee Signature: 4iirAL
ar-Call 503.639.4175 by 7:00 a.m.for the next available inspeir.n date.
This permit card shall be kept in a conspicuous place on the job site unti completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE l SE O\1.1
City of Tigard RECEIVED Received permit No.:
lig Date/By: 12. /� kit ea�,5-O90
13125 SW Hall Blvd.,Tigard,OR 97223 plan Rev"
s9 Phone: 503.639.4171 Fax: 503.598.1960FEB 2 3 2015 Date/By: 011 Jpy Is, Other Permit:
•T I G A K D Inspection Line: 503.639.4175 Date Re• / Juris: EZI See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method:3 /'7/15-e' Supplemental Information
BUILDING DIVISION *s,r.,l..;1 -z...+-(,
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteration/replacement
performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:$ 1.? i 0 S C)
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ I-and 2-family dwelling 'K]Commercial/industrial ❑Accessory building
For special information use checklist.
Multi-famil
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: I qs-0 S(t) (rra„(c T to l 0_- (requires conditioning
site plan showing placement)
46.75
City/State/ZIP:Rps.. ot a D, � 223 Furnace 100,000 BTU(ducts/vents) 46.75 _
f' - Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.:161. `� Project name:Tod _.__ 7/7- V es-r1 Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
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
Tax map/parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 23.32
51i^ [/ Gas fireplace 33.39
/- n (N('� �l\S- _I Yo Y-1`- 7 Flue vent for water heater or gas
/t V� C fireplace 23.32
(T[ -'� Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Eff\PROPERTY OWNER ❑ TENANT
Other: 23.32
Name: ,�-/ � /A '� t \s Environmental exhaust and ventilation
Address: +��Y'� �✓ `�� Range hood/other kitchen
equipment 33.39
City/State/ZIP: Clothes dryer exhaust 33.39
Phone:( ) Fax: Single-duct exhaust(bathrooms,
( ) toilet compartments,utility rooms) 23.32
)51,APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 23.32
Other: 23.32
Business name: k u t \<. C.. ()IN 2--it t^_ Fuel piping
Contact name: --?_461e— /!r $14.15 for first four;$4.03 for each additional 1 2co tt`"'�� r„ ' 1 Furnace,etc.
Address: of/`� V l Gas heat pump
City/State/ZIP: 4 D( /C(7 7 C'�� Wall/suspended/unit heatey
Phone:( ) 92_ G 3 v Fax::( ) Water heater
�^ 1n c Fireplace
E-mail: �1U- 1 lAAA.- C 555 . can-
_a � Range
1 ��`� CONTRACTOR Barbecue
Business name:
�J)`
Clothes dryer(gas)
9--- Other:
Address: 0 MECHANICAL PERMIT FEES*
City/State/ZIP: Subtotal
Phone:( ) �� Fax:( ) Minimum permit fee($90.00)
-
Plan review(25%of permit fee)
CCB lic.: [(..:7 IZ State surcharge(12%of permit fee)
TOTAL PERMIT FEE _
(1,,
Authorized signature: % Ir This permit application expires if a permit is not obtained within 180
''77 days after it has been accepted as complete.
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City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11950 SW GARDEN PL 100, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Mechanical MEC2015-00090
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor