Permit CITY OF TIGARD MECHANICAL PERMIT
€''! le COMMUNITY DEVELOPMENT Permit#: MEC2015-00181
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/14/2015
Parcel: 25101 BD00100
Jurisdiction: Tigard
Site address: 7650 SW BEVELAND RD 200
Project: Womens Healthcare Associates Subdivision: 1994-025 PARTITION PLAT Lot: 2
Project Description: Modification of ducts&grilles for TI. Add(1)new fan power box&(3)new VAV's.
Contractor: AMERICAN HEATING INC Owner: PNWP LLC#2
5035 SE 24TH AVE PO BOX 2206
PORTLAND, OR 97202-4765 BEAVERTON, OR 97075
PHONE: 503-239-4600 PHONE:
FAX: 503-239-7038
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 04/14/2015 $665.21
Class of Work: ALT Type of Const: VB Plan Review 04/14/2015 $166.30
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 04/14/2015 $79.83
Stories: 2 Info Process/Archiving-Lg$2.00(over 04/14/2015 $2.00
11x17)
Project Valuation: $22,500.00 Info Process/Archiving-Sm$0.50(up to 04/14/2015 $7.50
11x17)
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 $920.84
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: 1 fan
Duct Work: 1 powered box,
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 N. _ • ter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or di -ct questions to OU b . lin 503.232.1987 or 1.800.332.2344.
Is ued By: 411)C , 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 Application FOR O' FICE USE ONL\
City of Tigard RECEIVED D te/Bea L / Permit Nu.: ' �C j�`;% �/ /�
13125 SW Hall Blvd.,Tigard,OR 97223 Ptah Revie ��v"""
Phone: 503.718.2439 Fax: 503.598,ip{� 2 2015
Date/BY:Aare!# '� l':Sther Pennit:4/9./jt41 caS6
TIGARD
Inspection Line: 503.639.4175 H r IS Date Ready y: furls ® Page 2 for CJ
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: ! . r1 Supplemental Information
—
BUILDING D{v` ION COMMERC:fAL FEE* SCHEDULE - USE CHECKLIST
TYPE OF WORK
Mechanical per nil 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:$$22,500.00
CATEGORY OF CONSTRUCTION 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. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/coolirrti:
Air conditioning 46.75
Job site address:7650 SW Beveland Street Furnace 100,001)BTU(ducts/vents) 46.75
City/State/ZIP:Tigard OR 97223 Furnace 100,004+BTU(ducts/vents) 54.91
qh^ Heat pump 61.06
Suite/bldg./apt.no.: pe(�(/ Project name:Womens Healthcare assoc 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: I Lot no.: Other: 1 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32 _
t. Gas fireplace/insert 3339
��. DESCRIPTION OF WORK °- p
Remove and Relocate Duct work and grilles.Add ductwork and grilles to existing Flue vent for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
equipment n ,df 1, \ Wood/pellet stove 33.39
Add(1)new Fq power box Add(3)new VAV's Ge / Wood fireplaceiinsert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32 _
❑ PROPERTY OWNER ❑ TENANT Environmental exhaust and ventilation:
Range hood/other kitchen
Name: 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:American Heating Inc. $14.15 for first four,$4.03 for each additional
Contact name:Brandon Hutchinson Furnace,etc.
Gas heat pump
Address:5035 SE 24th Ave Wall/suspended/unit heater
City/State/Z1P:Portland,OR.,97202 Water heater
Fireplace
Phone:(503)239-4600 Fax::(503)239-7038 Range
E-mail:b.hutchinson@americanheating.net Barbecue
CONTRACTOR` Clothes dryer(gas)
Other:
Business name:American Heating Inc. MECHANICAL PERMIT FEES*
Address:5035 SE 24th Ave Subtotal
Minimum permit fee($90.00)
City/State/ZIP:Portland,OR.,97202 Plan review(25%of permit fee)
Phone:(503)239-4600 Fax:(503)239-7038 State surcharge(12%of permit fee)
CCB lie.:33135
TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry Service Board
Authorized signature: .
Print name:Brandon Hutchinson Date: V-;02,,ilf
1:auilding\Pennits\MEC_PermitApp 040113doe 440-4617r(11/02JCOM/WEB)
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
7650 SW BEVELAND RD 200, TIGARD, OR,
97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2015-00181
George Heimos
NOTE. Copy of balance report provided from American Heating dated, 05/27/15, Job
number: 115113
Violation Summary:
Inspector Contractor