Permit CITY OF TIGARD MECHANICAL PERMIT
I COMMUNITY DEVELOPMENT Permit#: MEC2015-00332
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/03/2015
Parcel: 25101 DB00103
Jurisdiction: Tigard
Site address: 7360 SW HUNZIKER RD 203
Project: RGIS Subdivision: VARNS ACRES Lot: 9
Project Description: Moving grilles for tenant improvement.
Contractor: ROBINSON CONSTRUCTION Owner: HILLTOP BUSINESS CENTER LLC
21360 NW AMBERWOOD DR HUNZIKER LLC
HILLSBORO,OR 97124-9321 9430 NW KAISER RD
PORTLAND, OR 97231
PHONE: 503-645-8531 PHONE:
FAX: 503-645-5397
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/03/2015 $115.11
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 06/03/2015 $13.81
Occupancy Grp: Occupancy Load: Plan Review 06/03/2015 $28.78
Stories:
Project Valuation: $2,000.00
Fuel Air Handlers
Fuel Types: Units<10000 cfm:
Gas Pressure: Units>10000 cfm:
Furnaces Boilers 8 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 $157.70
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Grilles
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.198 2344.
r
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next availab e inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOIi ()FIR I I SF.ON 1.1
Received
IN et City of Tigard Date/By: /� Permit No.:
13125 S W Hall Blvd.,Tigard,OR 97223 i 'tl S "Phone: 503.718.2439 Fax: 503.598.1 `s J Plan Review Other Permit:
} Date/By:
r i. .\R l Inspection Line: 503.639.4175 Date Ready/By: ® See Page 2 for
Internet: www.tigard-or.gov �0\C Notified/Method: .. Supplemental Information
41 TYPE OF WORIf��� COMMERCIAL FEE" SCHEDULE - USE CHECKLIST
�`� " ��� Mechanical permit fees*are based on the value of the work
❑New construction �}'Addition/alterationt hOMI tc lN l� performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: IO`1`" mechanical materials,equipment,labor,overhead,and profit.
Value:$ Zfclt/e cj-e,
CATEGORY OF CONSTRUCTION '
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ I-and 2-family dwelling Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description I Qty. Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: '3 CO //'4fri 2 ,(A"&" Furnace 100,000 BTU(ducts/vents) . 46.75
City/State/ZIP: T 6177..._2 3 Furnace 100,000+BTU(ducts/vents) 54.91
�G2S TL Heat pump 61.06
Suite/bldg./apt.no.: Z0 3 Project name: 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
Move 3r,//s tc., c cCcon i de-r fr. 1 Cc./ fireplace 23.32
Log lighter(gas) 23.32
t, e--2//S Wood/pellet stove 33.39
Wood fireplace/insert 23.32
�.,�- Chimney/liner/flue/vent 23.32
IROPERTY OWNER I ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: 1-/i// LC_ 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
�PLICANT ❑ CONTACT PERSON Other: 23.32
Business name: Re,/ Fuel/�r,GIGyrC,./) LL t_ Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:ay.. /7 ._..�_ J Furnace,etc.
Address: 13 2/S SE 14,7/ p/G,,� k/j/i/c .j7-e 6-3_5`37 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: U4lle..e.,LAvY.„...- 1,441- '8--0.`7 Water heater
Phone:(3('C 3 v_/5-9,5) Fax: :( ) Fireplace
E-mail: - Range _
Barbecue _
CONTRACTOR Clothes dryer(gas)
DOther:
Business name: /\r�� 'N�� C'�6---,�y_e-trG� Cv
MECHANICAL PERMIT FEES* ,
Address: 213 cv N4.../ A c/' c 9C? 17r Subtotal
City/State/ZIP: 1-11'//5/:Jc�j 97/2-47' Minimum permit fee($90.00)
Phone: 3)Q., S 3� Fax:( ) Plan review(25%of permit fee)
!� State surcharge(12/o of permit fee)
CCB lic.: C3/ti TOTAL PERMIT FEE /57•"7<)
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: Wadi ' Fee methodology set by Tri-County Building Industry Service Board
Print name. ' Date: C/3//.Z.
I:\Building\Permits\!EC_PermitApp_040113.doc 7r(I1/02/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$1 00,000.00 $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
7360 SW HUNZIKER RD 203, TIGARD, OR,
97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2015-00332
Chip Barnett
Violation Summary:
Inspector Contractor