Permit CITY OF TIGARD MECHANICAL PERMIT
141 -
COMMUNITY DEVELOPMENT Permit#: MEC2015-00469
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/23/2015
Parcel: 2S103DD00800
Jurisdiction: Tigard
Site address: 13815 SW PACIFIC HWY 50
Project: Gaarde Pacific Subdivision: MELROSE Lot: 7-8
Project Description: Replacing A/C unit with a new RTU.
Contractor: AMERICAN HEATING INC Owner: D W SIVERS CO
5035 SE 24TH AVE 4730 SW MACADAM AVE#101
PORTLAND, OR 97202-4765 PORTLAND, OR 97239
PHONE: 503-239-4600 PHONE:
FAX: 503-239-7038
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/23/2015 $235.31
Class of Work: ALT Type of Const: VB Plan Review 07/23/2015 $58.83
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 07/23/2015 $28.24
Stories: Info Process/Archiving-Sm$0.50(up to 07/23/2015 $10.00
11x17)
Project Valuation: $6,000.00
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 $332.38
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
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 que o OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: aft2exi,!..64.-6 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.
Inspections Required for Permit No.: iA 1ec -0o46T
1VR Code` Type p.Permit Description IVR Code Type Permit Description '-r
01 BUP Building—structural 07 SIT Site Work
02 ELC Electrical 08 SWR Sewer Connection
03 ELR Restricted Energy 09 FPS Fire Protection
04 MEC Mechanical 10 RER Re-Roof
05 MST Master—residential combination 11 CMS Commercial Manufact. Structure
06 PLM Plumbing 12 SFM Single-Family Manufact. Structure
J Req'd I Code Inspection Description J Req'd Code f Inspection Description
Building(structural)Inspections Electrical Inspections
205 Footing 105 Underground/slab cover
210 Foundation walls 110 Temporary electrical service
215 Footing drain 115 Electrical service
220 Slab 120 Electrical rough-in
225 Post/beam structural 125 Wall cover
230 Underfloor insulation 130 Ceiling cover
240 Exterior shearwall 135 Low voltage rough-in
242 Interior shearwall 140 Sign installation
245 Firewall 145 A/C or heating unit circuit
250 Roof nailing 150 Hot tub/spa/pool
255 Wtr proofing basement walls 195 Misc. inspection
260 Tilt-up panel 198 Low voltage final
265 Masonry 199 Electrical final
270 Reinforcing steel(rebar)
275 Framing _ Mechanical Inspections
280 Insulation 605 Post/beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling ✓ 615 Mechanical rough-in
289 Approach/sidewalk 620 Hydronic piping
295 Misc. inspection 625 Duct work
299 Final inspection 630 Fire damper
635 Smoke detector shutdown
_ Fire Protection System Inspections 640 Exhaust hood
905 Sprinkler underfloor/slab 645 Grease duct test
907 Sprinkler hydro test 695 Misc. inspection
910 Sprinkler rough-in/test 699 Mechanical final
915 Fire alarm rough-in
920 Suppression trip test Plumbing Inspections
995 Misc. inspection 305 Plumbing underslab
998 Alarm final 310 Crawl drain
999 Sprinkler final 312 Backwater valve
315 Post/beam plumbing
Site Work Inspections 320 Plumbing rough-in
405 Excavation 322 Shower pan
410 Fill 330 Water service
415 Grading 335 Rain drain
420 Sprinkler supply lines 340 Storm sewer
495 Misc. inspection 345 Culvert/catch basin
499 Final inspection 350 Septic tank
395 Misc. inspection
Erosion Control Inspections 399 Plumbing final
750 Initial erosion control
752 LIDA on-site facility inspection Sanitary Sewer Inspections
755 Regular erosion control 505 Sanitary sewer
797 Final LIDA inspection 585 Misc. inspection
798 Final erosion control 599 Final inspection
Manufactured Structure Inspections
810 MFG-Structure set-up
899 MFG-Structure final
I:\Building\Forms\Inspection Cards\AOP Insp Card By Case\InspCard_All_061814.docx
Mechanical Permit Application VED FOR OFFICE USE ONLY
ill City of Tigard Sc°.1 Received 7 /u
• - Date/By: • I Ic Permit No..
13125 SW Hall Blvd.,Tigard,OR 97 10,15c_.. 1 ���y
Plan Revie n�r
Phone: 503.718.2439 Fax: 503.598.1960 1 !4 201 Date/By: ��l 1� Other Permit:
T 1 CARD Inspection Line: 503.639.4175 . )1- RD Date Ready/By: furls: Sec Page 2 for
Internet: www.tigard-or.gov o f IlLar O� Notified/Method:f/23*5 spry Supplemental Information
TYPE OF fea 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:$$6,000.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ®Commercial industrial ❑Accessory building For special information use checklist.
El 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:13815 SW Pacific Hwy Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard OR 97234 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.:ste50 Project name:Gaarde L j'fi-e 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
Other: 23.32
Subdivision: I Lot no.:
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
Replace AC unit with New gas pack RTIT fireplace 23.32
Log lighter(gas) 23.32
_____ Wood/pellet stove 33.39
Wood fireplace/insert _ 23.32
--- Chimney/liner/flue/vent 23.32
Other: 23.32
❑ PROPERTY OWNER ❑ TENANT Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust _ 33.39
Ci /State/ZIP: Single-duct exhaust(bathrooms,
ty 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;54.03 for each additional
L/
Contact name:Brandon Hutchinson �0 --c/D1- / 7/ Furnace,etc._/
Gas heat pump
Address:5035 SE 24th Ave Wall/suspended/unit heater
City/State/ZIP: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:we Subtotal
Minimum permit fee(590.00)
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.
Authorized signature: ,(5i'yi.4„.--
* Fee methodology set by Tri-County Building Industry Service Board
Print name:Brandon Hutchinson Date: 7//"...1-
I:\Building\Permits\WIEC_Per,nitApp_040113.doc 440-4617T(I 1/02/COM/WEB)