Permit � !'l'I' CITY OF TIGARD MECHANICAL PERMIT
,I ,',,' COMMUNITY DEVELOPMENT Permit#: MEC2015 00753
TIGAR:D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/18/2015
1 Parcel: 1S 135BB00501
Jurisdiction: Tigard
Site address: 10575 SW CASCADE AVE
Project: Biamp Subdivision: OAKBURG Lot: 27
Project Description: New rooftop units,split systems,exhaust fans,gas piping refer piping,duct modifications&VAV boxes.
Contractor: HVAC INC Owner: ICON OWNER POOL 3 WEST LLC
5188 SE INTERNATIONAL WAY BY INDCOR PROPERTIES
MILWAUKIE, OR 97222 2 NORTH RIVERSIDE PLAZA, STE 235
CHICAGO, IL 60606
PHONE: 503-462-4822 PHONE:
FAX: 503-462-6555
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 11/18/2015 $5,528.71
Class of Work: ALT Type of Const: VB Plan Review 11/18/2015 $1,382.18
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 11/18/2015 $663.45
Stories: 1 Info Process/Archiving-Lg$2.00(over 11/18/2015 $8.00
11x17) ',
Project Valuation: $200,000.00 Info Process/Archiving-Sm$0.50(up to 11/18/2015 $12.50
11x17)
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: 14 Vent Systems: Total $7,594.84
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: intake hood,
Duct Work: 1 10 VAV
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 ay obtain a copy of the rules
or direc :•-s ions • ■ NC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ' / 0// 4/4 • Permittee Signature:
•
— Call 503.639.4175 by 7:00 a.m.for the next available inspection .at:.
This permit card shall be kept in a conspicuous place on the job site until comple ion of the project.
Approved plans are required on the job site at the time of each inspection.
t
Mechanical Permit Appl' • FOR OFFICE USE ON I.V• City of Tigard # ;EIVE� Re eived //Wall Permit No.: (�./ /� i��,
13125 SW Hall Blvd_,Tigard,OR 972p, ► l ��CJiS � 3
"R Phone: 503.718.2439 Fax: 503.5984 5 2015 Plan Review Irate/By: d �' her Permit: QuPt /S DO l
TIGARE) Inspection Line: 503.639.4175 Date R /R )•r> 4
Internet: www.tigard-or.gov e'er y' is See Page 2 for
CITY OF TIGARD Notified/Method: ,fi ( it/,175 Supplemental Information
BUILDING DIVISION jV r0�/
TYPE OF WORK CONNERCIAL 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:S .3_D D tb 4 0 --
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES`
❑ I-and 2-family dwelling ®Commercial/industrial 0 Accessory building Far special information use checklist
❑Multi-family ❑Master builder ❑Other: Description 1 Qty. I Ea I Total
JOB SITE INFORMATION AND LOCATION I lea tinR/coolittg:
Air conditioning 46.75
Job site address:10575 SW Cascade Ave. Furnace 100,000 BTU(ducrs/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:Biamp Systems Duct work 23.32
Cross street/directions to job site: liydronic 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
New rooftop gas packs,split systems,exhaust fans,gas piping,refer piping, fireplace 23.32
duct modifications,vav boxes, Log lighter(gas) 23.32
— Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 2.3.32
❑ PROPERTY OWNER ❑ TENANT Other: 23.32
Environmental exhaust and ventilation: _
Name: Range hood/other kitchen
Address: equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) : 23.32
Phone:( ) lax:( ) Attic/crawlspaCe fans 23.32
❑ APPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name:IIVAC,Inc. SI4.15 for first four;$4.03 for each additional
Contact name:Jody DePew Furnace,etc.
Address:5188 SE International Way Gas heat pump
Wall/su.spended/unit heater
City/State/ZIP:Milwaukie,OR 97222 Water heater
Phone:(503-)462-4822 Fax::(503)462.6555 Fireplace
Range
E-mail:jodyd(a)hvacincorp.com Barbecue
CONTRACTOR Clothes dryer(gas)
Other
Business name:HVAC,Inc. MECHANICAL PERMIT FEES*
Address:Same Subtotal
r
City/State/ZIP: Minimum permit fee(S90.00) ,
Plan review(25%of permit fee)
1 . Phone:( ) Fax:( ) State surcharge(12%of permit fee)
CCB lie.:50897 1'O"1'AL PERMIT FEF.
t .:C This permit application expires if a permit is not obtained within 180
l days after it has been accepted as complete.
Authorized signature: \
gn.1 ture: 4 • Fee methodology set by fri County Building Industry Service Board Print name:Jody DeP J Date: 1 1! k..1 ` `), ,
1UiuitdingNennitstMEC PermimApp_040113.doc 440-46171(11/o2/Ct)M/WER)
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