Permit p CITY OF TIGARD MECHANICAL PERMIT
' ' COMMUNITY DEVELOPMENT Permit#: MEC2015-00833
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/15/2015
Parcel: 2S113AB01201
Jurisdiction: Tigard
Site address: 16535 SW 72ND AVE
Project: Language Access Network Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 30
Project Description: Relocate diffusers a few feet.
Contractor: GOHMAN MECHANICAL Owner: PACIFIC REALTY ASSOCIATES LP
14505 SE HWY 212 ATTN: N PIVEN
CLACKAMAS, OR 97015 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-658-1892 PHONE: 503-624-6300
FAX: 503-658-6925
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 12/15/2015 $99.76
Class of Work: ALT Type of Const: Plan Review 12/15/2015 $24.94
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 12/15/2015 $11.97
Stories:
Project Valuation: $1,500.00
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 $136.67
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 N • ation Ce -r. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or dir questions to OU •• ca 'ng 503.232.1987 or 1.800.332.2344.
Is ued By: ,l/ Permittee Si nature: r / p `
Call 503.639.4175 by 7:00 a.m.for the next available inspect•n date.
This permit card shall be kept in a conspicuous place on the job site u. • completion of the project.
Approved plans are required on the job site at the time of each inspection.
12/15/2015 14: 03 5036586925 GOHMAN MECHANICAL PAGE 01/01
Mechanical Permit A li tic, 1'
SEI !( Received
City of Tigard PcrmilNn.
I' , Date/1.y• l� i5 5_ , ,.iG7 lt((-Ca-6.75 - 5--
13125 SW Hall Blvd.Tigard.OR 97223
Phone: 503.718-2439 Fax: 503.598i3 5 Plan Rcvicw n
Inspection Line: 503639.4175 UL� 1 20 5 _DaterBy Other Permit: P -0/6 C
I I i s\li p p Dale ncady/E,v El ScSec Pa>;r 2 for
lura
Internet: www.tigard-or gov CITY Notified/Method; Supplemental Information
OF T IGARD
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TYPE OF COMMERCIAL FEE* SCHEDULE - USECRECKLIST
i Mechanrcal permit fees"arc based on the value of the work
❑New construction ®Addition/alteration/replacement performed. Indicate the value(rounded to the neared dollar)of all
❑ Demolition D Other: mechanical materials,a uq cnt,labor.overhead,and profit,
Value.$1500
CATEGORY or CONSTRTJCTiON RESIDE TLAL EQUIPMENT/SYSTEMS PEES"
❑ 1-and 2-family dwelling ®Commercial/industrial Accessory building Porspecial lnJhrtnminPt,Lac checklist,
❑ Multi-family ❑toaster builder ❑Other: i Description Qty. 1 Ea, Total
JOB SITE JN1ORMATIOl1 AND LOCATION 1lcatinSlcanling:
Air conditioning
Job site address: 16535 SW 72"'t Ave, (requires site-plan showing placement) 46.75
Furnace 100,000 BTU(ducts/vents) 46.75
Cityr'Slotc(7.iP:Tigard.OR Furnace 100,0001 BTU(duck/vents) 54 91
Suite/bldg./apt.no.: i Project name: Language Access Network Heat pump
(rruires site plan sho,vtnq piacement) 61 06
Cross street/directions to job site; Duct work 23 32
1 H�dronie hot water systcm 23,32
Residential boiler(radiator or
hydronic) _ � 23.32 _
Unit heaters(fuel-type,not electric).
in-wall,in-duct,suspended.etc. 46.75 _
Subdivision; I Lot no.: Flue/vent for any of above 23.32
, Other: 23.32
Tux map/parcel nn.: Other fuel appliances:
DESCRIPTION OF WORK I Water heater _ 23.32
Gas fireplace 33.39
Relocate diffusers few feel Flue vent for water heater nr gas
r �)� .fireplace 23.32
t1O h/y)un j'1 of rYrtt, ! .C�-1 Log lighter(gas) 23 32
Wood/pellet stove l 33.39
Wood fireplace/insert 23 32
PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 23.32
Other: 1-- 23.32
Name: Environmental exhaust and ventilation:
Address; Range hood/other kitchen I
equipment _ 33 39
City/State/ZIP: Clothes dryer exhaust 33.39
1 Single-duct exhaust(bathrooms.
Phone:( ) Fax:( ) toilet compartments,utility rooms . 23.32
❑ APPLICANT ® CONTACT PERSON Altielerawlspace fans 23 32
Business name; Gohman Mechanical.Inc, r Other 23.32
FUe1 -
piping:
i
Contact name Jeremy Hunt 514.15 for fine four;54,03 for each additional
Address: 14505 SE Hwy 212 Furnace,etc
— Gas heat pump
City/Stale/ZIP:Clackamas,OR 97015 Wall/suspended/unit heater
Phone:(503)658-1892 I Fax: :(503)658-6925 Water heater 1
Fireplace f _
E-mail:jeremyO ohmanmechanieal.com Range
CONTRACTOR Barbecue
Business name:Lohman Mechanical,Inc. Clothes dryer(gas) 1
I Other
Acldress• 145(15 SE Hwv 212
MECHANICAL PEANUT yEES" —
City'Staic/ZJP: Clackamas,OR 97015 Subtotal
Phone:(503)658-1892 I Fax:(503)658-66925 Minimum permit fee(590.00) I
Plan review(25%of permit fee)
CCB lie.: 119952 State surcharge(12%of permit fee)
r TOTAL PERMIT FEE
Authorized signature:• This permit nppGunon explrea if n permit fa not obtained within 180
days after ii has been accepted as complete,
Print name: Drew Lohman I Date: 12/15/2015 " Sec methodology sci by Tri-County Building Industry Service Board
1\Duildmg\I+ermiln`MEC-Pc-m'u\pp den name Io 440.4617T(11INTO bWJLri)