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Permit
n CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit#: MEC2016-00134 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/29/2016 Parcel: 2S101 DA00102 Jurisdiction: Tigard Site address: 13221 SW 68TH PKWY 440 Project: Spec Space Subdivision: VARNS ACRES Lot: 9 Project Description: Relocating duct work and grilles,and adding(1)VAV box. Contractor: AMERICAN HEATING INC Owner: GK TRIANGLE CORPORATE PARK III L 5035 SE 24TH AVE ATTN KBS REALTY ADVISORS PORTLAND, OR 97202-4765 P O BOX 28270 SANTA ANA, CA 92709 PHONE: 503-239-4600 PHONE: FAX: 503-239-7038 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 02/29/2016 $347.71 Class of Work: ALT Type of Const: Plan Review 02/29/2016 $86.93 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 02/29/2016 $41.73 Stories: Info Process/Archiving-Lg$2.00(over 02/29/2016 $2.00 Project Valuation: $10,000.00 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 $478.37 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: VAV Box Duct Work: 1 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 callin332.2344. Issued By: 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 OFFICE 17SE ONLY R (� lrb City of Tigard OCi � Date;ateBy:y: Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review PI Phone: 503.718.2439 Fax: 503.598.196 �y� Date/By: Other Permit: a Inspection Line: 503.639.4175VIC Date Ready/By: loris: ee Page 2 for Internet www.ligard-0r.gov �� no16 Notified/Method: Sup plemental Information TYPE OF WORK (" GOMhIERCIAL FEE* SCIIT#)UI,E1 SE�CRECKLIST 41, Mechanical permit fees*are based on the value of the work ❑New construction ®Addition/alteration/r1 �©� performed.Indicate the value(rounded to the nearest dollar)of all El Demolition F1 Other: I mechanical materials,equipment,labor,overhead,and profit. Value:$$10,000.00 CATEGORY OF CONSTRUCTION RESIDENTIAL EQMMENi`7$YS XMSFEW ❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use check--list. ❑Multi-family ❑ Master builder ❑Other: Description Qty. I Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address:13221 SW 68rh parkway suite 440 to 450 Furnace 100,000 BTU ducts/vents 46.75 City/State/ZIP:Tigard OR 97223 Furnace 100,000+BTU ducts/vents 54.91 Suite/bldg./apt.no.:440 Project name:%uk*44n_egp �, TCB-rr� Heat um 61.06 Duct work 23.32 Cross street/directions to job site: H dronic hot waters stem 23.32 Residential boiler(radiator or h dronic) 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 add,remove and relocate ductwork and grilles fireplace 23.32 add 1 new VAV Log lighter as23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 j NER Other: ;PROPERTY'OW23.32 Y "❑ `TEI�IANT ". Environmental exhaust and ventilation: Name: 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/crawls ace fans 23.32 ® PFL,ICANT ® 'CONTACT PER501.:. 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. Address:5035 SE 24th Ave Gas heat pump Wall/suspended/unit heater City/State/ZIP:Portland,OR.,97202 Water heater Phone:(503)2394600 Fax::(503)239-7038 Fireplace Range E-mail:b.hutchinson@a mericanheating.net Barbecue rv.. y CU1�lTRATORr.: Clothes dryer as Business name:American Heating Inc. Other OCHANICAL Y ; Address:5035 SE 24th Ave Subtotal City/State/ZIP:Portland,OR.,97202 Minimum permit fee($90.00) Phone:(503)239-4600 Fax:(503)239-7038 Plan review(25%of permit fee) State surcharge(12%of permit fee) 7 CCB lic.:33135 TOTAL PERMIT FEE ,Y7 37 This permit application expires if a permit is not obtioned mthm 180 f days after it has been accepted as complete. Authorized signature: • Fee methodology set by Tri-County Building Industry Service Board Print name:Brandon Hutchinson Date: �t�' 1.\Bui1ding\Permits\MEC_PermitApp_040113.dm 440-4617T(1l/02/COM/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 13221 SW 68TH PKWY 440, TIGARD, OR, 97223 Commercial - Mechanical 699 Mechanical final PASS - No C of O MEC2016-00134 Chip Barnett Violation Summary: Inspector Contractor