Permit (30) CITY OF TIGARD MECHANICAL PERMIT
$ . COMMUNITY DEVELOPMENT Permit#: MEC2016 00241
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/03/2016
T t G All D9 Parcel: 1S126DB02800
Jurisdiction: Tigard
Site address: 9370 SW GREENBURG RD 412
Project: Dr.Chang Subdivision: 1991-018 PARTITION PLAT Lot: 1
Project Description: Installation of ductless heat pump and ceiling mount fan coil.
Contractor: ANCTIL HEATING&COOLING Owner: FRANKLIN COMMONS ASSOCIATES, LLC
2150 N LEWIS AVENUE BY NORRIS&STEVENS
PORTLAND, OR 97227 621 SW MORRISON STE 800
PORTLAND, OR 97205
PHONE: 503-281-0752 PHONE:
FAX: 503-282-5722
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/03/2016 $151.95
Class of Work: ALT Type of Const: VB Plan Review 05/03/2016 $37.99
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 05/03/2016 $18.23
Stories: Info Process/Archiving-Sm$0.50(up to 05/03/2016 $3.50
11x17)
Project Valuation: $3,200.00
Fuel Air Handlers
Fuel Types: Units<10000 cfm: 1
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 $211.67
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Compressor
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 503.232.1987 or 1.800.332.2344.
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Issued By: _ Permi ee 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 USE 0.11 1
City g C9CEIVED
Received of Ti and 2 J / ��„�,�t��.: M�C� " �D 4l
iii • 13125 SW Hall Blvd.,Tigard,O Plan R -
Plan Revie -.� /(�
Phone: 503.718.2439 Fax: 503.598.1960 4 I r ` Other Permit:
Date/By:
T I G A R D Inspection Line: 503.639.4175 MAR 3 1 2016 Date Rea )�*�
y : 0 See Page 2 for
Internet: www.tigard-or.gov Notified/Method if,/JASupplementallnformation
CITY OF TIGARn
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IA 14
°I° DIVISION `�' .•
- c "''- 1" O l\IF:RCLV. FTE* SC11EDLLE - CSTCIIFCKLIS.1
Meehan:cal pet snit lees*arc based on the vahie of the work
❑ New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
av- Value:S 3200.00
CATEGORY OF CONSTRUCTI RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
O 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Ory. I.a. l oral
JOB sin: I\FORMIA7IO\ Al)\ LOCATIONHeating/cooling:
Air conditioning
Job site address:9370 SW Greenburg Rd#412 (requires site plan showing placement) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000 BTU(ducts/vents) 46.75
Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name:Dr Chang Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
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
Subdivision: Lot no.: Flue/vent for any of above 23.32
Other: 23.32
Tax map/parcel no.: Other fuel appliances:
DESCRIPTION OF WORK Water heater 23.32
Gas fireplace 33.39
Install ductless heat pump,and ceiling mount fan coil. Flue vent for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
® PROPERTY 011\I:IZ Chimney/liner/flue/vent 23.32
Other: 23.32
Name: Norris&Stevens Environmental exhaust and ventilation:
to Range hood/other kitchen '/
Address:900 SW 5 Ave-Suite 1700 equipment JC)_ 33.39
City/State/ZIP:Portland,OR 97204 Clothes dryer exhaust / _ 33.39
Single-duct exhaust(bathrooms,
Phone:(503)223-3171 Fax:( ) toilet compartments,utility rooms) 23.32
® APPLICANT ❑ CONTACI I'F:RSO\ Attic/crawlspace fans _ 23.32
Business name:Anctil Heating and Cooling Other: 23.32
Fuel piping:
Contact name:Brian P Murphy $14.15 for first four;$4.03 for each additional
Address:2150 N Lewis Ave Furnace,etc.
Gas heat pump
City/State/ZIP:Portland,OR 97227 Wall/suspended/unit heater
Phone:(503)281-0752 Fax::(503)282-5722 Water heater
Fireplace `.-
E-mail:brian@anctilhvac.com Range 14.-1 -
LEM COVI I RACTOR Barbecue /
Business name:Same as Ahoy e Clothes dryer(gas)
()the,
Address: \IEANICAL PERMIT FEES*
City/State/ZIP: Subtotal 47.54
Minimum permit fee($90.00) 90.00
Phone:( ) Fa s.I I .. -
Plan review(25%of permit fee)
CCB lie.:8897 State surcharge(12%of permit fee) 10.80_
/^\(�\ TOTAL PERMIT FEE 100.80_
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�� \ This permit application expires if a permit is not obtained within 180
Authorized signatureY:-.)
\ days after it has been accepted as complete.
Print name:Brian Py Date:3/31/2016 Fee methodology set by Tri-County Building Industry Service Board
1:\Building\Permits\MEC-PermitApp.doc 09/09/10 440-46171(11/02/COMM'EB)
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
9370 SW GREENBURG RD 412, TIGARD, OR,
97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2016-00241
Chip Barnett
Violation Summary:
Inspector Contractor