Permit (42) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2016-00255
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/09/2016
l<'.D9 Parcel: 2S101 DD00800
Jurisdiction: Tigard
Site address: 14020 SW 72ND AVE
Project: United Rental Subdivision: None Lot: None
Project Description: Installing(2)Push/pull RTU units:(1)two ton unit and(1)3 ton unit.
Contractor: WILLAMETTE HVAC LLC Owner: I S PROPERTIES LP
3075 SW 234TH AVE.#206 BY FISCHER&COMPANY URI
HILLSBORO, OR 97123 GALLERIA NORTH TOWER II
13727 NOEL RD, STE 900
DALLAS,TX 75240
PHONE: 503-259-3200 PHONE:
FAX: 503-848-2597
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 04/13/2016 $347.71
Class of Work: ALT Type of Const: VB Plan Review 04/13/2016 $86.93
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 04/13/2016 $41.73
Stories: Info Process/Archiving-Sm$0.50(up to 04/13/2016 $16.00
11x17)
Project Valuation: $10,000.00
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 $492.37
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
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 t rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You y obtai a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. 4
•
Issued mittee 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()FT! 1,-.. ISI,O\LI
•V‘Ilitilti.V Received ilior
City of Tigard Date/B A 41.7_ Permit No.:Mme,. ao1(,....ct iX--5..
II 413125 SW Hall Blvd.,Tigard,OR 97220A,./ y `�r�o!!f / i� ?3 7
_ Plan R4[�.,. 1 4d
Phone: 503.718.2439 Fax: 503.598.19 GG Date/By: �(p Other Permit:
T I G A R D Inspection Line: 503.639.4175 Q�ll Date Rea y e orris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: y� //_ Supplemental Information
P .Y w
TYPE OF WQI la � iNVI,SN A IS
� CC �RCIAL FEE* SCHEDULE --USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteraticittIald ent performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$$10,000.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating cooling:
Air conditioning
Job site address: 14020 SW 72nd Ave (requires site plan showing placement) 46.75
City/State/ZIP:Tigard OR Furnace 100,000 BTU(ducts/vents) 46.75
Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.:' Project name:United Rentals 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
Push/pull two RTU's.One two ton and one three ton. Gas fireplace/insert 33.39
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
0 PROPERTY OWNER 0 TENANT Chimney/liner/flue/vent 23.32
Other: 23.32
Name: Environmental exhaust and ventilation:
Address: Range hood/other kitchen
equipment 33.39
City/State/ZIP: Clothes dryer exhaust _ 33.39
Single-duct exhaust(bathrooms,
Phone:( ) Fax:( ) toilet compartments,utility rooms) 23.32
Eg APPLICANT 0 CONTACT PERSON Attic/crawlspace fans 23.32
Business name:same as below Other: 23.32
Fuel piping:
Contact name: $14.15 for first four;$4.03 for each additional
Address: Furnace,etc.
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone:( ) Fax::( ) Water heater
Fireplace
E-mail: Range
CONTRACTOR Barbecue
Business name:Willamette HVAC,LLC Clothes dryer(gas) _
Other:
Address:3075 SE Century Blvd Suite 206 MECHANICAL PERMIT FEES*
City/State/ZIP:Hillsboro,OR 97123 Subtotal
Minimum permit fee($90.00)
Phone:(503)259.3200 Fax:(503)848.2597 —
Plan review(25%of permit fee)
CCB lie.:56951 State surcharge(12%ofpermit fer 37
ii/kTOTAL PERMIT FE
This permit application expires if a permit is not obtained within 180
Authorized signature: days after it has been accepted as complete.
471.Y3
Print name:michael malstrom Date:4/12/16 * Fee methodology set by Tri-County Building Indu 1pikServtce Board
1:\Building\Permits\MEC-PermitApp.doc 03/07/12 440-46171(11/02/COM/WEB) d 3
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
14020 SW 72ND AVE, TIGARD, OR, 97224
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2016-00255
Jeff Grove
Violation Summary:
Inspector Contractor