Permit CITY OF TIGARD MECHANICAL PERMIT
Ilis COMMUNITY DEVELOPMENT Permit#: MEC2016 00386
T[c;ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/31/2016
Parcel: 2S101 DB00104
Jurisdiction: Tigard
Site address: 7300 SW HUNZIKER RD 100
Project: Easter Seals Subdivision: None Lot: None
Project Description: Moving grilles to accommodate new office configuration.
Contractor: RELIABLE MECHANICAL LLC Owner: HILLTOP BUSINESS CENTER LLC
13215 SE MILL PLAIN BLVD STE C8#537 HUNZIKER LLC
VANCOUVER,WA 98684 9430 NW KAISER RD
PORTLAND, OR 97231
PHONE: 360-334-1598 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/31/2016 $145.81
Class of Work: ALT Type of Const: Plan Review 05/31/2016 $36.45
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 05/31/2016 $17.50
Stories:
Project Valuation: $3,000.00
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: Vent Systems: Total $199.76
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Grilles
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: �� ✓ Permittee Signature: ._..c„,.----'
...deo
Call 50 .• •.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application yyFolz oFFict: tSi:("INCity of Tigard ��IElp Received - —
j Date/By: . i ��a.�
Z
lIZI
13125 SW Hall Blvd.,Tigard,OR 972.- �1cr
_1 Plan Review
: I/ Phone: 503.718.2439 Fax: 503.598.1'71 a Date'By: Other Permit: '
d' 1,4.4
1 WARD Inspection Line: 503.639.4175 1 O�G Date Ready/By: .'See 'age 2 for
Internet: www.tigard-or.gov MAS l 20$ Notified/Method: Supplemental Information
,VIN ■.�4 I'._-
TYPE OF WUI I'l Y Vt i m t) COMMERCIAL FEE* SCHEDULE —'USE CHECKLIST
'( ji514N Mechanical pennit fees*are based on the value of the work
❑ New construction JX Addition/alter performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demohtlon ❑Other: RESIDENTIAL E a ue:$ /SYSTEad,and profit.
mechanical materials, ut ment,labor,Ge��, ,
CATEGORY OF CONSTRUCTION Value:$
Q MS FEES*
❑ 1-and 2-family dwelling [�Commercial/industrial ❑ Accessory building For special information use checklist
❑ Multi-family ❑ Master build er ❑Other: Description Qty. Ea. Total
' JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 7300 ae.," y-/t,,t,.i z;(�'r,r 1Q 0 Furnace 100,000 BTU(ducts vents) 46.75
City/State/ZIP: T e C — 1 6t `7' 2Z3 Furnace 100,000+BTU(ducts vents) 54.91
J t Heat pump 61.06
Suite/bldg./apt.no.: /03 Project name: ---c,e j f r f J r'6.,/j) Duct work 23.32
Cross street/directions to job site: 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
Flue/vent for any of above 23.32
Other: 23.32
Subdivision: Lot no.:
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
I t fireplace� / Ot. 'ti,' r����_5 �� �il'l'r�;Y1cX�c,{i' IIY'�.1 ilace 23.32 p
Log lighter(gas) 23.32
(7..)7- C (-' (--c,( '3tA ro' i--'0�\ Wood pellet stove , 33.39
Wood fireplace insert 23.32
Chimney liner flue/vent 23.32
Other: 23.32
i-APROPERTY OWNER 0 TENANT Environmental exhaust and ventilation:
Name: Ro J ✓, `JCit/V cC�,� )...",,,,c, f--1 Cy) Range hood/other kitchen
/ equipment 33.39
Address: 2 13 cc) l V i..,,,) /�VV\1 'if l, '('7 I d Or Clothes dryer exhaust 33.39
City/State/ZIP: I //e....) % 9 7/2V,' Single-duct exhaust(bathrooms.
toilet compartments,utility rooms) 23.32
Phone:( C Li J e9�'3/ Fax:( ) Attic/crawlspace fans 23.32
Dfs APPLICANT 0 CONTACT PERSON Other: 23.32
/ r` Fuel piping:
Business name: R� f,'ci�!L`' /29 rc (7Gar1 l�c.G+/ C- c
$14.15 for first four;$4.03 for each additional
Contact name: tai111 )r)1,7)Grt Furnace.etc.
Address: ) 3 Z / e3/1 m,y7 Per,✓ ,1 � ,Il/b/ .))/e-- (?# Gas allhsas heatpt pmnp
urnunit heater
City/State/ZIP: L% ,,,,,a, rj___ t__,1 4q �`1 Water heater
Phone:(" ..'C-coi 3 7 3 7 Fax: :( ) Fireplace
/ Range
E-mail: CC'I�7 / ?92 g9 Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: Other:
v(. 4- - �'U'e _ MECHANICAL PERMIT FEES*
Address:
Subtotal
City/State/ZIP: Minimum pennit fee(S90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit tee) i�/Cii 7(d
CCB lie.: TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: ,/^—_____.------ * Fee methodology set by I ri-County Building Industry Service Board
Print name: Oc" e( /2-900„,z, Date: 6;730 C-
I.Building Permits MEC_PermitApp_040113.doc�^ 440-4617T(1102 COM WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100.000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I:\Building\Perrnits\M Building EC'_PennitApp_0401 13.doc 2
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
7300 SW HUNZIKER RD 100, TIGARD, OR,
97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2016-00386
Chip Barnett
Violation Summary:
Inspector Contractor