Permit (28) CITY OF TIGARD MECHANICAL PERMIT
a
COMMUNITY DEVELOPMENT Permit#: MEC2016-00369
T t(.1 ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/01/2016
Parcel: 2S 101 AA09100
Jurisdiction: Tigard
Site address: 12447 SW 69TH AVE
Project: Consumer Cellular-Building C Subdivision: WEST PORTLAND HEIGHTS Lot: A
Project Description: 2-ton RTU installation.
Contractor: STREIMER SHEET METAL WORKS INC Owner: SDC TIGARD CORPORATE CENTER INC
740 N KNOTT STREET ATTN:ANDREW HARPER
PORTLAND, OR 97227 101 CALIFORNIA ST, 26TH FLOOR
SAN FRANCISCO, CA 94111
PHONE: 503-288-9393 PHONE:
FAX: 503-288-3327
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/01/2016 $347.71
Class of Work: ALT Type of Const: VB Plan Review 06/01/2016 $86.93
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 06/01/2016 $41.73
Stories: 2 Info Process/Archiving-Lg$2.00(over 06/01/2016 $4.00
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 $480.37
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
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 0 NC by calling 503. •: .:§0.33 . '44.
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 orrlcl: t tih:oNL\
City of Tigard Received
r /( j, Permit No.: ,�- r3oi/ m J0,--
13125
111 SW Hall Blvd.,Tigard,OR 97223 y �L'�� t!i J
C Plan Revie�,�a
Phone: 503.718.2439 Fax: 503.598.1960 O � MR Other Permit:AL ,_ .
Date/By: 4�
T I G A It D Inspection Line: 503.639.4175 //''��C t`' Date Ready/By: See Page 2 for —
Internet: www.tigard-or.gov BECE Y ED Notified/Method.S ii (4 m_ Supplemental Information
n nt116 �j �y�j,(lj .Nt.
TYPE OF WORKWAY v- s� �C— RM1 E* SCHEDULE — USE CHECKLIST
® ,r gli Mechanical permit fees*are based on the value of the work
❑New construction Addition/alterati�aofe wISIo� performed.Indicate the value(rounded to the nearest dollar)of all
❑DemolitionOther: ° V •7 mechanical materials,equipment,labor,overhead,and profit.
0 g�1L01NG Value:$20010 Irl , k_.,r_v
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total _
JOB SITE INFORMATION AND LOCATION Heating/cooling:
- �k Air conditioning 46.75
Job site address: 71 14 LJ 7 t.) („,( y`- _ ' U `C... Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP- Tied t J l 0g_ Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: 1 I Project same:Consumer Cellular TI Duct work 23.32
Cross street/directions to job site:Haines and Dartmouth 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
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
fireplace 23.32
HVAC/Plumbing demo,design and install Log lighter(gas) 23.32
-pZ1 ��_ 1 i-oN Wood/pellet stove 33.39
- /�� li/ I �)\G(/J Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
0 PROPERTY OWNER e TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Consumer Cellular Range hood/other kitchen
equipment 33.39
Address:12123 SW 69'h Ave Clothes dryer exhaust 33.39
' City/State/ZIP:Tigard,OR 97223 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)307-4873 Fax:( ) Attic/crawlspace fans 23.32
0 APPLICANT 0 CONTACT PERSON Other: 23.32
Fuel piping:
Business name:Streimer Sheet Metal
$14.15 for first four;$4.03 for each additional
Contact name:Jonathan Moss Furnace,etc.
Address:740 North Knott St Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Portland,OR 97227 Water heater
Fireplace
Phone:(503)288-9393 Fax::( ) Range
E-mail:jd_moss@streimer.com Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name:Streimer Sheet Metal MECHANICAL PERMIT FEES*
Address:740 North Knott St Subtotal
Minimum permit fee($90.00)
City/State/ZIP:Portland,OR 97227 Plan review(25%of permit fee)
Phone:(503)288-9393 Fax:( ) State surcharge(12%of permit fee)
CCB lie.:2365 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 Tri-County Building Industry Service Board
Print name:Jonathaess JSP c.4 t,/,..3.41._ Date:05/05/2016
I:\Building\Permits\MEC_PermitApp_040t 13.doc 440-4617T(11/02/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
12447 SW 69TH AVE, TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2016-00369
Chip Barnett
Violation Summary:
Inspector Contractor