Permit (46) .71 CITY OF TIGARD MECHANICAL PERMIT
�' COMMUNITY DEVELOPMENT Permit#: MEC2016-00550
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/02/2016
Parcel: 1S136AD04000
Jurisdiction: Tigard
Site address: 11507 SW PACIFIC HWY B
Project: The Bridge Subdivision: VILLA RIDGE Lot: 7
Project Description: Modification of ductwork and bathroom exhaust for TI
Contractor: BEST OWNER DIRECT MECHANICAL SERVICE LLC Owner: PACIFIC TERRACE COMMERCIAL LLC
800 S OLEANDER ST BY SMITH, EDITA M
CORNELIUS, OR 97113 833 NW 170TH DR
BEAVERTON, OR 97006
PHONE: 503-442-5966 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 08/02/2016 $269.03
Class of Work: ALT Type of Const: Plan Review 08/02/2016 $67.26
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 08/02/2016 $32.28
Stories: Info Process/Archiving-Lg$2.00(over 08/02/2016 $2.00
11x17)
Project Valuation: $7,200.00 Info Process/Archiving-Sm$0.50(up to 08/02/2016 $0.50
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 $371.07
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Not Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or dire questions to UNC by calling 503.232.1987 or 1.800.332.2344.
Issue. By: / / , / 4 Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard RECEIVED 8 a iso h� (e-chs se
Penna No.:
IIIn 13125 SW Hall Blvd..Tigard OR 97223 pian Review
I Phone: 503.718.2439 Fax: 503.598.19fj()f i t Date/By: other Permit: ��i�..0Q1 7 7
T 1 t3 h R l) Inspection Line: 503.639.4175 t►V U 2 2016 Date Ready-13y: inns' I Ed See Page 2 for
Internet: www.tigard-or.gov Notified/Method. Supplemental Information
pCITY OF TIGARD
.IIWDI(IG !VISI ?N E
TY� ?1UW€LKQ . COMMERCIAL FEE* SCHEDULE—USE CHCKL T
Mechanical permit fees*are based on the value of the work
❑New construction ►:1 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,andprofit.
Value:$
Cc), 0v
CATEGORY OF CON TRY?CTIIU I ,= S1I PIIIAl ullI lITtSYSTEMST�E s"
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist
❑Multi-family 0 Master builder 0 Other: Description QIy. Ea, Total
J"OB; 1NFOI AiTIO I AND: AT10N: Heating/cooling:
Air conditioning 46.75
Job site address:11507 SW PACIFIC HIGHWAY Furnace 100,000 BUT(ductsn'ents) 46.75
City/State/ZIP:TIGARD OR Furnace 100,000+BTUT(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg.//apt.no.: Project name:BRIDGE CHURCH Ductwork 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
Subdivision: Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DE OF WORK Gas frepiace/insert 33.39
Flue vent for water heater or gas
MODIFY DUCTING,BATHROOM EXHAUST fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
l `'PROPERTY.OWNER , .T1 Nx NT Environmental exhaust and ventilation:
Name:BRIDGE CHURCH Range hood/other kitchen
equipment 33.39
Address:11507 SW PACIFIC HIGHWAY Clothes dryer exhaust 33.39
City/State/ZIP:TIGARD OR Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attie/crawlspace fans 23.32
1.:-.1 ff APPLICANT Q<CONTACT PERSON Other: 23.32
Business name:BEST OWNER DIRECT HVAC Forel piping
$14.15 for first four;$4.03 for each additional
Contact name:KEVIN STEPISNIK Furnace,etc.
Address:800 5 OLEANDER ST Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:CORNELIUS OR 97113 Water heater
Phone:(503)442-5964 Fax: :( ) Fireplace
Range
E-mail:BESTOWNERDIRECT(a•YAHOO.COM Barbecue
G')I T CTOR Clothes dryer(gas)
Business name:BEST OWNER DIRECT HVAC Other:
i-Cirri r41C--i1;I' �I'T EF,ES . .
Address:800 S OLEANDER ST Subtotal
City/State.//ZIP:CORNELIUS OR 97113 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)442-5964 Fax:( ) State surcharge(12%of permit fee) iv
CCB lie.:199049 TOTAL PERMIT FEE 7/0 7
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
,n r`P fy j/ze t� g/l/ 6o
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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.
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City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11507 SW PACIFIC HWY B, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Mechanical MEC2016-00550
Inspection Type: Inspector:
699 Mechanical final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11507 SW PACIFIC HWY B, TIGARD, OR, 97223 September 15, 2017 at
9:00:18 AM
Record Type: Record ID:
Commercial - Mechanical MEC2016-00550
Inspection Type: Inspector:
699 Mechanical final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor