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Permit (9) CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT ll Permit#: MEC2016 00634 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/01/2016 Parcel: 1 S 136AD04100 Jurisdiction: Tigard Site address: 11501 SW PACIFIC HWY Project: Corporate Plaza Subdivision: VILLA RIDGE Lot: PTS 1-2 Project Description: Push/pull(1)6 ton&(1)5 ton RTU's and new curbs. Contractor: WILLAMETTE HVAC LLC Owner: J B K PROPERTIES MANAGEMENT 3075 SW 234TH AVE.#206 5102 SW SCHOLLS FERRY ROAD HILLSBORO, OR 97123 PORTLAND,OR 97225 PHONE: 503-259-3200 PHONE: FAX: 503-848-2597 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 09/01/2016 $550.91 Class of Work: ALT Type of Const: Plan Review 09/01/2016 $137.73 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 09/01/2016 $66.11 Stories: Info Process/Archiving-Sm$0.50(up to 09/01/2016 $25.00 Project Valuation: $17,989.00 11x17) 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 $779.75 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: New curbs 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 ''cation -•er. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or 'ect questions to OU •'.y c.(ling 503.232.1987 or 1.800.332.2344. sued By: , 411 e / Perm ittee Signature: K 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 A ili ation ' FOR OFFICE USE ONLY City of Tigard f �l Received /// Date/By: ,G� Permit No.:M y!�� 3 Ill • 13125 SW Hall Blvd:,Tigard, ,7223 i ` '�4, Plan Review Other Permit: Phone: 503.718.2439 Fax: 503.598.1960 =a Date/By: T I G A R I� Inspection Line: 503 639 41 k5i Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gcv''' - c t. Notified/Method: Supplemental Information 1'1 TYPE OF WORK COMMERCIAL FEE* SCHEDULE— USE CHECKLIST Mechanical permit fees*are based on the value 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. Value:$$17,989.00 CATECxORY OF CO1ISTRIIC"l ION RESIDENTIAL EQUIPMENT/SYSTEMS PEES* ❑ 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:11501 SW Pacific HWY (requires site plan showing placement) 46.75 Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard OR Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name:Corporate Plaza 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 Flue/vent for any of above 23.32 Subdivision: Lot no.: Other: 23.32 Tax map/parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater 23.32 Gas fireplace/insert 33.39 Push/pull two RTU's.A 6 ton and a 5 ton 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 Chimney/lfiner/flue/vent 23.32 PROPERTY OWNER © TENANT'; Other: 23.32 Name: Environmental exhaust and ventilation: Range hood/other kitchen Address: equipment 33.39 City/State/ZIP: Clothes dryer exhaust 33.39 Single-duct exhaust(bathrooms, Phone:( ) Fax:( ) toilet compartments,utility rooms) 23.32 0'APPLICANT 0 CONTACT PERSON Attic/crawlspace fans 23.32 Other: 23.32 Business name:same as below 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 lic.:56951 State surcharge(12%of permit fee) TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. Print name:michael malstrom Date:8/30/16 * Fee methodology set by Tri-County Building Industry Service Board 1:\Building\Permits\MEC-PermitApp.doc 03/07/12 440-46171(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 11501 SW PACIFIC HWY, TIGARD, OR, 97223 Commercial - Mechanical 699 Mechanical ﬁnal PASS - No C of O MEC2016-00634 Jeff Grove Violation Summary: Inspector Contractor