Permit ili . CITY OF TIGARD MECHANICAL PERMIT
I ' - COMMUNITY DEVELOPMENT
Permit*: MEC2017-00014
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/19/2017
Parcel: 2S112DA00300
Jurisdiction: Tigard
Site address: 15230 SW SEQUOIA PKWY 150
Project: Flyboy Brewing Subdivision: PACIFIC CORPORATE CENTER Lot: PTS 6-7
Project Description: (2)new RTU's,(2)exhaust fans,and gas piping for TI.
Contractor: GOHMAN MECHANICAL Owner: PACIFIC REALTY ASSOCIATES
14505 SE HWY 212 ATTN: N PIVEN
CLACKAMAS, OR 97015 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-658-1892 PHONE:
FAX: 503-658-6925
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 01/19/2017 $1,109.71
Class of Work: ALT Type of Const: IIIB Plan Review 01/19/2017 $277.43
Occupancy Grp: A-2 Occupancy Load: 12%State Surcharge-Mechanical 01/19/2017 $133.17
Stories: Info Process/Archiving-Lg$2.00(over 01/19/2017 $2.00
Project Valuation: $40,000.00 11x17)
Info Process/Archiving-Sm$0.50(up to 01/19/2017 $30.00
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: 2 Vent Systems: Total $1,552.31
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 low the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0e•0,( You may y ain . opy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. /
/
Issued By: /J�,� -Iwo/A-
F f r Permittee Signature: ,� '
Call 503.639.4175 by 7:00 a.m.for the next available ins =ction 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 115E ONLY
City of Tigard Received /
13125 SW Hall Blvd.,Tigard,OR 97223 *- Date/By: S`/'? Permit No.:
C Phone: 503.718.2439 Fax: 503.598.1960 Plan rL C ��7/ ' r '
Fview
TIGARD Inspection Line: 503.639.4175 I I Date/By. i Other Permit r��
Internet: www.tigard-or.gov } Date Re.. . (/CJ
�. 1 � �� lor rx /c�
Juris See Page 2 for
j��\` c ttfied/Method: //
a ` p �a f 7d//? ��� � Supplemental Information
TYPE OF WORK v� 'r. 1 COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
o New construction Mechanicalfees*
®Addition/alteration/r i permit are based on the value of the work
performed. Indicate the value(rounded to the nearest dollar)of all
❑Demolition o Other:
mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:$$40,000.00
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
o Multi-family ❑Master builderFor special information use Qty.
0 Other: • Description
JOB SITE INFORMATION AND LOCATION ;, I Qty. I Ea. I Total
3 Heating/cooling:
Job site address: 15230 SW Sequoia Pkwy Air conditioning 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000 BTU(duets/vents) 46.75
Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: 150 I Project name:Flyboy Brewing Heat pump
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: Other:
Lot no.: 23.32
Tax map/parcel no.: Other fuel appliances:
Water heater 23.32
DESCR PTION DF WORK Gas fireplace/insert
33.39
Flue vent for water heater or gas
fireplace 23.32
Install(2)new rooftop units.Provide and install gas piping.Install(2) Log lighter
(gas) 23.32
ceiling exhaust fans for restrooms. Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
PROPk 0 TENANT ERTY OWNER II 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,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( )
Attic/crawlspace fans 23.32
APPLICANT 0 CONTACT PERSON Other:
Business name:Gohman Mechanical,Inc. 23.32
Fuel piping:
Contact name:Jennifer Fulsher $14.15 for first four;$4.03 for each additional
Furnace,etc.
Address: 14505 SE Hwy 212 Gas heat pump
City/State/ZIP:Clackamas,OR 97015 Wall/suspended/unit heater
Phone:(503)658-1892 Water heater
Fax: :( ) Fireplace
E-mail:Jennifer@gohmanmechanical.com Range
Barbecue
CONTRACTOR
Clothes dryer(gas)
Business name:Lohman Mechanical,Inc. Other:
Address: 14505 SE Hwy 212 MECHANICAL PERMIT FEES*
City/State/ZIP:Clackamas,OR 97015 Subtotal
Minimum permit fee($90.00)
Phone:(503)658-1892 I Fax:( ) Plan review(25%of permit fee)
CCB tic.: 119952 State surcharge(12%of permit fee)
/ /0 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized signature" e/prdays after it has been accepted as complete.
Fee methodology set by Tri-County Building Industry Service Board
Print name:Jennife ulsher
I Date:01/04/2017 J
I:\Bui Idi ng\Permits\MEC_PermitApp_0401 13.doc
440-4617T(1 I/02/COM/WEB)