Permit (10) CITY OF TIGARD MECHANICAL PERMIT
11111 q
COMMUNITY DEVELOPMENT Permit#: MEC2017-00007
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/19/2017
Parcel: 2S112DC00201
Jurisdiction: Tigard
Site address: 15865 SW 72ND AVE, BLDG#C
Project: ChemWest Subdivision:HERN PACIFIC TIGARD INDUSTRIAL Lot: 3
Project Description: (1)new 2-ton RTU for conference room,and new distribution duct to all RTU's.
Contractor: GOHMAN MECHANICAL Owner: PACIFIC REALTY ASSOCIATES LP
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 $982.71
Class of Work: ALT Type of Const: IIIB Plan Review 01/19/2017 $245.68
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 01/19/2017 $117.93
Stories: Info Process/Archiving-Lg$2.00(over 01/19/2017 $2.00
11x17)
Project Valuation: $35,000.00 Info Process/Archiving-Sm$0.50(up to 01/19/2017 $32.50
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 $1,380.82
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 952-001-009 You may ':tai a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: /6r 259;4 Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspe' on date. ,
ri
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.
Mechanical22Permit A lication
FOR OFF1('E I SI_ ON II
lh
City of Tigard Received
ill 13125 SW Hall Blvd.,Tigard,OR 97223 ,,,
A ar'''0 Date/By: i I I Ard,,ri--- Permit No.:
0. ....4 '-' -- 7
, ‘, -
Plan Review ‘Teripigral
a
ja ,
I Phone: 503.718.2439 Fax: 503.5949t Cr,,..‘1,,
Date/By: Other Permit: Ar
IICARD Inspection Line: 503.639.4175
Date Ready/By:
n See Page 2 or
Internet: www.tigard-or.gov
3 n\-1 .4
Notified/Method: / t 7 /7 iteir 0 _ Supplemental Information
0 ' -
'' Weitillr ?"7-
,_. - COMMERCIAL FEE* SCHLDULE- USE CHECKLIST
Mechanical permit fees*are based on the value of the work
U New construction
kl Addition/alter. Pv/VVelitneM
performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other:
mechanical materials, :.uilment,labor,overhead and.rofit.
1111111111...ma
CATEGORYC
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
0 1-and 2-family dwelling ;K Commercial/industrial 0 Accessory building
For special information use checklist.
El Multi-family 0 Master builder 0 Other: Description
Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heatinl coolinl:
Air conditioninl
46.75
Job site address: ,se6os .,,.....J ---/ay .:
Furnace 100,000 BTU(ducts/vents) 1111 46.75
City/State/ZIP.-Fr .ayzA a 9"-raD Furnace 100,000+BTU(ducts/vents) 54.91
. ,IMEMEMIIIIIIIIIIIIIII 61.06
Suite/bldg./apt.no.: Project name:etie.L.frvic _5.s4-
Duct work
23.32
Cross street/directions to job site:
H dronic hot waters stem 23.32
Residential boiler(radiator or
h dronic
23.32
.Unit hllea.ters-dtdetc.ed,
(fuel-type,not electric),
46.75
Flue/vent for an of above 23.32
Subdivision: Lot no.:
Other: 23.32
Other fuel a.diances: -
Tax map/parcel no.:
Water heater IIIII 23.32
' ;-'•':, .-: - :'' '' - - DESCRH4ION OF WORK - :-'' .:' ' 1123M52211111M 33.39
' Flue vent for water heater or gas
/ I V<-4-3 4. '4.(),t1 V-100c. "' C.-01,1f-eee.•'‘C-e_ fir-dace
23.32
Lo:.li. ter .as
23.32
ve,z-t; ofi's- r `ko- -1-i'o d“c+ i-o
Wood/.ellet stove
33.39
G-I.VI A'IS
Wood fir.lace/insert
23.32
23.32
Other:
23.32
PROPER Ti-0irikl'ER ', ; , 0 TENANT ,' , , ,.. '
' ' ' ' Environmental exhaust and ventilation:
IPllji:jRange hood/other kitchen
Address:
a Ili ament
33.39
Clothes a er exhaust
33.39
City/State/ZIP:
Single-duct exhaust(bathrooms,
toilet com.artments,utili rooms 23.32
Phone:( ) MIIIIIIIIIIIIIIIIIII IMMEMEE
23.32
n CoNTAcr PERON ' Other:
23.32
• I .
$14.15 for first four;$4.03 for each additional
Contact name: jceAt,- k•-•"1.. t,l.e..A„... IgEfer11111111111111111111111111111
IEIMIIIIIIIIIIIIIIIIN
Address: /4/ 0.5 SG H u ,
Wall/sus•ended/unit heater
City/State/Z1P: C vy.6w1,--Icts CI•-joas
mixIMMEIBINE111111111.
Phone:(5) ) 658-IEC?,_
IMIMIIIIIIIIIIIIIIIIIIIIII, urainaimia''''""'"
,_
E-mail: .
3-e_i",n,A-ev-Q. ,\"0-‘c.x.vvek-teci-ct trl i Cce..X •C--0i. Barbecue
..„_.
Clothes d er(!as
Other:
MECHANICAL PERMIT FEES*
Address: )1--/gin 5. _SZ-_-, Ft k„L..) (D Vas
Subtotal
City/State/ZIP: C,...,tC442_•Kc1/4.k,),-Nk.s OR ci 10 LS Minimum permit fee($90.00)
Phone:( ...*:.:S) 11M111.11111111111Plan review(25%of permit fee)
al.11111111111111111.111111
State surcharge(12%of permit fee)
CCB lic.: 1/ "VS,:::,?
TOTAL PERMIT FEE
410,11F,IXIPPRillri/ This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
1,r .0"/
Authorized signaturfjr.
* Fee methodology set by Tri-County Building Industry Service Board
EMMEMILMECEMENIII Date: /-3--J'-)
I:\13uildingTermits\MEC_PermitApp_040113.doc
440-46171(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 -Supplemental Information
Commercial&Multi-Famil 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.
1:\Building\PermitsuvlEC_PermitApp_040113.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15865 SW 72ND AVE BLDG C, TIGARD, OR,
97224
Record Type: Record ID:
Commercial - Mechanical MEC2017-00007
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor