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Permit
CITY OF TIGARD MECHANICAL PERMIT F „ mE COMMUNITY DEVELOPMENT1,11 Permit#: MEC2017-00074 T f GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/01/2017 Parcel: 2S112DD00500 Jurisdiction: Tigard Site address: 15860 SW UPPER BOONES FERRY RD B15 Project: Air Reps Subdivision: None Lot: None Project Description: Replace existing RTU Contractor: ENVIRONMENTAL CONTROLS CORP Owner: PACIFIC REALTY ASSOCIATES LP 15954 SW 72ND AVE 15350 SW SEQUOIA PKWY, SUITE 300 TIGARD, OR 97224 PORTLAND, OR 97224 PHONE: 503-544-9819 PHONE: FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 02/01/2017 $179.58 Class of Work: ALT Type of Const: IIIB Plan Review 02/01/2017 $44.90 Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 02/01/2017 $21.55 Stories: Info Process/Archiving-Sm$0.50(up to 02/01/2017 $9.00 11x17) Project Valuation: $4,100.00 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 $255.03 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 Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090t, Yeumay,,obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. /%11111 Issued By: . `L Permittee Signature: C 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 oeelce use 0NL1' City of Tigard A,), $ ..ii Received 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: iffill �, Permit No.: IV f�C�/7_,D�"f Phone: 503.718.2439 Fax: 503.598.1 gy031017 Plan Re / T I G A R U III Inspection Line: 503.639.4175 i ti�� 2 Date/By: ��, , • - TYPE OF WORK Date ReadM : COMIER_ CAFE7uESCHED® SeE,e-PaUgSe E2 CfoH ErCKL STIntemet: www.tigard-or.gov -IF'Ir Notified/ thod:1 f Supplemental Information 1t BUILDING DIVISION 1:=1 New construction ddition/alteration/replacement :S iv, Q Mechanical permit fees*are based on the value of the work ID Demolition Other: Performed.Indicate the value(rounded to the nearest dollar)of all er: mechanical materials,equipment,labor,overhead,and profit. CATEGORY OF CONSTRUCTION Value:$ t^((Ov o 1-and 2-family dwelling y�Commercial/industrialRESIDENTIAL EQUIP NT/SYS1'k,MS FEES* }� 0 Accessory building For specialinformation in ormation use checklist ❑Multi-family 0 Master builder 0 Other: Description Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Job site address: (�e 60s,„.4U��� Air conditioning 46.75 1 1 k 1 Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: O(L c1-7035- _ y 0Q3(o Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: I Project name: ��' - Heat pump 61.06 A.:1-42_ `�Q S Duct work Cross street/directions to job site: - 23.32 - Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 , Ai 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.: 23.32 Tax map/parcel o.: Other fuel appliances: Water heater 23.32 DESCRIPTION OF 1VORK Gas fireplace/insert 33.39 ` - ".06,�`A X 1�.1-1.*„a � .��� Flue vent for water heater or gas t T- �; 1 O? yL- At� A(1yS fireplace 23.32 d-bl tr. ‘3"'" Wood/pellet lighter(gas) 23.32 - Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ' 0 PROPERTY OWNER" i TENANT :' Other: 23.32 .. p Environmental exhaust and ventilation: Name: Al p..._ Range hood/other kitchen Address: Sf" b SW uD e;� r- RAI equipment 33.39 City/State/ZIP: 'j ti 1 e)a I) / Clothes dryer exhaust 33.39 p"�'O ©a_ )-1 C)3s--. o(o(, Single-duct exhaust(bathrooms, Phone:(5077) 2,2,c, 41 3OC7 Fax:( ) toilet compartments,utility rooms) 23.32 I Attic/crawlspace fans 23.32 K APPLICANT' 0 CONTACT PERSON.u Other: 23.32 Business name: aNI,V i Qip,-a t„} /L.41 1 Fuel Ito owe,l� �'L.. Co wJ i r��S Co/'�YJ Contact name: $14.15 for first four;$4.03 for each additional or j Furnace,etc. Address: $•t„` L��„1 17,41:0 f�, ,e Gas heat pump City/State/ZIP: "ri(T p}� 0 Q. c'j'� 72-1"1Wall/suspended/unit heater Water heater Phone:(,503) St.j-j _C33 C, I Fax::( ) Fireplace E-mail: fl'(` lX �4C. (-4,0v" Range �• {SOIL 1.141..10 . Barbecue CONTRACTOR Clotheser �' (gas) Business name: ii.:-,,,,4 ¢.0,...Aera ��►Q aokS 64,9-4Other: Address: ‘�� s.,-1 S Y'� Z� �• MECHANICAL PERMIT FEES* City/State/ZIP: 1-7644(24) DV-- L 97 Subtotal Minimum permit fee($90.00.00) ) Phone:(�(3 ) 620 -1-4 ZZO� I Fax:( ) Plan review(25%of permit fee) CCB lic.: State surcharge(12%of permit fee) I t 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. * Fee methodology set by Tri-County Building Industry Service Board Print name: C.o Ll ...)g2'-0 r•-'4 I Date: ( (3 t/ 1 I:)Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB) 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$5,000.00 500.00 and $3$607 for each addi06 for the first tional$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 47.71 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 $2.363.71 49 for eachand the first$50,000.00 additional onal$100 00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 2.92c $100,000.00 and for each additional$100.00 fraction thereof. Note: All new commercial buildings require 2 sets of plans. 1:\Building\Permits\MEC_PermitApp_040113.doc 2 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 15860 SW UPPER BOONES FERRY RD B15, TIGARD, OR, 97224 Record Type: Commercial - Mechanical Inspection Type: 699 Mechanical final Result: PASS- NoCofO Comments: Violation Summary: Inspector Tel: 503.718.2439 Inspection Date: Record ID: MEC2017-00074 Inspector: Jeff Grove Contractor