Permit (118) Bmf
CITY OF TIGARD MECHANICAL PERMIT
r 2. . COMMUNITY DEVELOPMENT Permit#: MEC2017 00077
13125 SW Hall Blvd.,Ti Date Issued: 02/06/2017
ft�R. and OR 97223 503.718.2439 9
Parcel: 2S 101 AA07600
Jurisdiction: Tigard
Site address: 12540 SW 68TH AVE B
Project: Integrative NW Subdivision: WEST PORTLAND HEIGHTS Lot: 18
Project Description: (1)4 ton RTU and duct work.
Contractor: WILLAMETTE HVAC LLC Owner: BGG PROPERTIES, LLC&AGF PROPERTIES, LI.
3075 SW 234TH AVE.#206 11255 SW CHICKADEE TERRACE
HILLSBORO, OR 97123 BEAVERTON, OR 97007
PHONE: 503-259-3200 PHONE:
FAX: 503-848-2597
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/03/2017 $291.51
Class of Work: ALT Type of Const: VB Plan Review 02/03/2017 $72.88
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 02/03/2017 $34.98
Stories: Info Process/Archiving-Lg$2.00(over 02/03/2017 $2.00
11x17)
Project Valuation: $8,000.00 Info Process/Archiving-Sm$0.50(up to 02/03/2017 $2.50
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 $403.87
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
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 . i ication -• 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 erect questions to OU . by c- 503.232.1987 or 1.800.332.2344.
Is ued By: • ' •
/ 51,i/‘—.)0/ 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 ed 7
13125 SW Hall Blvd.,Tigard,OR 97223 V{ �' e'Y ��? /� Permit No.:Al c)v/7 ctu 2.7
Phone: 503.718.2439 Fax: 503.598.1960IN
Plan Re
�,_>� 17
TIGARD Inspection Line: 503.639.4175 Date/By: 1` Other Permit/geipy/ I
Internet: www.tigard-or.gov n sy '� EDate Ready/By, orris I^®�See Page 2 for —collet
30 +� Notified/Method:
drSupplemental Information
LIZ-
TYPE OF WORK t i�, ' ( C,fM • Iq E* SCHEDULE — USE'CHECI CHECKLIST
❑New construction p l�l 'O Mechanical permit fees*are based on the value of the work
®Addition/alteration/re performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other:
mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:$$8,000.00
0 1-and 2-family dwelling ®Commercial/industrialRESIDENTIAL EQUIPMENT/'SYSTEMSFEES*
0 Accessory building For special information formation use Qty.
❑Multi-family 0 Master builder
0 Other: Description
Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Job site address:12540 SW 68th a.v Air conditioning
P (requires site plan showing placement) I 46.75
City/State/ZIP:Tigard OR Furnace 100,000 BTU(ducts/vents) 46.75
Suite/bldg./apt.no.:B Furnace 100,000+BTU(ducts/vents) 54.91
Project name:Integrative NW Heat pump
Cross street/directions to job site: (requires site plan showing placement) 61.06
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: I Lot no.:
Tax map/parcel no.: Other: 23.32
Other fuel appliances:
DESCRIPTION OF WORK Water heater
23.32
push/pull 4 ton RTU.Modify duct work to accommodate a new office layout Gas fireplace/insert 33.39
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/liner/flue/vent 23.32
❑ PROPERTY OWNER I ❑'TENANT
Name: Other: 23.32
Environmental exhaust and ventilation:
Address: Range hood/other kitchen
City/State/ZIP: equipment 33.39
Clothes dryer exhaust 33.39
Single-duct exhaust(bathrooms,
Phone:( ) Fax:( )
tEi toilet compartments,utility rooms) 23.32
APPLICANT 0 CONTACT PERSON Attic/crawlspace fans
23.32
Business name:same as below Other:
23.32
Contact name: Fuel piping:
$14.15 for first four;$4.03 for each additional
Address: Furnace,etc.
City/State/ZIP: Gas heat pump
Wall/suspended/unit heater
Phone:( ) Fax:
( ) Water heater
E-mail: Fireplace
CUNT RACTOR Range
Barbecue
Business name:Willamette HVAC,LLC Clothes dryer(gas)
Address:3075 SE Century Blvd Suite 206 Other:
City/State/ZIP:Hillsboro,OR 97123 MECHriNICAI>PERMIT)*EES*
Subtotal
Phone:(503)259.3200 I Fax:(503)848.2597 Minimum permit fee($90.00)
CCB lie.:56951 Plan review(25%of permit fee)
State surcharge(12%of permit fee)
TOTAL PERMIT FEE
Authorized signature: \it°‘'C'411'-- ( /&*%)2')/ lehN
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name:michael malstrom I Date: 1/31/17 I * Fee methodology set by Tri-County Building Industry Service Board
t\Building\Permits\MEC-PermitApp.doc 03/07/12
440-4617T(11/02/COM/WEB)
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
12540 SW 68TH AVE B, TIGARD, OR, 97223
Record Type:
Commercial - Mechanical
Inspection Type:
699 Mechanical final
Result:
PASS- NoCofO
Comments:
Violation Summary:
Inspector
Tel: 503.718.2439
Inspection Date:
February 6, 2017 at 10:17:55
AM
Record ID:
MEC2017-00077
Inspector:
Chip Barnett
Contractor