Permit CITY OF TIGARD MECHANICAL PERMIT
IN 2COMMUNITY DEVELOPMENT Permit#: MEC2017-00146
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/27/2017
Parcel: 1S135DD03301
Jurisdiction: Tigard
Site address: 11945 SW PACIFIC HWY 230
Project: Archers Afield Subdivision: METZGER ACRE TRACTS Lot: 9
Project Description: (1)ductless heat pump and(1)heat recovery unit.
Contractor: SPECIALTY HEATING &COOLING INC Owner: COMMERCIAL ENTERPRISES LLC
7500 SW TECH CENTER DR STE 130 8320 NW HWY 99
TIGARD, OR 97223 VANCOUVER,WA 98665
PHONE: 503-620-5643 PHONE:
FAX: 503-681-0793
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/27/2017 $316.80
Class of Work: ALT Type of Const: Plan Review 02/27/2017 $79.20
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 02/27/2017 $38.02
Stories: Info Process/Archiving-Sm$0.50(up to 02/27/2017 $1.50
11x17)
Project Valuation: $8,900.00
Fuel Air Handlers
Fuel Types: 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: 1
Appliances
Vent Fans: Vent Systems: Total $435.52
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Heat
Duct Work: Recovery
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344,
Issued B /
Y' � s-.2_. Permittee Signature: �' f`f1l-� t �r
f
Ca 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Received
�� a � Date/By: Permit No.:
IN 13125 SW Hall Blvd.,Tigard,OR 9 , ,_ " �1r _� ✓'o i 7. /
11 Phone: 503.718.2439 Fax: 503.59�� �'� Plan Review Other Permit:
TI G A R D Inspection Line: 503.639.4175 Date/By:
Date ed/Met Ready/By: See Page 2 for
Internet: www.tigard-or.gov {� 1 V\-1 Notified/Method: Supplemental Information
!d
TYPE OF WO w v, � q) q COMMERCIAL FEES*SCHEDULE USE CHECKLIST
f� r,,,!:',:!:-11,101 4 Mechanical permit fees*are based on the value of the work
❑New construction �ddition/alterattton/tl� = ' " performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition '1 °'
0Other: °� mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:$ {>�j'(�2 c�
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling '[ commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder
0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Airconditioning 46.75 site address:t(915 5�,i a t1�t�c' ifY 41//e Furnace 10, 00
BTU(ducts/vents) 46.75
City/State/ZIP: v —/-;:itf y, OA/ q7 ' Furnace 100,000+BTU(ducts/vents)
54.91
Suite/bldg./apt.no.: Project name:Ii/deoUJ /
Heat pump 61.06
Duct work 23.32
Cross street/directions to job site: 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
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OFWORK Gas fireplace/insert 33.39
jj j Flue vent for water heater or gas
. .vim/ jfl ��C (e-� 4 e /,/,. l'l 7/.t/al. v/pa fireplace 23.32
TAA.5 f // /P c pe-1-7 !./r'7 d O, 11;-,,,,5‘,,,,//';--- Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
0 PROPERTY OWNERENANT Other: 23.32
Ap/e, Environmentalanexhaustkitcheand ventilation:
Name: Ire eU+� Range hood/other kitchen
Address: / JO(4 �j� 0 ,, �c/c //k/), 5 „L equipment 33.39
` �' ' j✓l l e970
� Clothes dryer exhaust 33.39
City/State/ZIP: 6 a rry a. 9707(?--3' Single-duct exhaust(bathrooms,
Phone:(;42-5 Fax:( ) toilet compartments,utility rooms) 23.32
6 Ct�3 J`13
Attic/crawlspace fans 23.32
APPLICANT t-CONTACT PERSON Other: 23.32
Business name: i/e c/f ¢ e Fuel piping:
� , $14.15 for first four;$4.03 for each additional
Contact name: J`-'c.�it,�44 Furnace,etc.
Address: 75e20 9 �') /,.., 1(,der �/'jy Gas heat pump
�1 N Wall/suspended/unit heater
City/State/ZIP: /, 4vcY O 97,7 0? Water heater
Phone:( '�)6/6 d 27 3 Fax::( ) Fireplace
E-mail: 1 e-r-r,5 Oen y erl ' �! / 4 Range
t/ / tYhP k/ Barbecue
CONTRACTOR Clothes dryer(gas)
li
Business name: mac, ly //,, � �
i 'o/ `� Other:
< , t�,✓ MECHANICAL PERMIT FEES*
Address: 75'011(9 .514// -7-,- 1 e <, Subtotal
City/State/ZIP: ./' qv,/ ( 7/197,2,23 v, Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(ij ) �� 3 Fax:( ) State surcharge(12%of permit fee)
CCB lic.: Gib 5 7e, TOTAL PERMIT FEE) 3 5,5
This permit application expires if a permit is not obtai a within 180
days after it has been accepted as complete.
Authorized signature: Fee methodology set by Tri-County Building Industry Service Board
Print name: j
���� C4`,4.6 Date:
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 $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.
I:\Building\Permits\MEC_Pern itAPP_040113.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11945 SW PACIFIC HWY 230, TIGARD, OR,
97223
Record Type: Record ID:
Commercial - Mechanical MEC2017-00146
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor