Permit (135) t CITY OF TIGARD MECHANICAL PERMIT
oriu ''> COMMUNITY DEVELOPMENT Permit#: MEC2017-00150
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/09/2017
T f g Parcel: 2S112DC01400
Jurisdiction: Tigard
Site address: 15865 SW 74TH AVE 110
Project: SC Labs Subdivision: FANNO CREEK ACRE TRACTS Lot: 4
Project Description: Stainless venting and exhaust blower installations.
Contractor: HUNTER DAVISSON INC Owner: JDS LLC
1800 SE PERSHING ST CRITERION CREEKVIEW LLC
PORTLAND, OR 97202 BY SPECTRUM REAL ESTATE ADVISORS
1125 SE DIVISION ST#209
PORTLAND, OR 97202
PHONE: 503-542-3628 PHONE:
FAX: 503-542-3654
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/09/2017 $176.51
Class of Work: ALT Type of Const: VB Plan Review 03/09/2017 $44.13
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 03/09/2017 $21.18
Stories: 1 Info Process/Archiving-Lg$2.00(over 03/09/2017 $2.00
11x17)
Project Valuation: $4,000.00 Info Process/Archiving-Sm$0.50(up to 03/09/2017 $3.50
11x17)
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:
Appliances
Vent Fans: Vent Systems: Total $247.32
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or i • is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility N. cation Cente . Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or dir-• questions to OU •y c'tpllin. 503.232.1987 or 1.800.332.2344.
Iss ed By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
,PiMechanical Permit Application
FOR OFFICE l!SE ONLY
City of Tigard Received
13125 SW Hall Blvd.,Tigard,OR 97223 DateBy: PermitNo.:
1 ill Phone: 503.718.2439 Fax: 503.598.1960 Plan R > t�� (_Jf i
Inspection Line: 503.639.4175 DateBy_ I" Other Permit: , �� )t }
TIC;AR1� p e ( l jijA c%1}.JL5
Internet: www.tigard-or.gov Date Reed 7uris: See age 2 Tor
x Notified Method�j��`/ i r I Supplemental Information
t�,�' ' .' tIFa1IIW. -;CilS1��II�CICT.tST
❑New construction Addition/alteration/re ( Mechanical permit fees*are based on the value of the work
p1 e t performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: v mechanical materials,equipment,labor,overhead,and profit.
CATI C►l C3F - Tj tf Value:$ yoo 0 t O ey
❑ 1 and 2-family dwelling Commercial/industrialM < 5`4*r$34 • Quip-tfEl! s,yFg>� is
0 Accessory building Fors special
ElMulti-familyMaster builderP information use checklist.
0 Other: Description I Qty.Y I Ea. Total
`,JO) $,1 '} ''''-','W ' Heating/cooling:
Irr��Tld�1 A'1 �.
e^ Air conditioning 46.75
.� �1,� 74s�1 t !ulYe
Job site address: /.5-896E.
t Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: ,Osq'/ C.)47 912 Lf Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: v Project name: l / Heat pump 61.06
Sc Za'bt rrA D�i AeJ Duct work
Cross street/directions to job site: 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
SubdivisiOther: 23.32
LLot no.:
7 ax map/on:parcel no.: Other fuel appliances:
Water heater
111 eitint415 Ck1M tt 23.32
Gas fireplace/insert 33.39
��p( � irt `, ^7�t ,! Flue vent for water heater or gas
Stet/J./ZitCs— Ve.t/'f/✓ af.�:/ fireplace
23.32
eX et i4 le;:0e n, Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
P � I Other:
., .,. ❑> V1 23.32
Name: ` '� Environmental exhaust and ventilation:
Sc —"�ZO pq "a�`r Range hood/other kitchen
Address:/S'erKs svi 77 /J i� equipment 33.39
City/State/ZIP: 417/Q.,
U i 1i Clothes dryer exhaust 33.39
Single-duct exhaust(bathrooms,
Phone:(20s �- 7c2otoilet compartments,utility rooms) 23.32
s �Q 5;f, Fax )
it w. :tpttee-fitlts 23.32
;,. "lI Cr e01,Irc: a1+ Other: 23.32
Business name: �� �._ fes'li? Fuel piping:
$14.15 for first four;$4.03 for eachadditional
Contact name: C / l �/4.7t) a
r '"'��� 43 S rca..... Furnace,etc.
i
Address: /��' ^ ��A)� III /, as heat pump
City/State/ZIP: ,Cl jl G� � rWall/suspended/unitheater heater
i Phone:(.570 QWater
c� �/ e9f�`j Fax::( ) Fireplace
E-mail:[(if, — Range
uN/2r. �l/-rfo/,/, �y A.t, Barbecue
" i +tom''MQIII$ ,,
' - �. :� _�..�.� �' � � �`> Clothes dryer(Pas)
1 Business name: Other
See a c)ile,
ddress:
ikr' City/State/ZIP: Subtotal
! Minimum permit fee($90.00)
Phone:( ) Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
I CCB lic.: j6i
TOTAL PERMIT FEE
Csl/1°4„<____ This permit application expires if a permit is not obtained within 180
Authorized signature: ce days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry Service Board
Print name: C rptet,t�I I /7
Date: I
I.\Building\Permits\MEC_Per itApp_040113.doc
440-4617T(11/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15865 SW 74TH AVE 110, TIGARD, OR, 97224 March 15, 2017 at 12:54:21
PM
Record Type: Record ID:
Commercial - Mechanical MEC2017-00150
Inspection Type: Inspector:
699 Mechanical final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor