Permit (144) 71ti CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2017-00163
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/09/2017
Parcel: 1 S135BB00501
Jurisdiction: Tigard
Site address: 10575 SW CASCADE AVE 100
Project: Biamp Subdivision: None Lot: None
Project Description: Extending 3"spiral duct from dust collector to new area.
Contractor: HVAC INC Owner: ICON OWNER POOL 3 WEST LLC
5188 SE INTERNATIONAL WAY BY INDCOR PROPERTIES
MILWAUKIE, OR 97222 2 NORTH RIVERSIDE PLAZA, STE 235
CHICAGO, IL 60606
PHONE: 503-462-4822 PHONE:
FAX: 503-462-6555
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/08/2017 $84.41
Class of Work: ALT Type of Const: Plan Review 03/08/2017 $21.10
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 03/08/2017 $10.13
Stories: Info Process/Archiving-Sm$0.50(up to 03/08/2017 $0.50
11x17)
Project Valuation: $1,000.00
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 Fumaces: 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 $116.14
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
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Issued By: ,--I:44-zej _ Permittee Signature: ()Ai . '2(' 7704///
/v'
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
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Mechanical Permit Applica 1 FOR OFFlt'L 1 SF OyI.1
Ci}�,of Tigard r r , i - . Received
101 IN `5g Date/By: V 14
PcnnitNo.: i'
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Yi
u Phone: 503.718.2439 Fax: 503.598.1 �. Other Permit:
TI G A It D Inspection Line: 503.639.4175 7 i Date/By:Date Ready/By: PI See Page 2 for
Internet: www.tigard-or.gov Notified/Method:
,0.4; . ;} Supplemental Information
TYPE M `( j s ,, COMMERCIAL FEE* SCHEDULE— USE CHECKLIST
❑New construction ®Addition/altetation/replacement Mechanical permit fees*are based on the value of the work
ElNew construction
performed.Indicate the value(rounded to the nearest dollar)of all
0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$SI,000.00
CATEGORY OF CONSTRUCTION
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Gait-vAir conditioning
Job site address:10575 SW cluades Ave. (requires site plan showing placement) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000 BTU(ducts/vents) 46.75
Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt no.: /66 Project name:Biamp Systems Corporation Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: 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: Lot no.:
Other: 23.32
Tax map/parcel no.: Other fuel appliances: _
DESCRIPTION OF WORK Water heater 23.32
Extend 3"spiral duct from dust collector to new area Gas fireplace/insert 33.39
Flue vent for water heater or gas
fireplace 2332
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
0 PROPERTY OWNER I 0 TENANT Chimney/liner/flue/vent
23.32
Other: 23.32
Name:
Environmental exhaust and ventilation:
Address: Range hood/other kitchen
equipment 33.39
City/State/ZIP: Clothes dryer exhaust 33.39
Phone: Single-duct exhaust(bathrooms,
( ) Fax:( ) th• ens utility mum) , 13 3 -
U A'PLICANT 0 CONTACT PERSON Attic/crawlspace fans 23.32
Business name:HVAC,Inc. Other: 23.32
Fuel piping:
Contact name:Jody DePew $14.15 for first four;$4.03 for each additional
Address:5188 SE Internaitonal Way Furnace,etc.
Gas heat pump
City/State/ZIP:Milwaukie,OR 97222
Wall/suspended/unit heater
Phone:(503)462-4822 Fax::(503)462-6555 Water heater
E-mail:jodyd hvacincorp.com Fireplace
(a
Range
CONTRACTOR Barbecue
Business name:HVAC,Inc. Clothes dryer(gas)
Other:
Address:
MECHANICAL PERMIT FEES*
City/State/ZIP: Subtotal
Minimum permit fee($90.00)
Phone:( ) �\ Fax:( )
Plan review(25%of permit fee)
CCB lic.:50897 State surcharge(12%of permit fee)
TOTAL PERMIT FEE lito•l i
Authorized signature: )1)(m
i Tis permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name:Jody DePe v1 j Date: I/J 1 r) * Fee methodology set by Tri-County Building Industry Service Board
IABuildinglPermits\MEC-permit App,doc 03/07/12 440-46171(11/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10575 SW CASCADE AVE 100, TIGARD, OR,
97223
Record Type: Record ID:
Commercial - Mechanical MEC2017-00163
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor