Permit (13) CITY OF TIGARD MECHANICAL PERMIT
r'"
@ " COMMUNITY DEVELOPMENT Permit#: MEC2017-00194
Date Issued: 03/16/2017
-F[GAR o 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 6650 SW REDWOOD LN 200
Project: NuScale Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Relocating ceiling grilles.
Contractor: GOHMAN MECHANICAL Owner: PACIFIC REALTY ASSOCIATES
14505 SE HWY 212 ATTN: N PIVEN
CLACKAMAS, OR 97015 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-658-1892 PHONE:
FAX: 503-658-6925
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/16/2017 $151.95
Class of Work: ALT Type of Const: Plan Review 03/16/2017 $37.99
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 03/16/2017 $18.23
Info Process/Archiving-Lg$2.00(over 03/16/2017 $2.00
Stories: 11x17)
Project Valuation: $3,200.00
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:
Appliances
Vent Fans: Vent Systems: Total $210.17
—
Hoods: Comm Incinerators: Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
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 1.80:
Issued By: i ee Signature: ::_ ' –
AO
Ca 0 .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 ONE
City of T1gaTigardReceivey:d ,� (�
DateB � 7 ✓'J
Permit No.:
4 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review1.11111111 II J/f�. )I-7_CJGie1
peL'
Phone: 503.718.2439 Fax: 503.598.1960 yl '` Date/By: Other Permit:edit J 7 ext:941
f I G A R D Inspection Line: 503.639.4175 ` :' '''" Date Ready/By: Juris: �TEl'S4ee Page 2 for
Internet: www.tigard-or.gov ''',,\', c tified/Method: p" WI Supplemental Information
\ '
TYPEpF W r, Print name:Drew Gohman
❑New construction ®Addition/alteratiort/replacement 11
Mechanical permit fees*are based on the value of the work
❑Demolition 0 Other:
performed.Indicate the value(rounded to the nearest dollar)of all
" ,''A*0Y' cOhit JIt11tI mechanical materials,equipment,labor,overhead,and profit.
Value:$3,200
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building '* 09* t
❑Multi-family 0 Master builder El Other: For special information use checklist.
Ea. Total
do =�'E,-... .01�10�ION +dJil �ATTaNiioi.::: Ziliellii :' Description Qh'.
Job site address:6650 SW Redwood Ln.
Air
c
AditiHeating/cooling:
Air conditioning
City/State/ZIP:Portland,OR 97224 (requires site plan showing placement) 46.75
Furnace 100,000 BTU(ducts/vents) 46.75
Suite/bldg./apt.no.:200 Project name:Nuscale Furnace 100,000+BTU(ducts/vents) 54.91
Cross street/directions to job site:Sequoia Parkway Heat pump
(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),
Subdivision: Lot no.: in-wall,in-duct,suspended,etc. 46.75
Tax map/parcel no.: Flue/vent for any of above 23.32
Other: 23.32
tiliiiiiTili:AhNORNiiialifil.!;iihq11:111111111111EititStRIPTION;i0F0WORK&Aillaiiiedi .:',Aiiiqm : Other fuel appliances:
Water heater 23.32
Gas fireplace 33.39
Relocate a couple of existing ceiling grilles. 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
Name:Pactrust Chimney/liner/flue/vent 23.32
Other: 23.32
Address: Environmental exhaust and ventilation:
15350 SW Sequoia Pkwy,Ste 300 Range hood/other kitchen
Tigard,OR equipment 33.39
City/State/71P• ' .-•. ,. t, 3.3-9
Phone:( ) Fax( ) Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
ii � CT ' Attic/crawlspace fans 23.32
•.. p
Business name:Gohman Mechanical,Inc. Other: 23.32
Fuel piping:
Contact name:Mark Gohman $14.15 for first four;$4.03 for each additional
Address: 14505 SE Hwy 212 Furnace,etc.
Gas heat pump
City/State/ZIP:Clackamas,OR 97015
Wall/suspended/unit heater
Phone:(503)658-1892 Fax::(503)658-6925 Water heater
E-mail:mark@gohmanmechanical.com Fireplace
.. . CON CTO!R; • '. .
Range
illi F
::. " ' -...- -_ Barbecue
Business name:Gohman Mechanical,Inc. Clothes dryer(gas)
Other:
Address:14505 SE Hwy 212 l+gt # t" ll!li?i.� +;
la � '
City/State/ZIP:Clackamas,OR 97015 Subtotal
Phone:(503)658-1892 l Fax:(503)658-6925 Minimum permit fee($90.00)
Plan review(25%of permit fee)
CCB lie.:119952 State surcharge(12%of permit fee)
TOTAL PERMIT FEE 1) 1L,i'7
Authorized signature: This permit application expires if a permit is not obtain d within 180
�h 046....• ry days after it has been accepted as complete.
I:\Building\Permits\MEC-PermitApp.doe 09/09/10 440-4617T(11/02/COM/WEB) I 10`
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
6650 SW REDWOOD LN 200, TIGARD, OR,
97224
Record Type: Record ID:
Commercial - Mechanical MEC2017-00194
Inspection Type: Inspector:
699 Mechanical final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor