Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2017-00357
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/22/2017
Parcel: 2S110DCO2400
Jurisdiction: Tigard
Site address: 11565 SW DURHAM RD
Project: Cornerstone Chiropractic Subdivision: 1998-128 PARTITION PLAT Lot: 2
Project Description: Replace existing rooftop unit and connect to existing gas line.
Contractor: OREGON HEATING&AIR CONDITIONING LLC Owner: DRT PROPERTIES LLC
19300 SW 118TH AVE 9805 SW CHOCTAW ST
TUALATIN, OR 97062 TUALATIN, OR 97062
PHONE: 503-691-9699 PHONE:
FAX: 503-691-8556
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/22/2017 $330.85
Class of Work: ALT Type of Const: VB Plan Review 06/22/2017 $82.71
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 06/22/2017 $39.70
Stories: Info Process/Archiving-Sm$0.50(up to 06/22/2017 $7.50
Project Valuation: $9,370.00 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 $460.76
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a ;py of the rules
or direct questions t. • NC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ,- 111114042 y Permittee Signature:
J
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applicaill FOR OFFl( F 1 SF ONI.I
City of Tigard i
CEIVED Daete/B:d 5 23 /7 •G Permit No.: fr/ 0j p17-.6035-7
NI = . 13125 SW Hall Blvd.,Tigard,OR 97223
Plan Review'
Phone: 503.718.2439 Fax: 503.598.1960 Date/By- -t4) b 77 Other Permit:
f t G A K D Inspection Line: 503.639.4175 MAY 2 3 2017
Date Read7uris: See Page 2 for
Internet: www.tigard-or.gov Notified/Method: ..,,,,//z///7 Supplemental Information
CI 'OFTj AR iL.®7--���
C7' � 1'`�` Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$[374
CCOR os f .o .< . _ - RENDIK x l f FIK$FES'
0 1-and 2-family dwelling ZCommercial/industrial
0 Accessory building For special information use checklist
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
sat i O Heating/cooling:
Job site address: Air conditioning 46.75
1 SGS" �w 014 lrh 4 In Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: i
`J1` � Oa 7 -7 2 Z / Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.:, Project name: eat pump 61.06
J Co v'htl�sthel e �l ropkektQuct 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: I Lot no.: er' 23.32
Oth
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
ag r l l t Gas fireplace/insert 33.39
.. ;
G� 15 � ( ���
Flue for water heater or gas
Lt iitA-` fireplace 23.32
•LL �/ i 1 1 Log lighter(gas) 23.32
CO v t L4 `ls "J^15 ✓ 5'45 `t n< °two( Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent23.32
'' Q 1 TY OWNER P Other: I 123.32
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
Address: equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
Other: 23.32
, A,, ,,, , . .
k4.143
Fuel piping:
Business name: (� O� (,,,C
,
�! ` $14.15 for first four;54.03 for each additional
Contact name: �1%A / i ` Furnace,etc.
Address: 1 72 <t4) / ) $�y_ v` Gas heat pump
e}. J t Wall/suspended/unit heater
City/State/ZIP: ` fit '4 L•,)/
_... v iI Q 706 Z Water
heater ter
Phone:(503)4/1 ,. GZFax::( ) Fireplace
Range
E-mail: ,,itit�
nterx�K � tow Barbecue
. _ a
Clothes dryer(gas)
Business name: •ecc PC
w OV1 L4 _ Other:
I
Address: l / 330611 Ave1 I E
Subtotal
City/State/ZIP: '�u4 14 ...,I ��` 17Ob 2 Minimum permit fee($90.00)
Plan review(25%of permit fee)( D14e/l ,11 co-I__ Fax:( ) State surcharge(12%of permit fee)
CCB lie.: L�� to 53 LTOTAL PERMIT FEE
J This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: AA * Fee methodology set by Tri-County Building Industry Service Board
Print name:V 4 c C,Iah �i Date: s_2:5-1 7
I:\Building\Permits\MEC PermiitApp 040113.doc 440-4617T(11/02/COM/WEB)