Permit (19) IN .3
CITY OF TIGARD MECHANICAL PERMIT
s. ''" "t 1 r r
COMMUNITY DEVELOPMENT t ,�� Permit#: MEC2017-00435
T f A 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ����►i��ra Date Issued: 06/29/2017
Parcel: 2S102AD03000
Site address: 12750 SW ASH AVE Jurisdiction: Tigard
Project: Burnham&Ash Apartments Subdivision: BURNHAM TRACT
Project Description: Mechanical for retail space in Building 1 -New 4-story multi-family, 139 unit apartment building:(2)ductless split Lot: 5
systems with condensors,(2)exhaust fans,and(1)electric wall heater. 7/10/17:REPRINTED permit to show
change of address from 12850 to 12750 SW Ash Ave.
Contractor: AMERICAN HEATING INC
Owner: PREMIUM PROPERTY-TIGARD LLC
5035 SE 24TH AVE 1015 NW 11TH AVE., STE 243
PORTLAND, OR 97202-4765 PORTLAND, OR 97209
PHONE: 503-239-4600 PHONE: 503-226-1972
FAX: 503-239-7038
FEES
Specifics: Description
Date Amount
Type of Use: COM Permit Fee 06/29/2017 $232.50
Class of Work: ALT Type of Const: VA Plan Review 06/29/2017 $58.13
12%State Surcharge-Mechanical 06/29/2017 $27.90
Occupancy Grp: R-2 Occupancy Load:
Stories: Info Process/Archiving-Lg$2.00(over 06/29/2017 $2.00
Project Valuation: $5,900.00 11x17)
Info Process/Archiving-Sm$0.50(up to 06/29/2017 $5.00
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:
Hoods: Total $325.53
Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: 2 split
Duct Work: systems
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 .800.332.2344.
Issued By: _ - — Permittee Signature:
- ,,,,,,
Aa 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 •v
ed
SW Hall Blvd.,Tigard,OR 97223 RE EIV -' �ate/By G' r l l s uNo.: Mg r
I Phone: 503.718.2439 Fax: 503.598.1960 t� Pian e j
Inspection 503.639.4175 JUN 1 3 2Q17 DateBy. -' fij ' ( DtherPermit: �j�!„�y�1� =�
TIGARD
P Date Re C ®See Page2for
Internet: www.tigard-or.gov x tom:
CITY OF 1 IGA tfied/Metlroa&( pptemenml[mformaOen
€u . 0 1 ''w'
❑New construction Mechanical permit fees*are based on the value of the work
®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other:
mechanical materials,equipment,labor,overhead,and profit.
-z:41.
: ,0 s t # ""mak aT e ` c 4, Value:$$5,900 00
-
❑ 1-and 2-family dwelling ®Commercial/industrial7 " t m information
0Accessory building For spedd ir+jormaltoa roe checklist
0 Multi family 0 Master builder ❑Other Description [ Qty. I Ea. j Total
..° '. t a47' � � O Heating/cooling:
Job site addres : ;r
Ash Ave
Air conditioning 46.75
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/Z ':Tigard OR 97223 ~Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name:Burnham and Ash Retail Heat pump 61.06
Duct work 2332
Cross street/directions to job site:
Fiydronic 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. 1 ~— 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater
23.32� W• As �6Vs : ViL ,� 9r ''
Gas fireplace/insert 33.39
2 ductless split systems with condensors on the ground Flue vent for water heater or gas
fireplace 23.32
2 exhaust fans with louvers Log lighter(gas) _ 23.32
1 electric wall heaters9,478 Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 2332
PQ a w Other. _
2332
" " f i_EnvironmentaIexhaust and ventilation:
Name:
Range hood/other kitchen
Address: equipment L 3339
- Clothes dryer exhaust
33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) —
Attic/crawlsStRtiT1pace fans _ 23.32
>4AE Fi Iq '4�1;ERCI3Y Other: 23.32
I Business name:American Heating Inc. Fue!piping:
$14.15 for first four;54.03 for each additional
Contact name:Brad Manchester _ Furnace,etc.
Address:5035 SE 24th Ave Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Portland,OR.,97202 Water heater
Phone:(503)239-4600 Fax::(503)239-7038 Fireplace
E-mail:brad@americanheating.net — Range
Barbecue
t�r �.,.,„m ''` Clothes dryer(gas)
Business name:American Heating Inc. Other:
Address:5035 SE 24th Ave 7 b ,ti �.s " 1
Subtotal
City/State/ZIP:Portland,OR,97202 Minimum permit fee($90.00)
Phone:(503)239-4600 Fax:(503)239-7038 Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lie.:33135 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized signature: / dY� s days after it has been accepted as complete.
Fee methodology set by Tri-County Building hidService Board
Print name:Brad Manchester Date:6-9-17 J
t.U3uildhig PermitsWIEC_PcrmitApp_040113.rloc 440-4617T(1 UQ/CObf\I Eitl
CITY OF TIGARD MECHANICAL PERMIT
1. COMMUNITY DEVELOPMENT Permit#: MEC2017-00435
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/29/2017
TIGARD g Parcel: 2S102AD03000
Jurisdiction: Tigard
Site address: 12850 SW ASH AVE
Project: Burnham&Ash Apartments Subdivision: BURNHAM TRACT Lot: 5
Project Description: Mechanical for retail space in Building 1 -New 4-story multi-family, 139 unit apartment building:(2)ductless split
systems with condensors,(2)exhaust fans,and(1)electric wall heater.
Contractor: AMERICAN HEATING INC Owner: PREMIUM PROPERTY-TIGARD LLC
5035 SE 24TH AVE 1015 NW 11TH AVE., STE 243
PORTLAND, OR 97202-4765 PORTLAND, OR 97209
PHONE: 503-239-4600 PHONE: 503-226-1972
FAX: 503-239-7038
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/29/2017 $232.50
Class of Work: ALT Type of Const: VA Plan Review 06/29/2017 $58.13
Occupancy Grp: R-2 Occupancy Load: 12%State Surcharge-Mechanical 06/29/2017 $27.90
Stories: Info Process/Archiving-Lg$2.00(over 06/29/2017 $2.00
11x17)
Project Valuation: $5,900.00 Info Process/Archiving-Sm$0.50(up to 06/29/2017 $5.00
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 $325.53
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: 2 split
Duct Work: systems
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 503.232.1*: •r 1.800.332.2344.
e-
Issued By: -- - Signature: p;,•-
Call
`�
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 Application FOR OFFICE USE ONLY
City of Tigard ived
111 13125 SW Hall Blvd.,Tigard,OR 97223 ian e �/ •erma Ido._ � ���
Plan'e
Phone: 503.718.2439 Fax: 503.598-1960 Date/B . -1 (hherPermit: r `'� + '
TIGARD Inspection Line: 503.639.4175 JUN 13 2017 e ` 1 l� � r'
Internet: www.tigard-or.gov Date Re y: I us: ®Sec Pace 2 for
aotified/Methodei /
� 4l Supplemental Information
CITY I4FF ( ` I
z '10� 'Ir 1 ' CO ` L iE '- 'C11IJ t7S Ci � T° rYs I
T .
El New construction Mechanical permit fees*are based on the value of the work
®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit
Value:
$$5,900.00
TEGORY 38rQNSPIierfoN _ ? - -.n Er RESIDE7kt4outP14-
F3 _EE
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist
0 Multi-family 0 Master builder ❑Other: Description
Qty. Ea. Total
JOB SITE INFORMATION AND LOCATIO Heating/cooling:
Air conditioning 46.75
Job site address:12850 SW Ash Ave
Furnace 100,000 BTU(ducts/veno 46.75
City/State/ZIP:Tigard OR 97223 Furnace 100,000+BTU(duets/vents) 54.91
Suite/bldg./apt.no.: Project name:Burnham and Ash Retail Heat pump 61.06
Duct work 23.32
Cross street/directions to job site: Ilydronic hot water system __ 23.32
Residential boiler(radiator or
hydropic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75 i
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
RESCR1PTI ON OVWORi '` Gas fireplace/insert
.., n.. *.. � 3339
Flue vent for water heater or gas
2 ductless split systems with condensors on the ground fireplace _ 23.32
2 exhaust fans with louvers Log lighter(gas) 23.32
Wood/pellet stove _ 33.39
1 electric wall heaters9,478 Wood fireplace/insert — 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
0 PROPERTY OWNER 1- , ,0 TENANT -—
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
El APFEICANT CONTACT PERSON' Other: 23.32 ,
Business name:American Heating Inc. Fuel piping:
_ $14.15 for first four;$4.03 for each additional
Contact name:Brad Manchester _ Furnace,etc.
Address:5035 SE 24th Ave Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Portland,OR.,97202 Water heater
Phone:(503)239-4600 Fax::(503)239-7038 Fireplace
Range
E-mail:brad@americanheating.net Barbecue
'4 D a : ''cON -' OR` 0 Clothes dryer(gas)
Business name:American Heating Inc. Other:
Address:5035 SE 24th Ave
Subtotal
City/State/ZIP:Portland,OR.,97202 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)239-4600 Fax:(503)239-7038 State surcharge(12%of permit fee)
CCB lie.:33135 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized Signature: / � ‘-,_..Cel'" * Fee methodology set by Tri-Cormty Building Industry Service Board
Print name:Brad Manchester Date:6-9-17 j
i\J9 ld,lT Pe,nuts\MEC_PovnitApp040113 doc 440-46177(]1/02/CC3WWL1U
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12750 SW ASH AVE, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Mechanical MEC2017-00435
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor