Permit (201) ,, CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2017-00525
13125 SW Hall Blvd.,Ti and OR 97223 503.718.2439 Date Issued: 07/19/2017
TfGARn 9 Parcel: 2S101DB00100
Jurisdiction: Tigard
Site address: 7320 SW HUNZIKER RD 202
Project: Discover Counseling Subdivision: None Lot: None
Project Description: Modification of ducts for new TI
Contractor: RELIABLE MECHANICAL LLC Owner: HILLTOP BUSINESS CENTER LLC
13215 SE MILL PLAIN BLVD STE C8#537 9430 NW KAISER RD
VANCOUVER,WA 98684 PORTLAND, OR 97231
PHONE: 360-334-1598 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/19/2017 $145.81
Class of Work: ALT Type of Const: Plan Review 07/19/2017 $36.45
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 07/19/2017 $17.50
Stories:
Project Valuation: $3,000.00
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 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 $199.76
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility N. ' . ion e Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or d. ct questions to OUN ,b . iA 503.232.1987 or 1.800.332.2344.
A42, 2
I sued By: V Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applicationyp� FOR OFFICE USE ONLY"
g H E 3 I Received 7igli�� Permit No.: g/I_�y7 2....5--d...--;
Cityof Tigard ` tE et9e, t
13125 SW Hall Blvd.,Tigard,OR 97223 Date/By:
Plan Review
' C. Phone: 503.718.2439 Fax: 503.598. Other Permit:
�hfl
TI G A R D Inspection Line: 503.639.4175 0 19 2017 Date/By:Date Ready/By: Suns: ® See Page 2 for
Internet: www.tigard-or.gov city
' Notified/Method: Supplemental 1IURH
ID
BUILDING UlV il( N
TYPE OF WORK COMMERCIAL FEE* SCHEDULE- USE CHECKLI
ST
Mechanical permit fees*are based on the value of the work
0 New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ .3,UGG„Cic'>
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 7..320 .S(,..,) ,Z r 1:e'r leCI Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: T.. r. a 9722.-- Furnace 100,000+BTU(ducts/vents) 54.91
fHeat pump 61.06
Suite/bldg./apt.no.: 222 Project name: 015c6),,Z"/. �AVJ St'/'"1`i Duct work 23.32
Cross street/directions to job site: J 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
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
1K,` ° Gas fireplace/insert 33.39
rn DSiON OF a1t „ . Flue vent for water heater or gas
,t/U✓r Cjr Ic-) TLCS G�'GCIr•YNUQ�A / r 02'c✓ o --Y-), •sC'r fireplace 23.32
Log lighter(gas) 23.32
Ca/1 14',C.4 r S 1L e4/A ' Wood/pellet stove 33.39
Wood fireplace/insert 23.32
,fir Chimney/liner/flue/vent 23.32
lEs! ' 1. TY O 4., ] T"ANT Other: 23.32
�� ! Environmental exhaust and ventilation:
�'"� Range hood/other kitchen
Name: /CC,v1� ��,,Pc)/0,,...k equipment 33.39
Address: 2/ 3 , ror An,13 ep , a Clothes dryer exhaust 33.39
City/State/ZIP: /'7 r//cJ r O , 712.t-/ Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(21,3 ) c 76 _y5 3/ Fax:( ) Attic/crawlspace fans 23.32
_21,07i`' '' r A$T PER'ON Other: 23.32
Fuel piping:
Business name:
$14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace
Range
E-mail: Barbecue
CONTRACTOR ',,,'',3:14, ':;11,,,,,, `s Clothes dryer(gas)
Business name: J• ) }�}� Other.
�f/ C, / / + t Z�,-1,16.,-;v7'Clig / �G z MECHt IC: L PERMIT4ES*
_ Lam, �s -J
Address:/3 U / r,//7),1� � �Gi r lel V �1` � 53,.7 Subtotal /Cy�.0/
City/State/ZIP: V 6, 6,0 U� L-/j� -/y6- 7 Minimum permit fee($90.00) ( (r.-----
f / Plan review(25%of permit fee) .`t"<
Phone:(3C0) 336/-/ 6.--' Z)
�' Fax:( ) State surcharge(12%of permit fee) f •5-0
CCB lic.: /0 Z FL/ TOTAL PERMIT FEE / a`7{O
This permit application expires if a permit is not obtained within 180
4-,
days after it has been accepted as complete.
Authorized signature:y—flL—�_ * Fee methodology set by Tri-County Building Industry Service Board
Print name? t,-t /220)0r-sr Date: 7//9// 7
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I:\Building\Permits\MEC_PermitApp_040113.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
7320 SW HUNZIKER RD 202, TIGARD, OR,
97223
Record Type: Record ID:
Commercial - Mechanical MEC2017-00525
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor