Permit (34) CITY OF TIGARD MECHANICAL PERMIT
14-,-
COMMUNITY DEVELOPMENT Permit#: MEC2017-00593
T[GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/22/2017
Parcel: 25102AB02402
Jurisdiction: Tigard
Site address: 12501 SW MAIN ST
Project: Spec Space Subdivision:ELECTRIC ADDITION TO TIGARDVILLE Lot: 15
Project Description: Install new mini split heat pump for open space. Add 8"fresh air vent for new space. No ducting installed at this
time until new tenant is selected.
Contractor: HYBRID HEATING&AIR CONDITIONING CO. Owner: VIZUMA LLC
PO BOX 329 5611 NE COLUMBIA BLVD
CORNELIUS, OR 97113 PORTLAND, OR 97218
PHONE: 503-357-5663 PHONE:
FAX: 503-357-0668
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 08/22/2017 $316.80
Class of Work: ALT Type of Const: Vg Plan Review 08/22/2017 $79.20
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 08/22/2017 $38.02
Stories: Info Process/Archiving-Sm$0.50(up to 08/22/2017 $2.50
11x17)
Project Valuation: $8,876.00
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 $436.52
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Split system
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: f...z4r",...vee____,
Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application l OR OFFICE. t SU. OyI..y
Received G�1�,� �L+�
City of Tigard DateBy: ;� Permit No.: eck/7 T
13125 SW Hall Blvd.,Tigard,OR 972CEIVED pian R • ,
_ Phone: 503.718.2439 Fax: 503.598.1 0 g �t.�Cl Other Permit:
DateBy: ,'
I I •A K D Inspection Line: 503.639.4175 l} Date Rea: ': Juris: H See Page 2 for
Internet: www.tigard-or.gov AUG 9 !01,+ Notified/Method: 12� I�7 — Supplemental Information
't /✓
TYPE OF COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
: V 181SI Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/al iy`_t sr t Yl performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ g,5376,,,7
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist.
LIDMulti-family 0 Master builder 0 Other: Description Qty. Ea. Total
-�� JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address:12501 Sw Main St Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump / 61.06
Suite/bldg./apt.no.: Project name: N G 14-e-fi • i Duct work 23.32
toss street/directions to job site: l Hydronic hot water system 23.32
Residential boiler(radiator or
Is hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in duct suspended,etc. 46.75
414 Flue/vent for any of above 23.32
Subdivision: Lot no.: Other: 23.32
,3, Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
Install new Mini split Heat pump for open space. fireplace 23.32
Add 8 inch fresh air vent for new space. Log lighter(gas) 23.32
Wood/pellet stove 33.39
No ducting will be installed at this point,until new tenant is selected. Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
,„„rr=� PROPERTY OWNER ❑ TENANT Environmental exhaust and ventilation:
Name:Vizuma LLC Range hood/other kitchen
equipment 33.39
Address:5611 Ne Columbia BLVD Clothes dryer exhaust , 33.39
City/State/ZIP:Portland,OR 97218 Single-duct exhaust(bathrooms,
ty toilet compartments,utility rooms) 23.32
Phone:(503)939-5738 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name:Hybrid Heating&Air Conditioning $14.15 for first four;$4.03 for each additional
Contact name:Kevin Furnace,etc.
Gas heat pump
Address:230 Baseline st Wall/suspended/unit heater
City/State/ZIP:Cornelius,OR 97113 Water heater
Fireplace
Phone:(503)357-5663 Fax::(503)357 0668 Range
E-mail:kevin@hybridhc.com Barbecue
Clothes dryer(gas)
CONTRACTOR
Other:
J Business name:Hybrid Heating&Air Conditioning MECHANICAL PERMIT FEES*
15 Address:230 Baseline st Subtotal X19, Gal
City/State/ZIP:Cornelius,OR 97113 Minimum permit fee($90.00)
^� Plan review(25%of permit fee) 63,ex-
41.
t4 Phone:(503)357-5663 Fax:(503)357-0668 State surcharge(12%of permit fee) 3rs',q'
CCB lie.:142703 TOTAL PERMIT FEE 358,t r'
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature:
* Fee methodology set by Tri-County Building Industry Service Board
- ' ..„,,..„...,- A .4—,
Print name:Kevin Kuntz Date:8-9-17
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12501 SW MAIN ST, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Mechanical MEC2017-00593
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor