Permit (68) CITY OF TIGARD MECHANICAL PERMIT
2: ' COMMUNITY DEVELOPMENT11
Permit#: MEC2017-00618
Date Issued: 08/16/2017
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1 S 136AD04000
Jurisdiction: Tigard
Site address: 11531 SW PACIFIC HWY
Project: Spring Oriental Massage Subdivision: VILLA RIDGE Lot: 7
Project Description: Push/pull 3 ton split system.
Contractor: WILLAMETTE HVAC LLC Owner: MCLELLAN ESTATE CO
3075 SW 234TH AVE.#206 707 OLD COUNTRY RD
HILLSBORO, OR 97123 BELMONT, CA 94002
PHONE: 503-259-3200 PHONE:
FAX: 503-848-2597
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 08/16/2017 $257.79
Class of Work: ALT Type of Const: Plan Review 08/16/2017 $64.45
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 08/16/2017 $30.93
Stories: Info Process/Archiving-Sm$0.50(up to 08/16/2017 $17.00
11x17)
Project Valuation: $6,780.00
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 $370.17
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: 3-ton split
Duct Work: system
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 dir questions to o,UNC b calling 503.232.1987 or 1.800.332.2344. —
Is ued By: I / / Permittee Signature:
v lei. _
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. 7.1„..))/c...--:
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
Received ! /S /7 ,, ,,_ / '�&i�
- City of Tigard b rl' n/ Permit No: f�
13125 SW Hall Blvd.,Tigard,OR 97223 RFCFIVFDaIeIBY:
Phone: 503.718.2439 Fax: 503.598.1960 " ariew
Date/By: L l ,( 1 �ther Permit:
TIGARD Inspection Line: 503.639.4175 Date Re
y Juris: El See Page 2 for
Internet: www.tigard-or.gov AUG
I G 1 6 2017
Notified/Metho': Supplemental Information
W
TYPE OF WORI4 Y O�,-'F- ll IGA , COMMERCIAL FEE* SCHEDULE USE CHECKLIST
I r�, � Mechanical permit fees*are based on the value of the work
®
❑New construction Addition/alte <�I performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$$6,780.00
CATEGORY OF CONSTRUCTION
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder 0 Other: Description P Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address:11531 SW Pacific Hwy (requires site plan showing placement) 46.75
City/State/ZIP:Tigard OR Furnace 100,000 BTU(ducts/vents) 46.75
Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name:Spring Oriental Massage Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
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
Tax map/parcel no.: Other fuel appliances:
DESCRIPTION OF WORK Water heater 23.32
push/pull 3 ton split system Gas fireplace/insert 33.39
Flue vent for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.22
❑ PROPERTY OWNER 0 TENANT Chimney/liner/flue/vent 23.32
Name: Other: 23.32
Environmental exhaust and ventilation:
Address: Range hood/other kitchen
equipment 33.39
City/State/ZIP: Clothes dryer exhaust 33.39
Phone: Single-duct exhaust(bathrooms,
( ) Fax:( ) toilet compartments,utility rooms) 23.32
►.t APPLICANT 0 CONTACT PERSON Attic/crawlspace fans 2132
Business name:same as below Other: 2.3.32
Fuel piping:
Contact name:
$14.15 for first four;$4.03 for each additional
Address: Furnace,etc.
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone:( ) Fax::( ) Water heater
Fireplace
E-mail:
Range
CONTRACTOR Barbecue
Business name:Willamette HVAC,LLC Clothes dryer(gas)
Other:
Address:3075 SE Century Blvd Suite 206 MECHANICAL PERMIT FEES
City/State/ZIP:Hillsboro,OR 97123 Subtotal
Phone:(503)259.3200 Minimum permit fee($90.01;)
Fax:(503)848.2597
Plan review(25%of permit fee)
CCB lie.:56951 State surcharge(12%of permit fee)
TOTAL PERMIT FEE ii70,
Authorized signature:14This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name:michael malstrom Date:8/14/17 * Fee methodology set by Tri-County Building Indusi:y Service Board
I:\Building\Permits\MEC-PermitApp.doc 03/07/12 440-4617T(11/02/COM/WEB)