Permit (34) CITY OF TIGARD MECHANICAL PERMIT
.1114 COMMUNITY DEVELOPMENT Permit#: MEC2017-00677
13125 SW Hall Blvd.,Ti Date Issued: 09/13/2017
Tt°Gt and OR 97223 503.718.2439 9
Parcel: 2S113AC00103
Jurisdiction: Tigard
Site address: 7204 SW DURHAM RD 800
Project: Millenium Building Services Subdivision: None Lot: None
Project Description: Install(4)RTU's with distribution duct and gas piping&install(3)ceilings exhaust fans.
Contractor: EXCEL HVAC INC Owner: PACIFIC REALITY ASSOCIATES LP
PO BOX 1188 ATTN: N PIVEN
CANBY, OR 97013 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 971-930-7194 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 09/13/2017 $1,325.61
Class of Work: ALT Type of Const: IIB Plan Review 09/13/2017 $331.40
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 09/13/2017 $159.07
Stories: 1 Info Process/Archiving-Lg$2.00(over 09/13/2017 $2.00
11x17)
Project Valuation: $48,500.00 Info Process/Archiving-Sm$0.50(up to 09/13/2017 $22.50
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: 3 Vent Systems: Total $1,840.58
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: duct smoke
Duct Work: detector
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 r.e adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090 You .y .b :in a copy of the rules
or direct questions to Q.Id�JC by call g 503.232„1987 or 1.800.332.2344.
Issued By: 5 yL� `, Permittee Signature: Lidik
�•�
/ CL a'
Call 503.639.4175 by 7:00 a.m.for the next available inspec ion 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 01 1-1( F. FSt, ONE.v
71
City of Tigard , Received
lP /7 �• lyf o17-a 477
Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revi: --A
I Phone: 503.718.2439 Fax: 503.598.1968 E P Date/By: t �3 Other Permit
TIG \R U Inspection Line: 503.639.4175 ® u 2�� Date Ready:y:' loris_ El See Page 2 for
Internet: www.tigard-or.gov Notified/Method: c 7 137 t Supplemental Information
CITYLllLo f Ca fU1Sfl l\k L't' d COMMERCIAL FEE* SCHEDULE— USE CHECKLIST
TYPEVFW .R
Mechanical permit fees are based on the value of the work
❑New construction ®Addition/alteration/replacement 1=7„(j ,r- performed.Indicate the value(rounded to the nearest dollar)of all
o Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$$48,500.00
CATEGORY OF CONSTRUCTION RESIDEr.mAT.EQUIPMENT f.SYSTEMS FEES*
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist.
o Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address:7204 SW Durham Rd Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Portland,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: y7�) Project name:Millennium Duct 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: Lot no.: Other: 23.32
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(4)BTU's with distrubtion duct and gas pipeing. fireplace 23.32
Install 3 ceiling exhaust fans. Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
PROI"ERT^Y.OW TER ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:PacTrust Range hood/other kitchen
equipment 33.39
Address:15350 SW Sequoia Pkwy#300 Clothes dryer exhaust 33.39
City/State/ZIP:Portland,OR 97224 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)624-6300 Fax:( ) Attic/crawlspace fans 23.32
0 APPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name:Excel HVAC,Inc
$14.15 for first four;$4.03 for each additional
Contact name:Jennifer Fulsher Furnace,etc.
Address:PO Box 1188 Gas heat pump
WalUsuspended/unit heater
City/State/ZIP:Canby,OR 97013 Water heater
Phone:( ) Fax::( ) Fireplace
Range
E-mail: Barbecue
ODOR Clothes dryer(gas)
Business name:Excel HVAC,Inc Other:
MECHANICAL PERMIT FEES*.
Address:PO Box 1188 Subtotal
City/State/ZIP:Canby,OR 97013 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)504-3627 Fax:( ) State surcharge(12%of permit fee)
CCB lic.:214345 / / TOTAL PERMIT FEE
/ rof 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
Print name:Jennifer Fulsher Date:9-6-2017
1:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)