Permit (25) CITY OF TIGARD MECHANICAL PERMIT
71I ' COMMUNITY DEVELOPMENT Permit#: MEC2017-00673
T-f.GAReD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/13/2017
Parcel: 2S113AB01400
Jurisdiction: Tigard
Site address: 7358 SW DURHAM RD
Project: Coram Subdivision: None Lot: None
Project Description: Temporary clean room.
Contractor: RIVER CITY NW MECHANICAL LLC Owner: PACIFIC REALTY ASSOCIATES LP
5200 MEADOWS RD SUITE 54 ATTN: N PIVEN
LAKE OSWEGO, OR 97035 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-591-9950 PHONE:
FAX: 503-536-6615
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 09/13/2017 $398.51
Class of Work: ALT Type of Const: Plan Review 09/13/2017 $99.63
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 09/13/2017 $47.82
Stories: Info Process/Archiving-Sm$0.50(up to 09/13/2017 $4.00
Project Valuation: $12,000.00
11x17)
$12,000.00
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: 1
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $549.96
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions toOUNC by calling 503.232.1987 or 1.800.332.2344.
1
Issued By: � � Permittee Signature: (1.Q.A.A..... —a)ki23LZI--.\
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY'
Cityof Tigard , a� Received
g '' Date/By: Ct r(t" i Permit No.: J i h 1 si lE.73
13125 SW Hall Blvd.,Tigard,OR 97223Plan Re _ / Gl.tiJ
6s Other Permit: .�
' Phone: 503.718.2439 Fax: 503.598.1960 f..",„0,4411#'1Date/By: �y�iA ( “ 0( I (171
TI G A R D Inspection Line: 503.639.4175i.sAAl Date Read'r: Iur See Page 2 for
Internet: www.tigard-or.gov '1 t Notified Method:?7/ /�" ,t„ Supplemental Information
4
87
TYPE OF WORK � \�JM COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
aF <t" Mechanical permit fees*are based on the value of the work
��y(``l s . performed.Indicate the value(rounded to the nearest dollar)of all
❑New construction Addition/alteratio>�I51 �xt
❑Demolition ❑Other: (aN.) mechanical materials,equipment,labor,overhead,and profit.
Value:$ iZ,
CATEGORY OF CONSTRUCTIONa.', RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling Cgi Commercial/industrial 0 Accessory building For special information use checklist.
0 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: 13s'6' t:.k3 r'r...,."•., v.-CA Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: c --Sc\« , 0 tt_ Cf7"Z,c_' Furnace 100,000+BTU(ducts/vents) 54.91
��_�WHeat pump 61.06
Suite/bldg./apt.no.: Project name: ,- ' Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
G�� •-.. 1.C7r (�!D- e) - �__
mer- rs../vs Fev-*�( hydronic) 23.32
/ Unit heaters(fuel-type,not electric),
OL' >& rt.L,► -4-2VC3.t� Cc. alt ( r fie. ScA34i;- in-wall,in-duct,suspended,etc. 46.75
Ct.�s�-t�r 0kr bei�Lc�i Flue/vent for any of above 23.32
Other: 23.32
Subdivision: 1 Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
'' - ' "._DESCRIPTION-OF WORK Gas fireplace/insert 33.39
" v ' Flue vent for water heater or gas
1-i *� M.".At-tCi\ G. t- c cAc;s 3r. CIAk— fireplace 23.32
Log lighter(gas) 23.32
S vb`y Q '�t r" 11 'A -escr,� Wood/pellet stove 33.39
�J Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
,h, Other: 23.32
PROP O ', „`. P_TE
,R,< .. _ - Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address: 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
11 APPLICANT'' ' `ft, „S i E J t.v f",_. , Other: 23.32
, Fuel piping:
P P g:
Business name: RAV�c e'o i<-i IlJtA7 'i`c�c��.`<Ar \ $14.15 for first four;$4.03 for each additional
Contact name: rekrN \t t Furnace,etc.
Gas heat pump
A dress: r cmncy \--r:-.J Cf--i3\,-,r.W Nees:_ R.:CCJIkC i-,1:-•- Wall/suspended/unit heater
City/State/ IP: Water heater
Phone:( 4-t-1.. ..... Fax: :( ) Fireplace
Range
E-mail: Barbecue
' , :lf CONTRACTOR 1 " "-NT ; Clothes dryer(gas)
Business name: Other.
+V Gi k-I MECHANICAL*„ FEES*
Address: t;zoo xir ; --,CA Subtotal
City/State/ZIP: Le.. .."..... a - Minimum permit fee($90.00)
ty Qs ,erj i OQ`” RIC)3� Plan review(25%of permit fee)
Phone:(soN (,.otc) Fax:( ) State surcharge(12%of permit fee)
CCB lic.: O P // G TOTAL PERMIT FEE
`� ` A �` ! 1 ! This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: j2. * Fee methodology set by Tri-County Building Industry Service Board
Print name: 1GetiICot. x Date: `stZtitz.ea
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:
7358 SW DURHAM RD, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Mechanical MEC2017-00673
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor