Permit (68) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT
PeCOMMUNITY MEC2017-00840
T[GA RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/26/2017
Parcel: 25101 DB00104
Jurisdiction: Tigard
Site address: 7300 SW HUNZIKER RD 102
Project: Erickson&Carnegie Subdivision: None Lot: None
Project Description: Mechanical for TI:Moving grills to accommodate new office layout.
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 10/26/2017 $69.06
Class of Work: ALT Type of Const: Plan Review 10/26/2017 $17.27
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 10/26/2017 $8.29
Stories: Info Process/Archiving-Sm$0.50(up to 10/26/2017 $0.50
11x17)
Project Valuation: $500.00
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 $95.12
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 •• 1.800.332.2344.
_,
Issued By� �� / �—�` Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE LSE()NEN
City of Tigard g ,� E�® eceived
11 13125 SW Hall Blvd.,Tigard,OR 97223 �6-,°�°.C�w/. .sate/By: Ai „ �BIT Permit No.: I�• —
E
Phone: 503.718.2439 Fax: 503.598.1960
Plan Review
TI G A R D Inspection Line: 503.639.4175 0 C T 2 6 201 Date/By: Other Permit.
7 i• �;
r
Internet: www.tigard-or.gov Date Ready/By: giM1 H See Page 2 for
otified/Method: Supplemental Information
TYPE OF N'O lJIL I �EfMISIO
EI COMMERCIAL FEE* SCHEDULE- USE CHECKLIST
0 New constructionAddition/alteration/replacement Mechanical permit fees*are based on the value of the work
performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:$ J��U�f
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling )(Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder
0 Other: Description
Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Job site address: 73 �l/ /, // '/ �i Air conditioning 46.75
"j J7tiii 2._, V,e� KL1 Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: �t c,G,,-d 0Q q 7�3 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.:✓`�2 Project name:/ Heat pump 61.06
�r i cc t<scen i a r/iff. ' 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
-_
, DESCJUP 'ION,OF WORK„ _= '.. Gas fireplace/insert 33.39
�'} / '''/"'f. Flue vent for water heater or gas
as
1.r[ r ,. r1//S 1 a4C'eC.�'YIl'hl�t'1t/�, Tc n ' o Pe,"c e fireplace 23.32
/C y «t„.4 Log lighter(gas) 23.32
/ Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
PROPERTY OWNEROther: 23.32
0 TENANT
Name:
��� �� v3 Environmental exhaust and ventilation:
J �� �,X� �� � ) Range hood/other kitchen
Address: / AV(.ti d,,,�het„,�: ICY Or
luipment 33.39
s � //r l Clothes dryer exhaust 33.39
City/State/ZIP: +1/560(YJ CP /)71 Z Single-duct exhaust(bathrooms,
Phone:O 171 g75-3�``���� �� Fax:( ) toilet compartments,utility rooms) 23.32
Attic/crawlspace fans 23.32
APPLICANT - 0 CONTACT PERSON' Other: 23.32
Business name: Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:
Furnace,etc.
Address: Gas heat pump
City/State/ZIP:
Wall/suspended/unit heater
Water heater
Phone:( ) Fax::( ) Fireplace
E-mail: Range
Barbecue
. .CONTRACTOR Clothes dryer(gas)
Business name: Rr/,� 1,/,Z,, in /_,,o,ec/ LLL Other:
Address:/32/ S v� / to ) O MECHANICAL P RMIT,FEoS*
��mi�i ��a,�fr, 6ited �-7�C CS �37 Subtotal
City/State/ZIP:1% eC Z,tCJ ,,, 4/11 q cg 7/ Minimum permit fee($90.00)
Phone:(3D C93'- /3` Fax:(b ) Plan review(25%of permit fee)
/ State surcharge(12%of permit fee)
CCB lic.: 1792 TOTAL PERMIT FEE f7 (
This permit application expires if a permit is not obtaineu wnn.0 ioJ
days after it has been accepted as complete.
Print nAuthorized:Signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name:l In j y ,c„ , l Date:0/2%'7
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(111/02/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