Permit CITY OF TIGARD MECHANICAL PERMIT
yt
t 2 : . COMMUNITY DEVELOPMENT Permit#: MEC2017-00405
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/09/2017
TIGARD g Parcel: 2S113AB00600
Jurisdiction: Tigard
Site address: 16195 SW 72ND AVE
Project: Option Care Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 30
Project Description: Mechanical modifications of existing office with clean room component to replace existing.
Contractor: BALFOUR BEATTY CONSTRUCTION LLC Owner: PACIFIC REALTY ASSOCIATES LP
3100 MCKINNON STREET ATTN: N PIVEN
6TH FLOOR 15350 SE SEQUOIA PKWY#300
DALLAS, TX 75201 PORTLAND, OR 97224
PHONE: 214-451-1000 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 11/09/2017 $69.06
Class of Work: ALT Type of Const: VB Plan Review 11/09/2017 $17.27
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 11/09/2017 $8.29
Stories: Info Process/Archiving-Lg$2.00(over 11/09/2017 $26.00
11x17)
Project Valuation: $0.00 Info Process/Archiving-Sm$0.50(up to 11/09/2017 $5.00
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: 3 30-50 HP:
Vents w/o Appliances: 3 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $125.62
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
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 m-y obt a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. /'
Issued By:/ / C Permittee Signature: �A
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 Applico _ FOR OFFICE USE ONLY
City of Tigard Received c,A �rJ 7 O
"!���fi Date/By: ! Permit No.: gee2f4
III " 13125 SW Hall Blvd.,Tigard,OR 97223
Plan Review
6. Phone: 503.718.2439 Fax: 503.598.196 1' + P ' L7\21, -�t,er Permit:
�li�� ;moi i Date/By: ' I �� r"
TI G A R D Inspection Line: 503.639.4175 Date Ready/B • 1� (Jurist 63 See Page 2 for
Internet: www.tigard-or.gov 01
CITY - I oakkrIr� Notified/Method•/ 7,/i Supplemental Information
1 j�
B . ! lt, i a . i r i -
TYPE OF WORK COMMERCIAL FEE* SCHEDULE -USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction .Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,
r,overhea d profit.
Value: C ;ZeCI
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 El Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Job site address: +(� �'l Air conditioning 46.75
` l v �� Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: '-1Gy',� �1'Ct at Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: � I Project name: OMCLA '1 r DuDuct work 23.32
Cross street/directions to job site: vprt-t/. -1/4.?..,-.00467 Hydronic hot water system 23.32
` " 1" 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
3, � 1_ DESCRIPTION OF,WORD" "':- 4 ,f', Gas fireplace/insert 33.39
Flue vent for water heater or gas
i k c b sy `' bI l ( fireplace 23.32
Cy il�, t� IN( ( t 1�,�0)04 V - Log lighter(gas) 23.32
� - ' Wood/pellet stove 33.39
10 �24 r}S , Wood fireplace/insert 23.32
Y Chimney/liner/flue/vent 23.32
1. es' . TEN Other: 23.32
' , 4 Oi411 ' ` a T N >
Environmental exhaust and ventilation:
Name: C[ C Range hood/other kitchen
equipment 33.39
Address: QC,t7 1e t?St `. 'bp-I ft 3CCD Clothes dryer exhaust 33.39
City/State/ZIP: .I+ i O J( 3 1 (0Wlk, Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(15-'-')) 9104-- qqFax:( ) Attic/crawlspace fans 23.32
"' .:,' Other:
,--„-_„,, -. 7 A t 23.32
. Fuel piping:
Business name: P-?, $14.15 for first four;$4.03 for each additional
Contact name: cJ l�3� Furnace,etc.
Address: ( (`tea V tcytk iei fc- :Ik 4oV Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: (.
' __,_ 61-7-4_051Water heater
Phone:(la_} (gbk r-q'9 Fax::( ) Fireplace
/
Range
E-mail: r, . r401..., \�(--C 1NC s "L. /! Barbecue
,' ,H. ::: SriCONTRA O ,, 1 ,,`', ,, Clothes dryer(gas)
Business name: ", ` v - -- --. Outer':
r `tet MEc4)IICAL PERMEES*
Address: �./ '` '" �'��
l �5 r(1 t.� (Lirvt� ''7 ti)-- Subtotal
City/State/ZIP: R #k,A O /Z / 7.20 c7 Minimum permit fee($90.00)
Phone: Plan review(25%of permit fee)
( `� 5 G (�X535! Fax:( ) State surcharge(12%of permit fee)
CCB lic.: i r y 4 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: 44� , * Fee methodology set by Tri-County Building Industry Service Board
Print name: ( kj �V(_ Date: 'y7(1-?
I:\Building\Pemits\MECPermitA 040113.doc -^ y 440-617T Il 2
PP_ ( /0/COM/WEB)
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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\Pernuts\MEC_PermitApp_040113.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16195 SW 72ND AVE, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Mechanical MEC2017-00405
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor