Permit (38) IIINCITY OF TIGARD MECHANICAL PERMIT
a COMMUNITY DEVELOPMENT Permit#: MEC2017-00921
13125 SW Hall Blvd.,Ti Date Issued: 12/07/2017
Tf »AF. and OR 97223 503.718.2439 9
Parcel: 2S113AB00500
Jurisdiction: Tigard
Site address: 16083 SW UPPER BOONES FERRY RD 200
Project: Liberty Mutual Subdivision: FANNO CREEK ACRE TRACTS Lot: PT 37
Project Description: Mechanical for TI:Moving grilles and duct work; Installing VAV box and mini-split system.
Contractor: BARTEL CONTRACTING INC Owner: G&S FC LLC
PO BOX 160 16083 SW UPPER BOONES FERRY RD,
GLADSTONE, OR 97027 STE
TIGARD, OR 97224
PHONE: 503-650-4084 PHONE:
FAX: 503-650-4104
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 11/29/2017 $972.55
Class of Work: ALT Type of Const: IIIB Plan Review 11/29/2017 $243.14
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 11/29/2017 $116.71
Stories: Info Process/Archiving-Lg$2.00(over 11/29/2017 $10.00
11x17)
Project Valuation: $34,600.00
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: 2 Vent Systems: Total $1,342.40
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: split system,
Duct Work: 1 3 VAVs,
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 503.232.198 .:e. 32.2344.
Issued By: _�..��: ignature: w_. . . �_
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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 ,.., t=- ° !x_
•` ��� ,,-. FOR OFFICE USE ONLY•-
City of Tigard .++;; +'` i° Received f
f /�` Permit No.: ,
MPI
13125 SW Hall Blvd.,Ti ard,02: ; Date/By: ! , 7 �,� r/y� ,- �s 1� i
Tigard, . Rec iTPc,.ti 1 1 k-P7R.r
Phone: 503.718.2439 Fax 503.504%6'n-1Date IR
i � Other Permit.At
71 CARD Inspection Line: 503.639.4175 1
n Date. By: Jens: El See Page 2 for
Internet: www.tigard-or.gov ' L. ) r S ,
e utifie ilV ethod
\0\( , /4< y Supplemental Information
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s rpwap.
1 '1<'YP . 1'---- AL ;47E-C''SC11f O 1 E USE CH CKLIS
�9 "-'--' r Mechanical permit tees'"are based en the value of the work
New construction
®Addition/a i > " t ie f performed.indicate the value(rounded to the nearest dollar)of all
1❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. _
1 ` CATEGORY OP CONSTRUCTION ; 1 I Value $$34,600.00
1 :.:. riE3tlll14"�IALEQI,EPMENI/,SYSTEMS BEES*
❑ 1-and 2-family dwelling Commercial/industrial ❑Accessory building I For special information use checklis1.
Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
, • JOB SITE.•INFOI21k4.TlON AND'uOCATIO 1 I Heating/cooling: -
-- '- 1Air conditioning 46.75
Job site address:16083 SW Upper Boones Ferry Rd - -
1 Furnace 100,000 BTT)(ducts/vents) 46.75
�City/StateiZIP:Tigard,OR 97224 l_Fumace 100,000+BTU(ducts/vents) I 54.91
A ---- Heat pump 61.06
Suite/bldg./apt.no.:200 I Project name:Liberty Mutual Tigard l
I Duct work --- - 23.32
Cross street/directions to job site: � Hydronic hot water system 123.32
- - Resideniiai boiler(radiator or
Located across from where SW 72nd Ave dead-ends into SW Upper Boones Felly Rd hydronic) 23.32 I
Uuit heaters(fuel-type,not electric),
AI in-wail,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision: Lot no.: Othar: 23.32
f-- - - -- - _Other fuel appliances: _
Tax map/parcel no.:2S113AB00500 l I Water neater 23.32
w ,ll 'RIFTION OF wok Gas fireplace/insert 33.39 1
�+ Flue vent for water healer or gas
-i co" , -., ', J(.t> 2,(,yvs12-,,h. I fireplace - 4 23.32
I,og lighter(gas) 23.32
L_ 1 2 yv y7: °- / [d' L;X 'a- /lid'', J" l(71-__)_„' '•J �+n.
- '- --- 1 1 Wood/pellet stove- - 33.39• jI
I Wood fireplace/insert 23.32 1
1 Chimney/llnur/flu-/sent F23.32
_ I
d PR •P1 R 1 Y • - _- _ � Other: --- - 123.32 --
„ OW NE.` ,... -,C TE'NAiS
jEnvironmental eAhanst and ventilation:
Name:Liberty Mutual insurance Company _ 1 ' Range hood/other kitchen
Address: 175 Berkley Street-Mailstop MO1F - I equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP:Boston,MA 02116 I Single-duct exhaust(bathrooms, 1
toilet compartments,utility rooms) 23.32
Phone:(857)224-6117 Fax ( ) -- -+
Attic,crawlspace fans I 7.3.32
. � CONT\__ __ i'EKSt�1�r V Other: 23.32
Business name:Brereton Architects Fuel piping:
- - ------ I 514.15 for first four;$4.03 for each additional __ 1
Contact name: Kim Ramos ___ __ Furnace,_ eta -�
ddress:909 Montgomery Street,Suite 260 - Gas heat pump
I--- - - Wall/suspended/unit heater -�
City/State/ZIP:San Francisco,CA 94133 -__ - -I ! Water heater
1.
Phone:(415)963-4620 Fax::(415)546-3932 �- Fireplace
I‘ E-mail: - - - -- - - Range
ilkramos(ii brereton.com
1 _
Barbecue
CON"IL4CTO t , L clothes dryer(gas)
1 Business name:Bartel Contracting Other
MMEC•HAN_IcAL PERMIT FEER* '.
I Address:135 E Hereford St - - ,._ .- _ �
City/State/ZIP:Gladstone,OR 97027 --� Subtotal) 593.71
_ _ Minimum permit fee($90.00)
Phone:(503)650-4086 I Fax:(503) Plan review(25%of permit fee) 148.43
l-- - _ - State surcharge(12%of permit tee) 71.25
CCB lie.:79970 -
i---- - - i TOTAL PERMIT FEE 813.39
J 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
i �� p
Print name:David Daliiiii I Date:11/3/17 I
1.ABuilding\Permits1MEC_PermitApp_040113-doe 410-4617T(11;02/CO'd/wE3)-
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16083 SW UPPER BOONES FERRY RD 200,
TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Mechanical MEC2017-00921
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor