Permit (97) CITY OF TIGARD MECHANICAL PERMIT
P'` . ' COMMUNITY DEVELOPMENT Permit#: MEC2017-00976
T[GAP D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/12/2017
Parcel: 2S102AD03051
Jurisdiction: Tigard
Site address: 12760 SW ASH AVE
Project: Studio 7 Subdivision: BURNHAM TRACT Lot: 5
Project Description: Exhaust fan and duct work for break room.
Contractor: ARJAE SHEET METAL CO, INC. Owner: PREMIUM PROPERTY-TIGARD LLC
8545 SE MCLOUGHLIN BLVD. BY CAPSTONE PARTNERS LLC
PORTLAND, OR 97222 1015 NW 11TH AVE
STE 243
PORTLAND, OR 97209
PHONE: 503-231-7717 PHONE: 503-226-1972
FAX: 503-230-4888
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 12/12/2017 $108.97
Class of Work: ALT Type of Const: Plan Review 12/12/2017 $27.24
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 12/12/2017 $13.08
Stories: Info Process/Archiving-Lg$2.00(over 12/12/2017 $2.00
11x17)
Project Valuation: $1,800.00
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 $151.29
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
� applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: �� � Permittee Signature: �' I/ ..--------�
Call 03.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLI'
City of Tigard Received
g Date/By: ri7 *'i Permit No.: e 7 e `7
III mi 13125 SW Hall Blvd.,Tigard,OR 97223
� _ ,� Plan Review
Phone: 503.718.2439 Fax: 503.598.190 ("�''' i V 1r. + Date/B : Other Permit:
Inspection Line: 503.639.4175 �+ ,te '' Date Read /B
I IUAht} p Y See Pentafonr
Internet: www.tigard-or.gov Notified/Method: INN Supplemental Information
r' 201 i
Cl
- Y$Y =a:+ {-:-:,,i4-.14:: -.,i',',_,1:-. Yc'L.'Ys.. b '.i .r Pr .: R
s pI Mechanical permit fees*are based on the value of the work
❑New construction A Addition/alter iT4q.Vi (N „ +�,,r,� performed.Indicate the value(rounded to the nearest dollar)of all
E Demolition El Other: mechanical materials,equipment,labor,overhead,and profit.
� � t N Value:$
,., ....... .. ..t. ,. ;wY a�'^zbC rc��. �;'*"m.. it. a / ,y) �f .F
E 1-and 2-family dwelling J Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family El Master builder ❑Other: Description Qty. Ea. Total
Heating/cooling:ft -:.-1.- ' y 'i��)' x . l i Air conditioning
46.75
Job site address: �$0 6(4 ' S Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: T[ A1rclDgFurnace 100,000+BTU(ducts/vents) 54.91
1 Heat pump 61.06
Suite/bldg./apt.no.: Project name: 3. 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: Other: 23.32
Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
. gy ,", "* FQN {) Gas fireplace/insert 33.39
x k(� � *' Flue vent for water heater or gas
l A U D+ Cat Vt 01/444( el UG+ fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
a '' ' . . " f
. s , ;_ � Other: 23.32
i°�� Environmental exhaust and ventilation:
Name: -411111Range 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
�PPLI T," y ;i" 4;. Other: 23.32
.' Com- ;,;41,41/4.' ? i , PE S :{
Ar 0.� _:5h -.wie-.O1t Fuel piping:
Business name:
$14.15 for first four;$4.03 for each additional
Contact name: /$5 SE / IL 117 v t li i�! Q(U Furnace,etc.
Address: X11 `,O �J Gas heat pump
4/ Wall/suspended/unit heater
>J
City/State/ZIP: (t.J I) i.e., Q ' Water heater
Phone:( ) Fax::( ) Fireplace
Range
E-mail: 0.0 1•35 ( ik.e C 0 Vvl. Barbecue
hu
CONTRA ORi , Clothes dryer(gas)
Business name: Other:
'�`f� 5-sGtyvt� 0..8 �rpvE:1�
MECHANICAL PERMITEEES*
Address:
Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee)
CCB lic.: 6 0 2 35 TOTAL PERMIT FEE s/ fl
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: Y av 1 A `J (>, xv,,,i Date: (2/12/14.
I:\Building\Permits\MEC_PermitApp_040113.`docc 440-46I7T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi-Famil Fee Schedule:
s+z..
$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:
12760 SW ASH AVE, TIGARD, OR, 97223 December 14, 2017 at
9:32:08 AM
Record Type: Record ID:
Commercial - Mechanical MEC2017-00976
Inspection Type: Inspector:
699 Mechanical final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor