Permit (101) CITY OF TIGARD MECHANICAL PERMIT
'- COMMUNITY DEVELOPMENT
Permit#: MEC2017-00991
Date Issued: 12/19/2017
II GA1 D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S113AB01201
Jurisdiction: Tigard
Site address: 16290 SW UPPER BOONES FERRY RD
Project: Oregon State Treasury Subdivision: None Lot: None
Project Description: (1)new 2-ton RTU,and installing new distribution ducts for(8)existing RTU's.
Contractor: EXCEL HVAC INC Owner: PACIFIC REALTY ASSOCIATES LP
PO BOX 1188 ATTN: N PIVEN
CANBY, OR 97013 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 971-930-7194 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 12/19/2017 $1,612.71
Class of Work: ALT Type of Const: IIIB Plan Review 12/19/2017 $403.18
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 12/19/2017 $193.53
Stories: Info Process/Archiving-Lg$2.00(over 12/19/2017 $2.00
11x17)
Project Valuation: $60,000.00 Info Process/Archiving-Sm$0.50(up to 12/19/2017 $10.00
11x17)
Fuel Air Handlers
Fuel Types: Electricity 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 $2,221.42
Hoods: Comm Incinerators: Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to f. • the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090 You may •btain copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1 :84.-- 44.
Issued B / ' Permittee Signature: f
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLN
City of Tigard Received I
Date/By:
ja, No.: As ,... •. _
19( h. illnirM Permit
1,1 13125 SW Hall Blvd.,Tigard,OR 97223 ,,. ; ,- -' Plan Review
: I Phone: 503.718.2439 Fax: 503.5,9,80?60i , "t‘,,,,f:7,i,.1. Date/By: , "" :." / I Other Permit: 49° 1/9 .1% ' -0e act
,_ , . .
TIGARD Inspection Line: 503.639.4175
Date Ready/By: Juris: n See Page 2 for
Internet: www.tigard-or.gov Notified/Method: 91,,1,7 „4:3,),,... _,,,,,,, Supplemental Information
TYPE otftE'WARD46COMMERCIAL FEE* scilEpuLE ..% USE CHECKLIST
,," 41)4(11444--"ii ( Mechanical permit fees*are based on the value of the work
sr,/,44(.
0 New construction A&Addition/a Iittatiiinireplaeeni6hi''''''" 4-• --, performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 0100
c4TEt7olly OF CONSTRUCTION
, '. RESIDENTIAL /S
1 t STEMS FEES*' '
0 1-and 2-family dwelling Commercial/industrial 0 Accessory building
, gc
..,
For special information use checklist.
El Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOWION -' Heating/cooling:
Air conditioning 46.75
Job site address: /6 j,9,0 SeV 0,ppe..K._ Rccives regry, ..g.4, Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: .7-j coe ie.@ 1 0e—, cir:7(2.‘24 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: 1 Project name: Ochi Srjre litE34A1)‘, / 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
Other: 23.32
Subdivision: Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
A ,. Gas fireplace/insert
., . DESCRIPTION....F WORK '''', ' ,1,...,$ 33.39
_, 4'4' Flue vent for water heater or gas
re/2,4,,Eq./ .Z- 7' ' Rnii /c., --4(./ Oe 57Z,,g w7i 6)-1 fireplace 23.32
Log lighter(gas) 23.32
zzic...-77. F,,,-(..(a)ETX?sTA-5 ier a /5 Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
j 2
,,,,, Other: 23.32 I i''''' '''.,>'.z - ,„kkgi,rgRTy OWNER ,- 0 TENANT .
''' Environmental exhaust and ventilation:
Name: ific...:77<145..-.7 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:(5-03 ) ,_ „Z i•I-63 17(c Fax:( ) Attic/crawlspace fans 23.32
...ApplAc.ANT - r 0 CONTACT PERSON ' 23.32
Fuel piping:
Business name:
$14.15 for first four;$4.03 for each additional
Contact name:
5:;f 4:5 43 .-0/V Furnace,etc.
Gas heat pump
Address:
Wall/suspended/unit heater
City/State/ZIP:
Water heater
Phone:( ) Fax::( ) Fireplace
Range
E-mail:
Barbecue
- '
CONTRACTOR Clothes,,,' , ,,,,
Clothes dryer(gas)
Other:
Business name: e:5(e.. ...e._ //liofc.,. -4 ive., MECHANICAL PERMIT FES*
..
Address: j/,g3 p 0, 3 et
Subtotal
Minimum permit fee($90.00)
City/State/ZIP: eacv39/ / CPL, 9761)3
Plan review(25%of permit fee)
Phone:(97) ) 930,- 7/91/ Fax:( )
State surcharge(12%of permit fee)
CCB lie.: Q//1/3 5/5 ' 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: * Fee methodology set by Tri-County Building Industry Service Board
i
Print name: jr:frt / Di-7T Date: iitz/f/7
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_PemiltApp_040113.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16290 SW UPPER BOONES FERRY RD,
TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Mechanical MEC2017-00991
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
FA I L
Comments:
1st phase ok
Permit left open for 2nd phase
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16290 SW UPPER BOONES FERRY RD,
TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Mechanical MEC2017-00991
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor