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Permit (173) CITY OF TIGARD MECHANICAL PERMIT 71a.. COMMUNITY DEVELOPMENT Permit#: MEC201800025 13125 SW Hat Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/18/2018 T f '� "L� g Parcel: 2S 101 DA00102 Jurisdiction: Tigard Site address: 13221 SW 68TH PKWY 500 Project: Centene Corporation Subdivision: None Lot: None Project Description: Mechanical for TI:Modifying existing duct work to accommodate new office layout,and installing(3)new VAV boxes and(1)ductless split system. Contractor: OREGON AIRE INC Owner: GK TRIANGLE CORPORATE PARK III L 7715 NE 33RD DR STE A ATTN KBS REALTY ADVISORS PORTLAND, OR 97211 P 0 BOX 28270 SANTA ANA, CA 92709 PHONE: 503-335-2222 PHONE: FAX: 360-423-1978 FEES Specifics: Description Date Amount Type of Use: SF Permit Fee 01/18/2018 $881.11 Class of Work: ALT Type of Const: IIB Plan Review 01/18/2018 $220.28 Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 01/18/2018 $105.73 Stories: 5 Info Process/Archiving-Lg$2.00(over 01/18/2018 $10.00 11x17) Project Valuation: $31,000.00 Info Process/Archiving-Sm$0.50(up to 01/18/2018 $5.00 11x17) 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 $1,222.12 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: 3 fan Duct Work: 1 powered 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-$190. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 o -- - .2344. Issued By: Zzrazz=z___ � _ Permittee Signature: J ,y/ // / ' <=. .cle-e-I-C4" G 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 .1FOR OFFICE USE ONLY City of Tigard VI _ _4,, A ''eceived I - V Date/By: ✓ > Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 / al s I'll Ef�°`�i�3(. e� Phone: 503.718.2439 Fax: 503.598.1960 DaPlate/By: Other Permit: //�� T I G A R D Inspection Line: 503.639.4175 l AN ; '1 i.!1` Date Re ;�' _,_ 3 /U ig ) 7,-6)0;6 S Date Rea,yB'. Juris: ® See Page 2 for Internet: www.tigard-or.gov otifie. ethod: i Supplemental Information SP1 ()'I' Ij, �,�lC.� IV-? ' !0. 'max M, `' 0y, 1 � �_, .. 4' 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 0 Other: mechanical materials,equipment,labor,overhead,and profit. , ' .- �y ' � i o Value $ (f 4 i 3 ,4,-z=„ _..'.: �- . .,� ,,„.„, O ,�O K4 I' 'IOON.r .e ,. 1 7 . i ::;-7411.1-: �S' 1,' a Q ME Y „ :*'x *z z - ...,. :gym .. b ❑ 1-and 2-family dwelling ®Commercial/industrial " ' 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description Ea Qty. Total !ii-IAC---,16. � TOB fl � RA U ll �IA d� ' 1 � Heating/cooling: . ..''.. : C . � .>. Air conditioning 46.75 Job site address:13221 SW 68th Parkway Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.:500 I Project name:Centene Corporate TI Heat pump 61.06 Duct work 23.32 Cross street/directions to job site:Triangle Corporate Park III 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: I Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: I2�IP L I7Water heater 23.32� _' ,41.. . S � A 1 1 p . , � Gas fireplace/insert 33.39 Fl Amend/modify existing ductwork to accommodate the new office layout fire la et for water heater or gas P 23.32 Installation of 3 new fan powered boxes with associated ductwork Log lighter(gas) 23.32 Wood/pellet stove 33.39 Installation of 1 ductless split AC unit for new server room Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: I .l 4. .PR�k1 O ,: .. �,_,. ;: .` :' W 1 .� 23.32 Environmental exhaust and ventilation: Name:KBS realty Advisors/Triangle Corp Park III L Range hood/other kitchen Address:PO Box 28270 equipment 33.39 Clothes dryer exhaust 33.39 City/State/ZIP:Santa Ana,CA 92709 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( ) Fax ( ) Attic/crawlspace fans 23.32 ® P �(l P RON Other: 23.32At.:- , . , ; ,Cm Business name:Oregon-Aire,Inc. Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Matt Tidwell Furnace,etc. Address:7715 NE 33rd Drive Suite A Gas heat pump Wall/suspended/unit heater City/State/ZIP:Portland,OR 97211 Water heater Phone:(503)335-2222 Fax::(503)335-9977 Fireplace Range E-mail:mtidwell@oregon-aire.com r Barbecue C© To r tNM Clothes dryer(gas) Business name:Oregon-Aire,Inc. Other: 1ItMI'TFEES Address:same as above ,., Subtotal City/State/ZIP: Minimum permit fee($90.00) Phone: Plan review(25%of permit fee) ( ) Fax:( ) State surcharge(12%of permit fee) CCB lic.:64235 TOTAL PERMIT FEE�1 B//y' This permit application expires if a permit is not obtained within 180 ' ^��Z�' , e, LL�[ * days after it has been accepted as complete. Authorized signature: I Fee methodology set by Tri-County Building Industry Service Board Print name: ma - ''T /i(k e/I Date At`y 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: t,w !'„ Q} $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: 13221 SW 68TH PKWY 500, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Mechanical MEC2018-00025 Inspection Type: Inspector: 699 Mechanical final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor