Permit (186) IN
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2018-00011
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/23/2018
T.I °" i.#°t g Parcel: 1 S 136DB02601
Jurisdiction: Tigard
Site address: 11606 SW PACIFIC HWY
Project: Green Light District Glass Subdivision: None Lot: None
Project Description: Replacing(2)RTU's.
Contractor: ROTH HEATING&COOLING Owner: CENTURIONALPHACENTURION2 LLC
PO BOX 1265 PO BOX 1171
CANBY, OR 97013 LAKE OSWEGO, OR 97035
PHONE: 503-266-1249 PHONE:
FAX: 503-266-3478
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 01/23/2018 $515.35
Class of Work: ALT Type of Const: VB Plan Review 01/23/2018 $128.84
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 01/23/2018 $61.84
Stories: Info Process/Archiving-Sm$0.50(up to 01/23/2018 $3.00
11x17)
Project Valuation: $16,520.00
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: 30-50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $709.03
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or . . .
4
Issued By: �' �'� Permittee Signature: „.7,,/ !/ i
z ,
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Received j
ate/By �/ �$ — Permit No.: `^,�. 9„ v y1t I
_ a 13125 SW Hall Blvd.,Tigard,OR 97223R ,"fy j'�{%I
Phone: 503 718.2439 Fax: 503.598.1960 FIVF' ate/BOther Permit: G
Inspection Line: 503.639.4175 y'1,1
n Review. .�J AGS/ l 1(1,, 1f � �� �-t=Ni4
TIGARD p Date Ready y: luris. El See Page 2 for
Internet www tigard-or gov otified Method: /
7 1// . Supplemental Information
1 9 220L v
1: `// fJ' r
TYPE OF WORK r COMMERCIAL PEE* SCHEDULE — USE CHECKLIST
IO GA tt
- Mechanical permit fees*are based on the value of the work
❑New construction [ ddition/alteration/re {> t i 'i i i
Ii L} performed, Indicate the value(rounded to the nearest dollar)of all
❑ Demolition .1 1
❑Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:$ 16�SZv?G
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling c.Commercial/industrial ❑Accessory building For special information use checklist.
❑ Multi-family 0 Master builder
❑Other: • Description Qty. Ea, Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: ';` f S L) Pc,.Ci S I C
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: T l 9 C.,✓8, O / 9'7 �' Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name: r �� L 1� n �,r_ r Heat pump 61.06
I1 di j-iYl c4 1?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: 1 Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue ven
-e'p/C'lc-e__, ►��U j 014 �/ fireplacet for water heater or gas
t` 23.32
-tdAf �3� # Log lighter(gas) 23.32
ti Wood/pellet stove 33.39
O 101 .5—/g Wood fireplace/insert 23.32
.,_,C-ti 11 Chimney/liner/flue/vent 23.32
IA-OA/ ,
❑ PROPERTY OWNER 1 ❑ TENANT Other: 23.32
Name: t ) Environmental exhaust and ventilation:
C`evi f r 1 d 1,1 /.1 p h0, 6Vel l'ar- 100 * LZ Range hood/other kitchen
Address: 20 117 equipment 33.39
/ Clothes dryer exhaust 33.39
City/State/ZIP: ,Ct,i , Q S W o 6/ l' O)5 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
0 APPLICANT 0 CONTACT PERSON Other:
23.32
Business name: Jrsoo Fuel piping:
��� �I 1`^5 ti_., f t�J $14.15 for first four;$4.03 for each additional
Contact name: 'P rC. (7 • Furnace,etc.
Address: a L (...,))\, / 1.7.,G .---- Gas heat pump
Wall/suspended/unit heater
City/State/ZIP. C-,PA 1 rl
1 70 Water heater
Phone: ?) ) c"/9 .,QFax: :( ) Fireplace
E-mail: J,-rYti D L Range
--i In 6). i+�t@}l,.h`pcj 'CotM Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: Other:
Address:
MECHANICAL PERMIT FEES*
Subtotal
City/State/ZIP: g—C;C—P17Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( )
State surcharge(12%of permit fee)
CCB lic.: )(.1.00C.(2,
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
Print name: Seer.e vv>.1 c..,II T, 1 's r-I C L1 Date: i—e.,,Z) - 17
I-\t3udding\Perm its\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11606 SW PACIFIC HWY, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Mechanical MEC2018-00011
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor