Permit (256) CITY OF TIGARD MECHANICAL PERMIT
a: COMMUNITY DEVELOPMENT
Permit#: MEC2018-00027
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/17/2018
[ P. 9 Parcel: 1S136DA00100
Jurisdiction: Tigard
Site address: 11308 SW 68TH PKWY
Project: Comcast Subdivision: None Lot: None
Project Description: Replacing existing hot water boiler B-1.
Contractor: HUNTER DAVISSON INC Owner: BENENSON 68TH PARKWAY KEY LLC, T
1800 SE PERSHING ST 708 3RD AVE, 28TH FLOOR
PORTLAND, OR 97202 NEW YORK, NY 10017
PHONE: 503-542-3628 PHONE:
FAX: 503-542-3654
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 01/17/2018 $1,236.71
Class of Work: ALT Type of Const:
Plan Review 01/17/2018 $309.18
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 01/17/2018 $148.41
Stories: Info Process/Archiving-Lg$2.00(over 01/17/2018 $2.00
11x17)
Project Valuation: $45,000.00 Info Process/Archiving-Sm$0.50(up to 01/17/2018 $9.00
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 $1,705.30
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. 32.1987 or 1.800.332.2344. n
Issued By: Permittee Signature: /
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 Ap lication , FOR OFFICE LSE()NEI
V3 'Received q �j
City of Tigard ;S �,: S <t-,! + ) Date/By: i i( !I r n-- Permit No.:M p/� jr n 2 L
i e r C��1 C/
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. 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
S Other Permit. ;c +�1 t�
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: C kI� M `f Iv 7 [��', ,
T I c A R D Inspection Line: 503.639.4175 /a 1 /I i Date Read /B auris ® See Page 2 for
g g Ready/By: ) //12//4" I
Internet: www.ti and-or. ov � Notified/Method: / , Supplemental Information
1 t? t ... c �f Nt �Emu C: {CK
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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.
❑ Value $ 4/5 000 0 0
;i,' .. , '" -4.''''
,, 'C O I F ;14
., 4'' : `R#1111 ,49* L OP- N � 'T , F0� '
❑ 1-and 2-family dwelling ]Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
Heating/cooling:
a6 Yet%
., '��� --•„ /�-7 �L
Job site address: / � ,51/0b 7 'r 1E M Air conditioning 46.75
/ �or 100,000 BTU(ducts/vents) 46.75
eFurnace 100,000+BTU(ducts/vents) 54.91
City/State/Z1P la/ ty/e 9/,2;47 Heat pump
�'�ePok/ 61.06
Suite/bldg./apt.n I Project name jwl � ��" Lt " d�&( Duct work 23.32
Cross street/directions to job site: � er 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: I Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
4 o Gas fireplace/insert 33.39
,,,, Q , 'j.,.3 ,,,,_ ' '' ,,. '' , „'' '2_2_'t''''' • ''� . • Flue vent for water heater or gas
/C e C ct cQ e)(/.s 1/N 4Q- 1NeP bpi IGS r fire lace 23.32
1 I Log lighter(gas) 23.32
/'� w Wood/pellet stove 33.39
v Wood fireplace/insert 23.32
/2 J L� Chimney/liner/flue/vent 23.32
-•:-.1,71,t mi.„',.,0,-;-1,,,-,,,,P,„!,;;;;,,,,-e-cit c�� �i(/ ��� S 7� ��� � Other: 23.32
�` 'lil1A1�1' ..„.„.,,..A.,:,�� Environmental exhaust and ventilation:
Name: ee Nel,j So N ,"(o,/ Range hood/other kitchen
� �7 / equipment 33.39
Address: 7 c r' / //r ✓Q, U� /��r Clothes dryer exhaust 33.39
City/State/ZIP:/VQ,w !O r"'\ N e /0 0/'r Single-duct exhaust(bathrooms,
toilet compartments,utilit looms) 23.32
Phone:(9../2 7'_ yat® Fax ) Attic/crawlspace fans 2
( 23
( AI ' � . --,.4-,,, Itt COi 'A� ' Other: 23.3
, . Fuel piping:
Business name:Hk,Te,r ,*�
aVi,sS'0 N �N L• $14.15 for first four;$4.03 for each additional
Contact name:64 04!e ,t t j_,, Furnace,etc.
Gas heat pump
Address: //30 0Se.... lig Pse ?t Wall/suspended/unit heater
City/State/ZIP: �1`�'C�^i`^ D/( /�U Water heater
�7 Fax:: Fireplace
Phone:(�0?)2a 9 / v ( ) Range
E-mail: C(`c to 41,4N of d'ai�,+SSo,N, 60/1/1 Barbecue
4 To X " Clothes dryer(gas)
//��1 /�
Business name: .��lA/12 /7`S �7�ta t/e Other44/ItIf?1C0i ' F YSt ''4.':'''
Address: Subtotal
Minimum permit fee($90.00)
City/State/Z1P: Plan review(25%of permit fee)
Phone:( ) Fax:( )
s State surcharge(12%of permit fee)
TOTAL PERMIT FEE
CCB liC.: ��� This permit application expires if a permit is not obtained within 180
�,kli: daysafter it has been accepted as complete.
s_ �✓Authorized signature: / * Fee methodology set by Tri-County Building Industry Service Board
Print name: G4j of 6e, /64e Date: 4.-0 C.//-
1:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
R OFFICE USE ONLY—SITE ADDRESS: ( LY O
FO / � l/(/
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Letter
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: �CJ'Y1 DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
APR 3 0 2018
FROM: ANTi)
CITY OF TIGARD
COMPANY: f/inr}/edr I1)--Cro/✓ .�/��- 3UILDING DIVISION
PHONE: See-Sym--st< Bye J
•
14
RE: //.?o - c co 9
(Site Address) (Permit Number)
Comccai/ 76
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s)of plans. Revisions: Ca LC.S
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other Oo(explain):(eJ
REMARKS: il ae.
c ,h,t4(2/1/47+ ��/ ► rt /,./r/1ey✓
FOR OFFICE USE ONLY
Routed to Permit Tec cian: Date: Li. -a, - )46- Initials:
Fees Due: Yes"' []No Fee Description: Amount D e:
r Pi revs $
Special
Instructions:
Reprint Permit(per PE): ❑ Yes Nb/ ❑ Done
Applicant
t Notified: Date: �fj// ,/ Initialsr
pp �- /
I:\Building\Forms\TransmittalLetter-Revisions_061316.doc