Permit CITY OF TIGARD MECHANICAL PERMIT
1m -1COMMUNITY DEVELOPMENT Permit#: MEC2018-00085
T"I i; p fir 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/01/2018
Parcel: 2S101DB00104
Jurisdiction: Tigard
Site address: 7300 SW HUNZIKER RD 200
Project: Real Benefits Group Subdivision: None Lot: None
Project Description: Move grills to accommodate new office configuration for TI.
Contractor: RELIABLE MECHANICAL LLC Owner: HILLTOP BUSINESS CENTER LLC
13215 SE MILL PLAIN BLVD STE C8#537 9430 NW KAISER RD
VANCOUVER,WA 98684 PORTLAND, OR 97231
PHONE: 360-334-1598 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/01/2018 $145.81
Class of Work: ALT Type of Const: Plan Review 02/01/2018 $36.45
12%State Surcharge-Mechanical 02/01/2018 $17.50
Occupancy Grp: Occupancy Load:
Stories: Info Process/Archiving-Sm$0.50(up to 02/01/2018 $1.00
Project Valuation: $3,000.00 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 $200.76
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Grills
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-0! I I• You may obtain a copy of the rules
or direct questions to O i by calling 511.232.1987 or 1.800.332.2344.
Issued By:
,e, Permittee Signatur
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application A
FOR OFFICE USE ONLI'
City of Tigard Received
t_rrs y
13125 S W Hall Blvd.,Tigard,OR 97223 ' J Date/By: `', Permit No.: �10 _���
■ Phone: 503.718.2439 Fax: 503.598 196Q Plan Review 0
T I G A R D Inspection Line: 503.639.4175 I t € y . r Date By: Other Permit: /Q / _/Y77)
Internet: www.tigard-or.gov Date Ready/By: Juris: Ed See Page 2 for (/U)`
r ..rn, Notified Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑New construction Addition/alteration/replacement Mechanical permit fees*are based on the value of the work
El performed.Indicate the value(rounded to the nearest dollar)of all
Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
' CATEGORY OF CONSTRUCTION Value:$ 3 G ,
❑ 1-and 2-family dwelling Q�✓Commercial/industrialRESIDENTIAL EQUH'MENT/SYSTEMS FEES*
+'� 0 Accessory building
For special information use checklist.
El Multi-family
0 Master builder 0 Other: Description
I Qty. I Ea. I Total
JOB�SITE INFORMATION AND LO
.. CATION Heating/cooling:
Job site address: Air conditioning 46.75
..Se y'7//IO2 i e C K� Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: T ,a /'j� (�-7 Fumace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: 2J Project name:— /> �1� 5 /' Heat pump 61.06
Cross street/directions to job site: l Duct work 23.32
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
Tax map/parcel no.: Other fuel appliances:
y Water heater 23.32
�- OF WORK ,`.,, Gas fireplace/insert
DESCRIPTIONN .r� .,:p). .,.= . ' 33.39�� �I��� �[�, Flue vent for water heater or gas
J v G )'yi Oci o n,) fireplace 23.32
�� c r1 c�(4 t't‘01,1•.' Log lighter(gas) 23.32
�/ Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
PROPERTY OWNER 7=M 4 0 TENANT " Other: 23.32
Name: ;"SC," (2 ei 7 . ��" °, Range dexhaust and ventilation:
`.(•!h l' l�i/‘ Range hood/other kitchen
equipment 33.39
Address: 2._I3 `V -./ Q V,...(1(...„,,,,d Clothes dryer exhaust
33.39,AldPS` /QQ7)Z`J) Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32Phone:O 6' 475---- / Fax:( )
Attic/crawlspace fans 23.32
e .PPLICANT b CO)4TACT PERSON ' Other:
;` 23.32
Business name: Fuel piping:
Contact name: $14.15 for first four;$4.03 for each additional
Furnace,etc.
Address: Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone:( ) Water heater
Fax::( ) Fireplace
E-mail: Range
Barbecue
s: - i COM1 AC`t'OR ': 5 `
/'' Clothes dryer(gas)
Business name:Re tai 6/e / %„skis /, �i i „ Other:
� // ,l �J MECHANICAL PERMIT FEES*
Address:`j
t i%t•�i t'I 6��d � �� �j� Subtotal
City/State/ZIP: �Cf pleG(1()e^ 0A yl Q 0c2.7
c2.7 Minimum permit fee($90.00)
Phone:(3 .3_73 , I Fax: /
( ) Plan review(25%of permit fee)
CCB lic.: /85 Z 5(/J /!l/ State surcharge(12%of permit fee)
/ [ /AO TOTAL PERMIT FEE .(Z), 7('
This permit application expires if a permit is not obtained within 180
Authorized Signa days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry Service Board
Print name:/(J vi, I°(mac✓Y I
I Date: 2� //
I:\Building\Permits\MEC_PermitApp040113.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$5,000.00 500.00 and
$3 076 for the 7 for each addirst tional $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 $247.71 for the first$10,000.00 and
54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $2.363.71 49 for eachand the first$50,000.00
additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2. r the first$100,000.00 and
922 8.7l
foreach 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:
7300 SW HUNZIKER RD 200, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Mechanical MEC2018-00085
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor