Permit (175) a CITY OF TIGARD MECHANICAL PERMIT
f : '- COMMUNITY DEVELOPMENT Permit#: MEC2018-00135
A RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/13/2018
T f � 9 Parcel: 2S101 AB03100
Jurisdiction: Tigard
Site address: 12115 SW 70TH AVE 200
Project: Dr.Steven Gabel MD PC Subdivision: 2012-009 PARTITION PLAT Lot: 3
Project Description: Mechanical for TI: New duct work,new grilles,and new exhaust fan.
Contractor: ARJAE SHEET METAL CO, INC. Owner: TIGARD TRIANGLE PARTNERS LLC
8545 SE MCLOUGHLIN BLVD. 18187 SIERA DR
PORTLAND, OR 97222 LAKE OSWEGO, OR 97034
PHONE: 503-231-7717 PHONE:
FAX: 503-230-4888
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/13/2018 $1,637.61
Class of Work: ALT Type of Const: IIB Plan Review 03/13/2018 $409.40
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 03/13/2018 $196.51
Stories: 3 Info Process/Archiving-Lg$2.00(over 03/13/2018 $2.00
11x17)
Project Valuation: $61,000.00 Info Process/Archiving-Sm$0.50(up to 03/13/2018 $7.50
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: 1 Vent Systems: Total $2,253.02
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
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 btain a copy of the rules
or direct questions to OUNC by calling 503.232.19: . .:::. 344.
(47
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 Application FOR OFFICE USE oNLv
City of Tigard EIVed _
at Permit No.: _ J
13125 SW Hall Blvd.,Tigard,OR 97223 �1- pan Review i'.9-71/1
` '✓
11P4 ■ Phone: 503.718.2439 Fax: 503.598.1960 3 %-j Other Permit: -�
Date/By: / 1� 0 a �6
1 1 G 1 C) Inspection Line: 503.639.4175 (r{.�-(rp�}{y Date Ready/By: Jur.s: See Page 2 for
Internet. www.tigard-or.gov FEB D i Notified Method /j�� y I Supplemental Information
.liiiit -ti , Mechanical permit fees*are basedon the value of the work
❑New construction WrAddition/alteratiorthP -''t performed.Indicate the value(rounded to the nearest dollar)of all
9 Demolition 9 Other: mechanical materials,equipment,labor,overhead,,and profit.r
`"' Gsl x ! ! •STR ! , _ Value $ - / ,p,4! fs/ W-,
147
-44 '.-41,'-' . •'..'' ' it....1,,,,,A*,$0, . L:m(9.-wri”,,,,,,....,,4,s„ ,,,, _,„. *wl , ,
9 1-and 2-family dwelling AA Commercial/industrial 9 Accessory building For special information use checklist.
9 Multi-family 9 Master builder 9 Other: Description Qty. Ea. Total
�. 4 :TOB rel '! ! LocATIN • Heating/cooling:
. `, ` Air conditioning 46.75
Job site address: (Z, ��ot�t
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 7c?f C D 'tel- Furnace 100,000+BTU(ducts/vents) 54.91
Wim'�' _ I_r� rn Heat pump 61.06
Suite/bldg./apt.no.: +, Project name: D r-4 GiC/W 1' 0 PC 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: Lot no.:
Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
i' ic'R 'TION O" ! ,t +� ''''''''''''''i
Gas fireplace/insert 33.39
' '"` - " ' n '"' d''''':'.1'‘''''' '-''' Flue vent for water heater or gas
AJUC`k f �a �r tl / View - i fireplace 23.32
Valk Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
e ' Other: 23.32
,.,--:.,,,SE.,-..I';--:---, --i.71 t . ' ', Environmental exhaust and ventilation:
Name: jj__._ l�'.t� a Range hood/other kitchen
I/, equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
<a�� APPLICANT'.. '''''-'4—''':--'''D F9;,.PERSONOther: 23.32
-1..- --�". ,a.
Business name: Fuel piping:
a� $14.15 for first four;$4.03 for each additional
Contact name: 17( ,� Furnace,etc.
Address: (65/5 5 pro (%:M
. 2.Z' Gas heat pump
Wall/suspended/unit heater
Ai a1� �V.
City/State/ZIP: .. 0fZ ZWater heater
Phone:(95) ,g.3(._ 7 ! Fax::( ) Fireplace
Range
E-mail: l5'® G«„ c Barbecue
��°'' �I C .4ACTOR Clothes dryer(gas)
`� Other:
Business name: /lb �, � �� ove, /�/ MECHANICAL PERMIT FEES*
Address: Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee)
CCB lic.: 0 s'35 TOTAL PERMIT FEE
ill
j This permit application expires if a permit is not obtained within 180
/ days after it has been accepted as complete.
Authorized signature: / /f/6........„/„. ....._ Fee methodology set by Tri-County Building Industry Service Board
Print name: Tyv p L) c5,,,.. , o -- 4 Date:02/1-1,A/
1:ABuildingAPermits\MEC I_/Pe�rmiitA/pp_040113.doc �^'l 440-4617T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Famil Fee Schedule:
$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.
1:\Building\Permits\MEC_PermitApp_040113.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12115 SW 70TH AVE 200, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Mechanical MEC2018-00135
Inspection Type: Inspector:
615 Mechanical rough-in Jeff Grove
Result:
PASS
Comments:
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12115 SW 70TH AVE 200, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Mechanical MEC2018-00135
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor