Permit (95) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2018-00240
13125 SW Hall Blvd.,Ti Date Issued: 04/12/2018
TfCAittand OR 97223 503.718.2439.) 9
Parcel: 2S112DC00500
Jurisdiction: Tigard
Site address: 15887 SW 72ND AVE
Project: Red Hills Group Subdivision: FANNO CREEK ACRE TRACTS Lot: 40
Project Description: Replacing(2)RTU's.
Contractor: EXCEL HVAC INC Owner: PACIFIC REALTY ASSOCIATES LP
PO BOX 1188 ATTN: N PIVEN
CANBY, OR 97013 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 971-930-7194 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 04/12/2018 $601.71
Class of Work: ALT Type of Const: VB Plan Review 04/12/2018 $150.43
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical04/12/2018 $72.21
Stories: Info Process/Archiving-Sm$0.50(up to 04/12/2018 $21.50
11x17)
Project Valuation: $20,000.00
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 $845.85
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 rum adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-00 . You .. ,in •• of the rules
or direct questions to OUN by calling 503.232.1987 or 1.800.332.2344.
Issued By:
mittee 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 ONLY
III13City of Tigard �'. Received
II ¢ Date/By: H /// Permit No.:
125 SW Hall Blvd.,Tigard,OR ��N ? { 1
li * Plan Review
Phone: 503 Line: 43. Fax: 503.598.1960 Date/By: - 8 _ Other Permit:J�'_� �`f(y:"1,_
Inspection 503.639.4175 y v I'ffA/ V U.(.;/,'7
T1GARD pAPR /_ I. �Q18 Date Ready/ y 1 Juris:
Internet: www.tigard-or.gov 1--....„1/01_,
-i � if
See Pent Supplemental2 Informationnt
$$ [ otifie /Method: �„��.
F JACiARr:
_' , _; TYPE etitteNG DIVISION CO , 1 RCIAL FEE*.SCTIED E EY-ESE CHECKLIST
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
mechanical materials,equipment,labor,overhead,and profit.
ID Demolition Other:
CATEGORYO1 ONS�RUCTION Value $ 2 0. 00°
RESIDENT QUDP11 Er4T/ 1(STEMS 1tEES* '
❑ 1-"and 2-family dwellingCommercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder
0 Other: Description Qty. Ea. Total
JOB SITE=INFORM .TION:AND LOAT4ON Heating/cooling:
Job site address: s N D ,` Air conditioning 46.75
` L �y E Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: ��5,4p`b l 0:1,-- Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: I Project name: / Heat pump 61.06
��� - `�, 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: I Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel nom Water heater 23.32
DFsSGPTIgioR x ,; rt Gas fireplace/insert 33.39
` "' wr. `x Flue vent for water heater or gas
�� �'� ... ° OE)p -op C/ti i,r' LA/t r� fireplace 23.32
�ve-61J Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
1iROPF$TYOWNER: ', ff tjs. TEN Other:
I :, _ ANT; 23.32
Name: Environmental exhaust and ventilation:
���. -k.Vs J Range hood/other kitchen
Address: equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
Phone:( 5 i j) toilet compartments,utility rooms) 23.32
<�a I/ 6 3 ov Fax ( ) Attic/crawlspace fans 23.32
' PLIC1
ANT. ' CONTACT PERSON<..: : Other: 23.32
Business name: �^' / 1 Fuel piping:
$14.15 for first four.$4.03 for each additional _
Contact name: �E-azJ ! ll�,m,—/-- Furnace,etc.
Address: /r Gas heat pump
City/State/ZIP:
Wall/suspended/unit heater
Water heater
Phone:(9,7O 93 0 _ 7/ 94/ Fax::( ) Fireplace
E-mail: Range
,,xAT'O4_ '
Barbecue
�'�® , * '' Clothes dryer(gas)
Business name:
_./4--___„A., 4., MAL"
' i Other:
Address: ��c / Z s" .
ck /7,g MI CI N)SC P RiRI� EFS*f,
Subtotal
City/State/ZIP: , .cs / atd 9 /3 Minimum permit fee($90.00)
Phone:(e )97/„CSO- 7/ 9 y Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lie.: / y�5,, 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: jr.Set, L71,s,i Date: 0i,/,/e,
I:\Building\Permits\MECPermitApp0401 .doc 440-461/02/COM/WEB
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi-Family Fee Schedule:
TotalValuation: Permit'Fee:
$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:
15887 SW 72ND AVE, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Mechanical MEC2018-00240
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor