Permit (31) CITY OF TIGARD MECHANICAL PERMIT
2 COMMUNITY DEVELOPMENT Permit#: MEC2018-00348
T f ;rig D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/29/2018
Parcel: 1 S 136DA00100
Jurisdiction: Tigard
Site address: 11308 SW 68TH PKWY
Project: Comcast Subdivision: None Lot: None
Project Description: Replacing existing hot water boiler B-2.
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 05/29/2018 $1,236.71
Class of Work: ALT Type of Const: VB Plan Review 05/29/2018 $309.18
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 05/29/2018 $148.41
Stories: Info Process/Archiving-Lg$2.00(over 05/29/2018 $2.00
11x17)
Project Valuation: $45,000.00 Info Process/Archiving-Sm$0.50(up to 05/29/2018 $17.50
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: Vent Systems: Total $1,713.80
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued 111.1110 Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit ApplicationFOR OFFICE USE ONLY
City of Tigard aeB
1,4, RECEIV
tate/By:
y: '!j 7/i0. PermitNo.: rJp C-4034'1
13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review
�—
®
Date/By: `v
y: f Other Permit:/17Fz ZI! v �^ 7
TIGARD Inspection Line: 503.639.4175 MAY 7 2018 DateRead B Juds: tl" JT
Internet: www.tigard-or.gov
y Y ��ii E3 See Page 2 for
Nottfied/Method: S ��
Supplemental Information
I ; 1. f'�i.__. �%INLM�
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{ -J � y - 1,° e 'Sr♦ '� itig . i' X ' �, - ` a Oa"'', 'Y�.�. i , -�s �lg, ': B'96 = '
i;• Mechanical permit fees*are based on the value of the work
❑New construction '�Addition/alterat on/rep acement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
"
fi
Value:$ 4-Er O�
❑ 1-and 2-family dwelling f Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
� i41 ,:` - t. Heating/cooling:
Job site address: /I3Oc sw /r„k�q� Air conditioning0 ,046.75
grill Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: card c�7 j' Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.. I Project name: Corr)CAS-f- /0 G Heat pump 61.06
/
Duct work 23.32
Cross street/directions to job site: Hydropic 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 no.: Water heater 23.32
t , '11`` t!"'-'-:4- r .y° *I :�- rr r . Gas fireplace/insert 33.39
oe�/Q C e �' � r Flue vent for water heater or gas
/C/ S r ' (Nh /uQ.(/4 SgMe ��C1Gl'I� fireplace 23.32
7l,.r i, c4464./ //1PJAII GNd gct,s-. Log lighter(gas) 23.32
— R/� J Wood/pellet stove 33.39
ep lac �) tit_t'hv he---, c-4,8-t/ cT 9-,1, Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
„® _ -" '- -3 Other: 23.32
�1Environmental exhaust and ventilation:
Name$�eNyO j C ,70. -iVers /C C Range hood/other kitchen
Address: ' p " 7 ,1`c/ 442,NU e S7 L othr 33.39
,. e' ��O V ClClotheess ddryer exhaust 33.39
City/State/ZIP: Nee)/ /r A/ /oo, Single-duct exhaust(bathrooms,
Phone:
(a 1 ,�53 9 /a / /`� Fax•( ) toilet compartments,utility rooms) 23.32
Attic/crawlspace fans 23.32
.. . - ti 't Other: 23.32
Business name: �/(�l/��er- i r Fuel piping:
av,sroN SNc.
Contact name /\ � , A-4_,,-71--,
r r $14.15 for first four;$4.03 for each additional
Furnace,etc.
Address: mpo t, S Y ,a,,C J il ,_ Gas heat pump
G 6-7,7
/�1Wall/suspended/unit heater
City/State/ZIP: (7,02e. -
o r�lgr/d G/CQ mZWater heater
Phone:(f-o3)5q . C° Fax::( ) Fireplace
nge
E-mail: ' Miff, r oss-0 N. C M Babe
. �.t,i - - .. . . Barbecue
" #` ;� J Clothes dryer(gas)
Business name: S0.M2 ,4 4? t,. Other:
Address: k. ,e`I ,i1:,.., la -- :;', -
�.#
Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Phone: Plan review(25%of permit fee)
( ) Fax:( )
State surcharge(12%of permit fee)
CCB lie.: /6�a. 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: f SAN e Date: �%a Ci_/i...,
1:\Building\Permits\MEC_PermitApp_040113.doc 44(0-4617T(11/02/COM/WEB)
i
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
&,VAi "Ain"- " r M:
$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:
11308 SW 68TH PKWY, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Mechanical MEC2018-00348
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor