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Permit (28) CITY OF TIGARD MECHANICAL PERMIT .' COMMUNITY DEVELOPMENT III Permit#: MEC2018-00415 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/06/2018 T Ea,^w tt• Parcel: 2S 101 AB03000 Jurisdiction: Tigard Site address: 7150 SW DARTMOUTH ST Project: Pediatric Associates Subdivision: 2012-009 PARTITION PLAT Lot: 2 Project Description: Installing(1)ductless heat pump on roof and indoor head in office. Contractor: OREGON COMFORT AIR HEATING INC Owner: RETAIL SPECIALTY VENTURES LLC 7504 NE 182ND AVENUE 61067 DESERT ROSE DR VANCOUVER,WA 98682 LA QUINTA, CA 92253 PHONE: 360-891-2665 PHONE: FAX: 360-891-2666 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 06/06/2018 $207.21 Class of Work: ALT Type of Const: IIIB Plan Review 06/06/2018 $51.80 Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 06/06/2018 $24.87 Stories: 1 Info Process/Archiving-Sm$0.50(up to 06/06/2018 $3.00 11x17) Project Valuation: $4,970.00 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: 1 Appliances Vent Fans: Vent Systems: Total $286.88 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.19590_ 32.2344. ___ Oij&— /' Issued By: ! � Permittee Signature: j i Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OF1:1c'L t,si:()NIA II City of Tigard Received r Date/By: Cy z Pennit No.. 13125 SW Hall Blvd.,Tigard,OR 97223 y ��' �+ ■' Plan Review Phone: 503.718.2439 Fax: 503.598.19C�L, 1 1 G A R tD inspection Line: 503.639.4175 CBI/ED Date/By: i,' 6 — Other Permit Internet: www.tigard-or.gov Date Ready/By: pan ® See Page 2 for Notified/Method: / Supplemental Information 1 VPE ©1H`<1' 6 2016 �." . COMMERCiAL'FEE*"SCHEDULE'- E CHECKLIST Mechanical permit fees*are based on the value of the work ❑New construction 23‘Addition/al 'rft0 performed.indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑Other: „r li DIV]Y]SION mechanical materials,equipment,labor,overhead,amend profit. 11171 Value:$ 9 7i, CA ORV OP; ;. ON . , RESIDENTIAL EQVIPMEN'l/SVSTE1t SEES* ❑ i-and 2-family dwelling Commercial/industrial ❑Accessory building For special information use checklist. ❑ Multi-family ❑ Master builder 0 Other: Description P Qty. Ea. Total AOR SITE INFORMATION AND";,LOCA ION Heatingicooling: Air conditioning 46.75 Job site address:1 1 S ,'- Y r) Furnace 100,000 BTU(ducts vents) 46.75 City/State/ZiP Th q 7 q5 Furnace 100,000+BTU(ducts/vents) 54.91 _ _ Suite/bldg./apt.no.: Project name: / Heat pump __f 61.06 ( i_i0(�,. t � C r-1Gt<<;iC+ J 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 nESCItipTioNY ov WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas fireplace 23.32 - -'n I //i� p �� DC) !1,06- "V Log lighter(gas) 23.32 (Id /✓ ^ i/�t�'J ' t Y 1 Wood/pellet stove 33.39 I oC( tekci 1 n O-R(c) Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 r3PZOPRTY OWNER TENANT' Other: 23.32 Environmental exhaust and ventilation: Name ep( �. 1-1--(C,)Clid1Ll u pr,)„ i3Range hood/other kitchen Address:11'3D � equipment 33.39 I `v €1 Clothes dryer exhaust 33.39 City/State/ZIP: I( 01,--14-(9:?-) Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( C�y 9 l b i-�7 Fax:( ) Attic/crawlspace fans 23.32 0 APPLICANT `CONTACT PERSON .;: Other: 23.32 Business name: erriPt)Ar; .' i `- nJ Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: (Cl Furnace,etc. Address: 16� k)t (g Y_`' K 1�(C �� Gas heat pump C � ���YYY Wall/suspended/unit heater City/State/ZIP:\f(le. . v 1 �'-.- Water heater Phone:( ) S`1( 1 Q L 5" Fax: :c3I A0(10- Fireplace Range E-mail r- CONY -Lti_crnci(z• 0 sr(\ Barbecue O RA t"O'tt• _ Clothes dryer(gas) Business name: - Other: � �_ "`� t 1C• MECHANICAL PERMIT Eta*1 �hIv,, T Address: { y � +�' Subtotal (i, 0{4; City/State/ZIP: \id fy,o(1Vp ( /`,� pc- 9C6w g_ Minimum permit fee($90.00) v Plan review(25%of permit fee) Phone:(303) cT I c.4OCI`� Fax: ) ( As( (4 State surcharge(12%of permit fee) CCB lic.: I ! 'I1 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: () oirstr) Date: 1,01(1 'S 1:\Building\Permits\MEC_PeamitApp_040113.doc 440 617T I1/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial& Multi Family Fee Schedule: rtr ' lat' .tr.= $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_0401 13.doc 2 City of Tigard • BUILDING DIVISION Over-The-Counter (OTC) Mechanical Permit Appointment Checklist Permit Record#: inacx i wills- Contact Name: /f rvJ4-//d. Phone#: j 0 - /— a(oCS' Business Name: LOQY to 2 7 ,9y/� Appointment Date: ��b/jam e, gyp;e /57-/y Site Address: 745-0 56/J .d q/2Tit-jQ t q.L Bldg/Suite #: Project Name: , &___,A (l772/G SSO i�-7 L Project Description: //00,.' 7-e/° u A/r T /'-S779-1..z..r¢7.7 per/ Related Record#: GENERAL INFORMATION *Class of Work: A )-} Occupancy Group: 43 Type of Construction: Hi_ 13 *Type of Use: A I Oregon Specialty Code: ao J Lj. Number of Stories: f FUEL FURNACES Type: Furnace< 100K BTU Furnaces>= 100K BTU Gas Pressure: Roof Top Unit(RTU) Tons p,7 " Floor Furnaces Unit Heaters Vents without Appliances Air Conditioning Heat Pump AIR HANDLERS HOODS Units <= 10000 cfm Type 1 Hood Type 2 Hood Units > 10000 cfm Grease Duct 1 Hour Shaft Fire Wrap APPLIANCES Boiler(BTUs) Vent Fans Gas Line Solid Fuel Fireplace/ Clothes D ers Gas Outlets Woodstove Duct Work Gas Fireplace Fire/Smoke Dampers Other Mechanical Units—Describe: Total Project Valuation: $ ` 970 $ a®`7. a] Mechanical Permit Fee $ s. f , 2 o Plan Review $ a 4.. 87 12%State Surcharge $ Info Proc/Arch,Lg(over 11x17$2.00) $ 3 ---'' Info Proc/Arch,Sm(up to 11x17$0.50) $ Hourly Rate Fee $ Hourly Rate State Surcharge $ Misc.Admin Fee $ Other: $ Other: Building Staff Date/Time: $ a 8 6 . 88 TOTAL FEES DUE I:\Building\Forms\OTC MEC 021116.docx