Permit (8) CITY OF TIGARD MECHANICAL PERMIT
I: COMMUNITY DEVELOPMENT Permit#: MEC2018-00389
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/04/2018
Tl '�'"1`1 9 Parcel: 1S135DD01000
Jurisdiction: Tigard
Site address: 11760 SW HALL BLVD
Project: Wells Fargo Bank Subdivision: None Lot: None
Project Description: Install new roof top gas packs and a 2-ton ductless split system with the outdoor unit ground mounted,and install
restroom exhaust fans.
Contractor: HUNTER DAVISSON INC Owner: WELLS FARGO BANK NA
1800 SE PERSHING ST BY DELOITTE TAX LLP
PORTLAND, OR 97202 PO BOX 2609
CARLSBAD, CA 92018
PHONE: 503-542-3628 PHONE:
FAX: 503-542-3654
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/04/2018 $3,338.71
Class of Work: ALT Type of Const: VB Plan Review 06/04/2018 $834.68
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 06/04/2018 $400.65
Stories: Info Process/Archiving-Lg$2.00(over 06/04/2018 $6.00
11x17)
Project Valuation: $125,000.00 Info Process/Archiving-Sm$0.50(up to 06/04/2018 $17.50
11x17)
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: 1
Appliances
Vent Fans: Vent Systems: Total $4,597.54
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: exhaust fan
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to • NC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ,,4z,/ Permittee Signature: 2-
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
CEIVE 1...,
Mechanical Permit A licati
pptlE FOR OFFICE USE ONLY
City of Tigard 9 Receivedty:-J lin Permit Nwre, /1//O r`7
4 13125 SW Hall Blvd.,Tigard,OR 97223 MAY 2 201,1 Plan Review sties v✓
_ Plan
Phone: 503.718.2439 Fax: 503.598.196 TIGARD
p� ,N
CITY A IG.ARD DateBy 3 - Other Perm�/`a �t ..29e)„vie
TIGARD Inspection Line: 503.639.4175 CITY 1 OF *! Date Ready/By: Juris: (f
Internet: www.tigard-or.gov
® See Page 2 for
BUILDING DIVISI lSI I ottfied/Method/' Supplemental
lYl C/ At% Information
f n_a , - °1�_jra�
Mechanical permit fees*are based on the value of the work
❑New construction X Ad.ition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Oth-r: mechanical materials,equipment,labor,overhead,and profit.
a f, :: r x Value:$ C7 p p p 0
❑ 1-and 2-family dwelling NE Commercial/industrial 0 Accessory building For special information use checklist.
0 Multi-family Master builder 0 Other: Description I Qty. I Ea. I Total
. imm `' t. t 1 , du Heatin. coolin :
Job site address: ��p 1-(A! Air conditionin. 46.75
0 L`V Furnace 100,000 BTU(ducts/vents)Duct work .46.75
/
City/State/ZIP: ,9 or f O E 9 o^� ? Furnace 100,000+BTU ducts/vents ■ 54.91IMES
Suite/bldg./apt.no.: J I Project name:to e,`& F�+�tD Alp/\- 2
23.322
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 no.: Water heater 23.32
� 1, + ''= ° � . .di. ---i'''' Gas fire t lace/insert 33.39
���+ L Flue vent for water heater or gas
=1JS*"Gi(� /Uetnl ( o 4 iiyo gots- f ct( /\.f 44 c/ fires lace 23.32
Q /v 4,-/-�es- 's c/ `' f-/_s1& Ai/ -/-/-e-
.e Lo...
li_hter _as 23.32
Ok�y�UUi'" AA') s-orWel � 1 Gl Wood/�elletstove 33.39
MD �_. // ,S QS molt" Wood fireplace/insert ■ 23.32 -
Vtnf �N,f Chimne /liner/flue/vent 23.32
Other:
t fu ' p _ p423.32
-').-=--A1—.-t. ': T Environmental exhaust and ventilation:
Name:
We�(s Fir'• 0 AI,/� Range hood/other kitchen
Address: /3'o o ,41/Q S-�J1]C , SS° ' e•lot•
esmd 33.39
S Clothes dryer exhaust 33.39
City/State/ZIP: Pis rtt.cnle/ Ug /a 0/ Single-duct exhaust(bathrooms,
Phone: toilet compartments,utility rooms) 23.32
(Sod)So a- 1 a.o y Fax ( ) Attic/crawlspace fans 23.32
[71ai.. ° 3 i! Y P 3i' ! IOther: 23.32
Business name: [L�/ Fuel
84N-ter . /2,16ss aij ..:Tic,
piping:
Contact name. �/ / " / $14.15 for first four;$4.03 for each additional
f*0., Q,` / Ai�r qh- ' Furnace,etc.
Address: /So zj Sr Ar.r :'n► `rl l�� Gas heat sum,
Water heater /unit heater ■.-
City/State/ZIP:4,46,„,/ d q��0� Water heater
Phone:(503) ¶S6 6—?$ Fax::( ) Fireplace ■.-
r , Ran_e
- ;d1'®N GoM
,M �N el' 1/i Barbecue
, :
11 a = , 5_ _ Clothes d er as
Business name: S"tM2 4,s- Ago,/rj Other:
V ilii—
Address: r r �='l lii�l a'� , a
':
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.: /C6,2. TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
afteree
Authorized signature: * Fee methodolodaysgy set byit
Trhasi-Countybn Buildingacceptedas Industrycomplete.rvice Board
Se
Print name: 4-- --1- pis/ w(•1 q� Date:S _,/4-/— /e7I:\Building\Permits\MEC_PermitApp_040113.doc c/ 440-4617T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Plti 61.
$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