Permit (38)MOW
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2018-00427
Date Issued: 06/07/2018
T P D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 25113AC00101
Jurisdiction: Tigard
Site address: 16655 SW 72ND AVE 400
Project: Applied Colors Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 37
Project Description: Add(2)return air grilles and relocate(2)supply grilles for tenant improvement.
Contractor: EXCEL HVAC INC Owner: PACIFIC REALTY ASSOCIATES LP
PO BOX 1188 ATTN: N PIVEN
CANBY, OR 97013 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 971-930-7194 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/07/2018 $84.41
Class of Work: ALT Type of Const: Plan Review 06/07/2018 $21.10
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 06/07/2018 $10.13
Stories: Info Process/Archiving-Sm$0.50(up to 06/07/2018 $0.50
11x17)
Project Valuation: $1,000.00
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:
Appliances
Vent Fans: Vent Systems: Total $116.14
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adapted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090 You may •stain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. /
Issued By: /i� \ � y-� Permittee Signature:
Nor -v
Call 503.639.4175 by 7:00 a.m.for the next available inspection ;ate. dr
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
III City of Tigard H ' ,f 6,«.F.t E Received
Date/By: ,= itNE/° �o .�/ v2
13125 SW Hall Blvd.,Tigard,OR 97223 d lV/vz. i
= Phone: 503.718.2439 Fax: 503.598.1960ff Date/By:Plan 1eW Other Per,.
Inspection Line: 503.639.4175 J�) � �� ® ��
T I G A R D p Date Ready/By: Juris: 0 See Page 2 for
Internet: www.tigard-or.gov
CITE' Notified Method: Supplemental Information
F �I ARD
.., �.. 81UILDING DIVISION
TYPE OF WORK ':COMMERCIAL FLE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 1 e 5?J '
x $ CATEGORY OF CONSTRUC'T`ION , > RFSIIENT—IAt f)IPMENT/SYSTEMS:FEES*
❑ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
=
;� ��') .fiOB SITE INFORMATION AND LOeA�'ION Heating/cooling:
' - Air conditioning 46.75
Job site address: / 6 6,--,,s--5 i,✓ 7,2 h'i) At6 r Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 77 c405-g'- c�7 ka 4 Furnace 100,000+BTU(ducts/vents) 61.0641
/ Heat
Suite/bldg./apt.no.: LOC) Project name: p p
/ ��t� �l C�- 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.: Oth23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DE
46
' CN,sGas fireplace/insert 33.39
° ' �' * ' '",'h, Flue vent for water heater or gas
`l))J C2.i ) �^,7-C/p,,{l Ane? %t./L(. -1 fireplace 23.32
0'04/40CTC,4T (.. -D5r1PPey i°1GLL'`�
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
, .., Other: 23.32
1<< PROPERTY- !s.,..,,,,,:„...4 ❑ TENANT
�� � °., . Environmental exhaust and ventilation:
Name: j-"C4 j / Range hood/other kitchen
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
, A1 'LT � ❑ CONAT PEPfOI11 Other: 23.32
tv , n,i . ,.
v:n ,
Business name: Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax: :( ) Fireplace
Range
E-mail: Barbecue
ti a CTOR` Clothes dryer(gas)
Other:
Business name: /" �� / MECHANICAL*R IIT*EE V
Address: 06,, /J Q'e Subtotal
City/State/ZIP: ,eV", �7 o Minimum permit fee($90.00)
i Plan review(25%of permit fee)
Phone:(6p 7t) 5? 6 .-7/9, q Fax:( ) State surcharge(12%of permit fee)
CCB lic.: ./ 45'-' 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: 3e —yam J Date: --7
I:\Building\Permits\MEC_PermitApp_0401"13.doc 44�19T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi-Family Fee Schedule:
Total Iuation• 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:
16655 SW 72ND AVE 400, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Mechanical MEC2018-00427
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor