Permit (13) CITY OF TIGARD MECHANICAL PERMIT
II'1COMMUNITY DEVELOPMENT Permit#: MEC2018-00308
and OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 05/14/2018
Trr;;tur� 9
Parcel: 2S 101 DA00104
Jurisdiction: Tigard
Site address: 13333 SW 68TH PKWY, STE#220
Project: Total Quality Logistics Subdivision: VARNS ACRES Lot: 9
Project Description: Installing a ductless heat pump and modifying ducting.
Contractor: ADVANCED HEATING&AIR CONDITIONING INC Owner: TRIANGLE POINTE TWO LLC
5825 SE FOSTER RD 901 NE GLISAN ST, STE 100
PORTLAND, OR 97206 PORTLAND, OR 97232
PHONE: 503-774-0161 PHONE:
FAX: 503-774-4391
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/14/2018 $550.91
Class of Work: ALT Type of Const: Plan Review 05/14/2018 $137.73
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 05/14/2018 $66.11
Stories: Info Process/Archiving-Lg$2.00(over 05/14/2018 $4.00
11x17)
Project Valuation: $18,000.00 Info Process/Archiving-Sm$0.50(up to 05/14/2018 $2.50
11x17)
Fuel Air Handlers
Fuel Types: Electricity 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 $761.25
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
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 of.w the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0040. You m.y obtain a copy of the rules
or direct questions to •.1 by calling 50..232.1987 or 1.800.332.2344.
/ ✓ f�,
Issued By: 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 Applic "Ei a E FOR OFFICE LSE ONL\'
`1 g APR 3 0 2018 Received
1,4 Ci of Ti and �� �U/� Permit No„� ,t,„
Date/By:
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
_ Phone: 503.718.2439 Fax: 503.5 p�OF IG tf Hg^� Other Permit:),�!' 1/�� �,,.��v�
�'t'Y �It�llflLd Date/By: .. ), Aapiee#10(D VW�4i
T I G A R D Inspection Line: 503.639.4175 BUILDING DIVISION Date Ready/By: I Juris: ® See Page 2 for
Internet: www.tigard-or.gov tified/Met / ,0 / ills, Supplemental Information
TYPE Of' WORK COM 1'CIAL FE * SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
0 New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$$18,000.00
CATEGORY OF CpikSTRUCrION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
IP 1-and 2-family dwelling commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB"SITE IMIFORM TION AND LOCATION” Heating/cooling:
�, Air conditioning 46.75
Job site address: 13333 SW 68th Pkwy Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:97223 Furnace 100,000+BTU(ducts/vents) 54.91
( Heat pump 1 61.06
Suite/bldg./apt.no.: Project name: ® ( ��li l wq iz i. Heat
Duct work 1 23.32
Cross street/directions to job site: 1 x! 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
Other: 23.32
Subdivision: Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION, ,„
OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
fireplace 23.32
Installing a ductless heat pump Modify ducting Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
0 PROPERTY OWNER 0 TENANT Other: 23.32
' Environmental exhaust and ventilation:
Name: Range hood/other kitchen
Address: equipment 33.39
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
?PLICANT ONTACT PERSON Other: 23.32
Fuel piping:
Business name:
$14.15 for first four;$4.03 for each additional
Contact name: IRt 04 Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:(663 ) 7 Q 3—2.‘7 e) Fax: :( ) Fireplace
Range
E-mail: Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Advanced Heating&Air Conditioning,Inc Other:
MECHANICAL PERMIT FEES*
Address:5825 SE Foster Rd Subtotal
City/State/ZIP:Portland,Oregon 97206 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)774-0161 Fax:(503)774-4391 State surcharge(12%of permit fee)
CCB lic.:98573 41/�srl�a TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
c ,� days after it has been accepted as complete.
Authorized signature: 7 ./ * Fee methodology set by Tri-County Building Industry Service Board
Print name:Kristal Reed Date:4/26/2018
t:\Building\Permits\MEC_PermitApp 040113.doe 440-4617T(11/02/COM/WEB)
a
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13333 SW 68TH PKWY STE 220, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Mechanical MEC2018-00308
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor