Permit (23) CITY OF TIGARD MECHANICAL PERMIT
a 2 ', COMMUNITY DEVELOPMENT Permit#: MEC2018-00262
Date Issued: 05/03/2018
TEGAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S112AD01000
Jurisdiction: Tigard
Site address: 7007 SW CARDINAL LN 185
Project: Horiba Instruments Subdivision: PACIFIC CORPORATE CENTER Lot: 1
Project Description: TI for new tenant: Interior demolition and office reconfiguration.
Contractor: EXCEL HVAC INC Owner: PACIFIC REALTY ASSOCIATES LP
PO BOX 1188 ATTN: N PIVEN
CANBY, OR 97013 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 971-930-7194 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/03/2018 $263.41
Class of Work: ALT Type of Const: VB Plan Review 05/03/2018 $65.85
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 05/03/2018 $31.61
Stories: 1 Info Process/Archiving-Lg$2.00(over 05/03/2018 $2.00
11x17)
Project Valuation: $7,000.00 Info Process/Archiving-Sm$0.50(up to 05/03/2018 $10.00
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 $372.87
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-O.!. ou may o• aim a opy of the rules
r
or direct questions to OUNC by calling 503.232.1987 or 1. .2344.
Issued By: er� Permittee Signature: _ _ � ,
_ /,,
Call 503.639.4175 by 7:00 a.m.for the next available inspecti• date.
This permit card shall be kept in a conspicuous place on the job site until completion of th- project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
Received
City of Tigard 7 Cctiir � Permit No.: .20 i a,44,4
Date/By: �'
11111 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
° Phone: 503.718.2439 Fax: 503.51 �, V -a Other Permit: ', /• ity
Inspection Line: 503.639.4175 °$ �� - Date/By: - �, /� �
T 1 G A R D Date Ready/By: Juris: r,0 See Page 2 for
Internet: www.tigard-or.gov T No ified/Method /7 2nif `,. Supplemental Information
/ 1i I: 1 CIAL 'EE*-SCHEDULE USE CHECKLIS i
=,` TYPE 0t' 1 `TtGARD _
�,, Mechanical permit fees*are based on the value of the work
❑New construction ' dditiotl lli'aidiiitepliedlilen"t`. performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition (❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value $ 7 a 0°
CA. WOR ' OFCONSTRUCTION 4 L
', ... RESIDENTIAL EQ I NT!SYS I MS FEES*
❑ 1-and 2-family dwelling Commercial/industrial ❑Accessory building For special information use checklist.
0 Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
,4' JOB SITE INFORMATION AND LOCATION Heating/cooling:
,�• Air conditioning 46.75
7
Job site address: 00'7 5 N) moi°' ,D 1AJ/)2_- G.4", Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 7--/-9.471_,D q 72 'y Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.:/�/r Project name: /ht./Rol 'f/S 'D mSIC 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: l Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
Gas fir lace/insert 33.39
-",,i':'• DES " "'OF Nvolu ', u z,t' eP
Flue vent for water heater or gas
icC:H,f<� /064 (f/L-/-/ma=r c.:11--/e-e_ _5' fireplace 23.32
n z-012('
epj'J� Log lighter(gas) 23.32
Z�-�� � � !`( ' �/1 Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
_. . 'TY OWNER .r •.. 1 f ... .-, TENANT ''
Environmental exhaust and ventilation:
Name: .dam+ ��d 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
6:-.6,..
Phone: ) . ,9,c 2:50-5( ) Fax:( ) Attic/crawlspace fans 23.32
23.32API TOA�1 �,,.. CIPERSON O :
FuelPip I ing
Business name:
$14.15 for first four;$4.03 for each additional
Contact name: F6 Furnace,etc.
Al' / / Gas heat pump
Address: _)
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace
Range
E-mail: Barbecue
1CONTRACT?lt r, u .x ., Clothes dryer(gas)
Business name: �' Gni Other:
�C.E=G � i�4..„..„ �%N CHAA PERMIT FEES* ,,
Address: j / //? s Subtotal
/State/ZIP: Minimum permit fee($90.00)
Ci
ty ��/,.Sy/ l ' - -'O/
Phone: Plan review(25%of permit fee)
(��(L.q ��7 i Q 1J Fax:( ) State surcharge(12%of permit fee)
CCB lie.: / y 3 y S'' TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
? days after it has been accepted as complete.
Authorized signator ) * Fee methodology set by Tri-County Building Industry Service Board
Print name: 3 ,- , ✓r�I Date: / g�
I.\Buildin\Permits\MEC PermitA -040113.doc 40-4 7T1/02/COM/WEB
8 _ PP_ (1 )
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Totl Valuation: 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
$107 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