Permit (40) CITY OF TIGARD MECHANICAL PERMIT
`" :' COMMUNITY DEVELOPMENT Permit#: MEC2018-00267
T GAgD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/03/2018
Parcel: 2S101AB03100
Jurisdiction:
Site address: 12115 SW 70TH AVE 102
Project: TVF&R-Occupational Health Subdivision: 2012-009 PARTITION PLAT Lot: 3
Project Description: Mechanical for TI:New grills,heat pump,exhaust fans,and duct work.
Contractor: ARJAE SHEET METAL CO, INC. Owner: TIGARD TRIANGLE PARTNERS LLC
8545 SE MCLOUGHLIN BLVD. 18187 SIERA DR
PORTLAND, OR 97222 LAKE OSWEGO, OR 97034
PHONE: 503-231-7717 PHONE:
FAX: 503-230-4888
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/03/2018 $1,236.71
Class of Work: ALT Type of Const: VB Plan Review 05/03/2018 $309.18
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 05/03/2018 $148.41
Stories: 1 Info Process/Archiving-Lg$2.00(over 05/03/2018 $2.00
11x17)
Project Valuation: $45,000.00 Info Process/Archiving-Sm$0.50(up to 05/03/2018
$12.50
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 $1,708.80
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: 110 CFM
Duct Work: 1 Exhaust fan
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 foe• '- e A- -001-0010 through OAR 952-001-0090. You •.y obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 0 1.800.332.2344.
Issued By �'� p _ ermittee Signature: `�
Call 513.639.4175 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 OFFICE USE ONLY
City of Tigard ReceivedgrAy
13125 SW Hall Blvd.,Tigard,OR 9 Date/By: i Permit No.:
g i�y dam/
IN
Phone: 503.718.2439 Fax: 503.59 Plan Review
Inspection Line: 503.639.4175 `' i-S z "-` Date/Bey ,a ') • 11 Other Permit. lL ' i � q.�
I IGAF;U i"(�ti�t�
Internet: www.tigard-or.gov Date Ready/By: ® See Page 2 for
APR18 2018 Notified/Method: Supplemental Information
Pi d�
�.�. 7^1. r Vit'•Q :‘:;;•1.';:-..:.:-*'*'":;:;'''';'7 ,t ets yet :' 'e. 2,
; t °'',`t;.i ' . �.- Mechanical permit fees*are based on the value of the work
o New construction illlAddition/ '*lii/tetslaccinent
performed.Indicate the value(rounded to the nearest dollar)of all
o Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
`' Kk t� A ' ,�ice' i ,,, y i # ''; Value $
❑ 1-and 2-family dwelling Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder
0 Other: Descriptiont
Qty. I Ea. I Total
`„ ,='til } ' i `"tei i `v. 1 ,‘41'' ri1�x44,.••,...,•.•,,,,,,. ** tit Heating/cooling:
v.
Job site address: j�(f
�0. Air conditioning 46.75
j Furnace 100,000 BTU(ducts/vel ts) 46.75
n
City/State/ZIP: l' Furnace 100,000+BTU(ducts/v�nts) 54.91
Suite/bldg./apt.no.: rJ \ I Project name: '--i-V Heat pump 61.06
�1 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: I Lot no.: Other: 23.32
Tax map/parcel no.:
Other fuel appliances:
Water heater 23.32
4, ' , ' ." . As Gas fireplace/insert 33.39
t Flue vent for water heater or gas
A.
t ii 9 'i y " I fireplace 23.32
O,4' �r ` Log lighter(gas) 23.32
." I l Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
0, R ITIO �. Other:
- ff, '''ff ;4T'1.-'7.4,-74 45"41,44 ;: r t �t . p r z 1 23.32
Name: Environmental exhaust and ventilation:
i ✓I t C- Range hood/other kitchen
Address: equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
Phone:( toilet compartments,utility rooms) 23.32
Fax ( ) Attic/crawlspace fans 23.32
co A ' PROM y ,„.}., . Other: 23.32
Business name: k Fuel piping:
Cd��
eel 14t
Contact name: f $14.15tc. for first four;$4.03 for each additional
�f��
Furnace,e
Address: �5 l S c �U/th(Cvt cJ`�tVvdGas heat pump
City/State/ZIP: d`j/�, �i �"( j Wall/suspended/unit heater
ti( (1 �1 0(14/t'✓( p f''7277 Water heater
Phone:(,cti)•- 23f_ ( I Fax::( ) Fireplace
E-mail: .. -da,V 1'c s() QJ� a_e.-. C 0 Wt Range
Barbecue
'CONTRA R f ` Clothes dryer(gas)
Business name: Other:
Address: 1fE'CHAlYICAL PERMIT FEES* x..
Subtotal
City/State/ZIP: Minimum permit fee($90'.00)
Plan review(25%of permit fee)
Phone:( ) I Fax:( )
CCB]ic.: �g�� State surcharge(12%of permit fee)
TOTAL PERMIT FEE
/ .,,,;:„. .„.___,„,...„............................_________ This permit application expires if a permit is not obtained within 180
Authorized signature: 7] '
days after it has been accepted as complete.
* Fee methodology set by Tri-Comity Building Industry Service Board
�
Print name: ��$$
e,U 1 1" „� aK j Date: 09‘7/7/3 i
i:\Buildiog\Permits\MEC_PermitApp 040113.doe 440-4617T(11/02/COOM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi-Famil Fee Schedule:
a "r M 1 _. 5 . ,.
$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.
1:\Building\Permits\MEC_PermitApp_040113.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12115 SW 70TH AVE 102, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Mechanical MEC2018-00267
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor