Permit (31) CITY OF TIGARD MECHANICAL PERMIT
II.. ., Permit#: MEC2017-00159
COMMUNITY DEVELOPMENT
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/14/2017
�[ R. Parcel: 2S102CC09100
Jurisdiction: Tigard
Site address: 13553 SW PACIFIC HWY
Project: DDHK,LLC Marijuana Facility Subdivision: 2008-058 PARTITION PLAT Lot: 2
Project Description: Installation of RTU,ducting,bath fans,gas piping&mini split system.
Contractor: LIQUID TIGHT PLUMBING Owner: DDHK VENTURES LLC
PO BOX 642 12604 SW 60TH CT
BORING, OR 97009 PORTLAND, OR 97219
PHONE: 503-807-6850 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/14/2017 $601.71
Class of Work: NEW Type of Const: VB Plan Review 03/14/2017 $150.43
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 03/14/2017 $72.21
Stories: 1 Info Process/Archiving-Lg$2.00(over 03/14/2017 $2.00
11x17)
Project Valuation: $20,000.00 Info Process/Archiving-Sm$0.50(up to 03/14/2017 $12.50
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:
Appliances
Vent Fans: 2 Vent Systems: Total $838.85
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232. ': or 1.::! 332.2344.
Issued By: Permittee Signature;
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
'' '7 p
Mechanical Permit Applicationi%, f-?': ' ''''../ ' FOR OFFICE LSE ONEN ,
City of Tigard Received
Permit No.: ty f..."_01617,06 t 5-47
A , ' 0 ,.,
,, I/ 13125 SW Hall Blvd.,Tigard,OR 97223k1A 0 „)61/
lig Date/By: d / /1 0 'I
DpiaatnRBeyv!
e/ -00,1. 0.3.7 0,2 ft,7
: 3 Phone: 503.718.2439 Fax: 503.598.1960 Other Permit:
Inspection Line: 503.639.4175 1 , ''',,, ,:--,') ; '' , ' ,,o,
TIGARD , , i ; , ' ' Date Ready : : ... 9 ......., Juris: &I See Page 2 for
Internet: www.tigard-or.gov Notified/Method: :4 /7 :ift, Supplemental Information
.;.-'` 7 ,". ' .'..- -. - •,, - .7
r - ..
TYPE OF WORK ' COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
jrNew construction D Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
k
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
— Value:$ Z 0, a a 0
CATEGORY OE CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
El 1-and 2-family dwelling-;- .-Commercial/industrial 0 Accessory building For special information use checklist
I=1 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: i 355- 3 5, w, Cc.,_, c- b4...,...y
1-11, Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 7:74 4, a// CVZ Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: '' 1 Project name: --D—D 1+ji,
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
Other: 23.32
Subdivision: Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
<IDESCRIPTION OF Weiife4/ Gas fireplace/insert 33.39
Flue vent for water heater or gas
.---A-t41/ ieerrc* c',-i co,-Cie , l'-e-4-_751 . fireplace 23.32
Log lighter(gas) 23.32
5 .t/ /*z_ , „j, 5,/, )4 57 SAtill
/ Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
23.32
C] PROPERTY OWNER',,'%-, f.,:.,.., 0 *ANT, .,,...,:-,,,,,, ' EOthnvierr:onmental exhaust and ventilation:
Name: 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
--- ilium.( ---) — Fax:( j- - ---T Attic/crawlspace fans 23.32
Ap1tucksi4:,-c.' -,%, ' 0 CONTACT PERSON''' Other: 23.32
Fuel piping:
Business name:/ , , ' ) rt Qs
(5 kr tsI I-5
$14.15 for first four;$4.03 for each additional
Contact name:gs.), gcv,,rei / Furnace,etc.
Gas heat pump
Address: ? 0, 13Gr-X Liz_
Wall/suspended/unit heater
City/State/ZIP: lh,Vvie5 , Cljq ' 7tri)5' Water heater
Phone:co)") c-f 2,S----(:16/I Fax::( ) Fireplace
Range
E-mail:
Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name: s., ' / d--- ' 1 -1.-- eitA.,..0,,,,,
MECHANICAL PERMIT FEES*
Address: 3 ,..f ,.>\ 4 v L Subtotal
Minimum permit fee($90.00)
City/State/ZIP:i?ovi•os/
da (3 7ov 5,
Plan review(25%of permit fee)
Phone:(54,J1 )47 j S'---9()Li Fax:( )
State surcharge(12%of permit fee)
CCB lic.:/6 6 c 5) TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
c-------
Authorized signature:
Print name:
1\Building\Permits\MEC_PennitApp_040113 doc ....../5--,-/
440-4617T(11/02/COM/WEB) days after it has been accepted as complete.
Date:2
* Fee methodology set by Tri-County Building Industry Service Board
1
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi-Family Fee Schedule:
Total 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
$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:
13553 SW PACIFIC HWY, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Mechanical MEC2017-00159
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor