Permit Support Document CITY OF TIGARD MECHANICAL PERMIT
•' COMMUNITY DEVELOPMEN / / Permit#: MEC2018-00489
13125 SW Hall Blvd.,Tigard OR 97223 503.718 Date Issued: 07/19/2018
T"f c;;�R ng Parcel: 1 S 135BD00100
Jurisdiction: Tigard
Site address: 9600 SW OAK ST, STE#200
Project: Atrium West Cascade Management Subdivision: ASHBROOK FARM Lot: 5
Project Description: Installing 300 CFM exhaust fan for server and duct work for TI. 8/24/18:REPRINT to correct project name and
suite number.
Contractor: HUNTER DAVISSON INC Owner: PLAZA WEST OWNER LLC
1800 SE PERSHING ST BY CHIEF FINANCIAL OFFICER
PORTLAND, OR 97202 680 FIFTH AVE 20TH FL
NEW YORK, NY 10019
PHONE: 503-542-3628 PHONE:
FAX: 503-542-3654
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/19/2018 $728.71
Class of Work: ALT Type of Const: VB Plan Review 07/19/2018 $182.18
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 07/19/2018 $87.45
Stories: 2 Info Process/Archiving-Lg$2.00(over 07/19/2018 $8.00
Project Valuation: $25,000.00
11x17)
$25,000.00
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 $1,006.34
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: I Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit ApplicatI'tn FOR OFFICE 1 SE ONL\
Received
City of Tigard &7 /ir I Permit r
lig13125 SW Hall Blvd.,Tigard,OR 97223 SI O. �' j'j Date By: etai.^'00
/J/tt Plan Review 1 Other Permitai"'(r //2
Phone: 503.718.2439 Fax: 503.598 1960 1 Z Date/By: ,�' ��i ijibb
T I G A RD Inspection Line: 503.639.4175 Date Ready/By: Juris: El See Page 2 for
Internet: www.tigard-or.gov Notified/Method:; ////4 Supplemental Information
_...., :. ''1',i
Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
mechanical materials,equipment,labor,overhead,and profit.
0 Demolition Other:
.� y^� �^t Value:$ 3.5" O o d O v
o 1-and 2-family dwellingCommercial/industrial ElAccessory building For special information use checklist.
ElMulti-family ` Master builder 0 Other: Description ( Qty. I Ea. I Total
d0 _ a 1. a`_`Ti .$ ND L°. 17� Heatin -
Air conditioning 46.75
Job site address: 47.6'0 p .� d 4 k J7 Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:��a... d� /" / 2€ . Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: ,;./ Q 0 Project name: /� 1 Heat pump 61.06
// itiM WeJ'/ `/ C4�� Duct work 23.32
Cross street/directions to job site: iM ar✓a qp,t��} 71. a21 'F/o v r Hydronic hot water system 23.32
cJ Residential boiler(radiator or
....._76;Lvt..wrrztc", ,
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: 1 Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
'1..."1„'„'„;1„ .'„'„-
�` �` , Gas fireplace/insert 33.39
l itIP 10Isi O � _ 4 p P
�L Flue vent for water heater or gas
#4G-//NGr� C.e.tdrio,v( To accoM/I,,�c/t e. A2`. fireplace 23.32
... L.1-hit.1/ 30 a C lM e)( 4 i xft C l O r -St rl/,Q,r Log lighter(gas) 23.32
Wood/pellet stove 33.39
ro om • Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
ill:$�1 i O '' .. ql ,,"11111111r: -;11,0;',1, ,:110'10.1.2,7_,y" Other: 23.32
�iI Environmental exhaust and ventilation:
Name: (/Pep)Co/WO QS C,Q I Co N ra G ors L Range hood/other kitchen
1 equipment 33.39
Address:Ss 3 s /sf Ct rc,CQ, Clothes dryer exhaust 33.39
City/State/ZIP: i c/ t Q/q/ t'/. chic-e-62 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(log)7/ _-02S`2-C Fax:( ) Attic/crawlspace fans 23.32
4,' 4 ��APPLICA �r, 1.00.'4,11,!;:';' 4111'EA P ()lam Other. 23.32 I
Fuel piping:
Business name: /�
//VI,1et_PR Visf b J/ C $14.15 for first four;$4.03 for each additional
Contact name: 4-01/4±4.17/uwr,r l,- Furnace,etc.
/lop 3,E �
/ rs Gas heat pump
Address:
Pr�L�d O ,://of 1 (1h�.2 Wathended/unitheater
City/State/ZIP: / V / Watererheater
Phone:(.5'03) cig-0 0" / Fax: :( ) Fireplace
/ / Range
E-mail:
�Ul(`i, x_f e h4.&72r 0.V/S.UN , (,O, Barbecue
CIL I'OI - Clothes dryer(gas)
Other Business name: .5-ewe �f � v�
)t; g
f. � � I4NCAIP � � �
1j
Address: Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee)
CCB lie.: /K/o, TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized Signature: / days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry Service Board
Print name: /l moi./•e.,)„A)
N W(tet(/q Date: ‘:-/,,j= /1""\M
1:\Building\PermitsEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Famil Fee Schedule:
IF-, Valuatioir tivriWnd
$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