Permit (99) CITY OF TIGARD MECHANICAL PERMIT
III
I COMMUNITY DEVELOPMENT Permit#: MEC2018-00374
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/21/2018
T r i.;t It.C: g Parcel: 2S113AB00600
Jurisdiction: Tigard
Site address: 16160 SW UPPER BOONES FERRY RD
Project: Phytelligence Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 30
Project Description: Adding duct work on(2)RTU's for TI.
Contractor: EXCEL HVAC INC Owner: PACIFIC REALTY ASSOCIATES LP
PO BOX 1188 ATTN: N PIVEN
CANBY, OR 97013 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 971-930-7194 PHONE:
FAX:
, FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/21/2018 $207.21
Class of Work: ALT Type of Const: Plan Review 05/21/2018 $51.80
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 05/21/2018 $24.87
Stories: Info Process/Archiving-Lg$2.00(over 05/21/2018 $2.00
11x17)
Project Valuation: $5,000.00
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 $285.88
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to •flow the rul adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-01•0 You ma •stain : co• of the rules
or direct questions to OUNC by calling 50 .232.1•:7 or 1.800.332.2344.
Issued By: • / / Permittee Signature: "11' a
. d4
Call 503.639.4175 by 7:00 a.m.for the next available inspection .ate.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applica IVED FOR OFFICE USE ONLY
City of Tigard Received ��' permit No. , / J
13125 SW Hall Blvd.,Tigard,OR 97223 MAY 2018 Date/By: / L/ ` ,
Plan Review
Cry y Other Permit: T ���
Phone: 503.718.2439 Fax: 503.598.1 L
., Date/By:
I G A R D Inspection Line: 503.639.4175 ,C�At� Date Ready/By: loris: 0 See Page 2 for
Internet: www.tigard-or.gov BIJILOING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK COMMER AL FEE SCHEDULE`= USE CHECKLIST
"?'. '" " ' Mechanical permit fees*are based on the value of the work
O New construction 1K1 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ A/O CO
CATEGORY OF CONSTRUCTII?l µ ItESID)N'TIALEQUIPMENT/SYSTEMS FEES*
0 1-and 2-family dwelling Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
.. Air conditioning 46.75
Job site address:
f G l6,0 5 W (✓PPi BOL?dlvG
Fat,/ F�1 Furnace 100,000 BTU(ducts/vents) 46.75
7-2 .,,,,,,z1
1 � �
City/State/ZIP: c27` �./� < Furnace 100,000+BTU(ducts/vents) 54.91
' Heat pump 61.06
Suite/bldg./apt.no.: Project name:hey 7Z-Z.f 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: Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32 L� ,,
.,-
1 't . DESCRIPTION OF ' Gas fireplace/insert 33.39
41P,.?-,,, `° ',bx `" �" Flue vent for water heater or gas
l n i74 11 1/rl3ff2"/ Dac r c6-Ai J rs fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39 V
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
- Other: 23.32
PROPERTY-OWNER '-$?1❑ TENANT"
v "-" 1,-, '.. , Environmental exhaust and ventilation:
Name: 1R d S 1 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
Phone:( ) Fax ( ) Attic/crawlspace fans 23.32
0.APPLIC $ 11I 0 CONTAC RRSON Other: 23.32 N
ki
kl
Business name: Fuel piping:
$14.15 for first four;$4.03 for each additional S
Contact name: 5dis vtv Furnace,etc.
Address: Gas heat pump
WalUsuspended/unit heater ,�
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace
Range
E-mail: .-3 �- de,c9,- 6-6,1/ 4C , N Barbecue
# `-.$4$
•.' ' I Clothes dryer(gas)
Business name:, C, Other:
`'-�" %Z. / Cy/ MECHANICAL FERMI S*''''Y,
Address: /p v. 73cz4 / Subtotal
City/State/ZIP: ' L Aj k/ �7�15 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(y v ) 9, d y 71 cl !' Fax:( ) State surcharge(12%of permit fee)
CCB lic.: a/ r Y TOTAL PERMIT FEE a jc--:g-P
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:� .L- � v)177- Date: 7gj je
iI:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T 1/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi-Family Fee Schedule:
TAY "Valuation: Pit 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:
16160 SW UPPER BOONES FERRY RD,
TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Mechanical MEC2018-00374
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor