Permit (116) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENTIN
Permit#: MEC2018-00579
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/15/2018
TIGARD Parcel: 2S101AB03100
Jurisdiction: Tigard
Site address: 12115 SW 70TH AVE 101
Project: Oregon Reproductive Medicine Subdivision: 2012-009 PARTITION PLAT Lot: 3
Project Description: Mechanical for TI: New VVT zone and motorized dampers,duct work,supply diffusers,and return grilles.
Contractor: AMERICAN HEATING INC Owner: TIGARD TRIANGLE PARTNERS LLC
5035 SE 24TH AVE 12115 SW 70TH AVE, SUITE 200
PORTLAND, OR 97202-4765 TIGARD, OR 97223
PHONE: 503-239-4600 PHONE:
FAX: 503-239-7038
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 08/15/2018 $1,058.91
Class of Work: ALT Type of Const: VB Plan Review 08/15/2018 $264.73
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 08/15/2018 $127.07
Stories: Info Process/Archiving-Lg$2.00(over 08/15/2018 $6.00
11x17)
Project Valuation: $38,000.00 Info Process/Archiving-Sm$0.50(up to 08/15/2018 $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 $1,466.71
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 100
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ` �� Permittee Signature: /ti c-1NA-oi... S G^
.._
A
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE [ SE ONLI
Received
City of Tigard / Permit No.: ! 2vr8...,0057„
illq - v Date/By: / � Zb �
13125 SW Hall Blvd.,Tigard,OR 97 � Plan Review
Phone: 503.718.2439 Fax: 503.598' 'I d p,r, ,:. '" Date/By: .. 1 g J Other Permit:
JQ4,tl1/ )
/43
if
TIGARD Inspection Line: 503.639.4175Date Ready/By: Juris: ISee Page 2 for
Internet: www.tigard-or.gov JULn J 01u �Notified/Method: , ir, / Supplemental Information
.;z, krtx� �� i t4 ‘.-.<�� y , 1 ,@4ty �. �,�," ., ,x�;o�a',t� .. .11 /�
❑New construction J ° ' Mechanical permit fees*are based on the value of the work
®Addition/a1t$P=atiori d)71'atertent " performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value: $$$38,000.00
t -t;4 EEGORY OF C ksilti s ',O --'.; -,,-%,-' ;''''',. -
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist
o Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. ] Total
s
i , Heating/cooling:
1TF(?IIII17I11�1 1 a AflJ1 ��
r Air conditioning 46.75
Job site address:12115 SW 70th Street Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.) /0/ Project name:Oregon Reproductive Med 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
',wifef, DESCRIPTION OF WORK /4 p t
Gas fire lace/insert 33.39
"" "' Flue vent for water heater or gas
WT zone dampers fireplace 23.32
new ductowrk,supply diffusers and return grilles Log lighter(gas) 23.32
Wood/pellet stove 33.39
motorized dampers Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
x , > Other: 23.32
�`,OFERTY OWNER [ _TIANT
Environmental 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
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
18t /' twrfiOther: 23.32
Business name:American Heating Inc. Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Brad Manchester Furnace,etc.
Address:5035 SE 24th Ave Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Portland,OR,97202 Water heater
Phone:(503)239-4600 Fax::(503)239-7038 Fireplace
Range
E-mail:brad@americanheating.net Barbecue
'''"J/ , ;; ®piOTR Clothes dryer as
, . •
Other:
Business name:American Heating Inc. MEC ACAI .' ibt F
_ ; . , x
Address:5035 SE 24th Ave
Subtotal
City/State/ZIP:Portland,OR.,97202 Minimum permit fee($90.00)
Phone:(503)239-4600 Fax:(503)239-7038 Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lit.:33135 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
� � daysg after it has beenuaccepted as complete.
Authorized signature: Fee methodology set by Tri-County Building Industry Service Board
Print name:Brad Manchester Date:7-23-18
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(1 I/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12115 SW 70TH AVE 101 , TIGARD, OR, 97223 October 23, 2018 at
12:29:18 PM
Record Type: Record ID:
Commercial - Mechanical MEC2018-00579
Inspection Type: Inspector:
699 Mechanical final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor