Permit CITY OF TIGARD MECHANICAL PERMIT
II.' COMMUNITY DEVELOPMENT Permit#: MEC2018-00641
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/16/2018
T[C ; R'L g Parcel: 2S101AA09800
Jurisdiction: Tigard
Site address: 12570 SW 69TH AVE
Project: George Fox Subdivision: 1996-024 PARTITION PLAT Lot: 2
Project Description: 4-ton RTU replacement.
Contractor: WILLAMETTE HVAC LLC Owner: PLAZA PROPERTIES LLC
3075 SW 234TH AVE.#206 3835 SW KELLY AVE
HILLSBORO, OR 97123 PORTLAND, OR 97239
PHONE: 503-259-3200 PHONE:
FAX: 503-848-2597
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 08/16/2018 $350.25
Class of Work: ALT Type of Const: VB Plan Review 08/16/2018 $87.56
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 08/16/2018 $42.03
Stories: Info Process/Archiving-Sm$0.50(up to 08/16/2018 $17.50
Project Valuation: $10,062.00
11x17)
$10,062.00
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: Vent Systems: Total $497.34
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
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. 2344. t
Issued By: A;,.g...file....u.....1 y Permittee Signature: ` t..4-2.K_, rYL
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.