Permit (122) CITY OF TIGARD MECHANICAL PERMIT
III"` Permit#: MEC2018-00642
1e: COMMUNITY DEVELOPMENT
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/16/2018
T I +"�R Parcel: 2S112DD01400
Jurisdiction: Tigard
Site address: 15686 SW SEQUOIA PKWY
Project: Courtyard by Marriott Subdivision: PACIFIC CORPORATE CENTER Lot: 5
Project Description: Replacing(1)RTU and(1)ground pool unit.
Contractor: TRANE US INC Owner: PACIFIC REALTY ASSOCIATES LP
2333 158TH COURT NE PO BOX 58990
BELLEVUE,WA 98008 SEATTLE,WA 97138
PHONE: 303-228-3300 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 08/16/2018 $1,762.11
Class of Work: ALT Type of Const: VB Plan Review 08/16/2018 $440.53
Occupancy Grp: R-2 Occupancy Load: 12%State Surcharge-Mechanical 08/16/2018 $211.45
Stories: Info Process/Archiving-Sm$0.50(up to 08/16/2018 $17.50
11x17)
Project Valuation: $66,000.00
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 $2,431.59
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
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 5. •:7 or '
-- .-
Issued By: en nature: ---------
Call 5 3.639.4175 by 7:00 a.m.for the next available inspec' te.
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 OFF►cE ISE()Nix
City of Tigard 1-4 ii ceived V�
ail, t i IteBy: �r Permit No.:�,1C �� ] y.
13125 SW Hall Blvd.,Tigard,OR 97223 an Review
= Phone: 503.718.2439 Fax: 503.598.1960
Date/By: - p c„ /I Other Permit:
I
TI G A R D Inspection Line: 503.639.4175 Date Read/B runs:
Internet: www.tigard-or.gov AUL; 1 6 z o i y y: ® See Page 2 for
Notified/Method Supplemental Information
f4 <, t it #a Ni #W,t �
Mechanical permit fees*are based on the value of the work
❑New construction V ]Addition/alterat ibit lie I� '`
performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead and profit.
Value $ 04,/, Od Q
❑ 1-and 2-family dwelling J Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi family./ xr�■ ,ster builder 0 Other: Description I Qty. I Ea. I Total
�, ,`. . , Wirt 1 � WIP AJV `4 .,, Heating/cooling:
Job site address: �+
Air conditioning 2. 46.75 �,,,
W 5..44.... p K 4y s o Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: D f f G p+ I f�'1 1 2 7 Furnace 100,000+BTU(ducts/vents) 54.91
�
Suite/bldg./apt.no Project name:
"7(
1 4,....„ HDucteat work
61.06 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
�� f` 7 � ' Residential boiler(radiator or
t 4 .4 C • . hydronic) 23.32
/ Unw hell, -s us(fuel-type,not electric),
1.44.1.cs in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision: I Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
t3 N "; �_ Gas fireplace/insert 33.39
Q " ' " Flue vent for water heater or gas
1�fL� �4 4 ►� .. �. < .0$01,,,. , fireplace 4.X I S . Ni ALA i NArt; P 23.32
up '�i'Lt i t L is r ' a¢, 4, tA i M,�,y� Log lighter(gas) 23.32
e Wood/pellet stove
V PP 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
® Other: 23.32
'
` Environmental exhaust and ventilation:
Name: 141,4.1. -.0 C Ar Range hood/other kitchen
rrr(��� c equipment 33.39
Address: f 5 b U " Spy ,) Wa ► G� P
"/+rIliv_'�Jl{ Kw Clothes dryer exhaust 33.39
City/State/ZIP: 7 ' OK y'1 74� 7 Single-duct exhaust(bathrooms,
A I ! toilet compartments,utility rooms) 23.32
Phone:(s,3) b 4 ♦ -i4 o a Fax:( ) Attic/crawlspace fans 23.32
�� ', * Other: 23.32
Business name: " Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax: :( ) Fireplace
E-mail:
Range
Barbecue
r RrO Clothes dryer(gas)
Business name: T�. r Other1.57 5 w K4 �,Address: ^"@wNQ. Subtotal
City/State/ZIP: Per'"" I `- i "1 I'1 L.� Minimum permit fee($90.00)
Phone: �*'�+V ( 1+' 1Plan review(25%of permit fee)
(�d�) g Q3 ( ) State surcharge(12%ofpermit fee)
CCB lic.: I /7 8/„O TOTAL PERMIT FEE
V This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: S �^,,,� * Fee methodology set by Tri-County Building Industry Service Board
Print name: 1340A T Iv am c, ly Date: V/I to Ii
I:\Building\Permits\MEC_PermitApp_040113doc 440-4617T(11/02/COM/WEv B)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Permit Peet
$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$10,00000 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$5'0,000.00 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\PermitsWIEC_PermitApp_040113.doc 2