Permit (195) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2018-00648
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/30/2018
T t C R t7 g Parcel: 25101 DA00102
Jurisdiction: Tigard
Site address: 13221 SW 68TH PKWY 500
Project: Health Net Subdivision: None Lot: None
Project Description: Duct modifications,grille relocation,and VAV box installations.
Contractor: OREGON AIRE INC Owner: GK TRIANGLE CORPORATE PARK III L
7715 NE 33RD DR STE A ATTN KBS REALTY ADVISORS
PORTLAND, OR 97211 P 0 BOX 28270
SANTA ANA, CA 92709
PHONE: 503-335-2222 PHONE:
FAX: 360-423-1978
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 08/29/2018 $1,180.83
Class of Work: ALT Type of Const: VB Plan Review 08/29/2018 $295.21
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 08/29/2018 $141.70
Stories: 5 Info Process/Archiving-Sm$0.50(up to 08/29/2018 $2.00
11x17)
Project Valuation: $42,750.00
Fuel Air Handlers
Fuel Types: Electricity Units<10000 cfm: 3
Gas Pressure: Units>10000 cfm:
Furnaces Boilers&Compressors
Furnaces<100K BTU: 0-3 HP:
Furnaces>=100K BTU: 3-15 HP:
Floor Fumaces: 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 $1,619.74
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 952-001-00:0. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 orr 1.800.332.2344.1.80
_�/���L�l�`�� .,C)23
Issued By: ' 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 Application FOR OFFICE USE ONLY
City of Tigard Received
- 1 w Date/By: - Permit No.:
iriliir
13125 SW Hall Blvd.,Tigard,OR 97223 "',r71,,,,,,!3 ,. '''' . k Plan Review �/� . �w 30� �
Phone: 503.718.2439 Fax: 503.598.1960 y: Other Permit: /,
Inspection Line: 503.639.4175 Date/By: 2,g- P� lsr�tc�6l��,
T I G A R D >�u r 2 0 Z 018 Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov No ed/Method: / �� Supplemental Information
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
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$$42,750.00
_.�, ,:44,M,17 .. i .:., 1 , .. :.,. �
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder ❑Other: Description I Qty. I Ea. I Total
iiv Heating/cooling:
,,, ...,.. .... ,. ... Air conditioning 46.75
Job site address:13221 SW 68th Parkway Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97223 ^ Furnace 100,000+BTU(ducts/vents) 54.91
/7�t f K/! Heat pump 61.06
Suite/bldg./apt.no.:500 1 Project name..Crataas-C-opperate TI Ph 2 Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
/(4145 1- oI (A a U-At 'ifi 2-r/ S i 5h 1- J.' hydronic) 23.32
�� y' t/ /" Unit heaters(fuel-type,not electric),
5 L( f/t/l)o/5 Si-El t. 7 f F t vlz 4410 G°(,4 7 in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
/.�1►l'7'�' ��c4p". �ti�� ! filo/54-4 syr"
Subdivision: � � �* �[�� �t n Other: 23.32
SSS /G at /7/ Other fuel appliances:
Tax map/parcel no.: c 6 144,4„.54. Water heater 23.32
't l { g fit; s Gas fireplace/insert 33.39
,_x., . _ , ...n_ c. - �.::,,. . �; ,: A �.x 4 . 11,5:741 ,;. := Flue vent for water heater or gas
Duct modifications,grille relocation,VAV installs as per engineered print fireplace 23.32
See engineered print provided Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
_iae ::"::-0°44:'::4;:-'c
r="" '"! ,mow :: .: I ~' ' 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
k i ■ ! .0 Other: 23.32
Business name:Oregon-Aire,Inc.
Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Matt Tidwell Furnace,etc.
Address:7715 NE 33rd Drive Suite A Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Portland,OR 97211 Water heater
Phone:(503)335-2222 I Fax::(503)335-9977 Fireplace
Range
E-mail:mtidwell@oregon-aire.com Barbecue
:
! Clothes dryer(gas)
.,. rte..
Business name:Oregon-Aire,Inc. Other:
Address:7715 NE 33rd Drive Suite A Subtotal
City/State/ZIP:Portland,OR 97211 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)335-2222 Fax:(503)335-9977 State surcharge(12%of permit fee)
CCB lic.:64235 TOTAL PERMIT FEE
O�/� This permit application expires if a permit is not obtained within 180
iC�7� 4 1 (17-(Z-
� ���? days after it has been accepted as complete.
Authorized signature. * Fee methodology set by Tri-County Building Industry Service Board
Print name:Matt Tidwell Date:7 August .:20 FPO f
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
$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.
L•\Building\Permits\MEC PermitApp_040113.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13221 SW 68TH PKWY 500, TIGARD, OR, 97223 September 21 , 2018 at
9:06:03 AM
Record Type: Record ID:
Commercial - Mechanical MEC2018-00648
Inspection Type: Inspector:
699 Mechanical final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor