Permit (196) CITY OF TIGARD MECHANICAL PERMIT
' COMMUNITY DEVELOPMENT Permit#: MEC2018-00635
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/05/2018
T I i:..1 Iz.f 9 Parcel: 2S110DCO2100
Jurisdiction: Tigard
Site address: 15520 SW PACIFIC HWY
Project: Carl's Jr Subdivision: 1997-016 PARTITION PLAT Lot: 1
Project Description: (1)RTU replacement.
Contractor: NORTH PACIFIC MECHANICAL LLC Owner: PROMISED LAND DEVELOPMENT COMPAN
1815 NW 169TH PLACE SUITE 2100 STERLING DEVELOPMENT CORP
BEAVERTON, OR 97006 162 SOUTH RANCHO SANTA FE RD, ST
ENCINITAS, CA 92024
PHONE: 503-999-3383 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 08/24/2018 $319.61
Class of Work: ALT Type of Const: VB Plan Review 08/24/2018 $79.90
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 08/24/2018 $38.35
Stories: Info Process/Archiving-Sm$0.50(up to 08/24/2018 $17.50
Project Valuation: $8,907.00 11x17)
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 $455.36
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 obtai copy of th- rules
or direct questions to OUNC by calling 503.232.1987 .800.332.2
Issued By: •ermittee Signature: ,
Call 03.639.4175 by 7:00 a.m.for the next available in • ion 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 OyLv
Received
Ci of Tigard Date/By y Permit No.:
13125SW Hall Blvd.,Tigard,OR 97223IN ; k"'� ianReview r ;1b I pj aol .
Phone: 503.718.2439 Fax: 503.598.1960 '`1,t— a '� ) i ;Date y.
$ S' �' Other Permit:
Inspection Line: 503.639.4175
T I G A R D p Date Ready/By: /// Juris: H See Page 2 for
Internet: www.tigard-or.gov u G 1 ,i 2018
01q Notified/Method: S(„1.,:y1]�y- , Supplemental Information
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1, f ,*.oh„.1"-::: ,A tt , �,,,t Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alterattoi/Fep eiri61t- - performed.Indicate the value(rounded to the nearest dollar)of all
o Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
.. CTZGO;Y ' OIC
Value:
I C Ip Tlyom 1- .I,,
o 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
Heating/cooling:
_ .. . . . Air conditioning , 46.75
Job site address:15520 SW Pacific HWY Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard/Oregon/97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project nam 614. 3 Tr. Duct work 23.32
Cross street/directions to job site:Pacific HWY W and SW Royalty Pkwy Hydronic hot water system 23.32
Residential boiler(radiator or
From OR-217 take OR-99W S hydronic) 23.32
From OR-99W S turn leftonto SW Royalty Pkwy Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Destination is on the Right 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
le,,,,,,,E41013''.;:::11Arril***052,14,NaarilVtg Gas fireplace/insert 33.39
Flue vent for water heater or gas
Remove existing HVAC RTU and replace with"like for like"unit. fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent , 23.32
_ Other: 23.32
w4 t El a 330'.7i F_. ..b ,,
Environmental exhaust and ventilation:
Name:Carts JR KB Restaurants INC Range hood/other kitchen
equipment 33.39
Address:875 Country Club Clothes dryer exhaust 33.39
City/State/ZIP:Eugene,OR Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)568-4043 Fax:( ) Attic/crawlspace fans 23.32
jaM PE8SO Other: 23.32
Business name:North Pacific Mechanical Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Isaac Campbell Furnace,etc.
Address:1815 NW 169'PL Suite 2100 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Beaverton Oregon,97006 Water heater
Phone:(971)401-4559 Fax::( ) Fireplace
Range
AE-mail:isaac@npacificmechanical.com Barbecue
_y (T . . . r t Clothes dryer(gas) _
Business name:North Pacific Mechancial Other:
Address:1815 NW 696 P1 Suite 2100 Subtotal
City/State/ZIP:Beaverton Oregon,97006 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)999-3383 Fax:( ) State surcharge(12%of permit fee)
CCB lic.:211710 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature * Fee methodology set by Tri-County Building Industry Service Board
C
Print name: 1r0,1y AOrjqr\ Date: a!/v/a
I:\Building\Permits\MEC_PermitApp_040113.doc 440-46I7T(11/02/COM/WEB)