Permit (187) CITY OF TIGARD MECHANICAL PERMIT
'• COMMUNITY DEVELOPMENT
Permit#: MEC2018-00955
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/13/2018
I` i`n g Parcel: 2S112DD00701
Jurisdiction: Tigard
Site address: 15800 SW UPPER BOONES FERRY RD 100
Project: Prints Chaming Photography Subdivision: None Lot: None
Project Description: Replace old split system with new rooftop unit and new gas piping.
Contractor: EXCEL HVAC INC Owner: PACIFIC REALTY TRUST
PO BOX 1188 ATTN: N PIVEN
CANBY, OR 97013 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 971-930-7194 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 12/13/2018 $333.66
Class of Work: ALT Type of Const: VB Plan Review 12/13/2018 $83.42
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 12/13/2018 $40.04
Stories: 1 Info Process/Archiving-Lg$2.00(over 12/13/2018 $2.00
11x17)
Project Valuation: $9,500.00 Info Process/Archiving-Sm$0.50(up to 12/13/2018 $5.00
11x17)
Fuel Air Handlers
Fuel Types: Natural Gas Units<10000 cfm:
Gas Pressure: Units>10000 cfm: 1
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 $464.12
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 t. follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-00 1090 You m. obtai a copy of the rules
or direct questions to OUNC by calling 50 232.1987 or 1.800.332.2344. —
/ _
Issued By: ' �' , L �j Permittee Signature: 4 Al
?•44.
Call 503.639.4175 by 7:00 a.m.for the next available inspectio 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.
ED
Mechanical Permit ApplicaUIIV FOR OFFICE USE ONLY
Cityof Tigard1 0 0 Received Permit
g E0 4 018 Date/B ,� n S�
13125 SW Hall Blvd.,Tigard,OR 97223 DECt` y/w/ �" �� �`,
Phone: 503.718.2439 Fax: 503.598 Plan Review )I^
ty OF'�'IG'A� Date/By: igs ) t Other Permit:
T 1 G.\R D Inspection Line: 503.639.4175 Date Ready/By: Juris: H See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Methodj 2 )13 //i-A Supplemental Information
:.l,,,//i r.9 rr� „w..�1r�rrrr,w. i//ro.r.0 B;z.i.P,,, Jr:e/.� /gJ. , r,,,, Irfi`..,"r/ / rw/ trr�riiu �®v%/ ' T �� / x/ f or,,,,
r`r/,C:X�s----'--- ix' ---W-/4�� L 'I'M
!
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:$$9,500.00 9,500.00` /fr///ZAf 'C O rROzNnl „r :4„7,1r,„: row---v ,r7,,,s
✓�w://.......;r
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist. __
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
�i�/�%/� �/ �90`y�rrr r r ii it r f f1/0/072r
f l
//f// / !i�, i r rr �AtgV,,�r,�VE*. / 2r AX 11eattn emling:
Air conditioning 46.75
Job site address:15800 SW Upper Boones Ferry Rd Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
——"" Heat pump 61.06
Suite/bldg./apt.no.: /41-e Project name:Prints Charming 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
r% ,rf rrr/Xt" � ,rr!' ?�ri',,rr y rrx;,,rry/,^mfr�r�„f�//r// lrry�r.r�r .�t ______
,/ .F ,/ X;''fr !';"sr� :''` ,rfJ ,,���' �'9' r/.r�' ;,;'rr''
It r � 11 r,l}ES r /�/`�N ly Gas fireplace/insert 33.39 _
Flue vent for water heater or gas
Replace old split system with new rooftop unit and new gas piping fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
re,,,,,,o,,,,,, w / / oa „ ri- git o/i/,K, frz„./.1r.,..,4,7071.1, ..; ;A:0. a ,// Other: 23.32
�y�rte . � ori r rti �� �, ;,,, "- 4-tJ/ fr
�,�4* Environmental exhaust and ventilation:
Name:PacTrust 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:(503)624-6300 Fax:( ) Attic/crawlspace fans 23.32
rf1V tr ,,A. F,r /, 74al Ta ra-.�;aO"'�s i , /
, Other: 23.32%/ r` r n,r ,,,/,r" r„ ,.r . /1„,674
�///„.00,,., /rrr
Fuel piping:
Business name:
$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: 1t2p,rr £ Xe NA C _Nor Barbecue
`'g�'' rrf /:// '.',�+f r.t r}',`,Cr mss - i,1,/////'/ ,/r", r //////// ,'`r'r a r>"„11%//cf Clothes dryer(gas)
Business name:Excel HVAC,Inc. Other: j//� _�r
Address: rrr ;sro r r:,
P.O.Box 1188
Subtotal
City/State/ZIP:Canby,OR 97013 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(971)930-7194 Fax:( ) State surcharge(12%of permit fee) __
CCB lie.:214345 TOTAL PERMIT FEE
OilThis 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
Print name:Jeremy Hunt 0 Date:12/10/18
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-Famil Fee Schedule:
a Ut a
if?0,/ ' as ` �,
$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.
[:\Building\Permits\MEC_PeamitApp_040113.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15800 SW UPPER BOONES FERRY RD 100,
LAKE OSWEGO, OR, 97035
Record Type: Record ID:
Commercial - Mechanical MEC2018-00955
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor