Permit (183) CITY OF TIGARD MECHANICAL PERMIT
S.. COMMUNITY DEVELOPMENT Permit#: MEC2018 00736
T I,GAR O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/24/2018
Parcel: 2S 101 AA02900
Jurisdiction: Tigard
Site address: 12123 SW 69TH AVE
Project: Compass Oncology Subdivision: WEST PORTLAND HEIGHTS Lot: B
Project Description: Mechanical for new TI.
Contractor: AMERICAN HEATING INC Owner: MCKESSON SPECIALITY HEALTH
5035 SE 24TH AVE 10101 WOODLANDS FOREST DR
PORTLAND, OR 97202-4765 THE WOODLANDS,TX 77380
PHONE: 503-239-4600 PHONE: 281-863-4723
FAX: 503-239-7038
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 12/21/2018 $9,558.31
Class of Work: ALT Type of Const: VB Plan Review 12/21/2018 $2,389.58
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 12/21/2018 $1,147.00
Stories: 2 Info Process/Archiving-Lg$2.00(over 12/21/2018 $48.00
11x17)
Project Valuation: $338,000.00
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: 3 Vent Systems: Total $13,142.89
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1000
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 1.8.. .. 44.
Issued By: r! _ `�.L- ` — --Rwrniftee Signature:
/'
Call 503.•39.4175 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 OFFI('l:t'SF°NI,A
City W Tigard
RECEIVED Domlan_ ?/i 11 /1 ' ' �'`.
.g.__ 13I25 SW Hall Blvd,,Tigard,OR 97223 ,.LDI�S Q�Z3
Inspection Line: 503.639..4Fax:
17503598.1460 SEP 13 2018 P,DaI�By:eN gam— pdu, (�D�ls-6y�aL
I 1 G A?t ll Date Ready/By: lnric 0 See Page 2 for
Internet: www.tigard-or.gov A` Supplemental Information
NouSedlMetllod:/,
CITY OF 1 IGARD `
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�� Mechanical permit fees*are based on the vatue of the work
0 New construction 0 Addition/alteration/replacement
_ performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition
0 Other: mechanical materials,equipment,labor;overhead,and profit-- -
*° Value S 338,000
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.{ � �5;���:�Y` y:. Yi� n .k�. - Ci�d.^'Y 11
01-and 2-family dwelling ®Commercial/industrial 0 Accessory build'
❑Multi-family 0 Master builderry � For*eclat information use ckeckJist
0 Other: Description I Qty. I Ea I Total
. , 1 , - 4 Ig f-� a HeatingJco inR:
_, al
' ¢'` Air conditioning 46.75
Job site address:12123 SW 69n Ave. Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(duets/vents) 54.91
Suite/bldg/apt.no.: I Project name:Compass Oncology Heat pump 61.06
Duct work 23.32
Cross street/directions to job site:Corner of SW 690i/SW Dartmouth Hydronic hot water system 23.32
Residential boiler(radiator or
hydropic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. • 46.75
Flue/vent for any of above 23.32
Other:
Subdivision: I Lot no.: 23.32
Other fuel appliances:
Tax map/parcel no.:
i_5.;%�v�a',:;" .",5�:-x-fi'i?fr.'='�tT'`a"tk�cr-=='a•�. +.--r;,.3.:p �:_�:4 •;re ,, _=i�z�-
Water heater 23 32
.,w . t,,"' "� ittP—'fifi j 'V� C§`- -, ."` =f x '' Gras acehnsert
' � 3 ,..'` firepi 33.34
�� .,., :fin,� "� r.r ,-.. ,.,,sir : `t..R._. �.?;,'^.r'�f...-�..a:�`?5i'.i�,,'r.-.�•c..,s.-s�.�y3�'�'��!�
Flue vent for weer heater or gas
Interior demolition of existing building,then tenant improvement shalt be fireplace 23.32
interior construction for new women's cancer treatment center. Log light (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
51 61 {� ,K ;,: �; r 23.32
`- `'-",— "" Environmental exhaust and ventilation:
Name:McKesson Specialty Health Range hood/other kitchen
Address:10101 Woodlands Forest Dr. equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP:The Woodlands,TX 77380 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(281)863-4723 Fax:(281)863-6363 Attic/crawlspace fans 23.32
..: . ••���21:6: * ^1v _ `45z1x �tiL�ak** _ . - 1A , 23.32
Business name:CORGAN Architects Fuel piping'
$14.15 for first four,$4.03 for each additional
Contact name:Dennis Escobar Furnace,etc.
Address:401 N.Houston St. Gas heat pump
.-- Wall/suspended/unit heater
City/State/ZIP:Dallas,TX 75202 Water heater
Phone:(346)201-6201 Fax::( ) Fireplace
Range
E-mail:denais,escobar@corgan,com Barbecue
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Clothes dryer(gas)
4.,:-...„,„,„1,, '2w, ; d >z.s . 'n`...o ._c_ t ..�r* _ s., ..,rik"�r,,..- .
Business name:American Heating Other
-f t .. x ay�sin ..g.tt ^a srati +s„'
Address:5035 SE 240'Ave +..::, 3r,�1 nAl�ji !►la iSa�ii
Subtotal
City/State/ZIP:Portland,OR 97202 Minimum permit fee($90.00)
Phone:(503)239-4600 Fax:(503)239-7038 Plan review(25%of permit fee)
Slate surcharge(12%of permit fee)
CCB lie.:33135 TOTAL PERMIT FEE
"1-C.4,‘")-7t
�J�L' 1 This permit application expires miff a p mid b not pl i e. withtn 180
�JJ v days after it has been accepted as complete.
Authorized signature: 1 Fee medtodology set by Tri Catmty Building Industry Service Board
Print name: ✓G!C' /V1 ,it e,/ev�' Date: ? /2 /9
1:1BuidxffilPennitslMEC YennitApp_040113.doe 440-4617r(11/02/COMN✓EB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12123 SW 69TH AVE, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Mechanical MEC2018-00736
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor