Permit CITY OF TIGARD MECHANICAL PERMIT
' COMMUNITY DEVELOPMENT74
Permit#: MEC2019 00206
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/29/2019
Parcel: 2S112DC00100
Jurisdiction: Tigard
Site address: 15605 SW 72ND AVE
Project: Consumer Cellular Subdivision:HERN PACIFIC TIGARD INDUSTRIAL Lot: 1-2
Project Description: Install(2)new 5-ton RTU's and install gas line from RTU's to existing gas line.
Contractor: WILLAMETTE HVAC LLC Owner: PACIFIC REALTY ASSOCIATES
3075 SW 234TH AVE.#206 ATTN: N PIVEN
HILLSBORO, OR 97123 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-259-3200 PHONE: 503-624-6300
FAX: 503-848-2597
FEES
Specifics: Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: Occupancy Load:
Stories:
Project Valuation: $41,900.00
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 $0.00
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
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 tooOOUNC by calling 503.232.1987 or 1 .332.2A44.
— * /
Issued By: T �__ Pcrmittee 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 Applicatio ,, FOR OFFICE USE ONLY
City of Tigard Received
Date/By: 7/0j; 40717---- Permit No f 7F( /9` 'o.7e 6
III ill 13125 SW Hall Blvd.,Tigard,OR 97223 APR 2 2019 Plan Revie /
C Phone: 503.718.2439 Fax: 503.598.1960 �.j 6- )9 TI Other Permit:
Date/By: ,7�'
Inspection Line: 503.639.4175TIGARD " ' ' a-' f -
Date Ready/By: J '. See Page 2 for
Internet: www.tigard-or.gov BU LD NO (JIV4 -- _ified/Meth9,4,,,/ — �P% Supplemental Information
ss - vv0kxn " aSiSCHEDULItSE
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 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$$41,900.00
CATEGORY.OF CONSTRUCTION RUCK IC)N RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 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
JOB SITE INFC )VIATION AND`'LOCATION Heating/cooling:
Air conditioning
Job site address:15605 SW 72nd Ave. (requires site plan showing placement) 46.75
City/State/ZIP:Tigard OR 97224 Furnace 100,000 BTU(ducts/vents) 46.75
Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name:Consumer Cellular Project Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
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
Subdivision: Lot no.: Flue/vent for any of above 23.32
Other: 23.32
Tax map/parcel no.: Other fuel appliances:
< DES RIFTION'IAF`WORK
Water heater 23.32
Install two new 5 ton RTU's.Install gas line from RTU's to existing gas line. Gas fireplace/insert 33.39
Flue vent for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
❑ PROPERTY OWNS* TENANT Chimney/liner/flue/vent 23.32
. Other: 23.32
Name: Environmental exhaust and ventilation:
Address: Range hood/other kitchen
equipment 33.39
City/State/ZIP: Clothes dryer exhaust 33.39
Phone:( ) Fax:( ) Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
074 APPLICANT ' 0 CONTACT PERSON Attic/crawlspace fans 23.32
Business name:same as below Other: 23.32
Fuel piping:
Contact name: $14.15 for first four;$4.03 for each additional
Address: Furnace,etc.
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone:( ) Fax::( ) Water heater
Fireplace
E-mail:
Range
CONTRACTOR
Barbecue
Business name:Willamette HVAC,LLC Clothes dryer(gas)
Other:
Address:3075 SE Century Blvd Suite 206 MECHANICAL PERMIT FEES*
City/State/ZIP:Hillsboro,OR 97123 Subtotal
Minimum permit fee($90.00)
Phone:(503)259.3200 Fax:(503)848.2597 Plan review(25%of permit fee)
CCB lic.:56951 State surcharge(12%of permit fee)
TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized signature: ra days after it has been accepted as complete.
Print name:michael malstrom Date:4/1/19 * Fee methodology set by Tri-County Building Industry Service Board
\Building\Permits\MEC-PermitApp.doc 03/07/12 440-4617T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi Family Fee Schedule:
Valuation: ^,.. ,., ; Perm . # ,4444
$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.
I:\Building\Pennits\MEC-PermitApp.doc 03/07/12 2