Permit (168) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT
PeCOMMUNITY MEC2019-00235
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/29/2019
-FIG.1 li n g Parcel: 2S101 DA00102
Jurisdiction: Tigard
Site address: 13221 SW 68TH PKWY 300
Project: Health Net Subdivision: None Lot: None
Project Description: (1)new VAV box and(1)new ductless split system for server room.
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 04/29/2019 $761.73
Class of Work: ALT Type of Const: VB Plan Review 04/29/2019 $190.43
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 04/29/2019 $91.41
Stories: Info Process/Archiving-Lg$2.00(over 04/29/2019 $14.00
11x17)
Project Valuation: $26,250.00 Info Process/Archiving-Sm$0.50(up to 04/29/2019 $7.50
11x17)
Fuel Air Handlers
Fuel Types: Electricity Units<10000 cfm: 1
Gas Pressure: Units>10000 cfm: 1
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: 1
Appliances
Vent Fans: Vent Systems: Total $1,065.07
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 952-001 090. Yo may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. //\\1l
Issued By: iiilie, 7. Permittee Signature: Z/
r
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
Received `
Cityof Tigard 'VII Permit No.:
'. 131SW Hall Blvd.,Tigard,OR 97223 Date/By: /�;/ f j ')�t;; iiq— .r,,t,i
' 2 Phone: 503.718.2439 Fax: 503.598.1960 E�E I V i an Revie � 12 /J�n ) 1`(� tf
E ate/By: /9 Other Permit:/f R. / r"
T I GA RD Inspection Line: 503.639.4175 Date Ready/By: Juris: Bf See Page l for
Internet: www.tigard-or.gov APR 9 2019 Nptified/Metho . ,fr�� / Supplemental Information
LAI isciri//
` E OF WO lr�.F. COMMERCIAL FEE* SCHED TLE ,:USE CHECKLIST`
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:$$26,250.00
CATEGORY.OF CONSTRUCTION RESIDENTIALEQUIPMENT/SYSTEMS FEES* .
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist.
O Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
i
JOB SITE INFORMATION AND LOCATION
Heating/cooling:
` ' Air conditioning 46.75
Job site address:13221 SW 68" Parkway Furnace 100,000 BTU(ducts/vents) 46.75
2 Furnace 100,000+BTU(ducts/vents) 54.91
i tate/ZIP:Tigard,OR 97223 Ct /S
y g ,
ra Heat pump 61.06
p J
Suite/bldg
./apt.no.:300 Project name:Centeno' r'--- �{/
/Jtf/771
/VI 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
DESCRIPTIOIyO1H'"WiORK ,, :, Gas fireplace insert
33.39
Flue vent for water heater or gas
Duct mods for new wall layout fireplace 23.32
(1)new VAV box in space Log lighter(gas) 23.32
Wood/pellet stove 33.39
(1)new CRAC(Ductless Split)cooling unit for new server room Wood fireplace/insert 23.32
Air Balance Chimney/liner/flue/vent 23.32
Other: 23.32
❑ PROPERTY OWNER ": ® TENANT
Environmental exhaust and ventilation:
Name:Centene Corporation Range hood/other kitchen
equipment 33.39
Address:7711 Carondelet Avenue Clothes dryer exhaust 33.39
City/State/ZIP:St Louis,MO 63105 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans _ 23.32
;'° ® APPLICANT "` 0.CONTACT PERSON Other:Fuel23.32
Business name:Oregon-Aire, Inc 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::(NA) Fireplace
Range
E-mail:mtidwell@oregon-aire.com Barbecue
CONTRACTOR . " Clothes dryer(gas)
� -. . �__.:•_
Other:
Business name:Oregon-Aire,Inc
-MECHANICAT,PERMIT FEES*., ,. ;.} " 1,
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:(NA) State surcharge(12%of permit fee)
CCB lic.:64235 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
Print name:Matt Tidwell Date:4/09/2019
I:\Buildiog\Permits\MEC PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
13221 SW 68TH PKWY 300, TIGARD, OR, 97223 May 3, 2019 at 9:07:56 AM
Record Type: Record ID:
Commercial - Mechanical MEC2019-00235
Inspection Type: Inspector:
699 Mechanical final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor