Permit (33) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2019-00347
,1 k f? 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/18/2019
Parcel: 2S 112AA01000
Jurisdiction: Tigard
Site address: 14100 SW 72ND AVE
Project: Curtiss Wright Subdivision: 1992-007 PARTITION PLAT Lot: 2
Project Description: Installing 800 CFM fan(modulating)for printer room.
Contractor: BULL MOUNTAIN MECHANICAL Owner: WILLIAMS CONTROLS INDUSTRIES INC
13580 SW RHETT CT 14100 SW 72ND AVE
TIGARD, OR 97224 TIGARD, OR 97224
PHONE: 503-612-6677 PHONE:
FAX: 503-692-3084
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/18/2019 $311.18
Class of Work: ALT Type of Const: Other Plan Review 06/18/2019 $77.80
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 06/18/2019 $37.34
Stories: Info Process/Archiving-Sm$0.50(up to 06/18/2019 $6.00
11x17)
Project Valuation: $8,677.57
Fuel Air Handlers
Fuel Types: Electricity 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: 1 Vent Systems: Total $432.32
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 10
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OU►C by calling 503,2.1987 •r 1.8,-32.2344.
Issued By: ��L/ 4/_ � /// Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspect'..n date.
This permit card shall be kept in a conspicuous place on the job site unt' ompletion of the project.
Approved plans are required on the job site at the time of ach inspection.
Mechanical Permit Applicatt roR 01'Fl( E LSE oyl.v
City of Tigard CEIVEDReceived // / ?AN" �), y }� /
IIIas 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: jG! `�/lf 6 �(J(�Ll
{ Plan Review(®_
Phone: 503.718.2439 Fax: 5o3.598.196MAy 2 9 2019 Date/By: `Of Li I i , ) Other Permit:
T I GAR f) Inspection Line: 503.639.4175 Date Ready/By: oris: ® See Page 2 for
Internet: www.tigard-or.gov CITY Notified/Method: !�t/�5./�i Supplemental Information
BIJILDING DIVISIoN, 0,e4of
-
Mechanical permit fees*are based on the value of the work
❑New construction E Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.r , �,_f Value:$ 7r. . T
CATEGO Y OF CONSTRUCTION
, w",. ,, .• RESIDENTIAL EQ
UIPMENT/SY HI.MSPEES*.>
'-and 2-family dwelling Commercial/industrial 0 Accessory building For special information use checklist
❑Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
Heating/cooling:
INFQI2MATION?�1ND LOCATION
Job site address: I (�'JOB SITE 7�.1 t� Air conditioning 46.75
T\Veh(A 'e Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 11 f.r4 of. 1'77Vtir Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name:
U)yi Kp a Heat pump 61.06
\ i 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: Other: 23.32
Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OFWORK, , Gas fireplace/insert 33.39
Iyq%%,�1&R 0�O (M ' +e
Flue vent for water heater or gas
'' � � l'I�j � '�r {�1r fireplace 23.32
IroP `, Log lighter(gas) 23.32
�9
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
PROPERTY OWNER" `' "` 0 TENANT
�p� Environmental exhaust and ventilation:
Name: \Afro
k.1- Range hood/other kitchen
eqAddress: 1 01 9 V U Ale hOe Clothes t 33.39
�� V V ` 1 /I ' Clothes dryer exhaust 33.39
City/State/ZIP: ' eAOp/ 1-'72-V4--
Phone:
�2-/ - Single-duct exhaust(bathrooms,
JJ toilet compartments,utility rooms) 23.32
Phone:( ) S'(0,01) Fax:( ) Attic/crawlspace fans 23.32
-0 APPLICANT 0 CONTACT PERSON Other: 23.32
Business name:
Fuel piping:
$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
Range
E-mail:
Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:I( )vouN---offp, ReA.;..h Other:
Address: T Pi/VA Pg�p / MECHANICAL PERMIT FEES*
O` Subtotal
City/State/ZIP: 'h l( jo1� g7�4- Minimum permit fee($90.00)
/ � Plan review(25%of permit fee)
Phone:( b ����
) Fax:( ) State surcharge(12%of permit fee)
CCB lic.: 157 ( 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: r / .4 NS a N Date:I - .2.1'-- y�
'-'— t(
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
V
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi-Family Fee Schedule:
Total Valuation #e
$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\Permits\MEC_PennitApp_040113.doc 2
City of Tigard
II
I/ COMMUNITY DEVELOPMENT DEPARTMENT
■
TICARD Building Permit Review — Commercial - No Land Use
Building Permit #: �*C (' - 3/1
7
Site Address: 161100 / 72- Ave- Suite/Bldg#:
Project Name: Cu,-1, 1,,Ir10-, ec - GIs
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review i (� 1
Proposal: ir,S Il guru CA-11 u� (- i�-�'�Py) -G,- f r'k�t-- �l.i .
Existing Business Activity: C,i 4J4✓yet
Proposed Business Activity:
13YV 'fy site address/suite#exists and active in permit systte .
'ver Terrace Neighborhood: ❑ Yes L✓J No
ning: 1-11
� P�e miitted Use: Yes CI No 1:1 Spec Space
E Confirm no land use required.
E2 Business License-
Exists:
icenseExists: W/ Yes ❑ No,applicant notified to obtain business license
Notes: Ijv Qrte,A.kj retafrtd,
Approved by Planning: .L'S- Cil) - Date: S--L1-(1
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: /
Site Plans: #
Building Plans: #
Building Permit#: ` - nter building permit#above.
Workflow Routing: i Planning ❑ Permi r ' ator f=Building
Workflow Sign-off: 'Sign-off for Plan g(include notes from planning review)
Route Application Documents: 'Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
4 By Permit Technician: ,4/ / Date:
I:\Building\Forms\BidgPermitRvw COM_NoLandUse_060116.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:,
Revision Notice 3: Date Sent to Applic t:
❑ SDC Fees Entered: Wash Co Tra -'1 ev Tax: ❑ Yes ❑ N/A
Tigard Tra•' SDC: ❑ Yes ❑ N/A
Parks ,1C: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit •ordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM NoLandUse_070915.docx
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
14100 SW 72ND AVE, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Mechanical MEC2019-00347
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor