Permit (58) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2019-00364
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/03/2019
Parcel: 2S 113AB00500
Jurisdiction: Tigard
Site address: 16083 SW UPPER BOONES FERRY RD 250
Project: Good Life Company Subdivision: FANNO CREEK ACRE TRACTS Lot: PT 37
Project Description: Provide and install(1)new VAV box,air distribution as drawn.
Contractor: OREGON HEATING&AIR CONDITIONING LLC Owner: G&S FC LLC
6950 SW 111TH AVE 16083 SW UPPER BOONES FERRY RD,
BEAVERTON, OR 97008 STE
TIGARD, OR 97224
PHONE: 503-691-9699 PHONE: 503-684-6000
FAX: 503-691-8556
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/03/2019 $464.55
Class of Work: ALT Type of Const: VB Plan Review 07/03/2019 $116.14
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 07/03/2019 $55.75
Stories: Info Process/Archiving-Lg$2.00(over 07/03/2019 $2.00
11x17)
Project Valuation: $14,550.00 Info Process/Archiving-Sm$0.50(up to 07/03/2019 $6.00
11x17)
Fuel Air Handlers
Fuel Types: Electricity Units< 10000 cfm: 1
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 $644.44
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
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 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 1.800.332.2344.
r
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection te.
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
City of Tigard .....„ ; ?`�':M Received ,,00�� ff
111113125 SW Hail Blvd.,Tigard,OR 97223 Plan Date/Review By: (-c-! / I � ,,� '_ � „/
Phone: 503.718.2439 Fax: 503.598.1960Other Permit:
II ]t D Inspection Line: 503.639.4175 Date/By: 69 -
Date Ready/By: Juris: I ® See Page 2 for
Internet: www.tigard-or.gov ified/Meth • /^ /� Supplemental Information
_, TYPE;OF WORD x 1 1 °CIAL EE*'S If[1LE _ ,, ,.., ."
"` - " 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:$$14,550.00
CATEGORY OP CONSTRUCTION RESIDENTIAL"EQUIPMENT J 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 INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address:16083 SW Upper Boones Ferry Rd Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.:250 Project name:Good Life TI
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
Oth
Subdivision: Lot no.: er' 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK 'f " Gas fireplace/insert 33.39
Flue vent for water heater or gas
Provide and install 1-new VAV box,air distribution as drawn. fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER" ❑ TENANT Other: 23.32
v
` Environmental exhaust and ventilation:
Name: Range hood/other kitchen
Address: equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
0 APPLICANT 0 CONTACT PERSON Other: 23.32
Business name:Oregon Heating&AC Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Jeff Sanchez Furnace,etc.
Address:6950 SW 111th Ave Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Beaverton,OR 97008 Water heater - _–_- -__-- — – +
Phone:(503)572-6984 Fax::( ) Fireplace
Range
E-mail:Jsanchez@oregonheating.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Oregon Heating&AC Other:
MECHANICAL PERMIT FEES*
Address:6950 SW 1111"Ave
Subtotal
City/State/ZIP:Beaverton,OR 97008 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)572-6984 Fax:( ) State surcharge(12%of permit fee)
CCB lic.:137653 TOTAL PERMIT FEE
40 "----- This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: s Fee methodology set by Tri-County Building Industry Service Board
Print name:Jeff Sanchez Date:6/3/2019
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)