Permit (51) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2019-00488
T t(..1r1 R 1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/09/2019
Parcel: 2S112DA01200
Jurisdiction:
Site address: 15060 SW SEQUOIA PKWY
Project: Office Depot Subdivision: 1995-098 PARTITION PLAT Lot: 3
Project Description: Duct work to connect to existing RTU's for TI.
Contractor: TRI TECH HEATING INC Owner: PACIFIC REALTY ASSOCIATES
6603 NE 137TH AVE ATTN: N PIVEN
VANCOUVER,WA 98652 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 360-891-2002 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/09/2019 $1,102.09
Class of Work: ALT Type of Const: Plan Review 07/09/2019 $275.52
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 07/09/2019 $132.25
Stories: Info Process/Archiving-Lg$2.00(over 07/09/2019 $6.00
11x17)
Project Valuation: $39,700.00
Fuel Air Handlers
Fuel Types: 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 $1,515.86
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set fo in O R 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to NC by pg '0•.232.1987>,1.800;f.2.2344.
Issued By: fir
Permittee Signature:
—i_sf`v ►L r t, W
/ Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
may..
Mechanical Permit Application Ngo- ç- FOR OFFICI. I_SE()NEN
City of Tigard N�H'Oo�O 1�L10 Received
Date/By: f ,� /
'11 13125 SW Hall Blvd.,Tigard,OR 97223 Q Plan Review
11 Phone: 503.718.2439 Fax: 503.598.1960 111 wt i gi c 1�
6V66 6 Date/By: I�1i �`
1 1 G A R I7 -/
Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov N303 • Notified/Method: Supplemental Information
., -:. t w .. ;.. :: E :tt w., _,._,,,w- :—s.. ......;,.w...:..- l l GI4 FEE* SC1 13ULT_ .., CHEST rr
Mechanical permit fees*are based on the value of the work
❑New construction le Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 39 /DO
r CATEGORY i }C STRUCTION x:1.. 2, `.: RESIDENTIAL EQUIPMT4 /SYSTEMS FEES*
❑ 1-and 2-family dwelling Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
IT' AH Heating/cooling:
°"' GB SITE" T11t��I�AND LflCATib .
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Job site address: 15060 5 W S a Q(/Q 1'4. 1. conditioning0, 00 46.75
t� P I�lt�l�..• Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: -r,.�4r d i Q R . 7 22K CJ Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: 1 Project name: 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: 1 Lot no.: Other: 23.32 . _.__
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF" t ,,r Gas fireplace/insert 33.39
I / Flue vent for water heater or gas
(N) t)UG� t(...00rfOr K 1'O co/�I')CG4- 4.e, a yt is JI'1'A... fireplace 23.32
RT U S• Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
❑ �'R{')PERTY r " i �"x �> ;' ." 'NANT el
Environmental exhaust and ventilation:
Name: 0 . a, De not• Range hood/other kitchen
Address: r 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
; Other: 23.32`APPLICANT 0 CONTACT' PERSON --
L Fuel piping:
Business name: FA sf« pC r�1 $14.15 for first four;$4.03 for each additional
Contact name: Au 541, Citeitd!`r Furnace,etc.
Address: 24506 S w 13-1- e_ s u i i-e 924 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:-
er (•ao /Mt 'La 1 Water heater
Phone:017-( ) 6 4.4.$ 6 cos Fax::( ) Fireplace
Range
E-mail: a v 5�A a( eff erM I h.Com.. Barbecue
CONTRACTOR dryer(gas)
Business name: -T 3.,4 g e�� it Caw��•46 Other:
- MECHANICAL PERMIT FEES*
Address: Subtotal
City/State/ZIP: Minimum permit fee($90.00)
----- Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee) __
CCB lic.: 16 ( 92.6 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:�/ r�� * Fee methodology set by Tri-County Building Industry Service Board
Print name: AA/511A Clot g J'C Date: -i-le?I tat
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi-Family Fee Schedule:
To alua410)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$10,00000 $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.
•
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I:\Building\Permits\MEC_PermitApp_040113.doc �2