Permit (108) CITY OF TIGARD MECHANICAL PERMIT
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3111.. COMMUNITY DEVELOPMENT Permit#: MEC2019-00536
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/30/2019
Parcel: 2S115BA02600
Jurisdiction: Tigard
Site address: 16230 SW PACIFIC HWY
Project: Homestreet Bank Subdivision: 2004-015 PARTITION PLAT Lot: 2
Project Description: Adding ductwork,grills,(2)two ton ductless split systems,and(2)exhaust fans.
Contractor: AMERICAN HEATING INC Owner: SN PROPERTIES PARTNERSHIP
5035 SE 24TH AVE 1121 SW SALMON ST
PORTLAND, OR 97202-4765 PORTLAND, OR 97205
PHONE: 503-239-4600 PHONE:
FAX: 503-239-7038
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/29/2019 $779.51
Class of Work: ALT Type of Const: VB Plan Review 07/29/2019 $194.88
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 07/29/2019 $93.54
Stories: Info Process/Archiving-Lg$2.00(over 07/29/2019 $8.00
11x17)
Project Valuation: $27,000.00 Info Process/Archiving-Sm$0.50(up to 07/29/2019 $5.00
11x17)
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: 2
Appliances
Vent Fans: 2 Vent Systems: Total $1,080.93
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 forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUN by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee 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 Applic tion FOR OFFICE USE O'NEv
Received
' City of Tigard +i 1! if' 44,,, 'tom '.15-
ill13125 SW Hall Blvd.,Tigard,OR 97225 ' ' '° Date/By:n �������
.- Phone: 503.718.2439 Fax: 503.598. 960 Plan Review-7
k Date/By: Other Permit:
T I G n R D Inspection Line: 503.639.4175
Internet: www.tigard-or.gov `'" `° Date Ready/By: / Juds: See Page 2 for
otifie. / h /� Supplemental Information
�s
� ion :;
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 5
mechanical materials,equipment,labor,overhead,and profit.
ID Demolition ❑Other:
i
Value:$$27,000.00
%, ',yi,. .04;. .. ,,,,. y -, lA x.4--i.:;---,r-14f i%1 t r -
o 1-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. Total
i� Heating/cooling:
'�'i. .'' Air conditioning 46.75
Job site address:16230 SW Pacific Hwy Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name:Homestreet Bank Heat pump 61.06
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: I Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater
/� r I ,Q ' # Gas fire lace/insert 23.32
T,. :a�., �i _.,,,,, , j ,,,,. �, ) y''."''.. .= p 33.39
Flue vent for water heater or gas
ductwork and grilles fireplace 23.32
2 ton ductless split system Log lighter(gas) 23.32
Wood/pellet stove 33.39
2 exhaust fans Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
s p Other: 23.32
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
-4P':"''''', ''';7'7;;;A'VirL ,.,. , r at, ;; 46„f7o , ;';, - Other: 23.32
Business name:Arican Heating Inc. Fuel piping:
m
$14.15 for first four;$4.03 for each additional
Contact name:Brad Manchester Furnace,etc.
Address:5035 SE 24th Ave Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Portland,OR,97202 „ta g_
Phone:(503)239-4600 Fax::(503)239-7038 Fireplace
Range
E-mail:brad@americanheating.net Barbecue
O,> yC
�% ,� „, � .,, 7,. ,r,�- .. ;a . 1,c i ff Clothes dryer(gas)
Business name:American Heating Inc. Other:
Address:5035 SE 24th Ave — ".',., , , ,h .. , ! *<-"'
Subtotal:
City/State/ZIP:Portland,OR.,97202 Minimum permit fee($90.00)
Phone:(503)239-4600 Plan review(25%of permit fee)
Fax:(503)239-7038 State surcharge(12%of permit fee)
CCB lic.:33135 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:Brad Manchester Date:7-23-19
I:\Building\Permits\MEC PermitApp_040113.doc 440-46177(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi-Famil Fee Schedule:
; c
$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_PermitApp_040113.doc 2