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Permit (260) CITY OF TIGARD MECHANICAL PERMIT II COMMUNITY DEVELOPMENT Permit#: MEC2019-00615 T I A it f? 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/20/2019 Parcel: 2S112DD00700 Jurisdiction: Tigard Site address: 15770 SW UPPER BOONES FERRY RD Project: Vertiv Corp Subdivision: None Lot: None Project Description: Demo duct back to drops install concentration drops and remove unit heater. Contractor: PROTEMP ASSOCIATES INC Owner: PACIFIC REALTY ASSOCIATES 9788 SE 17TH AVE ATTN: N PIVEN PORTLAND, OR 97222 15350 SE SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 503-233-6911 PHONE: 503-624-6300 FAX: 503-238-9767 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 08/20/2019 $142.74 Class of Work: ALT Type of Const: Plan Review 08/20/2019 $35.69 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 08/20/2019 $17.13 Stories: Info Process/Archiving-Lg$2.00(over 08/20/2019 $4.00 Project Valuation: $2,900.00 11x17) Fuel Air Handlers Fuel Types: Units<10000 cfm: Gas Pressure: Units>10000 cfm: Furnaces Boilers&Compressors Fumaces<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 $199.56 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: - 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 et forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC calling 503.232 9:7 or 1.800.332.2344. Issued By: / "/ Permi ee Signature: 7�^:��, � L� s'f 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 OF11( E CSF Oy1 1 City of Tigard Received 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: 407,„„• DPlatane ReviewPhone: 503.718.2439 Fax: 503.598.1960 -, iJ! ....1-.,AL ......,6, G /TICAKDInspection Line: 503.639.4175 Date Ready/By- JurisSee Page 2 forInternet: www.tigard-or.gov Notified/Method: Supplemental Information Ttwo a I ,.<... tJ a 14:( -,...11r: a i_ 1 ,l r '_,,,...:,1: e.a . _ - ,M�. .�a. ,„ 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. CAT GO Y-()E- flN 7R[I 1t 1�1 Value:$$2,900.00 . r , mrrtLrt:seETIEtrystfzEs* ❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For IDMulti-family 0 Master builderspecial information use checklist 0 Other: Description I Qty. I Ea. I Total JOB.SITE.> ORM flON min,ttocAT1©N Heating/cooling: Job site address:15770 SW Upper Boones Ferry Rd Air conditioning 46.75 Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard oregon 97235 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: 1 Project name:Vertiv Heat pump 61.06 Duct work 23.32 Cross street/directions to job site: Hydropic 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 Tax map/parcel no.: Other fuel appliances: Water heater 23.32 D - 9 ! WO Gas fireplace/insert 33.39 Demo duct back to drops install concentricon drops and remove unit heater. Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 �� thlErl „ ,,1151A15PFOther: 23.32 Name:Pactrust Environmental exhaust and ventilation: Range hood/other kitchen Address: equipment 33.39 Clothes dryer exhaust 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, Phone: toilet compartments,utility rooms) 23.32 ( ) Fax ( ) Attic/crawlspace fans 23.32 ... . ( 1F A PE SOI+T 23.32 Other: Business name: Fuel piping: Contact name:Bruce Butner $14.15 for first four;$4.03 for each additional Furnace,etc. Address: Gas heat pump City/State/ZIP: Wall/suspended/unit heater Phone:( ) I Fax::( ) Fireplace E-mail:bruce@protemp.com Range Barbecue 0TRAEToR1� Clothes dryer(gas) Business name:Protemp Associates Other: Address:9788 SE 17th Ave tAiAttr; ,.. Subtotal City/State/ZIP:Milwaukie Oregon 97222 Minimum permit fee($90.00) Phone:(503)519-6199 I Fax:(503)238-9767 Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lie.:38868 TOTAL PERMIT FEE 'elite,te....6...._ This permit application expires if a permit is not obtained within 180 Authorized signature: „..6(...4____ days after it has been accepted as complete. ;e * Fee methodology set by Tri-County Building Industry Service Board I Print name:Bruce Butner Date:8/19/19 I I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(I1/02/COM/WEB)