Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENTIII
Permit#: MEC2020 00033
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/16/2020
Parcel: 2S112DA01400
Jurisdiction: Tigard
Site address: 6650 SW REDWOOD LN 160
Project: Spec Space Subdivision: 1996-048 PARTITION PLAT Lot: 2
Project Description: Relocating ductwork and grilles for TI.
Contractor: EXCEL HVAC INC Owner: PACIFIC REALTY ASSOCIATES
PO BOX 1188 ATTN: N PIVEN
CANBY, OR 97013 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 971-930-7194 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 01/16/2020 $139.67
Class of Work: ALT Type of Const: Plan Review 01/16/2020 $34.92
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 01/16/2020 $16.76
Stories: Info Process/Archiving-Lg$2.00(over 01/16/2020 $2.00
11x17)
Project Valuation: $2,800.00
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 $193.35
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
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.
--^ ---. _ Permittee Signature:
} l
Issued By: .+'
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 OFFICE USE ONLY
City of Tigard Date/By:Received
/ Permit No.: _ "�'�
- q 13125 SW Hall Blvd.,Tigard,OR 97223 E'\(E / r C..� L-"/ �`l °A? �-
Phone: 503.718.2439 Fax: 503.598.1960 V Plan Review
C Other Permit: Qg,�,1 7
Inspection Line: 503.639.4175 Date/By: �{- �jTC' L 11 !?tL t cV y
TIGARD p Date Ready/By: // ® See Page 2 for
Internet: www.tigard-or.gov JAN 1 6 2020 Jury.
Notified/Method: /�/ / o �� Supplemental Information
J/ ,r
IARD i COMMERCIAL FEE* SCHEDULE -USE" CHECKLIST
TYPE OF'WO �U,s
" ' 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:$
CATEGORY OF CONSTRUCTION )��—
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: C�=6-0 5 LA) I.6D in/000 L Ne Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 71cinkto 4c;q2. 07-iaq,q Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: f Gf) Project name: <10LCC d
��aC C 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: Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
lEL0G6'r 931JG.7GvonK, -1-_ G ii.!L[ES F61- /+iekt/ fireplace 23.32
F�LOt�R f�Ld 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
Environmental exhaust and ventilation:
Name: iDA 1/, 7- Range hood/other kitchen
equipment 33.39
Address: /5' 6 n St f Lit,D,si rpi«'/ '3o0 Clothes dryer exhaust 33.39
City/State/ZIP: % x„-t2Aa,D fyz 97aa0 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(5- n) .4 ‘30 0 Fax:( ) _Attic/crawlspace fans 23.32
XAPPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name: '_1
O W $14.15 for first four;$4.03 for each additional
Contact name: 5 ��ti Furnace,etc.
Address: 5A, Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax: :( ) Fireplace
Range
E-mail: zixei, (0,e1pce(kQ ttl.c .,me.,. Barbecue
CONTRACTOR I Clothes dryer(gas)
Other:
Business name: �C
f L /44v4 G G • MECHANICAL PERMIT FEES*
Address: /7 v, II-.
c, //6$ Subtotal
City/State/ZIP: c_Aouay on- q 70 l 3 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(50 3 ) co (opt{2. Fax:( ) State surcharge(12%of permit fee)
CCB lie.: /e/ o95-- 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: J� * Fee methodology set by Tri-County Building Industry Service Board
Print name: &Lay 'r" Date: //f e,,,i/z 0
1:\Building\Pernsits'MEC_PermitApp_040113.doc 440-4617T(I 1/02/COMWEB)