Permit CITY OF TIGARD MECHANICAL PERMIT
r
'' COMMUNITY DEVELOPMENT 4
Permit#: MEC2018 00296
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/04/2020
TIGARD Parcel: 261010001600
Jurisdiction: Tigard
Site address: 7790 SW HUNZIKER RD
Project: The Fields Apartments-Building 3 Subdivision: FIELDS APARTMENTS Lot: None
Project Description: Building 3-Mechanical for new 1-story clubhouse.
Contractor: DBG PROPERTIES LLC Owner: FIELDS, FRED W REVOCABLE LIVING
2164 SW PARK PLACE 111 SW 5TH AVE#3675
PORTLAND, OR 97205 PORTLAND, OR 97204
PHONE: 503-956-4355 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/04/2020 $761.73
Class of Work: ALT Type of Const: VB Plan Review 02/04/2020 $190.43
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 02/04/2020 $91.41
Stories: 1 Info Process/Archiving-Lg$2.00(over 02/04/2020 $6.00
11x17)
Project Valuation: $26,254.00 Info Process/Archiving-Sm$0.50(up to 02/04/2020 $27.50
11x17)
Fuel Air Handlers
Fuel Types: Natural Gas Units< 10000 cfm:
Gas Pressure: Units> 10000 cfm:
Furnaces Boilers&Compressors
Furnaces< 100K BTU: 2 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: 1
Appliances
Vent Fans: 3 Vent Systems: Total $1,077.07
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.
Issued By: `�����,w �'' �` Permittee Signature: 4. /' ., '-- •
L/ 1 .y
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. d
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 l FOR OFFICE USE ONLY
City, of Tigard pp cc�� Date/By: -7 A Jr-
FOR
N f��D/2.--M,OC:;:,
III4 13125 SW Hall Blvd.,Tigard,OR 97223 A P 11 2J 201 Review
' Phone: 503.718.2439 Fax: 503.598.1960 I ..'a,., j 9 ..�' Other Permit:
Date/By:
T I G A R D Inspection Line: 503.639.4175 IT 1 e' Read /B orris. ® See Page 2 for
CI 1 Y 0i- i 1Ca / n-I
Internet: www.tigard-or.gov . _ , ed/Method: / /(� Supplemental Information
r3t)I€ ;�!�1 ? �l � /!! �/A
,,, Z; 'oi,,WO 1/�y COMMERCIAL FEE*S DULE—USE CHECKLIST .'n
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.
ted. Value:$$26,254.00
,tr:�... o' oNs tvcneN .
,,,,,,,, 4 y,•. .. - RESIDENTIAL,EQUIPMENT/SYSTEMS FEES*
0 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
®Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
F *0t f �,, Heating/cooling:t Air conditioning 46.75
Job site address:7790 SW Hunziker RD Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.:3 1 Project name:The Fields Apartments Duct work 23.32
Cross street/directions to job site:SW Hunziker Rd&SW Wall St I 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.:2S1010001600 I Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
1 STORY WOOD FRAMED CLUBHOUSE WITH LEASING OFFICE AND I fireplace 23.32
AMMENITY SPACES Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY;OWNI `' Other: 23.32
Environmental exhaust and ventilation:
Name:Fred W.Fields Revocable Living Trust c/o Miller Nash Graham&Dunn LLP Range hood/other kitchen
equipment 33.39
Address:111 SW 5th Ave,#3400 Clothes dryer exhaust 33.39
City/State/ZIP:Portland,OR 97204 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)205-2332 ) Fax:( ) Attic/crawlspace fans 23.32
1 .,.,®5,,,c..PLICANT vsa..,, ►ii tom,` f Other: 23.32
I Business name:Otak Architects,Inc Fuel piping:
$14.15 for first four;$4.03 for each additional
IContact name:Matt Neish,RA,AIA Furnace,etc.
Address:808 SW 3rd Ave,Ste 300 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Portland,OR 97204 Water heater
Phone:(503)415-2393 I Fax::( ) Fireplace
I Range
E-mail:matt.neish@otak.com Barbecue
, /p i 04: , Clothes dryer(gas)
Business name:DBG Propertiers LLC Other:
MU:MANI-CALPERMIT F IS* i,
Address:2164 SW Park Place Subtotal 760.56
City/State/ZIP:Portland,OR 97205 I Minimum permit fee($90.00)
Phone:(503)816-4084 Fax:( ) Plan review(25%0of permit fee)
I State surcharge(12%of permit fee)
CCB lie.:201911 PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature:Print name:Matt Neish
* Fee methodology set by Tri-County Building Industry Service Board
I D4415;>14elliggi:ate:4/23/2018
I:ABuilding\Permits\MEC_PerniltApp_040113.doe 440-46171(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
$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
Mechanical Permit Application
City of Tigard ,I G 2 8 2018 Received PermitNoigG-�/t7
114 13125 SW Hall Blvd.,Tigard,OR 97223
' I Plan Review
I Phone: 503.718.2439 Fax: 503.598.1960 1 R I�a/ATO✓ Other Permit:
DateBy:
Inspection Line: 503.639.4175 ,TIGARD Y Y VDate Ready/By: .orrs: 10
See Page 2 for
Internet: www.tigard-or.gov DIAL_
- Notified/Method: Supplemental Information
{ ' Mechanical permit fees*are based on the value of the work
®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$$26,254.00
= o s STRUMION R1 SSI.1)ENTIAL EQUIPMENT/SYST**S FEES*
❑ 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist
®Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
Heating/cooling:
Air conditioning 46.75
Job site address:7790 SW Hunziker RD Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 2 61.06
Suite/bldg./apt.no.:3 I Project name:The Fields Apartments Duct work 23.32
Cross street/directions to job site:SW Hunziker Rd&SW Wall St 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 2 23.32
Subdivision: I Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.:2S1010001600 Water heater 1 23.32
c t'N iq s s Gas fireplace/insert 1 33.39
Flue vent for water heater or gas
1 STORY WOOD FRAMED CLUBHOUSE WITH LEASING OFFICE AND fireplace 23.32
AMMENITY SPACES Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
pita Other: 23.32
.< PROPERTY ' ❑,TENANT
Environmental exhaust and ventilation:
Name:Fred W.Fields Revocable Living Trust Range hood/other kitchen
Address:111 SW 5th Ave,#3400 equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP:Portland,OR 97204 I Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 3 23.32
Phone:(503)205-2332 Fax:( ) Attic/crawlspace fans 23.32
e 'wP_ucANT ya NTAt PERSON ," Other: 23.32
Business name:Otak Architects,Inc Fuel piping:
$14.15 for first four;$4.03 fir each additional
Contact name:Matt Neish,RA,AIA Furnace,etc.
Address:808 SW 3rd Ave,Ste 300 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Portland,OR 97204 Water heater
Phone:(503)415-2393 Fax: :( ) Fireplace
Range
I E-mail:matt.neish@otak.com Barbecue
M Clothes dryer(gas)
Business name:DBG Propertiers LLC Other:
Address:2164 SW Park Place
Subtotal 760.56
City/State/ZIP:Portland,OR 97205 Minimum permit fee($90.00)
Phone:(503)816-4084 ( Plan review(25%of permit fee)
Fax: )
State surcharge(12%of permit fee)
CCB lic.:201911 I 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:Matt Neish r I Date:8/28/2018
I:\Building\Pere its\MEC_PenmtApp_040113.doc 440-4617T(1I/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total Valuation:: Permit
$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