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Permit CITY OF TIGARD MECHANICAL PERMIT .111''°'' q COMMUNITY DEVELOPMENT Permit#: MEC2020 00005 Date Issued: 02/05/2020 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101AC01300 Jurisdiction: Tigard Site address: 7105 SW HAMPTON ST Project: Kaiser Dental Subdivision: BEVELAND NO.2 Lot: 18-19,P Project Description: Mechanical work for TI. Contractor: TOTAL MECHANICAL INC Owner: KAISER FOUNDATION HEALTH 4857 NW LAKE ROAD SUITE 300 PLAN OF THE NORTHWEST#838 CAMAS,WA 98607 ATTN PROPERTY ACCOUNTING 500 NE MULTNOMAH ST PORTLAND, OR 97232 PHONE: 360-896-3848 PHONE: 503-348-6291 FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 02/05/2020 $982.71 Class of Work: ALT Type of Const: VB Plan Review 02/05/2020 $245.68 Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 02/05/2020 $117.93 Info Process/Archiving-Lg$2.00(over 02/05/2020 $10.00 Stories: 11x17) Project Valuation: $35,000.00 Fuel Air Handlers Fuel Types: Electricity Units<10000 cfm: 1 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: 1 Appliances Vent Fans: Vent Systems: Total $1,356.32 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: 10 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: ._^; - Permit ewe Signature: _. Call 503.639.4175 by 7:00 a.m.for the next available inspect on da e. This permit card shall be kept in a conspicuous place on the job site until co etio the project. Approved plans are required on the job site at the time of each inspection. I , Mechanical Permit Application , -�. FOR OR Fier_USL ONLY Received el , City of Tigard 1 g �; ���?� Date/By. /. 2 , • z-.i ''''IV's 'G.2�� �/�Lli? 74 it 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review C Phone: 503 718.2439 Fax: 503.598.1960 Inspection Line: 503.639.4175 Date Rcad /B V , Loris RI See Page 2 for TtGARD Ready/By: j Internet: www,tigard-or �.'',.. .3Notified/Method:/�2? O ie Supplemental Information TYPE OF WORK COMMERCIAL FEE*SCHEDULE- USE CHECKLIST 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 ❑Demolition ❑Other: mechanical materials.equipment,labor.overhead.and profit. Value:5 J5 )000 ,06 CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT(SYSTEMS FEES* ❑ I-and 2-family dwelling Commercial/industrial ❑Accessory building For special information use checklist ____I ❑Multi-family ❑Master builder ❑Other: Description Qty I Ea. Total f JOB SITE INFORMATION AND LOCATION Heating/cooling: � Air conditioning 46 75 Job site address: OS pf tl..t gigkar Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: 'I( TJfo, 0 g cri d,,v 3 kihs Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61 06 Suite/bldg./apt.no.: Project name: t r t L Duct work 23.32 Cross street/directions to job site: p t�T.1t r�/14JtJ l�7 Hydronic hot water system 23.32 S w 1 9 N r) Prue Z 11,1 F^DN ST. Residential boiler(radiator or I IP ,Y, ,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 Other: 23 32 Subdivision: Lot no.: Other fuel appliances: Tax map/parcel no.: Water heater 23.32_ DESCRIPTION OF WORK Gas fireplace/insert 33.39 `' j Q (�� A � r Flue vent for water beater or gas t i-vr g-u59„ `�V Y O� ©T fireplace , 23.32 Sret -uZ `�6g D,` e-n ` Vo e-- t Log lighter(gas) 23.32 l(jam{ t�t� Cr4�1� V V f� +►--i'jT Wood/pellet stove 33.39 , IF DR- 911 t c pc - ctA ,,C . - Wood fireplace/insert 23.32 " Chimney/liner/flue/vent 21 32 Other: 2332 PROPERTY OWNER TENANT Pj�ll' IR nt Environmental exhaust and ventilation: Name: 9 F for1q _ Range hood/other kitchen equipment 33.39 Address: son fm. j 'my L"j" O f A-4 si- Clothes dryer exhaust 33.39 City/State/ZIP: 7OR2_TZ-Pt i.4 b _.0?_- 9 J 5, Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23_32 Phone:( A) -m -W ,09 Fax:( ) Attic/crawlspace fans 23,32 0 APPLICANT ,�� p�,(�,,��CONTACT PERSON {-� Other: 23 32 Tt14069-S0 r P V 1� �S� E��-�' ' ` Fuel piping: Business name: 514.15 for first four;S4.03 for each additional Contact name: reA2.651€, CjGi- 1 Furnace,etc. Address: 14170 0 5 , S t 'co Gas heat pump Wall/suspended/unit heater City/State/ZIP: pt0cr 2-J +.(D ,:::::.0?.... on` t,4-' Water heater Phone:( f�,, ✓ a - 1 3 '7 Fax::((�r,'�).�. :corn, FRange ireplace Lt v" v, t W K�uJ -- 1- E-mail: > L a f , Barbecue - E-mail: �._. CONTRACTOR Clothes dryer(gas) i Business name: ` j - -`A"6'i"ot I,,/i .� I(pit" Other. r MECHANICAL PERMIT FEES" Address: '61 N v%) L, u. ci,kvi c 3v c � Subtotal I �' ti Minimum permit fee(S90 00) City/State/ZIP: GAfMIft sJ, ix)A v kii u o -t Plan review(25%of permit fee) Phone:(en O 111 '3F1OZ Fax:( ) State surcharge(12%of permit fee) CCB lie.: '3c t, - 3 id TOTAL PERMIT FEE td►� This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized sigTtatu ' ' Fee methodology set by Tri-County Building Industry Service Board Print name:, a -- Date: 1,gt~L/argi t:\Ctuild,ng1Pren itAMEC_PeoniiApp_O4Ol I I doe 440.40l 7T(t I/ONCOb1AVEB) , 1 • • City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT .71 _ " Accessibility: Barrier Removal Improvement Plan Commercial & Multi-Family - Additions or Alterations TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • vvww.tigard-or.gov REQUIREMENT: OREGON REVISED STATUTE(ORS)447.241. (1) Every project for renovation,alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the restroom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five percent(25%). VALUATION: Total of all renovation,alteration or modification being done, excluding painting and wallpapering: [1] $ '1 D SOS.OO MULTIPLIER(25%barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 1 S'o a.,Sb ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given to those elements that will provide the greatest access. Elements shall be provided in the following order: (a) Parking $ 1/ (b) An accessible entrance: $ ter (c) An accessible route to the altered area: $ Ley (d) At least one accessible restroom for each sex or a single unisex restroom: $ 6-/O�c (e) Accessible telephones: $ I 1 S DO (f) Accessible drinking fountains:and, $ ✓ (g) When possible,additional accessible elements such as storage and alarms: $ TOTAL(shall equal line [2] of Valuation Computation): $ _P 1 I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019