Permit ,i„ CITY OF TIGARD MECHANICAL PERMIT
• COMMUNITY DEVELOPMENT Permit#: MEC2020-00014
Date Issued: 01/07/2020
T 1 C,A R p 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S115AB01900
Jurisdiction: Tigard
Site address: 16200 SW PACIFIC HWY F
Project: Spec Space Subdivision: 1994-028 PARTITION PLAT Lot: 2
Project Description: Exhaust fan installation in the restroom of suite F.
Contractor: OREGON HEATING&AIR CONDITIONING LLC Owner: SN PROPERTIES PARTNERSHIP
6950 SW 111TH AVE 1121 SW SALMON ST
BEAVERTON, OR 97008 PORTLAND, OR 97205
PHONE: 503-691-9699 PHONE:
FAX: 503-691-8556
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 01/07/2020 $96.69
Class of Work: ALT Type of Const: Plan Review 01/07/2020 $24.17
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 01/07/2020 $11.60
Stories: Info Process/Archiving-Sm$0.50(up to 01/07/2020 $1.50
11x17)
Project Valuation: $1,400.00
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: 1 Vent Systems: Total $133.96
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are s forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNP, calling 503.232.1 or 1.80 2.234
ss �
Issued By: Permittge Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanial Permit Application .(yr'° /Jr� FOR OFFICE USE ONLY
Cityof Tigard 7 ! Permit No.:
w 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: ��"� - )1�
JAN Plan Review Other Permit �p
Phone: 503.718.2439 Fax: 503.598.1960 2020 Date/By: !/'f1NO/ Ca2/!
TIGARD Inspection Line: 503.639.4175 Date Ready/By: Juris: I H See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: --,.r. Supplemental Information
f j''t,
RI IE nING niviqrP,
TYPE OF WORK COMMERCIAL FEE* SCHEDULE-USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
mechanical materials,equipment,labor,overhead,and profit.
❑Demolition ID Other:
Value:$ i/)
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling 6-Commercial/industrial ❑Accessory building For special information use checklist
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
f � Air conditioning 46.75
Job site address: vw W
/�� S 'Rz,` �'1e____ l-ic.<..r Z Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 135•�i,G.,:() Oa_ 1 77--z_y Furnace 100,000+BTU(ducts/vents) 54.91
� Heat pump 61.06
Suite/bldg./apt.no.: Project name:'
r 1')L,(e vCn
VA")v'1 �./Aei "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
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
n 1 `i ` y
� Flue vent for water heater or gas
7%CO '1GC_�— - 1--).1- k'2 `-L "���JC,v fa.Sr ✓1 .- I.% fireplace 23.32
J Log lighter(gas) 23.32
r-e-j i,a_i/V) Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
ElPROPERTY OWNER ElTENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39 _
Address: 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 _
❑ APPLICANT 0 CONTACT PERSON Other: 23.32
Fuel piping:
Business name: C? L, Furnace,etc.
� ',, 1 `� $14.15 for first four;$4.03 for each additional
Contact name: - � -'7
Address: 6,1 c &Lc) -I t l AtA ate_ Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: 'Ee_c,td-C/s (ThtZ (. -7 (]� Water heater
/
� Fireplace
Phone:(5.03).S 7 2' 3 d'J �. Fax::( )
Range
E-mail: 3 S ei t4c `-`_� <3 m o: _4 t,1 _``' , C- ii.,t„- Barbecue
CONTRACTOR ��/ Clothes dryer(gas)
Business name: Other:
Ory5t-,,-1
��'{ V l tA MECHANICAL PERMIT FEES*
") �Address: Ci2 Cl S t t k i. . Subtotal
City/State/ZIP: /` ��z'A\ D" 1 -1(pc*" Minimum permit fee($90.00)
Plan review
Phone:(�-03)S- 7 �L f Fax:( ) (
State surcharge(12%2 of permit fee)
of permit fee)
CCB lit.: (--5-7 4J 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: J'f--y- vu k:--L, Date: ( (../..,,' Z
I:\Building\Permits\MEC_PennitApp_0401 13.doc 440-4617T(11/02/COM/WEB)