Permit i -_u `�!5 CITY OF TIGARD
MECHANICAL PERMIT
q
it ` 2 COMMUNITY DEVELOPMENT Permit #: MEC2009-00665
•
Date Issued: 12/15/2009
T [ GAR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S113AA00700
Jurisdiction: Tigard
Site address: 16600 SW 72ND AVE B10
Subdivision: OREGON BUSINESS PARK I Lot: 0
Project: Benchcraft
Project Description: 20 -ton heat pump system w/ (7) indoor units, (1) EVR for outdoor air rqmts, relocate (2) RTUs w/
duct, demo (1) RTU, gas piping, and exhaust fan for restroom, modify existing duct.
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300
PORTLAND, OR 97224 Permit Fee 12/15/2009 $2,608.71
Plan Review 12/15/2009 $652.18
PHONE: 503 - 624 -6300 12% State Surcharge - Mechanical 12/15/2009 $313.05
Contractor: .
GOHMAN MECHANICAL '
14505 SE HWY 212
CLACKAMAS, OR 97015
PHONE: 503 - 658 -1892
FAX: 503 - 658 -6925
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: B Occupancy Load:
Stories:
Fuel Air Handlers
Fuel Types: Natural Gas Units < 10000 cfm: 7
Gas Pressue: 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 $3,573.94
Hoods: Comm Incinerators:
Required Items and Reports (Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units: 1 BUP Structural Welding
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 set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy o the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. n J9, / t
Issued By: �\ � Perm Signature: `
I
Call 503.639.4175 by 7:00 a.m. for an inspection that busine -s day.
This permit card shall be kept in a conspicuous place on the job site until completion of t project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application RECEIVE 1 FOR OFFICE USE ONLY
CI of Ti and • Received Permit No.: �`
•J g C Date/By: �� • V O�
q 4
III 13125 SW Hall Blvd., Tigard, OR 97223 DEC 15 2009
C Date/By: Review Other Permit:
P hone: 503.639,4171 Fax: 5 03.598.1960 DateBy:
TIGARD Inspection Line: 503.639.4175 TIGARD Date Ready /By: Juris: See Page 2 for
Internet: www.ti and -or. ov CITY OF
®
g g BUILDING DIVISIO N5tified/Method: TA Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
El New construction ® Addition /alteration /replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $ $100,000.00
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Air conditioning
Job site address: 16600 sw 72 " ave
(requires site plan showing placement) 46.75
City /State /ZIP: tigard 97224 Furnace 100,000 BTU (ducts /vents) 46.75
Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: 10 Project name: Bench Craft Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
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
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 23.32
Gas fireplace 33.39
20 -ton mitsubishi citi multi heat pump system with 7 indoor units, 1 ERV for Flue vent for water heater or gas
outside air requirments, relocate 2 Rtu's with duct, demo 1 rtu, gas piping, fireplace 23.32
Log lighter (gas) 23.32
exhaust fan for retrooms, modify existing duct Wood /pellet stove 33.39
Wood fireplace /insert 23.32
® PROPERTY OWNER Chimney /liner /flue /vent 23.32
❑ TENANT Other: 23.32
Name: Pac -Trust Environmental exhaust and ventilation
Address: Range hood /other kitchen
equipment 33.39
City /State /ZIP: Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: (503)624 -6300 Fax: ( ) toilet compartments, utility rooms) 23.32
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32
Other: 23.32
Business name:
Fuel piping
Contact name: $14.15 for first four; $4.03 for each additional
Address: Furnace, etc.
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax::( )
Water heater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
Business name: Gohman Mechanical Clothes dryer (gas)
Other:
Address: 14505 SE Hwy 212 MECHANICAL PERMIT FEES*
City /State /ZIP: Clackamas, OR 97015 Subtotal
Minimum permit fee ($90.00)
Phone: (503) 658 -1892 F. ' , • (503) 658 -6925
f} Plan review (25% of permit fee)
CCB lic.: 119952 ` St ate surcharge (12% of permit fee)
. TOTAL PERMIT FEE 3516.CA
C
This permit application expires if a permit is not obtained within 180
Authorized signature: \ da after i t has been accepted as complete.
Print name: Jeremy Hun Date: 12 - - . Fee methodology set by Tri- County Building Industry Service Board
P\Building■Permits \MEC- PermitA . doc 10/01/09 440 -4617T (11 /02 /COM/WEB)