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Permit IN CITY OF TIGARD MECHANICAL PERMIT 2 COMMUNITY DEVELOPMENT Permit #: MEC2012 -00327 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/26/2012 Parcel: 25101 DA00104 Jurisdiction: TIGARD Site address: 13333 SW 68TH PKWY, STE# 010 Project: National American University Subdivision: VARNS ACRES Lot: 9 Project Description: Install 70 -T packaged unit, gas piping, VAV boxes & ductwork. Contractor: HVAC INC Owner: TRIANGLE POINTE LLC 5188 SE INTERNATIONAL WAY 901 NE GLISAN ST, #100 MILWAUKIE, OR 97222 PORTLAND, OR 97232 PHONE: 503 -462 -4822 PHONE: 503 - 297 -8791 FAX: 503 -462 -6555 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 06/26/2012 $4,652.71 Class of Work: ALT Type of Const: IIB Plan Review 06/26/2012 $1,163.18 Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 06/26/2012 $558.33 Stories: Info Process /Archiving - Lg $2.00 (over 06/26/2012 $4.00 11x17) Project Valuation: $170,000.00 Info Process /Archiving - Sm $0.50 (up to 06/26/2012 $12.50 11x17) Fuel Air Handlers Fuel Types: Units < 10000 cfm: Gas Pressure: Units > 10000 cfm: Furnaces Boilers & Compressors Fumaces < 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 $6,390.72 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Terminal Duct Work: 1 units 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 Notifi tin 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 estions OUNC calling 503.232.1987 or 1.800.332.2344. 1 Issued B • • 1 2 A /! /1 Permittee Signature: C alll .639 503� by 7:00 a.m. for the next available Inspectio Ig. 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. I Mechanical Permit Appli.I - IC FIVE FOR OFFICE 11S1:. ONLY City of Tigard 2 6 2012 RDattee/By- 4f0�'� Permit No.: *, _ .- — 603 4 9 0 13125 SW Hall Blvd., Tigard, OR 972 Plan Revi •/ ' C Phone: 503.639.4171 Fax: 503.598.1960 Datemy.;` t , r Other Permit: ..'`, / , O/ „,// r I G n R D Inspection Line: 503.639.4175 CITY ®� IGfi D Date Ready : y: Juris: la See Page 2 for Internet: www.tigard -or.gov Bo DING Drkiit ir Notified/Method: Supplemental Information TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ❑ New construction 0 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: $ r) p t b `J b RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ 1 - and 2 family dwelling jaCommercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: . Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: ? 2 J Air conditioning or heat pump j � � J J \Q�� 1 — L�W� (requires site plan showing placement) 14.00 City/State/ZIP: 1 — 3 Furnace 100,000 BTU (ducts/vents) 14.00 1 " °"�`�� \l Furnace l OQ000+ BTU ( ducts/vents) 17.90 Suite/bldg./apt. no.: Project name! =44.4N Gas heat pump 14.00 Cross street/directions to job site: Duct work 10.00 � TOE dL ^ , e n Reside is hot water system 14.00 , /jMT.�t�f N Residential boiler (radiator or ti A)/ .) y f n, nit heaters U 14.00 V ' Y Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 14.00 Subdivision: Lot no.: Flue/vent for any of above 6.80 Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10.00 7 U:7-1- l A t�l. p i tO Flue vent for water heater or gas V n` 1 ta-"OCA S 0V44-WD y � fireplace 10.00 �J 1 �J' �./ Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplaceJinsert 10.00 ❑ PROPERTY OWNER ❑ TENANT Chimney/liner /flue/vent 10.00 Other: 10.00 Name: Environmental exhaust and ventilation Address: Range hood/other kitchen equipment 10.00 • City/State/ZIP: Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80 ❑ APPLICANT ❑ CONTACT PERSON _Attic crawlspace fans 10.00 A Other: 10.00 Business name: � U A L ii t . / Fuel pi Contact name �� 1i f $5.40 for first four; $1.00 for each additional �,/ a,-,„,(4) 1 , , Furnace, etc. Address: J 1C /� �J� Gas heat um � ) 1 Wl ' 0 � pump City/ State/ZIP: � � WalUsuspended/tmit heater Phone: (SOS) u l Fax: (� (3) 4 � 6�� War heater , L 0 �� rJ Fireplace E -mail: ` b C ( j IA VO1.0 'A() v p, utW1 - Range CONTRACTOR Barbecue � A� SVI (----r Clothes dryer (gas) Business name: " V p Other: Address: � MECHAN PERMIT FEES* City/ State/ZIP: 5givi-e-a C Subtotal Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) Plan review (25% of permit fee) CCB lic.: 'Z) 'toy State surcharge (12% of permit fee) TOTAL PERMIT FEE Of 4 8i' 2 Authorized signature: If / 1 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: • ��/ _) f�� Date: , mom • Fee methodology set by Tri County Building Industry Service Board NIIV IABui1ding�Permits - PermitAp..doc 01 / 440-4617r(11/02/COM/WEB) • Il ° l Q Building Division Over- The - Counter (OTC) Mechanical Permit T i c' n li ° Check List Project Description: IM (+04) (CAL— T1 APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION *Class of Work: LT Occupancy Group: P Type of Construction: 2-43 *Type of Use: (arm Specialty Code: 2 . ©c Number of Stories: FUEL FURNACES Type: Furnace < 100K BTU Furnaces >= 100K BTU Gas Pressure: Roof Top Unit (RTU) k Tons 7r) Floor Furnaces Unit Heaters Vents without Appliances Air Conditioning Heat Pump AIR HANDLERS HOODS Units <= 10000 cfm Type 1 Hood Type 2 Hood Units > 10000 cfm Grease Duct 1 Hour Shaft Fire Wrap APPLIANCES Boiler (BTUs) Vent Fans Gas Line Solid Fuel Fireplace/ Clothes Dryers Gas Outlets Woodstove Duct Work Gas Fireplace Fire /Smoke Dampers Other Mechanical Units — Describe: (, tikvic 00 T- ( 4 Total Project Valuation: $ ( FEES DUE $ 4;62-.7( Mechanical Permit Fee $ 6 18 Plan Review $ ' " $ ,' ✓ 12% State Surcharge $ • co Info Proc /Arch, Lg (over 11x17 $2.00) $ ' Z. 0 Info Proc /Arch, Sm (up to 11x17 $0.50) $ Misc. Admin Fee $ Hourly Rate Fee $ Hourly Rate State Surcharge $ Other: $ Other: Building Staff: Date /Time: $ ;3 TOTAL FEES DUE *OPTIONS: TYPE OF USE: COM = commercial; CMS = commercial manufactured structure. CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; FND = foundation; DEM = demo; FND = foundation; FPS = fire protection system; NEW = new; OTR = other (use for fences, decks, retaining walls, signs, awnings or canopies); REP = repair. 1: \Building\Forms \OTC- MEC.docx 01/13/2011 `2 0 9 C e r. Date: June 14, 2012 HVAC ' , o . Ride • Integrity • Quarry $ HE A T I N G To: Anthony Trapani — SD Deacon NIEW From: Diane Gardner 5188 SE International Way Milwaukie, OR 97222 Sub Subject: Triangle Point — Garden Level (503) 462-4822 J (503) 462 -6555 FAX CCB # 50897 Shell Equipment Scope — 22,414 sf 1 70 ton package unit with gas heat, non fused disconnect, economizer, power exhaust, and supply fan vfd 2 Sound traps Ductwork from unit to 8' inside building Start up Control interface to existing system Crane Gas piping to meter Permit fees Engineered drawings Shell Ductwork and TI Boxes (National American University) 13 VAV boxes with electric heaters, non -fused disconnects, wall sensors 1 VAV box for lobby and restrooms (includes duct and diffusers to those areas only) Ductwork and insulation Start up Low voltage wiring to boxes (connection to existing system) Permit fees Engineered drawings EXCLUSIONS: 1. Wall sensors to be installed by TI contractor 2. Level pad for rooftop unit (on ground South of loading dock) 3. Demolition 4. Framed Openings 5. Concrete cutting and coring 6. Painting 7. Screening or fencing 8. Electrical power wiring