Permit CITY OF TIGARD MECHANICAL PERMIT
,,. • s p
g ` COMMUNITY DEVELOPMENT Permit #: MEC2013 -00078 •
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439
Date Issued: 02/28/2013
Parcel: 1 S136DA00100
Jurisdiction: Tigard
Site address: 11308 SW 68TH PKWY
Project: Spec Space Subdivision: PFAFFLE PLAZA CONDO Lot: 2
Project Description: Shell HVAC upgrade, new rooftop unit and VAV boxes.
Contractor: HUNTER DAVISSON INC Owner: BENENSON 68TH PARKWAY KEY LLC, T
1800 SW PERSHING ST BY PROVIDENCE HEALTH SYSTEM
PORTLAND, OR 97202 ATTN: PROPERTY MANAGEMENT
1235 NE 47TH STE 160
PORTLAND, OR 97213
PHONE: 503 - 542 -3629 PHONE:
FAX: 503 - 542 -3654
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/28/2013 $4,068.71
Class of Work: ALT Type of Const: VB Plan Review 02/28/2013 $1,017.18
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 02/28/2013 $488.25
Stories: 2 Info Process /Archiving - Lg $2.00 (over 02/28/2013 $4.00
11x17)
Project Valuation: $150,000.00
Fuel Air Handlers
Fuel Types: Natural Gas 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: Vent Systems: Total $5,578.14
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: VAV's
Duct Work: 1
Fire /Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notific tiny r,�nter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -001 -11.0. You may obtain a copy of the rules
or dire uestions to 00 b Ding 503.232.1987 or 1.800.332.2344.
Iss ed By: , /■ Permittee Signature: .00117/i ` AI
Call 503.639.4175 by 7:00 a.m. for the next available ' sp. ion date.
This permit card shall be kept in a conspicuous place on the job si . til completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application n FOR OFFICE USE ONLY
_ _ City of Tigard Date/By: ,2 4 i 1 Permit No.: /1 / I •1.1075
q 13125 SW Hall ll Blvd., Tigard, OR *EC I VE Plan Review '
Phone: 503.639.4171 Fax: 503.:9:1® DateBy:�r (0 I Other Permit:
TIGARD Inspection Line: 503.639 Date Rea. y/By: � � �"/ .6.: ® See Page 2 for
Internet: www.tigard - or.gov FEB 5 2013 Notifi ethod: / Supplemental Information
�F TIGARD I/44 ` "°"°'.`
TYPE O$�) (! pp�' (� RCIAL FEE* SCHEDULE — USE CHECKLIST
1:1 New construction dditionTalfelPd�eAVlt§egf�! �9 O 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: $ /572 a o •
RESIDENTIAL EQUIPMENT / S FEES*
❑ 1- and 2- family dwelling XCommercial/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
Sul �08 .....5 � A;q conditioning
Job site address:
f /3�� (requires site plan showing placement) 46.75
City /State /ZIP: r D O R , Furnace 100,000 BTU (ducts/vents) 46.75
.�.�p Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg./apt. no.: Project name:
T / Q� &(5JJ//,�S C,,,l 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
Subdivision: Lot no.: Flue /vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 23.32
Gas fireplace 33.39
/.l,#0›, 'si //// . rSh Lie l � � ,P Flue vent for water heater or gas
fireplace 23.32
� / �,/ *��``
` ) t" K/ /� Lt k€ Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace /insert 23.32
Chimney /liner /flue /vent 23.32
PROPERTY OWNER ❑ TENANT Other: 23.32
Name: r �/1 "� i1 .,,q�,e� Environmental exhaust and ventilation
/J �'�� / G I„' Range hood/other kitchen
Address:
/,de8- „TEA./ 6 ,« equipment 33.39
City/State/ZIP: Clothes dryer exhaust 33.39
�O Single -duct exhaust (bathrooms,
Phone: (. ) Fax: ( ) toilet compartments, utility rooms) 23.32
XAPPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32
Other: 23.32
Business name: Ave �� u/ _ / �� uel piping
Contact name: L ����+ �/ `
�� ' $14.15 for first four; $4.03 for each additional
Furnace, etc.
Address: igrig " hix v .577.
Gas heat pump
City/State /ZIP: /' 49. 19g_ 4'7/0302 Wal /suspended/unit heater
Phone: 9) 3) j 'Z ,p q Fax:: (573 a g6 , �I Water heater
1 7 Fireplace
E • , �t j TL pi✓� /�%,. i er6 0:52x4 zr • «l�f Range
v C R ACTOR Barbecue
� Clothes dryer (gas)
Business name: /G Other:
Address: MECHANICAL PERMIT FEES*
City /State /ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB tic.: ! (a/ State surcharge (12% of permit fee)
TOTAL PERMIT FEE
' ? This permit application expires if a permit is not obtained within 180
Authorized signature: /v days after it has been accepted as complete.
r� -= -•-- -• 1 n..._. 1 * Fir methndnlnov get by Tri -f nnnty Rnilrlina Induct Service Rnarri