Permit CITY OF TIGARD MECHANICAL PERMIT
IN l '-11
-. COMMUNITY DEVELOPMENT Permit#: MEC2013-00485
T[G ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/20/2013
Parcel: 2S 101 DA00100
Jurisdiction: Tigard
Site address: 13010 SW 68TH PKWY 100
Project: US Bank Equipment Finance Subdivision: VARNS ACRES Lot: 9
Project Description: Adding exhaust fan to server room.
Contractor: AMERICAN HEATING INC Owner: PACIFIC NW PROPERTIES LIMITED PA
1339 SE GIDEON ST STERN FAMILY LIMITED PARTNERSHIP
PORTLAND,OR 97202 STERN, HELEN R REVOCABLE TRUST
6600 SW 105TH AVE#175
BEAVERTON,OR 97008
PHONE: 503-239-4600 PHONE:
FAX: 503-239-7038
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 08/20/2013 $93.62
Class of Work: ALT Type of Const: Plan Review 08/20/2013 $23.41
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 08/20/2013 $11.23
Stories:
Project Valuation: $1,221.00
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: 1
Heat Pump:
Appliances .
Vent Fans: Vent Systems: Total $128.26
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 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: '.--- - Permittee Signature: W
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.
Mechanical Permit Application FOR OFFICE USE ONLY
•
�`� Received _
City of Tigard ,*' l rr�'� Date/13y: $ Pt L7AP Permit No.: /jot. _ -- .. : 1
13125 SW Hall Blvd.,Tigard,OR 972 - 0 L '
' IL • Phone: 503.718.2439 Fax: 503.598.19N c- A� ` - ; Other Permit: P01�i .`,)
T f G A R Cl
Inspection Line: 503.639.4175 P� ���'°V l�i ate Ready/By: El See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental information
TYPE OF WOlt1C w - ,COMMFR
c,
.•. `y" c1AX:'It'gIr'"':'Sf,BEDUI•Lr CISE,C.73EClCA,I1ST''
❑New construction Addition alteration/recement Mechanical permit fees*are based on the value of the work
P performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,
RCSII)ENTIAL�QUYPIVIIElPIT r,S overhead,v�Ser}h;ea14dTi,a
nd profit.
Value:$ ab'2 t.Ot
CATEGORY,OF CONSTRUCTION - < k
ILIrS�':-`_
❑ 1-and 2-family dwelling [ Commercial/industrial ❑Accessory building For special information use checklist.
❑ Multi-family ❑Master builder ❑Other: Description Qty. I Ea. I Total •
SOB SIT_E INFOfMATION:ANF;LOCATION _ = I3eating/cooling:
� Air conditioning 46.75
Job site address: J3 0/0 Se_V 68A !Q r.„,„.,G[e� Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: -2-;:.5,,.0--G) G : �".' Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06 Suite/bldg./apt.no.:J . r: 4, Project name: /? ,,t/,q G J l , /J-)a,)C E Duct work 23.32 7 J
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
Subdivision: Lot no.:
Other: 23.32
Other fuel appliances: •
Tax snap/parcel no.: Water heater 23.32
• 1'DESCRIPTfON..OT tl'VOltl(` Gas fireplace/insert 33.39
',/ Flue vent for water heater or gas
' t:/GA e>er"'ze,e,:;,.�• ` i ..,`-. '•i�G 4.+�eve,,cr 4',/.2'"w•, fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32 .
Other: _ 23.32
•❑11)4°-I'C ft...... .. ❑TDB N _ 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
14 APPLICANT . :: ?q:coNTAcw'PERSON Other: 23.32
• ,/ / Tucl piping:
Business name: �Mer7 Ca17 ,4 f,G1.7'"y/ _z-„c„ $14.15 for first four;$4.03 for each additional •
Contact name:-a/Gr.,J., �/ 2. Furnace,etc.
C: C�i",,,,,,,;„374-7-
i`�l'i'd ri r
Address: L.522.3.6.- ato 1 ./�;r 9 Gas heat pump
� " Wall/suspcndcdhmit heater •
•
City/State/ZIP: ' ;1 , 2 9 Water heater
Phone:(i..aC,. ) c: : .?—'ri;:.;l., (Fax::( 3) 39 705 g Fireplace
��jI p Range
E-mail: G�.)e 1..Inr'.•f'ie .)))r.::.:x„-{It',c, r'lt`::'"— Barbecue •
CONT.RACTOR^' Clothes dryer(gas)
Business name:
Other:
MECUUAN1CALPLIR_MIT_FLES•
Address: S Q.h- e — Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee)
CCB lie.: 3'3 1 6 (cfry TOTAL PERMIT FEE iaZ�l
This permit application expires if a permit is not obtained within 180
/ days after it has been accepted as complete.
Authorized signature: . ?7• .t1 • Fee methodology set by Tri-County Building Industry Service Board
Print name: K., ale h�r10"0/?»n;,•;/ Date: a://g/3 _
I:\Building\armlts\MEC_PermitApp_040I13.doc 440-4617T(IIl07JCOM/WEB)
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