Permit a CITY OF TIGARD MECHANICAL PERMIT
.111 COMMUNITY DEVELOPMENT Permit#: MEC2013-00307
T t GAR E) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/28/2013
Parcel: 25101 DC04500
Jurisdiction: Tigard
Site address: 7555 SW TECH CENTER DR A
Project: LaCie Subdivision: TECH CENTER BUSINESS PARK Lot: 1
Project Description: HVAC modification for new TI
Contractor: GOHMAN MECHANICAL Owner: SUMMIT PROPERTIES INC
14505 SE HWY 212 5550 SW MACADAM BLVD STE 205
CLACKAMAS, OR 97015 PORTLAND,OR 97201
PHONE: 503-658-1892 PHONE:
FAX: 503-658-6925
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 08/28/2013 $2,608.71
Class of Work: ALT Type of Const: IIB Plan Review 08/28/2013 $652.18
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 08/28/2013 $313.05
Stories: Info Process/Archiving-Lg$2.00(over 08/28/2013 $10.00
11x17)
Project Valuation: $100,000.00 Info Process/Archiving-Sm$0.50(up to 08/28/2013 $15.00
11x17)
Fuel Air Handlers
Fuel Types: Units< 10000 cfm: 1
Gas Pressure: Units>10000 cfm:
Furnaces Boilers 8.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: 2 Vent Systems: Total $3,598.94
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuan , r i w kJ suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Uti' Notification Cente Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obt- a ,.'py if the rules
direct questions to OUN• ••I' g 503.232.1987 or 1.800.332.2344.
/. ���� Permittee Signature:
Issued By:
Call 503.639.4175 by 7:00 a.m.for the next available inspection d e.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applicatio i' CEIVE.I. rt)It OFFICE USE()NIA
City of Ti' •r! Received limes
MAY 2013 DateB PermitNo.: jC�,tp0 5Q
II
° 13125 ", 23
Date/By:
C Plan Re ew f �6 ether Permit: 2 i
Phone: f. F 5 . 960 Date/Fly: 'gay 6".19.4" -vow 2
Inspectir,, 11 i,>. 9.4175 CI •FTIG' 'J1 Date Ready/By: kris: ® See Pa
T I G A 6).: Jigg-� ^p13 yBy: ntal Infor
formation
www.t a � BUILDING DIVISI I Notified/Method:(� / ' /3 Supplemental Information
C1'ri COMMERCIAL FEE' SCHEDULE — USE CHECKLIST
1 �('ISR...
Mechanical permit fees•are based on the value of the work
❑New construction sUitsman/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,arnddproft
CATEGORY OF CONSTRUCTION Value:$ �t�E/Oe(v
RESIDENTIAL EQUIPMENT/SYSTEMS FEES
❑ 1-and 2-family dwelling ›ommercial/industrial ❑Accessory building For special information use check list.
❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 75-6--< 5441 7 L,, // C6/1/7612— 2)/2 Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 7�/2 p j - Furnace 100,000+BTU(ducts/vents) 54.91 __
/ � Heat pump 61.06
Suite/bldg./apt.no.: Project name: LA 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
Subdivision: Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39_
'' /I Flue vent for water heater or gas
/VC_S Rro •S f D1JGTGv 02/C—1 6- s '5 j F 5 fireplace 23.32
e Q Log lighter(gas) 23.32
/)'cTL6S 5 } ' 5 1S hn er cP'a5 ` /a/'UCH Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER I dizr TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: GAi 6- 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 ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name: $14.15 for first four;$4.03 for each additional
Contact name: (7ry) Furnace,etc.
Address: S t.7�" Gas heat pump
� l Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace
Range
E-mail: Barbecue
CONTRACTOR Clothes dryer(gas)
/h�j✓ Other:
Business name: L�/q4d4,/lC.dG,
9, c7 MECHANICAL PERMIT FEES*
Address: /ys'D 5". 52E_ if-di gi,R Subtotal
City/State/ZIP: �L�C/Z,6yytd`6� f�� Minimum permit fee($90.00)
Phone:(57!23 )Gs-e._rgye� Fax:(YS) Plan surcharge(25%1 %of permit fee)
of � '�'�o`1S State surcharge(l2/0 of permit fee)
CCB lic.: /,/97 96-E9 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: "G'.e`�lf'e r✓`l Date:5 _/3
1:\Building\Permiat1.tEC_Pem.it pp0401I3.doc 440-4617r(I1/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information • ,'
Commercial & Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
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I:\Building\Permits\MEC_PermitApp_0401 I3.doc 2
FOR OFFICE USE ONLY–SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
114 a Transmittal Letter
FICA R I) I 1 Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: DATE 'lati_aiiik! _ . _\.
DEPT: DING DIVISION
JUL 9 2013
FROM :� CITY OFTIGARD
.VA1��a BUILDING DIVISION
COMP.. NY: /� i1``j d-wt.
PHONE: 3— 73- q76 By: a
RE: 7S- 5-w _ I ( ec�13��5 )- .
�
`K .s-, , (Permit Number)
W �/ /
•
rod= name or sue 0'vision name an• of num a er
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: '. ; r �.Q.e� ` —��
U
FOR 04FICF USE ONLY
Routed to Permit Techn�-i-c,,i�� Date: e 29� V InitialsT
Fees Due: .❑ Yes L�No Fee Description: Amount Due:
$
$
_ $
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes ❑No ❑ Done
Applicant Notified: Date: Initials:
1:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012