Permit CITY OF TIGARD MECHANICAL PERMIT
I, COMMUNITY DEVELOPMENT Permit#: MEC2015-00016
T R3ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/28/2015
Parcel: 2S112AB02300
Jurisdiction: Tigard
Site address: 14150 SW MILTON CT
Project: Medical Teams International Subdivision: BONITA INDUSTRIAL PARK Lot: 5
Project Description: Replacement of(11)RTU's with same. Disconnect/reconnect existing gas lines.
Contractor: AMERICAN HEATING INC Owner: MEDICAL TEAMS INTERNATIONAL
5035 SE 24TH AVE PO BOX 10
PORTLAND, OR 97202-4765 PORTLAND, OR 97207
PHONE: 503-239-4600 PHONE:
FAX: 503-239-7038
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 01/28/2015 $1,582.83
Class of Work: ALT Type of Const: VB Plan Review 01/28/2015 $395.71
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 01/28/2015 $189.94
Stories:
Info Process/Archiving-Sm$0.50(up to 01/28/2015 $22.50
11x17)
Project Valuation: $58,800.00
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 $2,190.98
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
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. 344.
Issued By: -ermittee Signature:
Call 50 .6 175 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 Applicatiolf i ECEIVE. FOR OFFICE USE ONLY
City of Tigard Received Permit No.:
III City g JAN 1 q
Date/By: (r� /5 >>:L� �rLIG���(J
• 13125 SW Hall Blvd.,Tigard,OR 97223 2015 D Date/By: - �,
Other Permit:
Phone: 503.718.2439 Fax: 503.598.196.' y 41.E �
TI G A RD Inspection Line: 503.639.4175 B TY OF TIGgRD Date Ready/B . Juris: ® See Page 2 for
Internet: www.tigard-or.gov BUILDING p�V�SIO Notified/Method:// 1< %r Supplemental Information
S2.74—Prf,� ''''T -' fidlu
an Hutchinson
TYPE OF WORK /�
❑New construction ®Addition/alteration/replacement COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit tees*are based on the value of the work
❑Demolition ❑Other: performed.Indicate the value(rounded to the nearest dollar)of all
CATEGORY OF CONSTRUCTION mechanical materials,equipment,labor,overhead,and profit.
Value:$58,800
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑Multi-family ❑Master builder ❑Other: For special information use checklist.
r' '' JOB SITE INFORMATION AND LOCATION Description I Qty. I Ea I Total
Job site address: 14150 SW Milton Ct Heating/cooling:
City/State/ZIP:Tigard OR 97224 Air conditioning 46.75
Furnace 100,000 BTU(ducts/vents) 46.75
Project name:Medical Team Internation Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: 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/insert 33.39
Push Pull(11)Roof top gas packs.Disconnect/recoonect Existing gas lines Flue vent for water heater or gas
fireplace 23.32
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: Environmental exhaust and ventilation:
Range hood/other kitchen
Address: equipment 33.39
City/State/ZIP: Clothes dryer exhaust 33.39 ,
Single-duct exhaust(bathrooms,
Phone:( ) Fax:( ) toilet compartments,utility rooms) 23.32
® APPLICANT ® CONTACT PERSON Attic/crawlspace fans 23.32 •
Other: 23.32
Business name:American Heating Inc. Fuel l
piling: r--
Contact name:Brandon Hutchinson $14.15 for first four;$4.03 for each additional
Furnace,etc.
Address:5035 SE 24th Ave Gas heat pump
City/State/ZIP:Portland,OR.,97202 WalUsuspended/unit heater
Water heater
Phone:(503)239-4600 Fax::(503)239-7038
Fireplace
E-mail:b.hutchinson@americanheating.net Range
CONTRACTOR Barbecue
Clothes dryer(gas)
Business name:American Heating Inc.
Other _
Address:5035 SE 24th Ave MECHANICAL PERMIT FEES*
City/State/ZIP:Portland,OR,97202 Subtotal
Minimum permit fee($90.00)
Phone:(503)239-4600 Fax:(503)239-7038 Plan review(25%of permit fee)
CCB lie. 33135 State surcharge(12%of permit fee)
TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized signature: days after it has been accepted as complete.
' Fee methodology set by Tri-County Building Industry Service Board
I:\Building'Permits iMEC_PermitApp_040113.doc 440-4617r(I I/OLCOM/WEB)