Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2015-00254
T LGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/11/2015
Parcel: 1 S126DC04800
Jurisdiction: Tigard
Site address: 9495 SW LOCUST ST A
Project: Baker Research Center Subdivision: LEHMANN ACRE TRACT Lot: 4
Project Description: Replace like for like,(1)fan coil,(1)condensing unit and(1)RTU with duct work and grilles.
Contractor: AMERICAN HEATING INC Owner: MATHESON, ROBERT T REVOCABLE TRU
5035 SE 24TH AVE BAKER,JAMES
PORTLAND, OR 97202-4765 BAKER, DIANE R
1030 NW JOHNSON ST#610
PORTLAND, OR 97209
PHONE: 503-239-4600 PHONE: 503-379-0106
FAX: 503-239-7038
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/11/2015 $804.91
Class of Work: ALT Type of Const: Plan Review 05/11/2015 $201.23
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 05/11/2015 $96.59
Stories: Info Process/Archiving-Lg$2.00(over 05/11/2015 $6.00
11x17)
Project Valuation: $28,000.00 Info Process/Archiving-Sm$0.50(up to 05/11/2015 $23.50
11x17)
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:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $1,132.23
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 1.800.3
Issued By: c7 Permittee Signature:
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 ApplicatR CEIVEp FOR OFFICE USE ONLY
l�L
City of Tigard Received Ce��
Date/By: J . Permit No.: „Iv! „cogs--
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ,
Phone: 503.718.2439 Fax: 503.598.196�AY 4 2015 Date/By: -t-/ Other Permit:
T I c A};D Inspection Line: 503.639.4175 Date Ready/By: orris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: 5 7 ,f Su pp lemental Information OF f LGARD i
TYPE 0IC1tTi"rP i
11, :=try.., ap .1
€� CO MEKCIAL FEE* SCHEDULE— USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$28,000
CATEGORY OF CONSTRUCTION
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑Multi-family ❑Master builder ❑Other: For special information use checklist.
Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Job site address:9495 SW Locust Street Air conditioning 46.75
City/State/ZIP:Tigard OR 97223 Furnace 100,000 BTU(ducts/vents) 46.75
Furnace 100,000+BTU(duets/vents) 54.91
Suite/bldg./apt.no.: Project name:Baker Research MBM T.I. Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 23.32
I 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:
Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Replace like for (1)Fan coil unit,(1) Flue vent for water heater or gas
condesning'unit fireplace 23.32
and(1)Roof top gas pack with ductwork and grilles 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
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
Address: equipment 33.39
- 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
Business name:American Heating Inc. Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Brandon Hutchinson
Furnace,etc.
Address:5035 SE 24th Ave Gas heat pump
City/State/ZIP:Portland,OR.,97202 Wall/suspended/unit heater
Water heater
Phone:(503)239-4600 Fax::(503)239-7038 Fireplace
E-mail:b.hutehinson @americanheating.net Range
Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:American Ileating Inc. Other:
MECHANICAL PERMIT FEES*
Address:5035 SE 24th Ave
Subtotal
City/State/ZIP:Portland,OR.,97202 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 /I/31..z..3
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
Print name:Brandon Hutchinson Date: ' - '7
I:\Building\Permits\MEC PermitApp_040113.doc 440-4617T(I I/02/COM/WEB)
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9495 SW LOCUST ST A, TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2015-00254
George Heimos
Violation Summary:
Inspector Contractor