Permit it CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2015-00680
T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/26/2015
Parcel: 25101 BB01500
Jurisdiction: Tigard
Site address: 12178 SW GARDEN PL
Project: Spec Space Subdivision: CROW PARK 217 Lot: 3
Project Description: RTU installation with duct work and gas piping.
Contractor: WILLAMETTE HVAC LLC Owner: ICON OWNER POOL 1 WEST LLC
3075 SW 234TH AVE.#206 BY RYAN
HILLSBORO, OR 97123 PO BOX 460169
HOUSTON,TX 77056
PHONE: 503-259-3200 PHONE:
FAX: 503-848-2597
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 10/26/2015 $411.21
Class of Work: ALT Type of Const: Plan Review 10/26/2015 $102.80
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 10/26/2015 $49.35
Stories: 1 Info Process/Archiving-Lg$2.00(over 10/26/2015 $4.00
11x17)
Project Valuation: $12,500.00 Info Process/Archiving-Sm$0.50(up to 10/26/2015 $5.00
11x17)
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 $572.36
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
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 •: " - • enter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may. obtain a copy of the rules
or••ect questions to• NC • : lin. 503.232.1987 or 1.800.332.2344.
Is ued By: 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 Application �� � FOR OFFICE USE ONE)
City of Tigard C Date/Bed �/yy�
ill 41. v Y b 7 r ` Permit No.: N1j2�QC S C�eJ(C!(J�
13125 SW Hall Blvd.,Tigard,OR 972.'; / !r l
Phone: 503.718.2439 Fax: 503.598.1',1 1G Dan Ry to 1 ., 1�l c / Other Permit: cva�
J Date/B l �f
Inspection Line: 503.639.4175 / /
TIGARD Date Ready :y: Juris See Page 2 for
Internet: www.tigard-or.gov 6.\ 11yy Notified/Method:w/t33/�"1� -67, t - Supplemental Information
TYPE OF WORIC1N '- `D��1�1�� 4C�tCr� "CON �l ,�'T/IAL FEE* SCHEDULE — USE CHECKLIST
� Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteratic � EfYfent performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: ��ill7``'� mechanical materials,equipment,labor,overhead,and profit.
Value:$$12,500.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ I-and 2-family dwelling ®Commercial/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: _
,,(( Air conditioning
Job site address:`FHHH-i9'W��� Garden PI (requires site plan showing placement) 46.75
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard OR Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: 12178 I Project name: Heat pump
*4A-t (requires site plan showing placement) 61.06
Cross street/directions to job site: /// 4444 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: I 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
Install new three ton gas pack and complete duct system.Extend the existing gas Gas fireplace/insert 33.39
Flue vent for water heater or gas
line to the new RTU. fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
❑ PROPERTY OWNER I ❑ TENANT Chimney/liner/flue/vent 23.32
Other: 23.32
Name: Environmental exhaust and ventilation:
Address: Range hood/other kitchen
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:same as below
Fuel piping:
Contact name: $14.15 for first four;54.03 for each additional
Address: Furnace,etc.
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone:( ) Fax: :( ) Water heater
Fireplace
E-mail:
Range
CONTRACTOR Barbecue
Business name:Willamette HVAC,LLC Clothes dryer(gas)
Other:
Address:3075 SW Century Blvd Suite 206 MECHANICAL PERMIT FEES*
City/State/ZIP: Hillsboro,OR 97123 Subtotal
Minimum permit fee($90.00)
Phone:(503)259.3200 Fax:(503)848.2597
Plan review(25%of permit fee)
CCB lie.:56951 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.
Print name:michael malstrom Date: 10/6/15 * Fee methodology set by Tri-County Building Industry Service Board
I:\Building\Permits\MEC-PermitApp.doe 03/07/12 440-4617T(11/02/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
12178 SW GARDEN PL, TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2015-00680
Chip Barnett
Violation Summary:
Inspector Contractor