Permit CITY OF TIGARD MECHANICAL PERMIT
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1111 ' COMMUNITY DEVELOPMENT Permit#: MEC2016-00114
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/23/2016
Parcel: 2S113AB00600
Jurisdiction: Tigard
Site address: 16160 SW UPPER BOONES FERRY RD
Project: Phytelligence Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 30
Project Description: New gas piping and relocating grilles for TI.
Contractor: GOHMAN MECHANICAL Owner: PACIFIC REALTY ASSOCIATES LP
14505 SE HWY 212 ATTN: N PIVEN
CLACKAMAS, OR 97015 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-658-1892 PHONE: 503-624-6300
FAX: 503-658-6925
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/23/2016 $235.31
Class of Work: ALT Type of Const: IIIB Plan Review 02/23/2016 $58.83
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 02/23/2016 $28.24
Stories: Info Process/Archiving-Lg$2.00(over 02/23/2016 $2.00
11x17)
Project Valuation: $6,000.00
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 $324.38
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: new grills
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 • ollow the ru:s ado.ted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-00 109r. You .in : copy of the rules
or direct questions to OUNC by calling 503.232.1987 o J.800.332.2344.
Issued By: - Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspect.n 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
City of Tigard
Date/By:. /6 Permit No.: /�r
` 13125 SW Hall Blvd.,Tigard,OR � � � ��/�II Phone: 503.718.2439 Fax: 503.5•' •'4(.1-% Plan BR ' ..,--
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2'�n Other Permit: o D!S—�
Date/By: [!� �r�
T 1 t;n li D Inspection Line: 503.639.4175 Q Q�� ® See Page2 for ""'��
Internet: www.tigard-or.gov < V Date Rea /}J1 orris
C{(� �`\ Notified/Method.62,22 /0j f'/�1!/�.Z-tee Supplemental Information
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TYPE OF WORDY' 1� C 1 ERCIAL FEE* SCHEDULE — USE CHECKLIST
V ���� G Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteraQent performed. Indicate the value(rounded to the nearest dollar)of all
❑ Demolition 0 Other: 1 �Illlh��"',�I mechanical materials,equipment,labor,overhead,and profit.
Value:$$6,000.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special Inform alion use checklist.
0 Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total_
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: 16160 SU Upper Boones Ferry Rd (requires site plan showing placement) 46.75 ,
City/State/ZIP:97224 Furnace 100,000 BTU(ducts/vents) 46.75
Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name:phytelligence Heat pump
(requires site plan showing placement) 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
Subdivision: 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
New Gas Piping is to separate new demising wall for new tenants Gas fireplace 33.39
Flue vent for water heater or gas
relocate four grilles fireplace 23.32
Log lighter(gas) 23.32
run two new grilles from RTU-20 Wood/pellet stove 33.39
Wood fireplace/insert 23.32
0 PROPERTY OWNER I 0 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
0 APPLICANT ® CONTACT PERSON Attic/crawlspace fans 23.32
Other: 23.32
Business name:Gohman Mechanical,Inc.
Fuel piping:
Contact name:Jeremy Hunt $14.15 for first four;$4.03 for each additional
Address: 14505 SE Hwy 212 Furnace,etc.
Gas heat pump
City/State/ZIP:Clackamas,OR 97015 Wall/suspended/unit heater
Phone:(503)658-1892 Fax: :(503)658-6925 Water heater
Fireplace
E-mail:jeremy@gohmanmechanical.com Range
CONTRACTOR Barbecue
Business name:Gohman Mechanical,Inc. Clothes dryer(gas)
Other:
Address: 14505 SE Hwy 212 MECHANICAL PERMIT FEES*
City/State/ZIP:Clackamas,OR 97015 Subtotal
Minimum permit fee($90.00) I
Phone:(503)658-1892 Fax:(503)658-6925 Plan review(25%of permit fee)
CCB lic.: 119952 State surcharge(12%of permit fee)
TOTAL PERMIT FEE
�{� This permit application expires if a permit is not obtained within 180
Authorized signature: j days after it has been accepted as complete.
Print name: Drew Gohman Date:02/15/2016 JJJI * Fee methodology set by Tri-County Building Industry Service Board
I\Building\Permits\MEC-PermitApp.doc 09/09/10 440-4617T(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
16160 SW UPPER BOONES FERRY RD,
TIGARD, OR, 97224
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2016-00114
Jeff Grove
Violation Summary:
Inspector Contractor