Permit � •t CITY OF TIGARD MECHANICAL PERMIT
' COMMUNITY DEVELOPMENT Permit#: MEC2016-00111
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/16/2016
Parcel: 1S 126DB02800
Jurisdiction: Tigard
Site address: 9370 SW GREENBURG RD 601
Project: The Commons Subdivision: 1991-018 PARTITION PLAT Lot: 1
Project Description: Installation of(1)restroom exhaust fan and vent.
Contractor: WILLAMETTE HVAC LLC Owner: FRANKLIN COMMONS ASSOCIATES, LLC
3075 SW 234TH AVE.#206 BY NORRIS&STEVENS
HILLSBORO, OR 97123 621 SW MORRISON STE 800
PORTLAND, OR 97205
PHONE: 503-259-3200 PHONE:
FAX: 503-848-2597
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/16/2016 $78.27
Class of Work: ALT Type of Const: Plan Review 02/16/2016 $19.57
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 02/16/2016 $9.39
Stories: Info Process/Archiving-Sm$0.50(up to 02/16/2016 $0.50
11x17)
Project Valuation: $750.00
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: 1 Vent Systems: Total $107.73
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
Utili '• i i • Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You obtain a copy of the rules
o direct questions to •UN . ailing 503.232.1987 or 1.800.332.2344. 1(/
1-..ued By: 1 _' i 0 Permittee Signature: /k/7
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 Applicatip nCIV FOR 0E1.1( \l
I( F I SE o .)
City of Tigard ii'"''' � Received
Date/By: 0,2-m10ARM Permit No.: ,/��66!11
II 13125 SW Hall Blvd.,Tigard,OR 97223 .
I Phone: 503.718.2439 Fax: 503.598.1960 FEB 1 b 2016 Plan Riew Other Permit: ` �/'�
Date/By: l/!�
TIG A R D Inspection Line: 503.639.4175 pp Date Ready/By: loris: H See Page 2 for
Internet: www.tigard-or.gov CITY OF IGHtiD Notified/Method: Supplemental Information
BUILDING DIvIIS'C)1V
TYPE OF WORK COMMERCIAL 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
o Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$$750.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
0 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist.
o Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address:9370 SW Greenburg Rd (requires site plan showingplacement) 46.75
City/State/ZIP:Tigard OR Furnace 100,000 BTU(ducts/vents) 46.75
Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.:601 Project name:The commons 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
Install one restroom fan and vent through the roof Gas fireplace/insert 33.39
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
0 PROPERTY OWNER 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
El APPLICANT 0 CONTACT PERSON Attic/crawlspace fans 23.32
Business name:same as below Other: 23.32
Fuel piping: I
Contact name: $14.15 for first four;$4.03 for each additional
Address: Furnace,etc.
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone:( ) Fax::( ) Water heater
E-mail: Fireplace
Range
CONTRACTOR Barbecue
Business name:Willamette HVAC,LLC Clothes dryer(gas) _
Other:
Address:3075 SE Century Blvd Suite 206 MECHANICAL PERMIT FEES*
City/State/ZIP:Hillsboro,OR 97123 Subtotal
Phone:(503)259.3200 Fax:(503)848.2597 Minimum permit fee($90.00)
Plan review(25%of permit fee)
CCB lic.:56951 State surcharge(12%of permit fee)
TOTAL PERMIT FEE,/e7 75
This permit application expires if a permit is not obtained within 180
Authorized signature: id days after it has been accepted as complete.
Print name:michael malstrom Date:2/12/16
* Fee methodology set by Tri-County Building Industry Service Board
I:\Building\Permits\MEC-PermitApp.doc 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
9370 SW GREENBURG RD 601, TIGARD, OR,
97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2016-00111
Jeff Grove
Violation Summary:
Inspector Contractor