Permit (11) CITY OF TIGARD MECHANICAL PERMIT
',.. COMMUNITY DEVELOPMENT Permit#: MEC2016 00141
-F IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/02/2016
Parcel: 2S112DD00400
Jurisdiction: Tigard
Site address: 15940 SW 72ND AVE B17
Project: SCS Engineers Subdivision: None Lot: None
Project Description: Moving grilles.
Contractor: GOHMAN MECHANICAL Owner: PACIFIC REALTY ASSOCIATES L P
14505 SE HWY 212 15350 SW SEQUOIA PKWY#300-WMI
CLACKAMAS, OR 97015 PORTLAND, OR 97224
PHONE: 503-658-1892 PHONE:
FAX: 503-658-6925
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/02/2016 $115.11
Class of Work: ALT Type of Const: Plan Review 03/02/2016 $28.78
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 03/02/2016 $13.81
Stories: Info Process/Archiving-Lg$2.00(over 03/02/2016 $2.00
Project Valuation: $2,000.00 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 $159.70
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 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 1.800.332.2344.
Issued By: az.... ....."„1/4.,Z............_
.0— 1411111111k., Signature: �i�G
Call 503.• =.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 of.FAT: t SI:Oil.)
City of Tigard rANE DateBy , L Permit No.: r C /49 /i Ll
4 II 13125 SW Hall Blvd.,Tigard,OR 972 it Ifr
Phone: 503.718.2439 Fax: 503.598.1 Plan Review Other Permit:
DateBy, , —/) , ?e
T'I G A R t) Inspection Line: 503.639.4175 2015 Date Ready/By: 7.See 'age 2 for
Internet: www.tigard-or.gov �nR 2 Notified/Method: IffliSupplemental Information
TYPE OF WOW 1 AI� � �O,! COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
14��jj�� Mechanical permit fees*are based on the value of the work
0 New construction ❑Addition/altera{ ltRr� performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: �D��'1 mechanical materials,equipment,labor,overhead,and profit.
Value:$$2,000.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
1 ❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: 15940 SW 72"I Ave (requires site plan showing placement) 46.75
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name:SCS Engineers 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
Move Grilles Gas fireplace 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
) Fax: Single-duct exhaust(bathrooms,
Phone:
( ( ) toilet compartments,utility rooms) 23.32
0 APPLICANT ® CONTACT PERSON Attic/crawlspace fans 23.32
Business name:Gohman Mechanical,Inc. Other: 23.32
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 !a Z 1/
Minimum permit fee($90.00)
Phone:(503)658-1892 Fax:(503)658-6925 Plan review(25%of permit fee) 4.7$
CCB lic.: 119952 State surcharge(12%of permit fee)j /5 irj i
TOTAL PERMIT FEE T151.70
Authorized signature: 101IPP- This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Drew Gohman Date:03/02/2016 * Fee methodology set by Tri-County Building Industry Service Board
I.Building\Permits\MEC-PermitApp doc 09/0910 440-4617T(I 1/02/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
15940 SW 72ND AVE B17, TIGARD, OR, 97224
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2016-00141
Chip Barnett
Violation Summary:
Inspector Contractor