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Permit CITY OF TIGARD MECHANICAL PERMIT II COMMUNITY DEVELOPMENT Permit#: MEC2016-00188 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/13/2016 TIGARD 9 Parcel: 1S136DD00801 Jurisdiction: Tigard Site address: 11565 SW 67TH AVE Project: Green Office Subdivision: WEST PORTLAND HEIGHTS Lot: 6 Project Description: RTU installation and duct work for TI. Contractor: DANNYS HEATING AND COOLING INC Owner: GREEN OFFICE LLC 16303 NE 36TH ST ATTN: JOESPH E GREEN VANCOUVER,WA 98682 11560 SW 67TH AVE TIGARD, OR 97223 PHONE: 503-914-8058 PHONE: 503-806-3004 FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 04/13/2016 $373.11 Class of Work: ALT Type of Const: VB Plan Review 03/22/2016 $93.28 Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 04/13/2016 $44.77 Stories: 2 Info Process/Archiving-Sm$0.50(up to 04/13/2016 $14.50 11x17) Project Valuation: $11,000.00 Fuel Air Handlers Fuel Types: Natural Gas Units<10000 cfm: Gas Pressure: Units>10000 cfm: Furnaces Boilers&Compressors Fumaces<100K BTU: 0-3 HP: Fumaces>= 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: 2 Vent Systems: Total $525.66 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) 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 f. o, the lies adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-00•.. ou obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: ‘..). „...p.........„C___ / Permittee Signature: r / Call 503.639.4175 by 7:00 a.m.for the next available inspecti• date. This permit card shall be kept in a conspicuous place on the job site until •mpletion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application Folz of FR t: t si o\L\ City of Tigard Received `, y. ,, Permit No.: air` 0i ,f.i i , Ill13125 SW Hall Blvd.,Tigard,OR 97223 Date/B ' ' s Phone: 503.718.2439 Fax: 503.598.1960 Plan Re I t/ _ Other Permit�f���/� C Ire I \C7 -�62 dea 1 c. R I Inspection Line: 503.639.4175 RECEN ep: ady/B: / / Juris: ® See Page l for Internet: www.tigard-or.gov /Method: ` f Supplemental Information 4, ,;k ac's v zr' 1 S r N, '-'.;.4,,,i;,1„,,1 . >i Mechanical permit fees*are based on the value of the work ❑New construction Addition/alteration/replacritepti OF 11G performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition 0 Other: 11rj�11 i-�tOln,njl DIV1Si'N mechanical materials,equipment,labor,overhead,and profit. ;... t i a. , Value $ ' �,i rpw � a� ` " - ` r V , . P , w r ;. .S 4 ri %i,g ',..4 C, aS:.. u : 3a. *,. -., . m, a �. s--;•A' tq�".;,,, . ,z _-. .,t .-*;..a-Mh.�ze,olcrs.es!A. MA'�I:.NA ❑ i-and 2-family dwelling IQ Commercial/industrial 0 Accessory building For special information use checklist. ❑ Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total c,, -" ' , . a 't .•ry 1t44 O st k",:', � ''( . ` iyh Heating/cooling: / � An.conditioning / 46.75 G Job site address: ‘5 SGJ (� ? rc B` V L Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: ` ft Ai/ ©(/ 972 . 3 Furnace 100,000+BTU(ducts/vents) / 54.91 S f f,r Heat pump 61.06 Suite/bldg./apt.no.: Project name: /� . �� Duct work / 23.32 S ;0 Cross street/directions to job site: V �w���ttt ��, 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 Flpe/vent for any of above 23.32 Subdivision: Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater I 23.32 2 ;.1 L "'f a' ISE C`I(21P '1O+I.O WORK 1 1a ',3.''F-", 't Gas fireplace/insert 33.39 1 "''''''.1- ' ' ' ''' Flue vent for water heater or gas � 6 fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood tireplace/insert 23.32 Chimney/liner/flue/vent 23.32 '4''''''''''''' • Other: 23.32 x' t '' a a � 1 , + ' '` t' n 711 ' e • w i '' z.'' � '-"� ��" ��' a fis'377'577711'-' 1F s 77 �*`� ��� '�1. yEnvironmental exhaust and ventilation: Name: r« ;r _ 4 C CRange hood/other kitchen v /17%1 �Iequipment 33.39 Address: /15-CO S /t ve Clothes dryer exhaust 33.39 City/State/ZIP t7223 Single-duct exhaust(bathrooms, 2 tV /r Al l toilet compartments,utility rooms) 23.32 7<.(e Phone:(5- 3 9 0 2 a 2 Fax:( ) Attic/crawlspace fans 23.32 €} .x 4Ir 0 t.' k "`#b 'tt �k ' a `: L t'`'s. I'' y Other: 23.32 Business name: rceA, V' tC ( L /1 Fuel piping: $14.15/for first four• 4.0 for each additional Contact name: ,-"',�,e Giel.✓ Furnace,etc. 6/45 A / Address: // coo S 41 C7* 4Gas heat pump v Wall/suspended/unit heater City/State/ZIP: ii f4 _/ ce 9 , 2.A i Water heater Phone:57,31 970 2 9 Z 9 Fax::( ) Fireplace /� / Range E-mail: �e 1,i 6.-- N �i r Cam Barbecue h,,'"t �,, q�� ., �y„ra{"*7, p r " fr e 'a. Clothes dryer(gas) Y ,;,.,41"M.ak.0•§EM .y,,y,ici. 'orf H4.44 6 !3i.0,fr :/..e.,.9:',..• z4 4,SA+.1 a �4 'J g ) Business name: A Other: A 0-r y`s (PA f fill ' qu ''reW `ar N jagi 77,1 p b Address: ii 3 N ' 36`n S� Subtotal City/State/ZIP: UIQ UC du ae/ w4 ! ri f'y Minimum permit fee($90.00) �7 �" Q 7 ��sir Fax:( ) Plan review(25%x of permit fee) ane:( J 7/ State surcharge(12%of permit fee) fCCB lic.: /9 7 5-y? TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized si ature:.4024,54,vQ� / * Fee methodology set by Tri-County Building Industry Service Board Print name:(�tn/A,K 2,..4,,,,„_,....... Date: 2-2. /b I:\Building oPermits`MEC_PennitApp_0401 13.doe 440-4617T(I I'02/COM/WE13) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Famil Fee Schedule: $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and Y77 71 $2.54 for each additional$100.00 or iv 0/ fraction thereof,to and including $50,000.00. $50,0 .01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\Building\Pennits\MEC_PennitApp_040113.doc 2 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 11565 SW 67TH AVE, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Mechanical MEC2016-00188 Inspection Type: Inspector: 699 Mechanical final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor