Permit (36) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2016-00431
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/15/2016
T[C�A R.ID 13125 Parcel: 25101 BB01400
Jurisdiction: Tigard
Site address: 12176 SW GARDEN PL
Project: FastSigns Subdivision: CROW PARK 217 Lot: 2
Project Description: Provide new grilles for TI
Contractor: OREGON AIRE INC Owner: ICON OWNER POOL 1 WEST LLC
7715 NE 33RD DR STE A BY RYAN
PORTLAND, OR 97211 PO BOX 460169
HOUSTON,TX 77056
PHONE: 503-335-2222 PHONE:
FAX: 360-423-1978
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/15/2016 $93.62
Class of Work: ALT Type of Const: Plan Review 06/15/2016 $23.41
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 06/15/2016 $11.23
Stories: Info Process/Archiving-Lg$2.00(over 06/15/2016 $2.00
Project Valuation: $1,235.00 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 $130.26
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
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 • - • , OUNC by calling 503.232.1987 or 1.800.332.2344.
Issue+ By: dr, 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 Applic FOR OFFICE USE ONI.\
City of Tigard
Received /n
Date/By: lc /c/1' •'/ Permit No.:H f_e_09.0 J(-coq
11111 . 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review n�'��bO
Phone: 503.718.2439 Fax: 503.598.1 y Other Permit: Y
��N 1 5 .016 DateB u
TIG A It n Inspection Line: 503.639.4175 Date Ready/By: Juris: RI See Page 2 for
Internet: www.tigard-or.gov .-.,. f\3 I Notified/Method: Supplemental Information
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Mechanical permit fees*are based on the value of the work
❑New construction X Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
'"e r, ,w r re Value:$$1,235.00
y
�A. 3`3" x S'x ,...',i--4:- - . ' �1 € QI N' 11 "`` .�.,-. 4 .4t ,4 4. .,..«s ..a,». . , - r»_.
. na, -�A `'., .Y 'x.. .. xs ' .. r�. a„,;.e ..,€. .. , , .. . .,� 'fu , . ., l .w.,-)u 1'' b. ' .' k „ f:
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist.
0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
r. *✓ f. " t std m , I Q< 0 , .... - Heating/cooling:
Air conditioning 46.75
Job site address:12176 SW Garden Place Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard Oregon 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:Fast Signs Duct work 23.32
Cross street/directions to job site: 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
Flue/vent for any of above 23.32
Subdivision: Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
. r ', yOe Gas fireplace/insert 33.39
Flue vent for water heater or gas
Provide new grilles to accommodate new tenant layout. fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert - 23.32
Chimney/liner/flue/vent 23.32
> }„..., -, ,;.,]- ORtNER ”` ,. 4,,TI✓1'el►1� , ' Other: 23.32
. Z . - . - :, ' `'' Environmental exhaust and ventilation:
Name:Fast Signs Range hood/other kitchen
equipment 33.39
Address: 12176 SW Garden Place Clothes dryer exhaust 33.39
City/State/ZIP:Tigard Oregon 97223 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
, .,= A&T,FICiAN1-7,. ..,, , ❑:;CONTA `T EILSQN ;;
Other: 23.32
Business name:Oregon Aire Inc Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Steve Larson Furnace,etc.
Address:7715 NE 33rd drive Suite A Gas heat pump •
Wall/suspended/unit heater
City/State/ZIP:Portland Oregon 97211 Water heater
Phone:(503)335-2222 Fax: :(503)335-9977 Fireplace .
Range
E-mail:Slarson@oregon-aire.com Barbecue
CO14aCTOR '' S4.:,,'' Clothes dryer(gas)
Business name:Same Other:
+ *44414ILALPERl�, ,
Address: Subtotal
City/State/ZIP:
Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee) jj
CCB lic.:64235 TOTAL PERMIT FEE /.56,'"'14
This permit application expires if a permit is not obtained within 180
(-- /� days after it has been accepted as complete.
Authorized signature: 1 / `./ y * Fee methodology set by Tri-County Building Industry Service Board
Print name:Steve Larson Date:06-15-16
I:\Building\Permits\MEC_PermitApp040113.doc 440-4617T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
%Tatal VaTuat>ony N`: ' '4 :0 ., :r
$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
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 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.
C\Building\Permits\MEC_PermitApp_040113.doc 2
it
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
12176 SW GARDEN PL, TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2016-00431
Chip Barnett
Violation Summary:
Inspector Contractor