Permit (47) CITY OF TIGARD MECHANICAL PERMIT
1111 COMMUNITY DEVELOPMENT Permit#: MEC2016-00345
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/16/2016
T[t'" Ft 9 Parcel: 1 S 126D B02800
Jurisdiction: Tigard
Site address: 9370 SW GREENBURG RD 423
Project: Occupational Medicine Subdivision: 1991-018 PARTITION PLAT Lot: 1
Project Description: 3-ton RTU installation.
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 06/16/2016 $252.17
Class of Work: ALT Type of Const: VB Plan Review 06/16/2016 $63.04
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 06/16/2016 $30.26
Stories: Info Process/Archiving-Sm$0.50(up to 06/16/2016 $5.00
11x17)
Project Valuation: $6,600.00
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: Vent Systems: Total $350.47
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Split system
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 questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 1( 0n, Permittee Signature:
411111010111111
oe
Call 5 b . 75 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 OFFIti.: ISE Oyl.l
City of Tigard ReceivDateived
Permit No.: _
13125 SW Hall Blvd.,Tigard,OR 97223 r /•,/y� 16 �`�
Plan Revie
Phone: 503.718.2439 Fax: 503.598.1960 �'�1 rr p lip (" Other Permit:
V i� DateBy
T 1 C A K D Inspection Line: 503.639.4175 RE Date Ready:y: Juris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Metho �/7 , Supplemental Information
MAY 0 9 2016 A- 4/cR4-0- -
TYPE"OF WORK tiGAap C{MMERCIAL FEE*' SCHEDULE — USE CHECKLIST
ily OF N Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteraf '"til DwIS10 performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: V� mechanical materials,equipment,labor,overhead,and profit.
Value:$$6,600.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES*
❑ 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:9370 SW Greenburg Rd (requires site plan showing placement) _ 46.75
Fumace 100,000 BTU(ducts/vents) _ 46.75
City/State/ZIP:Tigard OR Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no..).42.°/.03 Project name•t hien t ilding n Heat pump
G CCr�fi 1 (requires site plan showingplacement) 61.06
Cross street/directions to job site: f r c t j . 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
,$j ,{ Syr Gas fireplace/insert 33.39
Push/pull 3 ton
,, / � /e� Flue vent for water heater or gas
fireplace 23.32 I
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
0 PROPERTY OWNER 13 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
Other: 23.32
Business name:same as below
Fuel piping:
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
Fireplace
E-mail: 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
Minimum permit fee($90.00)
Phone:(503)259.3200 Fax:(503)848.2597 Plan review(25%of permit fee)
V CCB lic.:56951 State surcharge(12%of permit fee)
TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized Signature: days after it has been accepted as complete.
Print name:michael malstrom Date:4/29/16 * Fee methodology set by Tri-County Building Industry Service Board
1:\Building\Permits\MEC-PermitApp.doe 03/07/12 440-4617T(11/02/COM/WEB) I
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
9370 SW GREENBURG RD 423, TIGARD, OR,
97223
Record Type:
Commercial - Mechanical
Inspection Type:
699 Mechanical final
Result:
PASS- NoCofO
Comments:
Violation Summary:
Inspector
Tel: 503.718.2439
Inspection Date:
Record ID:
MEC2016-00345
Inspector:
Chip Barnett
Contractor