Permit (35) 11114 CITY OF TIGARD MECHANICAL PERMIT
1 COMMUNITY DEVELOPMENT Permit#: MEC2016-00536
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/27/2016
Parcel: 2S 101 DA00102
Jurisdiction: Tigard
Site address: 13221 SW 68TH PKWY 440
Project: Center for Discovery Subdivision: None Lot: None
Project Description: Duct work and grilles.
Contractor: AMERICAN HEATING INC Owner: GK TRIANGLE CORPORATE PARK III L
5035 SE 24TH AVE ATTN KBS REALTY ADVISORS
PORTLAND, OR 97202-4765 P 0 BOX 28270
SANTA ANA, CA 92709
PHONE: 503-239-4600 PHONE:
FAX: 503-239-7038
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/27/2016 $96.69
Class of Work: ALT Type of Const: Plan Review 07/27/2016 $24.17
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 07/27/2016 $11.60
Stories: Info Process/Archiving-Lg$2.00(over 07/27/2016 $2.00
11x17)
Project Valuation: $1,400.00
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 $134.46
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Grilles
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 503.232.1 or 1.800.332.2344.
Issued By: Permittee Signature:
Cal 50175 by 7:00 a.m.for the next available inspection date. ss��
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 OFFICE USE ONLY
City of Tigard Received
Date/By: -7 ii, 4., Permit No.: /,7), l
'� 13125 SW Hall Blvd.,Tigard,OR 97223 '✓ _tr *I �, 5 I
Phone: 503.718.2439 Fax: 503 598 19 '''Sr.:, Plan Review
s x, Date/By: Other Permit: t.
Inspection Line: 503.639.4175 ;',e .E j 'I. �, ,
TIGARD p g g „. ,. ti(\`�� DateReadyBy: ru s: s See 'age 2for
Internet: www.ti ard-or. ov - XI 1 U Notified Method: ' Supplemental Information
J`J4
4, �� Ol� b'f) � i , 1VIMERCi�AL T'EE* SCITWDU1L "1.18E
Mechanical permit fees*are based on the value of the work
El New construction ®Addition/alteratlit4xe kCement performed.Indicate the value(rounded to the nearest dollar)of all
,t,
`
0 Demolition ❑Other: ��.�� mechanical materials,equipment,labor,overhead,and profit.
Value:$1,400y I� F ` I701
. , Tt
❑ 1-and 2-family dwelling ®Commercial/industrial � 1 S1D NT L QUIP ./SYSfEMS.FEES,,
0 Accessory building ,� �,
111Multi-family 0 Master builder 0 Other: For special information use checklist.
Description Qty. Ea. Total
,:;� .%j J9A ST 1 OR .TId7 L9', 1 iOI! ---,v;',`,' ";" Heating/cooling:
Job site address:13221 SW 68th Parkway suite 440-450 Air conditioning 46.75
City/State/ZIP:Tigard OR 97223 Furnace 100,000 BTU(ducts/vents) 46.75
Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.:440 Project name:Center for Discovery Heat pump 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
Flue/vent for any of above 23.32
Subdivision: Lot no.:
Other: 23.32
Tax map/parcel no.: Other fuel appliances:
E1,E c1 l`T o�W„/
Water heater 23.32
_y .� ..; ��,. _�` 4„ Gas fireplace/insert 33.39
Add or relocate Duct work and Grilles 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
P� 0 ❑ NATT icy Chimney/liner/flue/vent 23.32
. _ N _� y "° „ " Other: 23.32
Name: Environmental exhaust and ventilation:
Range hood/other kitchen
Address: equipment 33.39
City/State/ZIP: Clothes dryer exhaust 33.39
Single-duct exhaust(bathrooms,
Phone:( ) Fax:( ) toilet compartments,utility rooms) 23.32
At Attic/crawlspace fans 23.32
�-°£ P �� ,... ,, y 'a-GONTAKT P�`IiON
,, Other: 23.32
Business name:American Heating Inc. Fuel piping:
Contact name:Brandon Hutchinson $14.15 for first four;$4.03 for each additional
Furnace,etc.
Address:5035 SE 24th Ave Gas heat pump
City/State/ZIP:Portland,OR.,97202 Wall/suspended/unit heater
Water heater
Phone:(503)239-4600 Fax::(503)239-7038
Fireplace
E-mail:b.hutchinson@americanheating.net Range
r efGO olBarbecue
i- i'4 - ,.� „ir '...',,,,,PClothes dryer(gas)
Business name:American Heating Inc. Other:
Address:5035 SE 24th Ave Ip4::**** AV-If iii:'
City/State/ZIP:Portland,OR.,97202 Subtotal
Minimum permit fee($90.00)
Phone:(503)239-4600 Fax:(503)239-7038 Plan review(25%of permit fee)
CCB lic.:33135 State surcharge(12%of permit fee)
TOTAL PERMIT FEEne14 0 This permit application expires if a permit is not obt d within 180
Authorized signature: !/.. "--/..../// = , days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry Service Board
Print name:Brandon Hutchinson Date: 70 2,14
I:\Building\Permits\MEC_PermitApp_040113.doe 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
13221 SW 68TH PKWY 440, TIGARD, OR, 97223
Commercial - Mechanical
625 Duct work
PASS
MEC2016-00536
Jeff Grove
Violation Summary:
Inspector Contractor
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
13221 SW 68TH PKWY 440, TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2016-00536
Jeff Grove
Violation Summary:
Inspector Contractor