Permit (23) g
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENTIN
Permit#: MEC2016 00649
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/04/2016
Tip °� g Parcel: 2S113AB00600
Jurisdiction: Tigard
Site address: 16154 SW UPPER BOONES FERRY RD
Project: Allstructure Engineering Subdivision:COUNCIL VIEW ACRES(LOTS 21-44) Lot: 30
Project Description: Install RTU and modify ductwork for TI floor plan
Contractor: GOHMAN MECHANICAL Owner: PACIFIC REALTY ASSOCIATES LP
14505 SE HWY 212 ATTN: N PIVEN
CLACKAMAS, OR 97015 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-658-1892 PHONE: 503-624-6300
FAX: 503-658-6925
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 10/04/2016 $423.91
Class of Work: ALT Type of Const: IIIB Plan Review 10/04/2016 $105.98
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 10/04/2016 $50.87
Stories: Info Process/Archiving-Lg$2.00(over 10/04/2016 $2.00
11x17)
Project Valuation: $13,000.00 Info Process/Archiving-Sm$0.50(up to 10/04/2016 $17.50
11x17)
Fuel Air Handlers
Fuel Types: Natural Gas 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 $600.26
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules aio.ted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090 ou m-y ob .in a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800 32.2344. /
Issued By: < a � , ittee Signature: �O
� r
all 5' .639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applicati "-
3 a
City of Tigard r FOR OFFICE USE ONLY'
f 9 ' Received tF °= . .� Date/By: f e Permit No. fc9.6I #G;0 (ie/?
_ " 13125 SW Hall Blvd.,Tigard,OR 97223 SF!)t 1 � Plan Review
Phone: 503.718.2439 Fax: 503.598 1960 �j A Other Permit:
�Q c Date/B i. tas-
III
Inspection Line: 503.639.4175 r� �U y-g1,� t i "i ����'
TIGARD p ($ ),, Date Ready/By. luris: ® See Page 2 for
Internet: www.tigard-or.gov f31lit ,1'1!- It j u-a Notified/Method: it �� �� Supplemental Information
TYPE OF WORK
j` bf� 7 v'""COMMERCIAL FEE* SCHEDULE -- USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/replacement performed. Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$$13,000.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES *
❑ 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
JOB'STYE INFORMATION ANDLOCATION Heating/cooling:
I Air conditioning
Job site address: 16154 SW Upper Boones Ferry rd (requires site plan showing placement) 46.75
•
City/State/ZIP:Tigard,OR 97224 Furnace 100,000 BTU(ducts/vents) . 46.75
Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name:All Structure Engineering 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
Install I New Rooftop Unit and Modify ductwork to accommodate new floor plan 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
Single-duct exhaust(bathrooms,
Phone:( ) Fax:
( ) toilet compartments,utility rooms) 23.32
0 APPLICANTCONTACT PERSON Attic/crawispace 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 MECHANICALPERMTT FEES*
City/State/ZIP:Clackamas,OR 97015 Subtotal
Phone:(503)658-1892 Fax:(503)658-6925 Minimum permit fee($90.00)
Plan review(25%of permit fee)
CCB l ic.: 119952 State surcharge(12%of permit fee)
TOTAL PERMIT FEE
Authorized signature: \>�•�/ - This permit application expires if a permit is not obtained within 180
G days after it has been accepted as complete.
Print name:Drew Gohman Date:09/12/2016 * Fee methodology set by Tri-County Building Industry Service Board
I.\Building\Permits\MEC-PermitApp.doe 09/09/10 440-4617T(11/02/COM/WEB)