Permit CITY OF TIGARD MECHANICAL PERMIT
a COMMUNITY DEVELOPMENT Permit#: MEC2016-00731
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/07/2016
T i C.A Ii Dg Parcel: 1 S135BD00100
Jurisdiction: Tigard
Site address: 9600 SW OAK ST
Project: Atrium West Subdivision: ASHBROOK FARM Lot: 5
Project Description: Replacing(2)RTU's.
Contractor: HUNTER DAVISSON INC Owner: PLAZA WEST OWNER LLC
1800 SE PERSHING ST BY CHIEF FINANCIAL OFFICER
PORTLAND, OR 97202 680 FIFTH AVE 20TH FL
NEW YORK, NY 10019
PHONE: 503-542-3628 PHONE:
FAX: 503-542-3654
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 11/07/2016 $525.51
Class of Work: ALT Type of Const: VB Plan Review 11/07/2016 $131.38
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 11/07/2016 $63.06
Stories: Info Process/Archiving-Lg$2.00(over 11/07/2016 $4.00
11x17)
Project Valuation: $17,000.00 Info Process/Archiving-Sm$0.50(up to 11/07/2016 $7.50
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 $731.45
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 questions to OUNC by calling 503.232.1987 • . . 44.
Issued By: � Permittee Signature:
Ca 51 .639.4175 by :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.
All
Mechanical Permit Applicatio FOR OFFICE I.SE ONLY
Cityof Tigard Tr•, +° Received , pF�
g g
Date/By: ! /f , /{Q Permit No.: y3r r-1„I 1` ?' J
13125 SW Hall Blvd.,Tigard,OR 97223 y"c G C—C t� J�/
I Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 �f (ry 116" Other Permit: / y� ^�nn T 1 + 2.016 DateBy: ,� i(P� �.t J
TI C ARD Inspection Line: 503.639.4175 U Date Read Jnds: ^�
Internet: www.tigard-or.gov y / PI See Page 2 for
Notified/Method: // 444-<:-7-7.7.04... Supplemental Information
CITY OF TIGARD Z. �
**it M ,li *Am1*t won'
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
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$$1700.00
F13*
0 1-and 2-family dwelling ®Commercial/industrial 0 AccessorybuildingFor ..ZlT
s ectal use checklist.
❑Multi-family ❑Master builder ❑Other: Description p Qty. Ea. Total
• s �l�I A1�1L1
LOCA11
Heating/cooling:
0 Air conditioning 46.75
Job site address:9600 SW Oak Street Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:Atrium West 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
I11P'1`t`ON Gas fireplace/insert 33.39
Flue vent for water heater or gas
Replace(x2)gas pack units GP#13&GP#14
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
®s,
Onll> e �. Ail ,` Other: 23.32
Environmental exhaust and ventilation:
Name:Colliers International Range hood/other kitchen
equipment
Address:851 SW 6th Ave,Ste.1200 Clothes dryer exhaust 33.39
City/State/ZIP:Portland,OR 97204 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503-)313-4042 Fax ( ) Attic/crawlspace fans 23.32
►"� �3'PLII - TAGI P Other: 23.32
Business name:Hunter-Davisson,Inc.
Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Zak Tuttle Furnace,etc.
Address:1800 SE Pershing Street Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Portland,OR 97220 Water heater
Phone:(503-)793-1136 Fax: :( ) Fireplace
Range
E-mail:ztuttle@hunterdavisson.com Barbecue
t ' . Clothes dryer(gas)
Business name:SAME AS ABOVE Other:
Address:
Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee)
CCB lic.:1612 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
� %7I�(� days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name:Zak Tuttle Date:10/05/16
1:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)