Permit (238) CITY OF TIGARD MECHANICAL PERMIT
' COMMUNITY DEVELOPMENT Permit#: MEC2016-00837
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/29/2016
I G� Ft` 9 Parcel: 1S126DC03300
Jurisdiction: Tigard
Site address: 9900 SW GREENBURG RD 110
Project: Server Logic Subdivision: LEHMANN ACRE TRACT Lot: 4-5
Project Description: VAV box,FPB to serve conference rooms,and ductless split system for server room.
Contractor: HUNTER DAVISSON INC Owner: ATHERTON REALTY PARTNERSHIP
1800 SE PERSHING ST 2100 S WOLF
PORTLAND, OR 97202 DES PLAINES, IL 60018
PHONE: 503-542-3628 PHONE:
FAX: 503-542-3654
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 12/29/2016 $601.71
Class of Work: ALT Type of Const: VB Plan Review 12/29/2016 $150.43
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 12/29/2016 $72.21
Stories: 1 Info Process/Archiving-Lg$2.00(over 12/29/2016 $2.00
11x17)
Project Valuation: $20,000.00 Info Process/Archiving-Sm$0.50(up to 12/29/2016 $7.50
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 $833.85
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: vav, fpb,
Duct Work: ductless split
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
iss - -, . ' ork is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
dtility Notification -nter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to O, - calling 503.232.1987 or 1.800.332.2344. _//
Issued By: / ", �` �, / Permittee Signature: , T ��
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard 'ACT-4
't Received �y 7
Date/By: / /3 A, Permit No.: M� 1IO` ?
III
13125 SW Hall Blvd.,Tigard,OR 97223 4 ,a-I • Plan Re' , `�
I Phone: 503.718.2439 Fax: 503.598.1960` " Date/By: ►`1+, Other Permit: ' / _�v
C
T I G A R D Inspection Line: 503.639.4175 t Date •Ready/e : Juris: H See Page 2 for
Internet: www.tigard-or.gov Notified/Method: r� Supplemental Information
k t) j, ��7 I
!! 44 a e` 13 °,,, SII USF•CHECKI AST
v
M L SC
� ; Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical
materials,equipment,labor,
overhead,,and
profit.
fit
Value:$ 17C 'x 4 qy OF CONSTRUCTIO *s1• 4 1 S
❑ 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
". o iittit a ,pi `4 i . �,,, >: tio, r,3' • Heating/cooling:
"� " '" -° 12 Air conditioning 46.75
Job site address:9900 SW Greenburg Rd. 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.:110 Project nam • S',,-t'cr iw. 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
IfC'11:1r1'I6iV O ;# �
Gas fireplace/insert 33.39
" � '' - Flue vent for water heater or gas
Install VAV,FPB to serve conference rooms and ductless split system for fireplace 23.32
server room. Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
Eli , ' Environmental exhaust and ventilation:
Name:(Rep)Robert Todd Construction Range hood/other kitchen
equipment 33.39
Address:4080 SE International Way Ste.B113 Clothes dryer exhaust 33.39
City/State/ZIP:Milwaukie,OR 97222 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503-)358-9022 Fax:( ) Attic/crawlspace fans 23.32
:4 APPLI IN"r" 4 •; ❑,. ORE T,PERSON Other: 23.32
_ Fuel piping:
Business name:Hunter-Davisson,Inc.
$14.15 for first four;$4.03 for each additional
—
Contact name:Jason Wegrzyniak Furnace,etc.
Address: 1800 SE Pershing St. Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Portland,OR 97202 Water heater
Phone:(503-)793-7056 Fax: :( ) Fireplace
E-mail:jwegrzyniak@hunterdavisson.com Range
Barbecue
`` 144TkACTOR Clothes dryer(gas)
Business name:Same as Above Other:
Address: t, -ii hili �M cHANICAL EllIt*FEES*`:
Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Phone:( ) Fax Plan review(25%of permit fee)
I •( ) State surcharge(12%of permit fee) _
CCB lie.:1612 TOTAL PERMIT FEE l
I
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
__"Z9
Authorized signature. / * Fee methodology set by Tri-County Building Industry Service Board
Print name:Jason (....
grzy �./} Date: 11/29/16
I\Building\Permits\MEC_PermitApp_040 113.doc 440-46I7T(I I/02/COM/WEB)
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
9900 SW GREENBURG RD 110, 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:
January 4, 2017 at 2:17:16
PM
Record ID:
MEC2016-00837
Inspector:
Chip Barnett
Contractor