Permit (171) CITY OF TIGARD74
MECHANICAL PERMIT
I' COMMUNITY DEVELOPMENT Permit#: MEC2019-00288
T i GAR p 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/09/2019
Parcel: 2S 102DB00100
Jurisdiction: Tigard
Site address: 8840 SW BURNHAM ST
Project: Frontier Subdivision: None Lot: None
Project Description: Push/pull 32-ton split system,both indoor/outdoor units on ground floor.
Contractor: HVAC INC Owner: FRONTIER COMMUNICATIONS NORTHWES
5188 SE INTERNATIONAL WAY PO BOX 152206
MILWAUKIE, OR 97222 IRVING,TX 75015
PHONE: 503-462-4822 PHONE:
FAX: 503-462-6555
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/09/2019 $1,824.36
Class of Work: ALT Type of Const: IIB Plan Review 05/09/2019 $456.09
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 05/09/2019 $218.92
Stories: Info Process/Archiving-Lg$2.00(over 05/09/2019 $2.00
11x17)
Project Valuation: $68,500.00
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 Fumaces: 15-30 HP:
Unit Heaters: 30-50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning: 1
Heat Pump: 1
Appliances
Vent Fans: Vent Systems: Total $2,501.37
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
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 s-,t forth in OAR 952-001-0010 through OAR 952-001-0090 You obtain a copy of the rules
or direct questions to OUNC b calling 503.232.1:;7 or 1.800.332.2344.
Issued By: � r Permittee Signature:
/moi L :,
/ Call 503.639.4175 by 7:00 a.m.for the next available inspec .
1 '.----7
This permit card shall be kept in a conspicuous place on the job site until co • ion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR()11-1( El SF. ONLI
City of Tigard nate/By S I/fr�/ll.�i ' ri7ii !:
III13125 SW Hall Blvd.,Tigard,OR 97223
Plan Review
• Phone: 503.718.2439 Fax: 503.598.1960 \/ED Date/By: q® � Other Permit:
i'1 G A R D Inspection Line: 503.639.4175 C E w Date Ready/By: JurisBI See Page
2 for
Internet: www.ti and-or. ov Notified/Method: Supplemental
Information
MAY 9.2019
C c1utL"Iz_T* L>e—.IFfSE CHEC)UJST
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteratieIVISION performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: tttSSSUUU mechanical materials,equipment,labor,overhead,and profit.
Value:$$68,500.00
CATEGORY OF CONSTRUCTION RESIDENTIAL.EQUIPMENT/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 46.75
Job site address:8840 SW Burnham St. 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:Frontier Tigard 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
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
Push/pull 32-ton split system,both indoor/outdoor units on ground/floor fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
0 PROPERTY OWNER 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
APPLICANT ►y CONTACT PERSON Other: 23.32
Business name:HVAC,Inc. Fuel piping:
$14.15 for first four$4.03 for each additional
Contact name:Jody DePew Furnace,etc.
Address:5188 SE International Way Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Milwaukie,OR 97222 Water heater
Phone:(503)462-4822 Fax::(503)462-6555 Fireplace
Range
E-mail:jodyd@hvacincorp.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:HVAC,Inc. Other:
MECHANICAL PERMIT FEES*
Address:Same 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.:50897 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
'-\\H\4
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name:Jody DePe4 Date:5/9/19
I:\Building1Permits\MEC PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
CITY OF TIGARD
lig -11 COMMUNITY DEVELOPMENT MECHANICAL PERMIT
Permit9: MEC2019-00288
i 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/09/2019
Parcel: 2S102DB00100
�._ ., Jurisdiction:G-T
Site address: 8840 SW BURNHAM ST
Project: Frontier Subdivision: None Lot: None
Project Description: Push/pull 32-ton split system,both indoor/outdoor units on ground floor.
Contractor. HVAC INC Owner: FRONTIER COMMUNICATIONS NORTHWES
5188 SE INTERNATIONAL WAY PO BOX 152206
MILWAUKIE, OR 97222 IRVING,TX 75015
PHONE: 503-462-4822 PHONE:
FAX: 503-462-6555
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/09/2019 $1,824.36
Class of Work: ALT Type of Const: IIB Plan Review 05/09/2019 $456.09
Occupancy Grp B Occupancy Load: 12%State Surcharge-Mechanical 05/09/2019 $218.92
Stories: Info Process/Archiving-Lg$2.00(over 05/09/2019 $2.00
11x17)
Project Valuation: $68,500.00
ELM 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: 1
Unit Heaters: 30-50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning: 1
Heat Pump: 1
Aeollances -
ent.Faas;._. _Vent Systems: Total $2,501.37 -
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
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 s-t forth in OAR 952-001-0010 through OAR 952-001-0090 You • obtain a copy of the rules
b
or direct questions to OUNC _.-fling 503.232.1'F.7 or 1.800.332.2344.
Issued By: / ,/ Permittee Signature: ......7
_.ir". ..<..,...e AAlli;‘
7 Call 503.639.4175 by 7:00 a.m.for the next available inspe
This permit card shall be kept in a conspicuous place on the job site until co . on of the project.
Approved plans are required on the job site at the time of each inspection.
Front1 DSTS
Subject: Jody @ HVAC;8840 SW Burnham St; Frontier; 503-462-4822
Location: CR 3 Permit Center
Start: Thu 5/9/2019 10:00 AM
End: Thu 5/9/2019 11:00 AM
Recurrence: Weekly
Recurrence Pattern: every Tuesday,Wednesday, and Thursday from 10:00 AM to 11:00 AM
Meeting Status: Meeting organizer
Organizer: -Building_OTC
Resources: CR 3 Permit Center
Push/pull split system with both units on the ground.
Land use not required as units are located within a screened utility area per Sam 5/1/19.
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
S
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: /4 ' e.,201 -- 0-)._,C
Site Address: MO ,-/ ir1\61 4. Suite/Bldg#:
— Project Name: Fr4W- (; y,
(Name of commercials usiness occupying the space. If vacant,enter Spec Space.)
Planning Revie 1 r
Proposal: P✓S �i�� L- sPti' S` )t 6 E^�°sr/J /' Orth a� jr,.� t��Li .
Existing Business Activity: (A((-
Proposed
) 'CCCProposed Business Activity: O ,'1,t-
erify site address/suite#exists and active in permit syste .
'ver Terrace Neighborhood:
f' YeDIYes [No
oning: ('\U LOP�rmitted Use: Ls CI No CI Spec Space
V Cfirm no land use required.
vBusiness License:
gn
Exists: ❑ Yes No,applicant notified to obtain business license p.
Notes: ',Jb 164 clic rev 1D replat1 0 At zti� . ScrUtttIWk (yc.,� it� Ng-- rCar C = dl" l''vi <wt
Approved by Planning: .; '- Date: �`1
Revisions (after Building Submittal only) /+ Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: -----,75 n"'
Site Plans: # ',P.,
Building Plans: # 2
Building Permit#: ►' nter building permit#above.
Workflow Routing: ►' Tanning ❑ Pe oor ator �uilding
Workflow Sign-offSign-off for Planning(include notes from planning review)
Route Application Documents: Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: .‘A.IL i £4 L ,LAll /'' Date: 7
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_060116.docx
Permit Coordinator Review •
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applica
Revision Notice 2: Date Sent to App • ant:
Revision Notice 3: Date Sent to ' .plicant:
El SDC Fees Entered: Wash C.' rans Dev Tax: ❑ Yes El N/A
Tig. •: Trans SDC: ❑ Yes ❑ N/A
arks SDC: El Yes ❑ N/A
❑ OK to Issue Permit
Approved by P it Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM NoLandUse 070915.docx