Permit (170) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2019-00315
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/16/2019
Parcel: 2S113A601201
Jurisdiction: Tigard
Site address: 16525 SW 72ND AVE
Project: Routeware Subdivision: None Lot: None
Project Description: 140 ft.gas line extension to feed existing RTU's.
Contractor: EXCEL HVAC INC Owner: PACIFIC REALTY ASSOCIATES LP
PO BOX 1188 ATTN: N PIVEN
CANBY, OR 97013 15350 SE SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 971-930-7194 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/16/2019 $130.46
Class of Work: ALT Type of Const: Plan Review 05/16/2019 $32.62
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 05/16/2019 $15.66
Stories: Info Process/Archiving-Sm$0.50(up to 05/16/2019 $0.50
Project Valuation: $2,500.00 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 $179.24
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules dopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-009. ou may obta n a copy of the rules
or direct questions to OUNC by calling 503.232.198 • :1..332.2344.
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection ate.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved putt are required on the job siteatthetime of each inspection.
Mechanical Permit Application FOR OFFICE E"SE()NI.)
City of Tigard Received /
;� �� Date/By: i�d4 1 x ,� -- Permit No.: p Gr2oi 02/
13125 SW Hall Blvd.,Tigard,OR 972 ��
� Plan Review
Phone: 503.718.2439 Fax: 5 6(� Date/By: J C { 4---0 Other Permit: A7 4_car?
T I C A R I) Inspection Line: 503.639.4175 7- 1°
0' Date Ready/By: kris: See Page 2 for
Internet: www.tigard-or.gov MPS 16 ( �9 Notified/Method: 71/4 /,c ,✓72 I Supplemental Information
{. ;t , 1GP0. R 4 ... t 41 C°141 ,fir'-mak"S et t» r: s cc4.01.N...
•j Mechanical permit fees*are based on the value of the work
❑New construction i , Addition/ ion/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 0 ther: mechanical materials,equipment,labor,overhead,and profit.
: : C ::•0 Rat OF CONSTRUCTION :' l
Value:$ b0
'
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
0 1-and 2-family dwelling /2 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: l, :)S-"d S' S J 7.`l ✓ xiFurnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 73 As Cps,„ OC Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: #r.'1�iL,✓ 2_/&,2.f ),4�y Duct work 23.32
Cross street/directions to job site: (�C6 l 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
`DESCRIPTLON'OF WOIIiK
�' � L ��, Gas fireplace/insert 33.39
r Flue vent for water heater or gas
t;"_4.'5 4,'i N E r lot' fireplace 23.32
�'" Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
'' si y '''''''Y':'''
Other: 23.32
ROPERTY.OWNIEIt a '; ❑ TENANT' .
, ,., Environmental exhaust and ventilation:
Name: PitiC 77z. (,l 5 7" 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
. 0 APPLICANT 4 Q"CONTAC"lf'PERSON f'- Other: 23.32
Fuel piping:
Business name:
$14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace
_ r_ Range
E-mail: y.‘v tp �ij Y00 f^ , /ilk,i Barbecue
CONTRACTOR. Clothes dryer(gas)
A/1144 Other:
Business name: /�/11 c
MECHANICAL PERMIT FEES*
Address: p Q, A e /iv.. Subtotal
City/State/ZIP: Minimumpermit fee $90.00
ty c�+ti 027b7� ( )
) Fax: Plan review(25%of permit fee)
Phone:(
�1 d - l W ( ) State surcharge(12%of permit fee)
CCB lie.: v�1 /./ jt.-- TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signa * Fee methodologysetby Triro
,mty Building todustcy Service Burd
Print name:3e-•Z l ti7r- Date: �J///f 11
I:\BuildingTermits\MEC_PemtitApp_04 13.doc 440-46177T�"rrr/(l 1/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi-Family Fee Schedule:
Toth.V aluation: ;. Pei not Fee 4... . ..:,
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I:\Building\Permits\MEC_PermitApp_040113.doc 2
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
16525 SW 72ND AVE, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Mechanical MEC2019-00315
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor