Permit (62) CITY OF TIGARD MECHANICAL PERMIT
' COMMUNITY DEVELOPMENT Permit U: MEC2019-00448
TIG;1 R C) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/22/2019
Parcel: 2S 101 AD02400
Jurisdiction: Tigard
Site address: 12753 SW 68TH AVE
Project: George Fox University Subdivision: WEST PORTLAND HEIGHTS Lot: 9
Project Description: Modifying ductwork to accommodate new floor plan.
Contractor: MCKINSTRY COMPANY LLC Owner: GEORGE FOX UNIVERSITY
16790 NE MASON STREET SUITE 100 ATTN: FINANCIAL AFFAIRS
PORTLAND, OR 97230 414 N MERIDIAN
NEWBERG, OR 97132
PHONE: 503-331-0234 PHONE:
FAX: 503-331-6907
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/28/2019 $1,787.01
Class of Work: ALT Type of Const: Plan Review 06/28/2019 $446.75
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 06/28/2019 $214.44
Stories: Info Process/Archiving-Lg$2.00(over 06/28/2019 $12.00
11x17)
Project Valuation: $67,000.00
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 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 $2,460.20
Hoods: • Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Ductwork- _
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 .t started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to fo ,,. the;u-s ,.opted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-00'.. You , ..tain a copy of the rules
or direct questions to OUNC by calling 503,32.1987 . 1.800.332.2344.
'/c 40 / --------
Ati / � /
Issued By: -�f f; Permittee Signatur. '/
Call 503.639.4175 by 7:00 a.m.for the next available inspect'
This permit card shall be kept in a conspicuous place on the job site ung-mple the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applicati FOR OFFICE USE ONLY
City of Tigard , -- Received
IN
it 13125 SW Hall Blvd.,Tigard,OR 97223 ; V sr f iJ i Date/By
% Pi. G
Plan Revt w i
Phone: 503.718.2439 Fax: 503.598.1960
Inspection Line: 503.639.4175 Date/By: m �. ��ee ������
TIGARD p Date Ready/By: Juris: H See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
o ;T 'k a��
VW
��,; � T � Fes.��IC... .., "• � ' � ., 13M�,1ERIa?� *. S�jI�L.,. � .,.. ..(c0., „s ,",,N
Mechanical permit fees*are based on the value of the work
®New construction 0 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.
t . :. ,C E Y E(}}i O . tTCT�3N s.' « _r« � ': RE.= Value:$67000
siptivriAt wIrmE�l sysTtMS Es ''
0 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi family 0 Master builder 0 Other: Description Qty.
k „0,.:11`P''''''-`1.';'' ilii DI ATfoNrr4Nq I.( ATI 'N Ea. Total
Air conditioning 46.75
Job site address:12753 SW 68thAve
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.:#185 1 Project name:GFU-Portland Center Heat pump 61.06
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: I Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.:
Water heater 23.32
, -4 ., `DIS' CRJPTI(#N OF ORI Gas fireplace/insert 33.39
Flue vent for water heater or gas
Modify ductwork to accommodate new floor plan fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
„...;',74' 'QPR (3 ER m:.TE14AN Other: 23.32
'"""' Environmental exhaust and ventilation:
Name: Range hood/other kitchen
Address: equipment 33.39
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
- 7 1:g4zuc gT;u- : >r.r,. le< I❑ ONFACT, ER QN Other: 23.32
Business name:McKinstry Co,LLC Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Josh Guenther Furnace,etc.
Address:16790 NE Mason St Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Portland,OR 97230 ____
Phone:(503)944.9089r
Fax::( ) Fireplace
E-mail:joshg@mckinstry.com corn
Range
Barbecue
\
CONTRA TORS <,. Clothes dryer(gas)
Business name:McKinstry Co,LLC Other:
iE0tA14414L r �T F' '�o ,,: �\ '
Address:16790 NE Mason St "
441.
Subtotal
City/State/ZIP:Portland,OR 97230 Minimum permit fee($90.00)
Phone:(503)944.9089 Fax:( )
Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lic.:172811 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signatu
e>� !. * Fee methodology set by Tri-County Building Industry Service Board
Print name:Josh ' Date:6/25/19
I:ABuildingAPermits\MEC_PermitApp_040 t 13.doc 440-4617T(I 1/02/COM/WEB)