Permit CITY OF TIGARD MECHANICAL PERMIT
i COMMUNITY DEVELOPMENT Permit#: MEC2019-00752
T!GAR I 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/05/2019
Parcel: 2S115BA00100
Jurisdiction: Tigard
Site address: 16200 SW PACIFIC HWY M
Project: Tigard Town Square Subdivision: None Lot: None
Project Description: Landlord work to demo existing piping and install new gas piping for suites M and N.
Contractor: NORTHWEST CENTRAL PLUMBING CO INC Owner: TECOLOTE RESOURCES INC
2870 SE 75TH AVE#206 KELLY'S LEGACY LLC, ET AL
HILLSBORO, OR 97123 BY HESSLIN HOLDINGS INC
23421 SOUTH POINTE DR STE 270
LAGUNA HILLS, CA 92653
PHONE: 503-642-2067
PHONE: 949-297-4460
FAX: 503-642-5954
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 10/30/2019 $207.21
Class of Work: ALT Type of Const: VB Plan Review 10/30/2019 $51.80
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 10/30/2019 $24.87
Stories: Info Process/Archiving-Lg$2.00(over 10/30/2019 $2.00
11x17)
Project Valuation: $5,000.00
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 $285.88
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 t e 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 S R 952-001-0010 through OAR 952-001-0090; You may obtain a copy of the rules
or direct questions to OUNC b ling 503.232.V or 1.80 32.2344.
Issued By: J /����. Permittee Signature: "
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.
n'
Mecha ><cal Permit Application v 'C rtlli tlrrlcc lsl:ONLY
City of Tigard rEI V 1—II'' m/75
.N , u 13125 SW Hall Blvd.,Tigard,OR 97223
E V DateBY• /% / Pennit 1� �/� — 73-,2-
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 T 2 4 2019j _ Q Other Permit:
Inspection Line: 503.639.4175 QC Date/By:Re0.a 1`f
T t is A R 17 Date ReadyBy: J / loris: ® See Page 2 for
Internet: www.tigard-or.gov OF TIGAR Nate Read ethod:(V ' v� tie
�,ITY1 Supplemental Information
� �G DIVISI• jird,
"` r '`i ',*,,S-9 .. y"r...}irN" ''f'a +-ft dy 9� a, t t ..4' e",k: t 1 � .atei.'k{Ts�,."
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
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
s ' t: _x ., .1 Value $ •
,�.«. • t:.
. �.a„, , r _fie . n_ .a :x - . 14F .' t,
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. _ 1
❑ i-and 2-family dwelling G Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
1” ? r ) T ?*:, 4 Heating/cooling:
� �``' "`' Air conditioning 46.75
Job site address: l (9aC� 1 K/��.C.1 L -� Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP; .*a ' n 2 A
Fumace 100,000+BTU(ducts/vents) 54.91
I ^- Heat pump 61.06
Suite/bldg./apt.no.:Al Z Al I Project name: L•t. 1 18 Cl. t_""' kI.
Duct work 23.32
Cross street/directions to job site: VHydronic 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
DE��lt p ?Il► WORD Gas fireplace/insert 33.39
s„ _..t .
-DN
,. �.,, ., '_ , p p Flue vent for water heater or gas
-D` A°'vac -/s �y -✓>� S' e. ?,pia.) f/l c t C.J�- fireplace 23.32
' n f ? _J I „f Log lighter(gas) 23.32
`� Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
t P* )h ll;'TY,O J{] 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
Q�APP7 AiV fl` bNTAty#' 'lwi SON Other:
2332
Fuel piping: _
Business name:'V s f 4„.„w(4�p, - t o etu i G b,_ (oRV � $24.15 for first four;$4.03 for each additional
Contact name: t5t!'`ci —,.. Furnace,etc.
�
Address: c DS"T 3 u0 i 4r^c�
Gas heatpump Wall/suspended/unit heater
City/State/ZIP: S rwelad_ , Da_ q-11 AD Water heater
Phone:( �at_ 3- l17 Fax::( ) Fireplace
Range
E-mail: �/PC ��J
x K”(A2- Barbecue
�., O At t , '`.` Clothes dryer(gas)
lY,4�{, „,, d(x t Q ett/Wy Other
Business name:�„�,l„�tr�CS� � {�(.Bt� ��''tc } -y� f
Address: e_2c5,3 3 �+-+ 01cif (aL_L-- Subtotal
City/State/ZIP: q„„4,'V^i4_04 1 Q.j i qt.) Minimum permit fee($90.00)
Phone:(Jrp3) ^1``"— Fax:l ( ) Plan review(25%of permit fee)
1 State surcharge(12%of permit fee)
CCB lie.: —7 2,.2.,53 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signatur;„0.►, * Fee methodology set by Tri-County Building Industry Service Board
Print name: , Sla,,..,..0..._ Date: i t) I
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