Permit (2) CITY OF TIGARD MECHANICAL PERMIT
11114
3 COMMUNITY DEVELOPMENT Permit#: MEC2020-00146
Date Issued: 03/25(2020
T I G A R 0 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1 S 136 DC03300
Jurisdiction: Tigard
Site address: 11774 SW 72ND AVE
Project: JoJo's Jave Subdivision: Lot: 9
Project Description: Installing(1)2 ton ductless split heat pump with indoor ceiling cassette,and(1)ceiling exhaust fan,ducted to
existing exterior wall louver.
Contractor: JACOBS HEATING &AIR CONDITIONING Owner: 72ND AVENUE PROPERTY LLC
4474 SE MILWAUKIE 4804 NW BETHANY BLVD STE 1-2
PORTLAND, OR 97202 PORTLAND, OR 97229
PHONE: 503-234-7331 PHONE:
FAX: 503-296-5351
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/25/2020 $266.22
Class of Work: ALT Type of Const: IIIB Plan Review 03/25/2020 $66.56
Occupancy Grp: A-2 Occupancy Load: 12%State Surcharge-Mechanical 03/25/2020 $31.95
Stories: Info Process/Archiving-Lg$2.00(over 03/25/2020 $4.00
11x17)
Project Valuation: $7,090.00 Info Process/Archiving-Sm$0.50(up to 03/25/2020 $10.00
11x17)
Fuel Air Handlers
Fuel Types: Electricity 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: 1
Appliances
Vent Fans: 1 Vent Systems: Total $378.73
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: L Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available Inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applicat JAia ut\1lG1 fl9 FOR°EF►CF; USE ONLY
daVDft_O A119 Received
City of Tigard y: / r „L, �
?7 C • 13125 SW Hall Blvd.,Tigard,OR 97223 nz Oz g I d v W Date B
0' Plan Review / 93/�
Phone: 503.718.2439 Fax: 503.598196 Date/By.nRev a' " r
T I GARD Inspection Line: 503.639.4175 c F„ .. v . Date Ready/By: <,//-e/ 0 tuns: S See Page 2 far
Internet: www.tigard-or gov _ &, `}1 , tiff /Method. !!!///_nnn///... Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value.$ 7090.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT./SYSTEMS.FEES*
❑ I-and 2-family dwelling 1p Commercial/industrial ❑Accessory building For special information use checklist.
❑ Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total
:JOB SITE INFORMATION AND LOCATION Heating/cooling:
` Air conditioning 46.75
Job site address: 11774 SW 72nd Ave 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.: I Project name: JOJO JAVE (coffee shop) TI Ductwork 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: Tigard-Tualatin I Lot no.:
Other: 23.32
Other fuel appliances:
Tax map/parcel no.: 1 S 136DC03300 Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
(1) 2.0 ton ductless split heat pump with indoot ceiling cassette. fireplace 23.32
Outdoor heat pump unit to be located cf N iARAseron wall bracket Log lighter
(gas) 23.3
Wood/pell/pellet stove 33.39
(1) Ceiling exhaust fan, ducted to existing exterior wall louver Wood fireplace/insert 23.32
Comm - Building Permit#BUP-2019-00312 Chimney/liner/flue/vent 23.32
0PROPERTY OWNER I ❑ TENANT Other:
Environmental exhaust and ventilation: 23.32
Name: 72nd ave property LLC 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 0 CONTACT PERSON Other: 23.32
Business name: Jacobs Heating &Air Conditioning Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: Andrea Bowlds Furnace,etc.
Address: Gas heat pump
4474 SE Milwaukie Ave Wall/suspended/unit heater
City/State/ZIP: Portland, OR 97202 Water heater
Phone:(503)234-7331 Fax: :( ) Fireplace
Range
E-mail: andreab@jacobsheating.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: Jacobs Heating&Air Conditioning Other.
MECHANICAL PERMIT FEES*
Address: 4474 SE Milwaukie Ave Subtotal
City/State/ZIP: Portland, OR 97202 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503 )234-7331 Fax:( ) State surcharge(12%of permit fee)
CCB lie.: 1441Lap TOTAL PERMIT FEE
1�'( 3 This permit application asr expires if a permit is complete. within 180
L (V/ days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tn-County Building Industry Service Board
Print name: ANDREA BOWLDS Date: aa5 5/an
I:\Building\PermitOMEC_PermiiApp_040113.doc 440 617r(I l/ /COM/WEB)
II
City of Tigard
1111111 COMMUNITY DEVELOPMENT DEPARTMENT
r 1 c n� Building Permit Review — Commercial - No Land Use
h.
Building Permit #:
Site Address: 117 74 S W -J 2 n L enrr-e__ Suite/Bldg#:
Project Name: Jo So 3ov— —II
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: McaIN(IicelI " Z -h0r1 d.vc-iIesr Split 6ec,t pv.rp
DU rcl o o- h p r r i- p v rrl j v n i t- Ili e 1fi-1+n c✓ !I.G2r
i ,.t Da 1/VGww l be-41 t
Existing Business Activity: i(,i i-i n. l r(fl k 1) / re.0 j G6Q �j
Proposed Business Activity: ✓ ✓
Y' Verify site address/suite#exists and active in permit system.
gRiver Terrace Neighborhood ❑ Yes / No
Zoning: T M v
Permitted Use: ❑ Yes 0 No 0 Spec Space
XConfirm no land use required.
71 Business License:
Exists: ❑ Yes V No,applicant was provided a business license application
Notes:
Approved by Planning: r V l G-1_-% 1i'1 - Date: 3/ 12-/ 'Z-40
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: D Approved 0 Not Approved
Revision 3: ❑ Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date:
Site Plans: #
Building Plans: #
Building Permit#: 0 Enter building permit#above.
Workflow Routing: 0 Planning 0 Permit Coordinator 0 Building
Workflow Sign-off: 0 Sign-off for Planning(include notes from planning review)
Route Application Documents: 0 Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: Date:
I:\Build ng\Forms\BldgPeanitRvw_COM_NoLandUse_111819.docx
Permit Coordinator Review
D Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\B IdgPermitRvw_COM_No Land Use_111819.docx