Permit CITY OF TIGARD MECHANICAL PERMIT
e COMMUNITY DEVELOPMENT Permit#: MEC2020-00521
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8/21/2020
Parcel: 1 S134BC00100
Jurisdiction: Tigard
Site address: 12100 SW SCHOLLS FERRY RD
Project: Chase Bank Subdivision: None Lot: None
Project Description: Replace(2)5-ton roof top units.
Contractor: HUNTER DAVISSON INC Owner: ATLAS GREENWAY LLD
1800 SE PERSHING ST 808 SW ALDER ST STE 200
PORTLAND, OR 97202 PORTLAND, OR 97205
PHONE: 503-542-3628 PHONE:
FAX: 503-542-3654
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 08/21/2020 $703.31
Class of Work: ALT Type of Const: VB Plan Review 08/21/2020 $175.83
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 08/21/2020 $84.40
Stories: 1 Info Process/Archiving-Lg$2.00(over 08/21/2020 $8.00
11x17)
Project Valuation: $24,000.00 Info Process/Archiving-Sm$0.50(up to 08/21/2020 $6.00
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 $977.54
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions toQUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: "1 (." 7 ( PermitteeSignature: J%oLf
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applicitt'ECEIVEDiiminzzlidigiiiiimi7
City of Tigard Received
aits l 7/ �9 7.0',c�5�/
Date/By: Permit None?
• 13125 SW Hall Blvd.,Tigard,OR 97223,1U I 2 8 2020 6 Plan Revie
Phone: 503.718.2439 Fax: 503.598.19 Other Permit:
Inspection Line: 503.639.4175Date/By: � 'f, �`� {'
P CITY OF TIGARDOtf Date Ready/By: �/ I� us: ® See Paget for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/J�Me�thod:t`/ / 401), Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction X Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition El Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ a y po p
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling tgl Commercial/industrial 0 Accessory building For special information use checklist
D Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
y Air conditioning 46.75
Job site address:/D.1 C a SWS(/io((s refry 1e/ Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: qT d di(' 77,2a? Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name: J Heat pump 61.06
�ceerJ( r TOWN GA-fey Duct work 23.32
Cross street/directions to job site: CA cAs._ tg,..0 k 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
" / 1 ( � ) Flue vent for water heater or gas
( peke.. skim rOo'1• lop op owl-1' fireplace 23.32
!I Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
bg PROPERTY OWNER ❑ TENANT Other: 23.32
p? 1 Environmental exhaust and ventilation:
Name: /C 1 6 Arm- l /l t, c.C,{ei Q.14- Range hood/other kitchen
Address: 3 S-w Aicier/ r�J-�.. c ^� equipment 33.39
O S re+c t ...Ste. .265 Clothes dryer exhaust 33.39
City/State/ZIP: P1,-110ri.4 4 cj Ds toilet nSigl-duct
ecomparxhaust,(bathroom,utility 23.32
Phone:(563 ) 7Sb ,cyo 1s Fax:( ) Attic/crawlspace fans 23.32
Is APPLICANT 0 CONTACT PERSON Other: 23.32
Business name:`/ 1" /.) Fuel piping:
/�kN ��`y0.1/1$,SC Iy)i TN(� $14.15 for first four;$4.03 for each additional
Contact name: ,ey00„j kkQ.Q.t Furnace,etc.
Address: /8'0 t0 SE AS'S/1 Il l.1: S* - Gas heat pump
J Wall/suspended/unit heater
City/State/ZIP: 4:1-10,,e4 7-7aoa Water heater
Phone:(.Su3)5•'4 -3tra O r� Fax::( ) Fireplace
E-mail:(�O „� , ( ) h f clotuf sscir4Gd A,‘ Barbecuee
v
CONTRACTOR Clothes dryer(gas)
Business name: 3 Other:
Hu N I it.r`DRV l S soIJ l 1,4 L• MECHANICAL PERMIT FEES*
Address: h „Srg �- S ;>J� Sfr�..�-f- Subtotal
City/State/ZIP: fl .f/a,tJ� �� 77 ) Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:%I. )Sve2_ U ' Fax:( ) State surcharge(12%of permit fee)
CCB lie.: / f Z TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name: r`y„N kt•'QQ, Date: C,2 s-..a 0
I:13uilding.Permits4MEC PemutApp_0401 13.doc 440-4617T(I 1/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 -Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
$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
1
,IN p City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: ("J EG 2020 —CO 5 2-/
Site Address: 12100 SW Scholls Ferry Rd Suitc/Bldg#:
Project Name: Chase Bank
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Remove/replace 2 rooftop mechanical units
Existing Business Activity: Personal services
Proposed Business Activity: Personal services
❑. Verify site address/suite#exists and active in permit s�stem.
ElRiver Terrace Neighborhood: 0 Yes ILI No
0 Zoning: C-G
ElPermitted Use: L'J Yes U No U Spec Space
❑. Confirm no land use required.
❑. Business License: N/A
Exists: ❑ Yes ❑ No, applicant was provided a business license application
Notes:
Approved by Planning: ._�_ ,00G Date: 7/30/20
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: 7/2 Pi 2-0
Site Plans: # 2
Building Plans: #
Building Permit#: �y nter buildingermit# above.
a —
Workflow Routing: Planning I b Permit Coordinator Luilding
Workflow Sign-off: 9—Sign-off for Planning(include notes from planning review)
Route Application Documents: ii ding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:By Permit Technician: !`%?Aj 1Al // 4.�es— Date: 7/3/o
I:\Building\Forms\BI dgPerm itRvw_COM_NoLandUse_1 11819.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 Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applica :
❑ SDC Fees Entered: Wash Co Trans D v Tax: ❑ Yes ❑ N/A
Tigard Trans S►,C: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinato Date:
I:1Building\Forms\BldgPermitRvw_COM_NoLandUse_111819.docx