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Permit
CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit#: MEC2020-00702 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/24/2020 T I t:A R T3 g Parcel: 1S136DC03300 Jurisdiction: Tigard Site address: 11754 SW 72ND AVE Project: The 72nd Subdivision: 72ND AVE APARTMENTS Lot: Project Description: Install(1)2.0 ton ductless split system.(1)high wall indoor unit and(1)outdoor unit on a bracket located in the garage. (1)outside air supply fan(untempered)to(2)supply diffusers.(1)restroom fan(1)general exhaust fan(1) dryer exhaust to exterior louver. Contractor: JACOBS HEATING &AIR CONDITIONING Owner: 72ND AVENUE PROPERTY LLC 4474 SE MILWAUKIE AVE BY RICHARD CASSINELLI PORTLAND, OR 97202 4804 NW BETHANY BLVD#I-2 PORTLAND, OR 97229 PHONE: 503-234-7331 PHONE: FAX: 503-296-5351 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 11/24/2020 $322.42 Class of Work: ALT Type of Const: IB Plan Review 11/24/2020 $80.61 Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 11/24/2020 $38.69 Stories: 6 Info Process/Archiving-Lg$2.00(over 11/24/2020 $4.00 11x17) Project Valuation: $9,080.00 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: 2 Vent Systems: Total $445.72 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: 1 Other Mech Units: Gas Outlets: Other Desc: Duct Work: 20 Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: �, \\nt 6r,\o 'emsn Permittee Signature: on. a^^If�hiy\ T7CT v �JC• Call 55003.639.4175 by 7:00 a.m.for the next available inspection date. kJY This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. — ll 2 Zolo ,Mec;;anical Permit Application FOR OFFICE USE ONLY City of Tigard RECEIVE r'ateBy: I/ e'720020 M O22X'7oZ . Date/By: Permit No.: ° 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review �p/ Phone: 503.718.2439 Fax: 503.598.1960 N O V 0 2 2020 Date/By )J—l Q - o Other Permit: TIGARD Inspection Line: 503.639.4175 Date Ready y: Saris: H See Page 2 for Internet: www.tigard-or.gov Notified/Method./l Z*3 4 e 77E Supplemental Information CITY OF TIGARD Ire BUII_�a nlyiglnnl 1LH s 1_ f-A;61.t< TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST l Mechanical permit fees*are based on the value of the work 0 New construction 4J Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ 9.080 CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ 1-and 2-family dwelling Commercial/industrial 0 Accessory building For specia 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: 11754 SW 72nd Ave Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Tigard, OR 97223 Furnace 100,o00+BTU(ducts/vents) 54.91 72ND Avenue Property LLC New commercial T[ Heat pump • 61.06 Suite Bldg./apt.no.: Project name: P Duct work 23.32 Cross street/directions to job site: Related to Permit BUP2020-00213 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.: 1 S 136DC03300 Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas Install(1) 2.0 ton ductless split system. (1) high wall indoor unit and fireplace 23.32 (1) outdoor unit on a bracket located in the garage. (1) outside air Log lighter(gas) 23.32 supply fan(untempered) to (2) supply diffusers. (1) restroom fan Wood/pellete ce/instove 33.39 PP Y ( P ) PP Y Wood fire lace insert 23.32 (1) General Exhuast fan (1) dryer exhaust to exterior louver Chimney/liner/flue/vent 23.32 4/PROPERTY OWNER 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name: 72ND AVENUE 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 VcAPPLICANT 0 CONTACT PERSON Other: 23.32 Fuel piping: Business name: Jacobs Heating&Air Conditioning $14.15 for first four;$4.03 for each additional Contact name: Andrea Bowlds Furnace,etc. Gas Address: 4474 SE Milwaukie AveWall/suspended/unitheat pump Wall/s u uspended/unithcater • 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 Minimum permit fee($90.00) OR 97202 City/State/ZIP: Portland, Plan review(25%of permit fee) Phone:(503 )234-7331 Fax:( ) State surcharge(12%of permit fee) CCB lic.: 1441 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within ISO days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Budding Industry Service Board Print name:ANDREA BOWLDS Date: 10/12/2020 itys -7,9-- I:lBuilding'Permits\MEC_PermitApp_040113.doc 440-4617t(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Family Fee Schedule: Total Valuation: - Permit Fee: $0.00 to S500.00 Minimum fee$69.06 $500.01 to S5,000.00 $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\Permils\MEC_PermitApp_040113.doc 2 /�v City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT i l 6 T 1 G A R D Building Permit Review — Commercial - No Land Use Building Permit #: ' 4E7®2.19-00702 Site Address: 11754 SW 72nd Ave Suite/Bldg#: Project Name: The 72nd (Name of commercial business occupying the space. If vacant,enter Spec Space.) P1arlri/tom Review Proposal: Mechanical equipment Existing Business Activity: n/a Proposed Business Activity: n/a l Verify site address/suite# exists and active in permit system. Xl River Terrace Neighborhood: 0 Yes ® No 1 Zoning: TMU ref Permitted Use: ❑ Yes ❑ No ❑ Spec Space f7 Con&iu no land use required. na Business License: Exists: ❑ Yes 0 No,applicant was provided a business license application Notes: Approved by Planning: /\16flL6 4/VW6D Date: 11/3/2020 Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved ❑ Not Approved Revision 3: ❑ Approved 0 Not Approved 8u/ldiri Permit Subztrittal Original Submittal Date: ///4/,e20 Site Plans: # 2. Building Plans: # 2— Building Permit#: [YEntcr building permit#above. Workflow Routing: 1--"Planning 0 Permit Coordinator ©Building Workflow Sign-off: [ Sign-off for Planning(include notes from planning review) Route Application Documents: [-Building: original permit application,site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: / By Permit Technician: -1.. ,/4,y.if, Date: 240026 I:\Building\Forms 1BldgPermitRvw_COM NoLandUse_I 11819.tcx pe r CoordiparorRevrew ❑ Conditio ` et"prior to issuance of building permit ❑ Approved,NO •ased: ' .te: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant Revision Notice 2: Date Sent to A . ' ,nt: Revision Notice 3: Date Sen - • pplicant: ❑ SDC Fees Entered: •sh Co Trans Dev Tax: ❑ Yes ❑ N Tigard Trans SDC: ❑ Yes ❑ N/A Parks SDC: ❑ Yes ❑ N/A ❑ 0 ssue Permit pproved by Permit Coordinator: Date: I:\Bui lding\Forms\BldgPerm itRvw_COM_NoLandUse_11 1819.docx