Permit CITY OF TIGARD MECHANICAL PERMIT
e COMMUNITY DEVELOPMENT Permit#: MEC2021-00004
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 1/28/2021
TIGr1Rf) 9 Parcel: 2S101BB01400
Jurisdiction: Tigard
Site address: 12010 SW GARDEN PL
Project: Park 217 BMW Subdivision: CROW PARK 217 Lot: 2
Project Description: (2)Gas Pack RTU Replacement
Contractor: MACDONALD MILLER FACILITY SOLUTIONS Owner: BKM PARK BC 252 LLC
12911 NE AIRPORT WAY 1701 QUAIL ST STE 100
PORTLAND, OR 97230 NEWPORT BEACH, CA 92660
PHONE: 971-244-0901 PHONE:
FAX: 971-244-0902
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 01/26/2021 $639.81
Class of Work: ALT Type of Const: VB Plan Review 01/26/2021 $159.95
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Mechanical 01/26/2021 $76.78
Stories: Info Process/Archiving-Sm$0.50(up to 01/26/2021 $26.00
11x17)
Project Valuation: $21,500.00
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 $902.54
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 1 ]I.: .3t ,vQnC1C� ��e Permittee Signature: (,� Gpp Vt
v Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
- Iz S _
Mechanical Permit Application FOR OFFICE USE ONLY
,� - City of Tigard RECEIVED D�/>y: / ,-2O2I- J PenmtNo. /4 2(—lex,[)4.
" 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Other Permit:
Inspection Line: 503.639.4175 DEC 3 0 2020 Date Re /i+��—�
TIGARD Date Ready/By: Jura: ® See Paget for
Internet: www.tigard-or.gov CITY OF TIGARD "fied/Ivlethod: Supplemental Information
"" „' nwnDIVIION t
TYPE OF WORK O FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction >a:4ddition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
El Demolition ❑ Other: mechanical materials,equipment,labor overhead,and profit.
CATEGORY OF CONSTRUCTION Value:$ // ,�]�; OD
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
El I-and 2-family dwelling ommercial/industrial ❑ Accessory building For special information use checklist
El Multi-family ❑ Master builder ❑ Other: Description Qty. Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling: /!��
� , J /�l n Air conditioning V 46.75
Job site address: I az I 0 S V V l !,i, 0 /-t-t ,n i Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: '�/A a ii ' -/)p3! v Furnace 100,000+BTU(ducts/vents) 54.91
J l pp� Heat pump 61.06
Suite/bldg./apt.no.: I Project name: • ✓� a/ J� i4J Duct work 23.32
Cross street/directions to job site: a' L r - or„ Hydronic hot water system 23.32
'�� r y Residential boiler(radiator or
J-% 14s / . .,,,Pf giz ¢ ].-- hydronic) 23.32
r `` `� 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
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
4- fireplace 23.32
f- I1 1 Log lighter(gas) 23.32
I J Wood pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
' -PROPERTY OWNER I D TENANT Other:
Environmental exhaust and ventilation: 23.32
Name: 3 izfri. 14 L.4:L 1 L‘.( :1. j71 -{� Range hood/other kitchen
equ( , v l 0 S W -7 I Clothes nt 33.39
Address:
/}� Clothes dryer exhaust 33.39
City/State/ZIP7 6f4 f V'2_ .'�-0'Y� Single-duct exhaust(bathrooms,
V ] toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
APPLICANT 8"CONTACT PERSON Other: 23.32
Business name: fnAL 2dam tk_d'fVACe Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: j Z� Furnace,etc.
Address: /3-4 f I A,1Cj;,--101.),,---1- w Gas heat pump
�/ aWall/suspended/unit heaterCity/State/ZIP: f W1 ( V el.,` V Water heater
Phone:( )3) 3 6'. J i)-3 Fax: :(t f) ,. "( i_ o e10 a Fireplace
Range
E-mail: d51 1�,- -�, - y' fl G�; il,./Aci i///t/E'r-- (4)j41 Barbecue
(�/ CONTRPOR Clothes dryer(gas)
Business name: Uv t L)ovv ( r G/�v'L(/ Other:
AAA MECHANICAL PERMIT FEES*
Address: I 1/ /t--1`� f/�./ C� Subtotal
City/State/ZIP: AL�J( ( 9.3 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( 3 ) 2 6 a , SZ`) e. Fax:(7 7�) et(ty d I d a State surcharge(12%of permit fee)
CCB lic.: f 574 3 e ti (... ..3 2,qy3k�9TOTAL 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: it]i(il�l ,oler
r 1.♦ 7-064"-- Date: I�-/34)7,0
1:\Building\Pemtits\\MME�C_PPe^rmiiApp_040113.doc 440-4617T(I l/02/COM/WEa)
I2130 i 20
City of Tigard
1111 a COMMUNITY DEVELOPMENT DEPARTMENT
C
T 1 G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: M 2O2(- o0004
Site Address: /2O/D c�l) caleen Pt Suite/Bldg#:
Project Name: P.7,-,k 7,1 -
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: k 1 Pfla 7lI 1 S
Existing Business Activity: /9-
Pro sed Business Activity:
ICJ Verify site address/suite# exists and active in permit sys m.
11i1':'er Terrace Neighborhood: 0 Yes YJ No
lit Zoning: C—C3
III4 'ermined Use: DI Yes 0 No ❑ Spec Space
I• Confirm no land use required.
usiness License:
Exists: ❑ Yes 0 No,applicant was provided a business license application
Notes:
Approved by Planning: ` , ��% Date: /a/42Z
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
Building Permit Submittal /
Original Submittal Date: / 3O 2G200
Site Plans: #
Building Plans: #
Building Permit#: [ Enter building permit# above.
Workflow Routing: ( Planning ❑ Permit Coordinator [d^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: - /////Ji/ Date: d/,/a9/262(
I:\Building\Forms\BIdgPermitRvw_COM NoLandUse_1I1819.docx
" - • 't Coordinator Review
❑ Condit.• "Met"prior to issuance of building permit
❑ Approved,NO eleased: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to A.. cant:
Revision Notice 2: Date Sent . Applicant:
Revision Notice 3: Date -•nt to Applicant:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes /A
Tigard Trans SDC: 0 Yes ❑ N
Parks SDC: 0 Yes 0 N/A
❑ OK t. sue Permit
•roved by Permit Coordinator: Date:
I:\Building\Forms\B1dgPermitRvw_COM_NoLandUse_111819.docx