Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2021-00005
Date Issued: 2/24/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112AC01900
Jurisdiction: Tigard
Site address: 14945 SW 72ND AVE
Project: FD Project Subdivision: FANNO CREEK ACRE TRACTS Lot: 47
Project Description: Hood and Exhaust fan installation and ducting for class 2 hood.
Contractor: WATTS HEATING&COOLING INC Owner: HONEY LLC
580 PORTLAND AVE. LGH II LLC
GLADSTONE, OR 97027 9400 SW BARNES RD STE 400
PORTLAND, OR 97225
PHONE: 503-786-2858 PHONE:
FAX: 503-786-2807
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/22/2021 $191.86
Class of Work: ALT Type of Const: VB Plan Review 02/22/2021 $47.97
12%State Surcharge-Mechanical 02/22/2021 $23.02
Occupancy Grp: B Occupancy Load:
Info Process/Archiving-Sm$0.50(up to 02/22/2021 $2.00
Stories: 1 11x17)
Project Valuation: $4,500.00
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:
Appliances
Vent Fans: Vent Systems: Total $264.85
Hoods: Comm Incinerators: Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: cigZ
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
E- (2 3Ot2o
Mechanical Permit Application
City of Tigard HECEIVE® Received a!_Oq.Z02/ MEeZOZ/-txx��
Date/By: Permit No.:
al 13125 SW Hail Blvd.,Tigard,OR 97223 T
Phone: 503.718.2439 Fax: 503.598.1960 DEC 3 0 2020 Plan Da e/By:1e`v1` f�a J - j.J Other Permit:
i[G A It D Inspection Line: 503.639.4175 Dale Ready/By: luris: 63 See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD , .ifed/Method: J_ /jf ��� Supplemental Information
BUILDING DIVISION /,`�! _
TYPE OF WO ,.._ a I ,a _ FEE* SCHEDULE -USE CHECKLIST
Mechanical permit fees*are based on the value of the work
0 New construction ddition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,lair oc .,and profit.
CATEGORY 01? CONSTRUCTION __� _
Value:$ Wj9.
RESIDENTIAL EQUIPMENT/SYSTENASFEES*
❑ 1-and 2-family dwelling ommercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heatinglcooling:
= Air conditioning 46.75
Job site address: t41 5 S rl Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 66 4 o i ctii Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt,no.: Project name: FD Heat pump 6106
(�j`D
.
` ` Duct work 623
1.06
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: .1Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION- F 0 Gas fireplace/insert 33.39
i�1 Flue vent for water heater or gas
AV' ' �' `x� fireplace 23.32
4-
_ Log lighter(gas) 23.32
7 — Wood/pellet stove 33.39
_ Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32 r
• 1 Other: 23.32
0 PROPERTY OWNER I I TENANT Environmental exhaust and ventilation:
Name: Ft. 00 Range hood/other kitchen
eq255� 11 Clothes drnt 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: `tO 04 TriAt Single-duct exhaust(bathrooms, —
U v toilet compartments,utility rooms) 23.32
Phone:(l6' ) Lt4(,. 143'� Fax:( ) Attic/crawlspace fans 23.32
PLICANT ❑ CONTACT PERSON Other: 23.32
-, Fuel piping:
Business name: $14.15 for first four;34.03 for each additional
Contact name: Furnace,etc.
Address: 0440 (L/,ti ,.t AO Gas heat pump
{l,yWall/suspended/unit heater
City/State/ZIP: ...k O e)DO-1 ZiJ?77 Water heater
Phone:( 5 •2 Fax::( )
Fireplace
Range
E-mail: ,,, a oa fa4, 64
Barbecue
l CONTRA Clothes dryer(gas)
Business name: Other:
MECHANICAL PERMIT FEES*
Address: ClikillOw Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee) _
Phone:( ) Fax:( ) State surcharge(12%of permit fee)
CCB lie.: Wv I 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: ` .I^/ * Pee methodology set by Tri-County Building Industry Service Board
IPrint name: _ W A k r Date: 1 36
/Z/3o(2o
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
■
TIGAKD Building Permit Review — Commercial - No Land Use
Building Permit #: 21>,Z/p000 S
Site Address: / ?/c- '9/ �� f yi Suite/Bldg#:
Project Name: 7 jJ 62)ter7-,
(Name of comnsercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: O jJt.P l Pam/ /1 to 41, n I An 7Li" — I i1 C'1L 1-&
Existing Business Activity: �--
Proposed Business Activity:
kfy site address/suite# exists and active in permit s st .
er Terrace Neighborhood: ❑ Yes No
le •ping:
ermitted Use: ❑ Yes ❑ No ❑ Spec Space
II Confirm no land use required.
]!w Business License:
Exists: ❑ Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: _- Date: / f t.VA.-e)
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: !/,0012&2o
Site Plans: # 2
Building Plans: # 2—
Building Permit#: Enter building permit#above.
Workflow Routing: [u-Planning ❑ Permit Coordinator [ Building
Workflow Sign-off: l Sign-off for Planning(include notes from planning review)
Route Application Documents: B'Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Z/ O Date: Oi-D 41 2O2/
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse 111819.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 Applican
Revision Notice 2: Date Sent to Appli nt:
Revision Notice 3: Date Sent to Ap% cant:
❑ SDC Fees Entered: Wash Co T .ns Dev Tax: ❑ Yes ❑ N/A
Tigard T ns SDC: ❑ Yes ❑ N/A
Parks :IC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coor.inator: Date:
1:\Building\Forms\BldgPermitRvw COM_NoLandUse 111819.docx