Permit CITY OF TIGARD MECHANICAL PERMIT
IIII
COMMUNITY DEVELOPMENT Permit#: MEC2020-00485
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8l17/2020
Parcel: 2S112DC01500
Jurisdiction: Tigard
Site address: 15655 SW 74TH AVE 200
Project: Norris&Steven Subdivision: FANNO CREEK ACRE TRACTS Lot: 6
Project Description: Push/pull 3-ton split system located in closet and exterior ground-mounted condenser.
Contractor: ARJAE HVAC AND MECHANICAL SERVICES LLC Owner: MCLELLAN ESTATE CO
8545 SE MCLOUGHLIN BLVD 707 OLD COUNTY RD
MILWAUKIE, OR 97222 BELMONT, CA 94002
PHONE: 503-231-7717 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 08/17/2020 $316.80
Class of Work: ALT Type of Const: VB Plan Review 08/17/2020 $79.20
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 08/17/2020 $38.02
Stories: Info Process/Archiving-Sm$0.50(up to 08/17/2020 $5.00
11x17)
Project Valuation: $8,900.00
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 $439.02
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: Q'A/ 4-�✓�L/C'�'��Q N
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.
7 4,
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard RECEIVE Doa 'Bed
Peruut.
• 13125SWHallBlvd.,Tigard,OR 97223 y ����� � 16/���� �®����
1 5 Dan R}vic 8 . �O -f, Other Permit:
' 1 Phone: 503.718.2439 Fax: 503.-98.1960 JUL
O� 2020 Date/By: � 'd •-.J}J{t
T I G A R D Inspection Line: 503.639.4175 V Dale Ready/By: Leis: ® See Page 2 for
Internet: v<nvtiv.a and-or. ov CITY OF TIGARD :d- pi /ZOO
g g NoriGed/Method Supple men al Information
P,,l II nIN . rriisiON oitti t..- ml f N
TX I'E, OF \t'ORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*arc based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit_
Value:S 8,900
CATEGORY OF CO.AS'I RI I IIOiN RI'IDENTTAI.EQUIPMENT/SYSTEMS FEES'
❑ I-and 2-family dwelling 1�1 Commercial/industrial ❑ Accessory building Pet special iufonnntiioa use checklist.
0 Multi-family ❑ Master builder ❑ Other: Description Oty l'a_ total
JOB SITE INORMA I ION ANDLOCATION Heating/cooling:
F
Air conditioning 46.75
Job site address: 15655 SW 74TH AVE SUITE 200 Furnace 100,000 BTU(duets/vents) 46.75
City/State/ZIP:TIGARD, OR Furnace 100,000-,BTU(ducts/vents) 54.91
NORRIS&STEVEN 74TH AVE PROPERTIES Heat pump 61.0ti
Suite,bldg.lapt.no.:200 Project name: Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(trel-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
Flue vent for water heater or gas
PUSH PULL FOR 3 TON SPLIT SYSTEM fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
❑ PROPERTY OWNER r1 '111,N.1N'F
Environmental exhaust and ventilation:
Na Me:**same as above** Range hood/other kitchen
equipment 33.39
Address:**same as above**
Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax: i Attic/crawlspace fans _ 23.32
11.„ APPLICANT ❑ ('ONLVCE PERSON Other: 23.32
Business name:Arjae Sheetmetal Fuel piping:
514.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Gas beat pump
Address:8545 SE Mcloughlin Blvd. Wall/suspended unit heater
City/State/ZIP:Milwaukie, Or 97222 Water heater
Phone:( )5032317717 Fax: :1 i Fireplace
Range
E-mail:permits@arjae.com Barbecue
CONI'RAC'TOR Clothes dryer(gas)
Business nam **same as above** Other
e.
IIECH:ANIC:11-PERMIT FEES'
Address:**same as above** Subtotal
City/State/ZIP:**same as above** Minimum permit Ide(S90.00)
Plan review(25%of permit fee)
Phone:( )**same as above** Fax: ( ) State surcharge(12%of pennit fee)
CCB lie.:224490 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
J / days after it has been accepted as complete.
Authorized signature: Z,Ca...AG�Ti c5C e�(;4Qi ,4iKi ` Fee methodology set by Tri-County Building Industry Service Board
Print name: David Scheuermanrl Date:07/06/20
t:ABuilding Pcentirs'MEC PermitApp 040113.doc 4411-46 VT(I VOUCOMrwF:H)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
•
Commercial & Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
S0.00 to S500.00 Minimum fee$69.06
$500.01 to $5,000.00 $69.06 for the first S500.00 and
$3.07 for each additional S100.00 or
fraction thereof, to and including
S5,000.00.
$5,000.01 to $10,000.00 S207.21 for the first S5,000.00 and
$2.8 1 for each additional S100.00 or
fraction thereof,to and including
$10,000.00.
S 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.
S50,000.01 to$100,000.00 S 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.
1:,Building\Perrnits'MEC PennitApp_040113.doc 2
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: /`Z EC 2.0 20 - 00 'le-5
Site Address: 15655 SW 74th Ave Suite/Bldg#:
Project Name: Norris & Stevens
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Replace furnace in closet and replace exterior ground-mounted condenser
Existing Business Activity: N/A
Proposed Business Activity: N/A
❑. Verify site address/suite#exists and active in permit s stem.
ElRiver Terrace Neighborhood: El Yes El No
ElZoning: I-P
0 Permitted Use: U Yes U No U Spec Space
❑. Confirm no land use required.
❑s Business License: N/A
Exists: ❑ Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: ��t„L Date: 7/20/20
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: 7/7/70
Site Plans: # 3
Building Plans: # 3 n
Building Permit#: ( Enter building ermit# above.
Workflow Routing: Planning [] Permit Coordinator Latuilding
Workflow Sign-off: LT S -off for Planning (include notes from planning review)
Route Application Documents: ding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: , �� r- Date: �3,,,/zd
I:1Building\Forms\Bl dgPermitRvw_COM_NoLandUse_11 1819.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 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:
1:\BuildingForms\BldgPerm itRvw_COM_NoLandU se_l 118I9.docx