Permit CITY OF TIGARD MECHANICAL PERMIT
111 COMMUNITY DEVELOPMENT Permit#: MEC2021-00229
Date Issued: 4/28/2021
T[CARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101 CA00200
Jurisdiction: Tigard
Site address: 13240 SW WALL ST
Project: Agilyx Subdivision: None Lot: None
Project Description: Remove&replace 4-ton RTU unit
Contractor: JACOBS HEATING&AIR CONDITIONING Owner: WALL STREET INDUSTRIAL LLC
4474 SE MILWAUKIE AVE 13170 SW WALL ST
PORTLAND, OR 97202 TIGARD,OR 97223
PHONE: 503-234-7331 PHONE.
FAX: 503-296-5351
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 04/27/2021 $285.89
Class of Work: ALT Type of Const: VB Plan Review 04/27/2021 $71.47
Occupancy Grp: F-1 Occupancy Load: 12%State Surcharge-Mechanical 04/27/2021 $34.31
Info Process/Archiving-Lg$2.00(over 04/27/2021 $2.00
Stories: 11x17)
Project Valuation: $7,800.00 Info Process/Archiving-Sm$0.50(up to 04/27/2021 $17.50
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 $411.17
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: 0 n„,A pplicattcryt
4-hr yVa,vvl)e.Wage
Call 503.639.4175 by 7:00 a.m.for the next available Inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
1 /
Mechanical Permit Application / FOR OFFICE ESE ONLY
City of Tigard
ECEIVE , Dated D �/ 202/ 6 Permit No. czow-av 9
® 13125 SW Hall Blvd.,Tigard,OR 97223 y
�/�
2 ' Phone: 503.718.2439 Fax: 503.598.1960 JQ� 1 2p2Q Plan Review
DateDate/By: Li _ -a. Other Permit:
TI GA RD Inspection Line: 503.639.4175 Date Ready/By: Juris: la See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD N ' ed/Method:
Supplemental Information
BUILDING DIVISION
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction N Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 7,800
CATEGORY OF CONSTRUCTION , RESIDENTIALEQUIPMENT/SYSTEMS FEES*
❑ I-and 2-family dwelling IN Commercial/industrial 0 Accessory building For special information use checklist.
❑ Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
: JOB SITE INFORMATION AND LOCATION. Heating/cooling:
Air conditioning 46.75
Job site address: 13240 SW Wall St Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Tigard OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: 1 Project name: Agilyx Duct work 23.3E
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: Other: 23.3E
Lot no.:
Other fuel appliances:
Tax map/parcel no.: 2S 101 CA00200 Water heater 23.32
•
DESCRIPTION OF WORK Gas tireplace/insert 33.39
Flue vent for water heater or gas
Push/Pull:Remove existing 4-ton RTU.Replace with new like 4-ton unit. fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY OWNER l 0 TENANT Other: 23.3E
Name: Jamie Barry Environmental exhaust and ventilation:
Range hood/other kitchen
Address: 13170 SW Wall St equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP: Tigard,OR 97233 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( 503 )2173160 Fax:( ) Attic/crawlspace fans 23.32
❑ APPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name: Jacobs Heating &Air Conditioning
$14.15 for first four;$4.03 for each additional
Contact name: Andrea Bowlds Furnace,etc.
Address: 4474 SE Milwaukie Ave Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Portland, OR 97206 Water heater
Phone:( 503) 234-7331 Fax::( ) Fireplace
Range
E-mail: andreab@jacobsheating.com Barbecue
CONTRACTOR, Clothes dryer(gas)
Business name: Jacobs Heating&Air Conditioning Other:
MECHANICAL PERMIT FEE$*
Address: 4474 SE Milwaukie Ave Subtotal
City/State/ZIP: Portland,OR 97202 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503) 234-7331 Fax:( ) State surcharge(12%of permit fee)
CCB lie.: 1441 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
n days after it has been accepted as complete.
Authorized signature: (1(� * Fee methodology set by Tri-County Building Industry Service Board
Print name: ANDREA BOWLDS ���t�tttJJJCCClll/// Date: 1-6-2021
rI:1Building\Permits\MEC PermitApp_040113.doc 440-46171'(I I/02/COM/WEB)
City of Tigard
INCOMMUNITY DEVELOPMENT DEPARTMENT
1.
T I G A RD Building Permit Review — Commercial - No Land Use
Building Permit #: IAEG7ev_i-00729
Site Address: 13240 SW Wall St Suite/Bldg#:
Project Name: Agilyx
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Remove/replace rooftop mechanical unit
Existing Business Activity: N/A
Proposed Business Activity: N/A
0 Verify site address/suite#exists and active in permit s stem.
❑o River Terrace Neighborhood: ❑ Yes . L'l No
❑ -oning: I-L
`O' ermined Use: U Yes U No U Spec Space
0 •nfirm no land use required.
111 I usiness License:
Exists: 0 Yes ❑ No, applicant was provided a business license application
Notes:
_________ )
Approved by Planning: �_Z �:�zG Date: 4/7/21
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: D////lL/
Site Plans: # 2-
Building Plans: #n y
Building Permit#: [ Enter building ermit# above.
Workflow Routing: Planning [] Permit Coordinator &building
Workflow Sign-off: Seign-off for Planning(include notes from planning review)
Route Application Documents: L-Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: /
By Permit Technician: —///%77J', Date: D0/ZpZ/
I:\Building\Forms\B I dgPe rm i tR v w_COM_N oL and U s e_111819.do cx
•
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 Fax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes 0 N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
1:\Building\Forms\BldgPermitRvw COM_NoLandUse_l 11819.docx