Permit CITY OF TIGARD MECHANICAL PERMIT
is COMMUNITY DEVELOPMENT Permit#: MEC2021-00283
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/19/2021
T I c_,r5 I f� g Parcel: 2S102CB00302
Jurisdiction: Tigard
Site address: 13185 SW PACIFIC HWY B1
Project: Sean Kim Subdivision: NORTH TIGARDVILLE ADDITION Lot: 33
Project Description: Remove and replace existing 3-ton RTU with new like 3-ton unit.
Contractor: JACOBS HEATING&AIR CONDITIONING Owner: CJ GLOBAL LLC
4474 SE MILWAUKIE AVE 8321 NW RIDGETOP CT
PORTLAND, OR 97202 PORTLAND, OR 97229
PHONE: 503-234-7331 PHONE:
FAX: 503-296-5351
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/19/2021 $243.74
Class of Work: ALT Type of Const: VB Plan Review 05/19/2021 $60.94
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 05/19/2021 $29.25
Stories: Info Process/Archiving-Sm$0.50(up to 05/19/2021 $17.50
11x17)
Project Valuation: $6,300.00
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: Vent Systems: Total $351.43
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Holly VouniDe/We.ge Permittee Signature: YLApy to-A.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
e- ' 2: z,
Mechanical Permit Application FOR OFFICE USE ONLY
of Tigard RECEIVE , Received '/^/�
,� City g DateBy: DS o3 Zov ,� Pennit No.:g�'GZdI� WZSg
III 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 pPRp pp ,_ la$ Other Permit:
Inspection Line: 503.639.4175 Jil)8A t7 (��� Date/By: �.
i I G A R D Date Ready/By: Juris: ld See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notifie
j�� DIV
ISION (� Supplemental information
TYPE OF WO
>JILDING DIVISION COMME CIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are 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:$6,300.00
CATEGORY' OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
0 1-and 2-family dwelling IN Commercial/industrial ❑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: 13185 SW Pacfic Highway,B Fumace 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.: Project name: SEAN KIM Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Between SW Grant Ave/SW Park St and Pacific Highway West Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Other: 23.32
Subdivision: 1 Lot no.:
Other fuel appliances:
Tax map/parcel no.:2S102CB00302 Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
Push/Pull:Remove existing 3-ton RTU.Replace with new like tiff like 3-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
Other: 23.32
❑ PROPERTY OWNER ® TENANT Environmental exhaust and ventilation:
Name: Sean Kim 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
IN 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
I CONTRACTOR Clothes dryer(gas)
Other:
Business name: Jacobs Heating &Air Conditioning MECHANICAL PERMIT FEES*
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 lic.: 1441 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: * Fee methodology set by Tri-County Building industry Service Board
Print name: ANDREA BOWLDS Date:4-28-2021
(:\Building\Permits\MEC_PermitApp_040113.doe 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$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $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.
l:\Building\Permits\MEC_PermitApp_040113.doc 2
City of Tigard
li
COMMUNITY DEVELOPMENT DEPARTMENT
T1cARD Building Permit Review — Commercial - No Land Use
Building Permit #: MEC262/ oO283
Site Address: / /& /4 Ily Suite/Bldg#: 6
Project Name: -24 kith- -
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: _ mo►v-e-/ i %j c 1e i
Existing Business Activity: 1V
sed Business Activity: 4.�
V- ify site address/suite# exists and active in permit system.
Pro
'Villa' 'ver Terrace Neighborhood: ❑ Yes ❑ No
I, Zoning: (2
\` \ 0:ermitted Use: ❑ Yes ❑ No ❑ Spec Space
V Co no land use required.
usiness License:
Exists: ❑ Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: Date: _ .2 .Z
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: , y/21/laz/
Site Plans: # 2
Building Plans: # 2.
Building Permit#: P—Enter building permit# above.
Workflow Routing: ®'Planning ❑ Permit Coordinator Ilrguilding
Workflow Sign-off: ErSign-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: 01,/6 77F Date: d -2 -2G2'(
'
1:\Building\Forms\BldgPennitRvw_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 Applicant:
Revision Notice 2: Date Sent to Applica•':
Revision Notice 3: Date Sent to Appli•.nt:
❑ SDC Fees Entered: Wash Co Trans •ev Tax: ❑ Yes ❑ N/A
Tigard Trans :DC: ❑ Yes El N/A
Parks SDC: ❑ Yes El N/A
El OK to Issue Permit
Approved by Permit Coordinato : Date:
I:\Building\Forms\BidgPermitRvw_COM NoLandUse_111819.docx