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Permit
CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit#: MEC2020-00713 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/19/2021 Parcel: 1S126CD00100 Jurisdiction: Tigard Site address: 9985 SW GREENBURG RD Project: Crescent Grove Cemetery Subdivision: None Lot: None Project Description: Mechanical system for a new office building. Contractor: EVERGREEN BUILDING SYSTEMS LLC Owner: CRESCENT GROVE CEMETERY ASS 16830 SE MAIN STREET CRESCENT GROVE CEMETERY PORTLAND, OR 97233 9925 SW GREENBURG ROAD TIGARD, OR 97223 PHONE. 503-421-8017 PHONE: FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 12/08/2020 $2,509.11 Class of Work: NEW Type of Const: VB Plan Review 12/08/2020 $627.28 Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 12/08/2020 $301.09 Stories: 1 Info Process/Archiving-Lg$2.00(over 12/08/2020 $8.00 11x17) Project Valuation: $95,917.00 Info Process/Archiving-Sm$0.50(up to 12/08/2020 $12.50 11x17) Fuel Air Handlers Tigard CET-Non-Residential-Admin 12/08/2020 $38.37 Fuel Types: Electricity Units< 10000 cfm: 4 Tigard CET-Non-Residential-AH 12/08/2020 $920.80 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 $4,417.15 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: 100 Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: / Permittee Signature: OZ, Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 13-1O 28 Z Mechanical Permit Applica FOR OFFICE USE ONLY Cityof Tigard ACEIVEDReceived 1 {.{7/'� g Date/By: `//51A,Z; a/(/ Permit No-:MEC�2��0(n 13 ;,114 • 13125 SW Hall Blvd.,Tigard,OR 97223 8 I B Phone: 503.718.2439 Fax: 503.598.196000T 2 2020 Plan Review a Date/By: `ate may'{ Other Permit: iQi�O�-y�.,j_iL"l"i'7i Inspection Line: 503.639.4175 'l yG3/�H'Jzjf/V Gl.�C3 I \.,:1 li 1) Date Ready/By: Jars: See Page 2 for Internet: www.tigard-or.gov CITY OFF TIGARD Notified/Method: 2 ( �� Supplemental Information BUILDING DIVISION /f y�,��}.L, 11 TYPE OF WORK �'�"r�"-`4 'rOMMERCIAL FEE* SCHEDULE- USE CHECKLIST Mechanical permit fees*are based on the value of the work ®New construction El Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ 95,917 CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES` ❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist. O Multi-family ❑Master builder 0 Other: Description Qty. F.a. Total ___JOB SITE INFORMATION AND LOCATION Heating/cooling: ,rq Air conditioning 46.75 Job siteW Greenburg Rd. 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.: Project name: Crescent Grove Cemetery Admin.Bldg. Duct work 23.32 Cross street/directions to job site: From HWY 217,north on SW Greenburg Rd.,on west Hydronic hot water system 23.32 Residential boiler(radiator or side of road between SW Washington Square Rd.and SW Lehman St. 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 Other: 23.32 Subdivision: Lot no.: 100&500 Other fuel appliances: Tax map/parcel no.: WCTM 1 S126CD,Tax Lots 100 and 500 Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas New whole-building mechanical system for new office building of 2,776 SF. 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 0 TENANT -.Other: 23.32 Environmental exhaust and ventilation: Name: Crescent Grove Cemetery&Masoleom dba Crescent Grove Cemetery Association Range hood/other kitchen equipment 33.39 Address: 9925 SW Greenburg Rd. Clothes dryer exhaust 33.39 City/State/ZIP: Tigard,OR 97223 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( 503) 639-5347 Fax:( ) Attic/crawlspace fans 23.32 0 APPLICANT I CONTACT PERSON Other: 23.32 Fuel piping: Business name: 7-�� $14.15 for first four;$4.03 for each additional . Contact name: -Mtn tn S6re nser- Furnace,etc. Gas heat pump Address: Wall/suspended/unit heater City/State/ZIP: Water heater Phone:(563ga(- p Fax:: Fireplace _! O Range E-mail: �m'W^ e.Uerore.l?,ncjstenns Pdx, .c rn Barbecue CONTRACTOR Clothes dryer(gas) Business name: Evergreen Building Systems LLC Other: MECHANICAL PERMIT FEES* Address: 16830 SE Main Street - Subtotal City/State/ZIP: Portland OR 97233 Minimum permit fee($90.00) Plan Phone:(503)936-1870 Fax:( )NAsurcharger (25%of permit fee) State1(12%of permit fee) CCB lic.: 22601 S 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:Tom D Sorensen Date:10-15-2020 I:1Building\Permits1MEC_PermitApp_040113.doc 440-4617T(I I/02/COM/WEB) City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review — Commercial - With Land Use Building Permit #: MEC202U - 00113 Site Address: 9985 SW Greenburg Rd Suite/Bldg#: Project Name: Crescent Grove Cemetery (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: Mechanical work for new adminstration building 0 Verify site address/suite#exists and active in permit system. ❑r River Terrace Neighborhood: ❑ Yes ElNo CI Land Use Case#: ADJ2020-00013 (See MMD2020-00021 for conditions) ❑r Plans Match Approved Land Use: , G s e Plan 113' dscape Plan 0 Other: Mechanical screening plan rban Forestry Plan ii elevation Plan ❑r Building Height: Maximum Height 45 Actual Height <26 ❑ Conditions Met: ❑ Prior to Submittal ❑ Prior to Permit Issuance 4/Business License: �' Exists: ❑ Yes ❑ No,applicant was provided a business license application ElPublic Facilities Improvement(PFI) Permit: Required: ❑r Yes,applicant was notified El No Applied For: ❑r Yes El No,stop intake Notes: Do not issue until Engineering conditions have been satisfied. Is Approved by Planning: Date: 11/4/20 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved El Not Approved Revision 3: ❑ Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: ‘Q Z 2020 Site Plans: # _ 1 Building Plans: # Building Permit#: © Enter building permit#above. Workflow Routing. Q Planning ® Engineering g. Permit Coordinator ® 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: .lip\\j \,)enOtWe.›,e Date: �\' S 'Zo20 I:\Building\Forms\BI dgPerm itRvw_COM_W ithLandUse_11 1819.docx Engineering Review ❑ Slope at building pad: ❑ PFI Permit#: ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat (not typical %n SDR/CUP) ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date Notes: Approved by Engineering: Date: Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approve. Revision 3: ❑ Approved ❑ Not Appro -d Permit Coordinator Review ❑ Conditions "Met"prior to issuance of b tiding permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Su. ittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: ❑ SDC Fees Entere,: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A Tigard Trans SDC: ❑ Yes ❑ N/A Parks SDC: ❑ Yes ❑ N/A ❑ OK to Is a Permit Approve. .y Permit Coordinator: Date: 1:\Building\Forms\B1dgPermitRvw_COM_W ithLandUse_111819.docx Branden Taggart From: Branden Taggart Sent: Friday, December 4, 2020 6:45 PM To: 'tom@evergreensystemspdx.com' Subject: Crescent Grove Cemetery Mechanical Permit: MEC2020-00713 - 9985 SW Greenburg Rd. Attachments: Invoice.pdf Hi Tom, The Mechanical permit for Crescent Grove Cemetery is ready to issue now. The balance due is$4,417.15, and I have attached an invoice above for you to reference. The permit fees can be paid online through our website: https://aca.accela.com/tigard/Default.aspx. From there, click on the Building tab, enter the permit number (MEC2020-00713) in the Record Number field, and click Search. Once paid, please notify us at TigardBuildingPermits(catigard-or.gov, and we will place this permit in our open Permit Center conference room for you to pick up between the hours of 8:00 a.m. and 5:00 p.m., Monday through Thursday. We are closed on Fridays. Thank you, Branden Taggart Oh _ a City of Tigard I . Senror Permit Technician Community Development Tit:imiin. 13125 SW Halt Blvd Tigard, OR 97223 (503)718-2449 brande nt©ti g a rd-or.gav 1