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Permit
III CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit it: MEC2021-00215 T r G A R p 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 7/27/2021 Parcel: 1S136CD01700 Jurisdiction: Tigard Site address: 11690 SW PACIFIC HWY Project: Chase Bank Subdivision: None Project Description: Interior TI to accommodate new split system(condenser and heat pump)and associated ductwork throughout Lot: None proposed office space. Contractor: OREGON HEATING&AIR CONDITIONING LLC Owner: NTN PACIFIC LLC 6950 SW 111TH AVE 19830 NW DIXIE MOUNTAIN RD BEAVERTON, OR 97008 NORTH PLAINS, OR 97133 PHONE: 503-691-9699 PHONE: FAX: 503-691-8556 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 04/26/2021 $2,608.71 Class of Work: ALT T Plan Review $652.18 ype of Const: VB 04/26/2021 12%State Surcharge-Mechanical 04/26/2021 $313.05 Occupancy Grp: Occupancy Load: Stories: Info Process/Archiving-Lg$2.00(over 04/26/2021 $24.00 Project Valuation: $100,000.00 11x17) 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: 2 Appliances Vent Fans: Vent Systems: Hoods. Total $3,597.94 Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: 100 Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules Issued By: 11 oiy yam,De,We .e Permittee Signature: Owflpplicatton Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application - :::) 2' NUISIAId JNldll(18 Received FOR oFFICF,USE ONLY City of Tigard J • 13125 SW Hall Blvd.,Tigard,OR 97223 Q� Il���I� Date/By: I DS/2a/ I Permit No.:!4 .2 2`,.OO21 Plan Rev Phone: 503.718.2439 Fax: 503.598.1960 TIGARD 1❑spectionLine: 503.639.4175 (art O lbw DateBy: •.�/ - a.) Other Permitk')y �QQZ9 Internet: www.tigard-or.gov Date Ready/By: lu` ® See Page 2 for . Tied/Methodii / /`� Supplemental information TYPE OF WORK COMMERC •L FEE' SCHEDULE USE CHECKLIST Mechanical permit fees*are based on the value of the work ❑ New construction ID Addition/alteration/replacement Ej performed.Indicate the value(rounded to the nearest dollar)of all Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. CATEGORY OF CONSTRUCTION Value:$ 100 DDl).QD RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ I-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special iafarmatfoeuse checklist ❑ Multi-family ❑Master builder 0 Other: Description Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Job site address: 11690 SW Pacific Highway Air conditioning 46.75 Furnace 100,000 BTU(duets/vents) 46.75 City/State/ZIP: Tigard,OR 97223 Furnace 100,000+BTU(duets/vents) 54.91 Suite/bldg./apt.no.: I Project name: Chase Bank T.I.-Offices Heat pump 61.06 2 Duct work 23.32 1 Cross street directions to job site: Pacific Hwy and SW 78th Ave 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: I Lot no.: Other: 23.32 Tax map/parcel no.: 1S136CD01700 Other fuel appliances: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue Interior tenant improvement to accommodate new split system(condensers and fireplacet for water heater or gas heat pump)and associated ductwork throughout proposed office space. Log lighter(gas) 23.32 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ❑ PROPERTY OWNER I © TENANT Other: 23.32 Name: Joe Hernandez,VP-Chase Bank Environmental exhaust and ventilation: Range hood/other kitchen Address: 24085 El Toro Road,Floor 2 equipment 33.39 Clothes dryer exhaust 33.39 City/State/ZIP: Laguna Hills,CA 92653 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( 602 )703-3816 Fax:( ) Attic/crawlspace fans 23.32 IX] APPLICANT ® CONTACT PERSON Other: 23.32 Business name: PM Design Group Fuel piping: Contact name: $14.15 for first four;S4.03 for each additional Ariane Sanders Furnace,etc. Address: 3860 Broadway,Suite 110 Gas heat pump City/State/ZIP: American Canyon, CA Wall/suspended/unit heater Water heater Phone:( 707) 655-4320 Fax::( ) Fireplace E-mail: asanders@pmdginc.com Range Barbecue CONTRACTOR Clothes dryer(gas) Business name: a Other: Address: At. �� A� MECHANICAL PERMIT FEES* v A. Subtotal 145.44 • City/State/ZIP:Q nQNt 61 .. cob Minimum permit fee($90.00) 90.00 Phone:( )Y� �� f� �.1 Fax:( ) (, Plan review(25%of permit fee) 22.50 CCB lia.: vs-- 5 3 State surcharge(12%of permit fee) 10.80 no TOTAL PERMIT FEE 268.74 This permit application expires if a permit is not obtained within 180 '`__ Q 9.- days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-Camty Building Industry Service Board Print name: Ariane Sanders I Date: 3/29/21 I:111061dingTermits1MEC_PermitApp_0401 13.doc 440-46177(11/07/COM/wErr) City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review — Commercial - No Land Use Building Permit #: M.ECZ,C72( CO Z Site Address: 11690 SW Pacific Hwy Suite/Bldg#: Project Name: Chase Bank (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: Mechanical work - interior and exterior Existing Business Activity: N/A Proposed Business Activity: N/A CI V-rify site address/suite #exists and active in permit system. ''ver Terrace Neighborhood: 0 Yes ❑ No El Zoning: C-G ElPermitted Use: U Yes U No U Spec Space ElConfirm no land use required. 0 Business License: Exists: ❑ Yes 0 No, applicant was provided a business license application Notes: Approved by Planning: _L Date: 4/2/21 Revisions (after Building Submittal only) Reviewer Revision 1: ❑ ApprovedDate PP 0Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved 0 Not Approved Building Permit Submittal Original Submittal Date: t ✓40/z02V Site Plans: # Z Building Plans: # Z Building Permit#: annter building ermit# above. n� Workflow Routing: El-Planning Permit Coordinator L�building Workflow Sign-off: Ln�1 `bign-off for Planning(include notes from planning review) Route Application Documents: L{�'t5uilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: P0 S 2/ \BuildingTormslBldgPermitRvw_COM_NoLandUse 111819.docx Permit Coordinator 'eview ❑ Conditions "Met"prior to nuance of building permit ❑ Approved,NOT Release'• Date: Notes: Revisions (after Building Submittal onl• Revision Notice 1: Date Sent to pplicant: Revision Notice 2: Date Sent to A.I licant: Revision Notice 3: Date Sent to App cant: ❑ SDC Fees Entered: Wash Co Trans Dev ❑ Yes 0 N/A Tigard Trans SDC: ❑ Yes 0 N/A Parks SDC: 0 Yes 0 N/A ❑ OK to Issue Permit Approved by Permit Coordinator: Date: I:1B uil dineFormsUl ldgPe rmitRvw_COM_NoLan dUse_1118I 9.docx