Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2021-00477
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 7/22/2021
Parcel: 2S113AB00701
Jurisdiction: Tigard
Site address: 16145 SW UPPER BOONES FERRY RD
Project: Kiddie Academy Subdivision: CIRCUIT PARTITION
Lot: 2
Project Description: (4)new rooftop vents.wall heater exit tans,air distribution,gas piping
Contractor: HVAC INC Owner: KALVI LLC
5188 SE INTERNATIONAL WAY BY MURUGAPPAN, PRABAKAR
MILWAUKIE, OR 97222 8821 NW SAVOY LN
PORTLAND, OR 97229
PHONE: 503-462-4822 PHONE:
FAX: 503-462-6555
FEES
Specifics: Description Date Amount
Type of Use: COM Info Process/Archiving-Lg$2.00(over 07/20/2021 $4.00
Class of Work: ALT Type of Const: VB 11x17)
Occupancy Grp: E Occupancy Load: Info Process/Archiving-Sm$0.50(up to 07/20/2021 $27.50
Stories: 11x17)
Mechanical Permit-COM 07/20/2021 $2,558.70
Project Valuation: $98,000.00 Plan Review-Mechanical 07/20/2021 $639.73
12%State Surcharge-Mechanical 07/20/2021 $307.07
Fuel Air Handlers
Fuel Types: Natural Gas Units< 10000 cfm:
Gas Pressure: Units> 10000 cfm:
Furnaces Boilers&Compressors
Furnaces< 100K BTU: 4 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: 2 Vent Systems: Total $3,537.00
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 100
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: II ally Vaw1DPiWege
Permittee Signature: OWAppLicatFa-vt
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
C r % 1,4 O./2,1 ,
Mechanical Permit ApplicatioltECEI v`/E FOR OFFICE USE ONLY
City ofW Tigard DatelB d t till
Mil
' Phone:S50 Hall Blvd.,Tigard,OR 97223 JUN 2 9 Z0/1
Da[elBy: ,��+ t1v. Permit No.:w'tLZOL1-�.)'1 ` L
Plan Review ����� Other Permit:
503.718.2439 Fax: 503.598.1960 Date By:
1-1
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD DateDa Ready/By: lure: SI See Page 2 for
Internet: www.tigazd-or.gov BUILDING DNfSI01fr1�i fiedlMethod: `' //'4 Supplemental Information
TYPE OF WORK !//� CO �'CIAL FEE' SCHEDULE — USE CHECKLIST
Mechanical permit fees'are based on the value of the work
❑New construction ..Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,laborerhead,and profit.
Value:$ C `V)
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES'
D I-and 2-family dwelling 331 Commercial/industrial ❑Accessory building For special information use checklist
❑Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
�� S �� ,�s Air conditioning0, 46.75
Job site address: 1F!-'Y1 Furnace 100,000 BTU(dive ms) 46.75
City/State/ZIP: "' DV` C Furnace 100,000+BTU(ducts/vents) 54.91
'�1 Heat pump 61.06
Suite/bldg./apt,no.: Project name: ' m .h 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(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 2332
Subdivision: I Lot no.: Oth� 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTIO OF WORK Gas fireplace/insert 33.39
I�y Y Klv) - ' V v� �t^' l t, Flue vent for water heater or gas
V' I� fireplace 23.32
Xi)-1vA C , A v OL1< �i n (� Log lighter(gas) 23.32
`�{ V 6� 1 t71�1 ) Vj kA
) " Wood/pellet stove 33.39
i1 ty`) Wood fireplace/insert 23.32
r' I Chinmey/Iinedllue/vent 23.32
❑ PROPERTY OWNER I 0 TENANT Other 23.32
Environmental exhaust and ventilation:
Name: 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
❑ APPLI ANT X 0 CONTACT PERSON der: 23.32
Business name: Ici4 VI C. l,/' c Fuel piping:
Ji" 't $14.15 for first four;$4.03 for each additional
Contact name A yIr-Pktit)
(rrii� �ee��A Gas Furnace,etc.
Address: t"') ' I VII) Gas heat pump
ende
n , Wall/suspended/unit heater
City/State/ZIP: (\`��/��1\V.) fl`P\ b�L. V't, Water heater
Phone:(5 3) L{ }" M'Sg." / Fax::(O j) t j ko - Fireplace
E-mail:
� \ IA)R,V4' `U V + ( IV ✓ Barbecue
) CONTRACTOR' Clothes dryer(gas)
Business name: p V 1 t C-' L' Other:
MECHANICAL PERMIT FEES*
Address: Subtotal
Minimum permit fee($90.00)
CitylState/ZIP: Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee)
CCB lit.: V l.--.) 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:u * Fcc methodology set by Tri-County Building Industry Service Board
li
Print name: 1� Date:
I:1Building\Pvniils\M\FVCJ_Pennit 090113.doc • .1T1'(I1/ M/WSB)
City of Tigard
v COMMUNITY DEVELOPMENT DEPARTMENT
III
Tfc.ARD Building Permit Review — Commercial - No Land Use
Building Permit #: MEL2oz\- oc `i 11
Site Address: I(61111S s(i.k.) U S le0 Suite/Bldg#:
Project Name: 4,1rs1 IE AGAPE-MY
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 4 NIS10 12,0cfroF uNtl
Existing Business Activity: 4j(a,D( P O 1v`\!
Proposed Business Activity
Verify site address/suite# exists and active in permit system.
Firer Terrace Neighborhood: CIYes }2 Nom.
ing: Z- P
rmitted Use: IJ Yes 0 No 0 Spec Space
Pr Confirm no land use required.
❑ Business License:
Exists: ❑ Yes 0 No,applicant was provided a business license application �
Notes: 9C.I12'ESNit to si pr ) �- 5 ' `?A f.ApG r I- W 'res-
r
Approved by Planning: A/ a Date: 1/1/ti
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: ❑ Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: (Q 12%\1u
Site Plans: # 3
Building Plans: # 3
Building Permit#: [ 3' Enter building peTitt#above.
Workflow Routing: fanning VPemiit Coordinator frliBuilding
Workflow Sign-off: E '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: \\\-y- )G rl /3-63i Date: .1[1
G o
I:\Building\Forms\B1dgPern itRvw COM NaLandUse 111819.docx
Permit Coordinator Review
Conditions "Met"prior to issuance of building permit
D 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 A'� N/A
Tigard Trans SDC: ❑ Yes ice' N/A
Parks SDC: 0 Yes si N/A
OK to Issue Permit
Approved by Permit Coordinator: V Date: lilt 2oZI
I:\Building\Forms\BIdgPermitRvw_COM_NoLandUse_111819.docx