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Permit t de+t.sii xivirue. AiitiifdttlfdtiNdiNiWdiditN.inidl9MHUMAHIMUAH3#b(dUEIIEEfIMMUEIdNI45ilAdifdddAddd3WfliEEEUIEUifNddWfifia[dlYtiadif F ai3 ... . e.e.. .... ........ ... t.. II..x.uu a.n..Ir>rf aiiff+.xai tif.ia,iu lie,.l+,. 111 CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit#: MEC2021-00313 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 6/15/2021 Parcel: 2S103DD00700 Jurisdiction: Tigard Site address: 13769 SW PACIFIC HWY Project: Dutch Bros Coffee Subdivision: None Lot: None Project Description: Mechanical equipment for new Dutch Bros Coffee building. Rooftop unit and associated ductwork per plans. Contractor: LUNA DESIGN &CONSTRUCTION LLC Owner: GROUND 99 LLC 1709 NE CONIFER BLVD 610 SW ALDER ST STE 1221 CORVALLIS, OR 97330 PORTLAND, OR 97205 PHONE: 503-702-1851 PHONE: FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 06/14/2021 $855.71 Class of Work: ALT Type of Const: VB Plan Review 06/14/2021 $213.93 Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 06/14/2021 $102.69 Stories: 1 Info Process/Archiving-Lg$2.00(over 06/14/2021 $8.00 11x17) Project Valuation: $30,000.00 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: Appliances Vent Fans: 2 Vent Systems: Total $1,180.33 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: ���_� •-, Ca I 3.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. vistarriremoratattalliallitit krxy"),.„..,t-A.,...v.., ov--.,' .i/QPieltie 5:...-4,.0-1)79-rel C.41 Vai!)/4..Civio.c.,,,,_1,..4. ou 04-37/h, „1.7.: 5 il A -tf Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard Received /� d 79Z/ .02, Permit 2/ _ . 13125 SW Hall Blvd.,Tigard,OR 9722R E C E i V E D DateBy: // jai tihM �/� �i 3 Plan Review Phone: 503.718.2439 Date/By: "g 24 ,5 Other Permit: r i Ci A R D Inspection Line: 503.639.4175 Date Read B 7T Juris: WI See Page 2 for Internet: www.tigard-or.gov NAY 41O21 Notifi ethod: Supplemental Information TYPE OF WORI4+ COMMERCIAL FEE*SCHEDULE-USE CHECKLIST- III New construction 0 Addition/alteratb� Mechanical permit fees*are based on the value of the work performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. CATEGORY OF CONSTRUCTION Value:$ $30,000 RESIDENTIAL EQUIPMENT/SYSTEMS FEES* 0 1-and 2-family dwelling I Commercial/industrial El Accessory building For special information use checklist. ❑ Multi-family El Master builder ❑ Other: Description Qty. Ea. Total efO� SITE INFORMATION AND LOCATION Heating/cooling: Job site address:i 3765 SW Pacific Hwyconditioning _-_ -- �31 -- - Air46.75 Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Tigard, OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name: Heat pump 61.06 ' 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 23.32 Subdivision: Lot no.: Other: 23.32 Tax map/parcel no.: Other fuel appliances: ---- -- Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Mechanical equipment for new Dutch Bros. Coffee building. Flue vent for water heater or gas fireplace 23.32 Rooftop unit and associated ductwork per plans. Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 PROPERTY OWNER ❑ TENANT Other: 23.32 Name: Ground 99 LLC Environmental exhaust and ventilation: Range hood/other kitchen Address: 13640 Birdshill Rd equipment 33.39 ClothCity/State/ZIP: Portland, OR 97219 Single-ductes ctexhaust(r 33.39 exhaust(bathrooms, • Phone:( ) Fax:( ) toilet compartments,utility rooms) 23.32 Attic/crawlspace fans 23.32 ❑ APPLICANT 1111 CONTACT PERSON Other: 23.32 Business name: Studio 3 Architecture, Inc. Fuel piping: Contact name: Matt Johnson $14.15 for first four;$4.03 for each additional Furnace,etc. Address: 275 Court St NE Gas heat pump City/State/ZIP: Salem, OR 97301 Wall/suspended/unit heater Water heater Phone:( 503 390-6500 Fax::( ) Fireplace E-mail: matt@studio3archtitecture.com Range -- ---------------- Barbecue CONTRACTOR Clothes dryer(gas) Business name: Luna Design and Construction Other: Address: 1 709 NE Conifer Blvd MECHANICAL PERMIT FEES* Subtotal $855.71 City/State/ZIP: Corvallis, OR 97330 Minimum permit fee($90.00) Phone:( 541) 224-8257 Fax:( ) Planreview(25%ofpermitfee) $213.93 State surcharge(12%of permit fee) $102.69 CCB iic.: 200358 ����,Z TOTAL PERMIT FEE $1,172.33 f . This permit application expires if a permit is not obtained within 180 .`,`, Authorized signature: Ati days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board Print name: Matt Johnson Date: 5/4/2021 ) \\(ding\Permits\MEC_PermitApp_082520.doc 440-4617T(I 1/02/COM/WEB) w City of Tigard IIICOMMUNITY DEVELOPMENT DEPARTMENT i TIGARD Building Permit Review — Commercial - No Land Use Building Permit #: M e 2 2J-00 31 3 Site Address: 13769 SW Pacific Highway Suite/Bldg#: Project Name: Dutch Brothers Coffee (Name of commercial business occupying the space. If vacant,enter Spec Space.) Plannir. Review Proposal: Roof top mechanical Existing Business Activity: eating and drinking establishment Proposed Business Activity: eating and drinking establishment ® Verify site address/suite# exists and active in permit system. ® River Terrace Neighborhood: ❑ Yes n No ® Zoning: C-G I Permitted Use: DE Yes ❑ No E Spec Space ® Confirm no land use required. Xl Business License: Exists: 1'C7 Yes ❑ No,applicant was provided a business license application Notes: Approved by Planning: ATM GetN_"-_" Date: 5/10/2021 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved 8uildirj Per-lit Subolitral '/ / Original Submittal Date: , 5//,-/r/�Z1 Site Plans: # Building Plans: # 2 Building Permit#: [Enter building permit# above. Workflow Routing: LPlanning ❑ Permit Coordinator Ili—Building Workflow Sign-off: P'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: A, I ��o/zBy Permit Technician: i j/�/ ! Date: 024 I:1Building\Forms\BldgPermitRvw_COM_NoLandUse_l l 1819.docx Coordinator.Reviet� ❑ Conditio . " et"prior to issuance of building permit ❑ Approved,NO •ased: D . Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Appli - Revision Notice 3: Date Sent to ; .. 'cant: ❑ SDC Fees Entered: W.- o Trans Dev Tax: ❑ Yes ❑ N igard Trans SDC: ❑ Yes ❑ N/A Parks SDC: ❑ Yes ❑ N/A ❑ OK to -. s e Permit . .roved by Permit Coordinator: Date: I:\Building\Forms\BldgPermitRvw_COM NoLandUse_111819.docx Branden Taggart From: Branden Taggart Sent: Thursday, February 4, 2021 6:13 PM To: 'matt@studio3architecture.com' Subject: Dutch Bros. Coffee Permit Applications - 13769 SW Pacific Hwy Attachments: Permit Applications.pdf; ELC_PermitApp_ELR_ERE_061715.pdf; MEC_PermitApp_ 082520.pdf; PLMF_PermitApp.pdf; PLMU_PermitApp.pdf Hi Matt, After review of the Dutch Brothers permit applications, we will need you to revise the applications for the following reasons: • Mechanical Permit: Please revise the application to include the mechanical scope of work in the "Description of Work" section. • Electrical Permit: Plan review is only required if one of the plan review criteria is met from the Plan Review section on the application. Please review the Plan Review section and revise the application to include the applicable items in the fee schedule. If plan review is not required,the permit can be created online by the electrical contractor through our website: https://aca.accela.com/TIGARD/Welcome.aspx. If the contractor has not worked in Tigard previously,we will need to add their licenses to our database before a permit can be created online. ---- , • Plumbing Permit(s): Site Utilities and Building Fixtures Plumbing Permit Applications combined the same scope of work on both applications. We will need you to revise the applications and separate the scope of work for each Plumbing Permit Application. Also, please enter the correct scope of work in the "Description of Work" section. Please let me know if you have questions. Thank you, Branden Taggart IIIn City of Tigard is . Senior Permit Technician Community Development MARI) 13125 SW Hall Blvd Tigard, OR 97223 (503)718-2449 brandentc tigard-or,gov I 1 1