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Permit
CITY OF TIGARD MECHANICAL PERMIT `1 7 •. COMMUNITY DEVELOPMENT Permit#: MEC2021-00598 Date Issued: 8/24/2021 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S126BC01506 Jurisdiction: Tigard Site address: 9020 SW WASHINGTON SQUARE RD Project: One Embassy Center Subdivision: None Lot: None Project Description: Install(2)2 ton mini split and(1)3 ton mini split. Contractor: PROTEMP ASSOCIATES INC Owner: LITHIA REAL ESTATE INC 9788 SE 17TH AVE ATTN DEBOER, MARK PORTLAND, OR 97222 150 N BARTLETT ST MEDFORD, OR 97501 PHONE: 503-233-6911 PHONE: FAX: 503-238-9767 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 08/23/2021 $512.81 Class of Work: ALT Type of Const: VB Plan Review 08/23/2021 $128.20 Occupancy Grp: R-2 Occupancy Load: 12%State Surcharge-Mechanical 08/23/2021 $61.54 Stories: Info Process/Archiving-Lg$2.00(over 08/23/2021 $8.00 Project Valuation: $16,500.00 11x17) Info Process/Archiving-Sm$0.50(up to 08/23/2021 $6.00 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: 3 Heat Pump: 5 Appliances Vent Fans: Vent Systems: Total $716.55 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 Issued By: Hotly"' Vavt,De/Weee Permittee Signature: 0wyci�j�j 'fin 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 Applicati . , : rO11 t;~rl.It 1 1 St:0yI v 3l2S of Tigard JUL 2 9 2021 Received ate Ely:0�/D� 2c2/ �, M 2O2(Oo 598 III 7 Re Date/Ely: '/f Permit No.: 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review • Phone: 503.718.2439 Fax: 503.598.196(} - -� DateB : Q Other Pe mrt: Inspection Line: 503.639.4175 "'ui I Y OF I-IGR,R y v _..21 / tau\it D BUILDING DIVISI® .' Date*med/ eihod 7 ) ( r r�:,. S seem age 2 for Internet wwW.tigard-or.gov red/Mtnhod: / � Supplemental Information Pi 3 ;...s s} ? ig TYPig OF roRiK E ,:' C i ;FEE* VGHEDUI. (JSI CHEC[1I,ISf Mechanical permit fees*are based on the value of the work 0 New constructiontddition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other mechanical materials,equipment,laborverhead and profit. '-' t'`" CAT14G( LI('OBrcoNSTRu(x!'IO' v } '�`�, fr Value: tj QO '' ❑ I-and 2-family dwelling 1::5141 Commercial/industrial ElAccessory building For special infommion use checklist ❑Multi-family Master builder ❑Other: Description Qty. Ea. I Total ,z .�'I JOB $IrE_INEORMA'I'ION; ►iVawI�OG'txT1oN`to r x Heating/cooling: v Air conditioning 46.75 Job site address: /102 0 ,Sit/ j l /G,S"f1ry� 'TOn .�t!/C;r-t P (i Furnace 100,000BTIJ(ductslvents) 46.75 City/State/ZIP: / /(� (0 g 9?22_ Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./api.no.: 1 �Project name: '' / / Heat pump 61.06 l `� tiles .(�'J°'s4t.'sS7 (�rl /0 Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: l Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 '' ,x DESCsRIPTIOt4 O fWORI{ � ' x�' Gas fireplace/insert 33.39 ...� :" "' 4. _,_ I:. ;-� .,d-._,F;.,..-,y, . >.`_""'��;, Flue vent for water heater or gas j11.57c// `r ) 2 /0A pv 1L11 -7,0 - fireplace 23.32 C Log lighter(gas) 23.32 /` '` L''�J / '" r r' '))' Wood/pellet stove 33.39 1 ti f�r(l(i) .? '4v/1 i^i r)1 1 S�/I/ Wood fireplace/insert 23.32 Chimney/I iner/flue/vent 23.32 t 'ROP6RT�l OW3�ER `?°ttilt T) NTANT Other: 23.32 1 " z"" "a Environmental exhaust and ventilation: p Name: I l f 1 i 5' jf`rC/ j5/4'lie Range hood/other kitchen rl equipment 33.39 Address: T 1 O ,f e I611 0,14 Clothes dryer exhaust 33.39 City/State/ZIP: Po r7/d 0 R li 7 2/ Single-duct exhaust(bathrooms, ,t toilet compartments,utility rooms) 23.32 Phone:(f'df) f"l,$— 9 G 5-4 Fax:( ) Attic/crawlspace fans 23.32 1 dIPPLICAIVI..;.' r 4 CQNT�4zi'P3PRSOIV Other. :� �- � � � � � 23.32 Business name: p l Fuel piping: / f 7" �fs�el c 7 P-� /t1 $14.15 for first four;$4.03 for each additional AContact name: D(�/y / e oil Furnace,etc. Address: 'Pp? s' /7 4-1 1 1" Gas heat pump Wall/suspended/unit heater City/State/ZIP: AcJ r//a? C1 Q in o)7- 22 Water heater Phone:(5.03).4--''-/ aange .. 42�3 Fax::(703)23 P 9- ClG/ Fireplace E-mail: i f / E-mail: _..., ©(/,-S ' p r.9/,H'I , s a hi Barbecue CONTRACTOR !Q q ,°s".-3';1 ._, Clothes dryer(gas) Business name: QR�3l der. �"I Y' /l G'" C fNA . 1 fi I4ApBRMTF00 ,R FAddress: Subtotal City/State/ZIP: Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) CCB lie.: 3;?60 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Authorized signature: i� — . Pee methodology set by Tri-County Building Industry Service Board Print name: f/0 G/ t I no di Date: 472 2 / I.\Buildingwermits\MEC Parmi App_040113.doc 'a'�04617r 1/02/COM1bWEB) City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT ■ Tl cAxD Building Permit Review — Commercial - N o Land Use k Building Permit #: M EC202/'CO s9$ Site Address: 6/020 SW G�l7�s Ill Y)GTh Suite/Bldg#: Project Name: ©.N e avlek SS'/ ceruTG12, (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: mistA.LL (z) rn i n i spC 1 r- I/1St1z. ( r 7 3 'To►v on%NI se,,r Existing Business Activity: Aii--- Proposed Business Activity: verify site address/suite# exists and active in permit system. er Terrace Neighborhood: El �J Yes No ,�J L t� V C. ing: r ` Zmitted Use: Yes ❑ No ❑ Spec Space nfirm no land use required. ❑ Business License: Exists: ❑ Yes ❑ No,applicant was provided a business license application Notes: Approved by Planning: Date: CV.;A./ 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: 0/2g/202/ Site Plans: # Z Building Plans: # 2 Building Permit#: [Q-tenter building permit#above. Workflow Routing: ,_[, Planning ❑ Permit Coordinator e'l3uilding Workflow Sign-off: lam' Sign-off for Planning(include notes from planning review) Route Application Documents: Bui1ding: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: D�'/010®2/ I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_l 11819.docx ermit Coordinator Review ❑ Con.: •ons "Met"prior to issuance of building permit ❑ Approved, 6 Released: :ate: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Appli . Revision Notice 2: Date Sent to ' .plicant: Revision Notice 3: Date - t to Applicant: ❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A Tigard Trans SDC: ❑ Yes ❑ Parks SDC: ❑ Yes ❑ N/A ❑ I to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Forms\B1dgPermitRvw_COM_No LandUse_111819.docx