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CITY OF TIGARD MECHANICAL PERMIT
IN 44
I COMMUNITY DEVELOPMENT Permit#: MEC2021-00280
Date Issued: 8/31/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S136DD05300
Jurisdiction: Tigard
Site address: 11850 SW 67TH AVE, STE# 110
Project: Thrive Athletics Subdivision: WEST PORTLAND HEIGHTS Lot: 9
Project Description: Relocate supply&return grills.Add return grills,new exhaust fan in bathroom
Contractor: COOLSYS COMMERCIAL& INDUSTRIAL SOLUTION: Owner: PNWP LLC#2
5506 SE INTERNATIONAL WAY PNWP LLC
MILWAUKIE, OR 97222 6600 SW 105TH AVE#175
BEAVERTON, OR 97008
PHONE: 503-231-7717 PHONE:
FAX: 503-652-0449
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/28/2021 $207.21
Class of Work: ALT Type of Const: VB Plan Review 05/28/2021 $51.80
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 05/28/2021 $24.87
Stories: Info Process/Archiving-Lg$2.00(over 05/28/2021 $2.00
11x17)
Project Valuation: $4,950.00
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: 1 Vent Systems: Total $285.88
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: fifcruyV Wege Permittee Signature: 0 vv A ppucatton
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 ApplicatifaECEIVE li 1,oR orricE 1.sI:()NIA
City of Tigard APR 2 Eo21 Received 28 z2 fr Permit No E62021_COZE3 0
A 13125 SW Hall Blvd.,Tigard,OR 97223
Plan Review //
= Phone: 503.718.2439 Fax: 503.598.1960III CITY OF TIGARD Date/By:
BVp�Other Permit: � DpQ�j
'T'I GARD Inspection Line: 503.639.4175 Date Ready/By: Iuris; 0 See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION red/Method / e4 Supplemental Information
rt'tilj r7l-TV ( 11 .D( i T
❑New construction wi Addition/alterations eplacement performed.indicate the value(rounded to the nearest dollar)of all
0 ')emolition 0()ther: mechanical materials,equipment,labor,overhead,and profit.
( U i:(:Oi21 O6' ('ONtil'Rt.`{ IO\
i,,'.Pr€',11 Ai 1rrl ;EWE L\1 !Sl'SL P:yISF'I:Eti::
❑ I-and 2-family dwelling g]Commercial/industrial ❑Accessory building or special injorinaliwl usechecllis/.
❑ Multi-family ❑ Master builder 0 Other: Description Qty l.a_ 11,ia1
JOt3 SOI I\IORMIlTIOA _�\D l ( E'I lir; Heating/cooling:
Air conditioning 36.75
lob site address: 1105 a (Ai b l i-' Pt-1('(^i Furnace 100,000 BTU(ducts/vents) 46.75
C iis-/State/ZIP: Furnace 100,000+BTU(ducts/vent, 54.91
Heat pump 61.06
Suite/bldg./apt.no.: I(0 I Project name: "11 )1E, AS t-VS1"IGS Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
I 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
Other fuel appliances:
r�\ n-.Iarrc' e': Water heater
1)6.S('121P I'IO\ Oi' Vs OR Gas fireplace/insert 33.39
Flue vent for water heater or gas
Q e\O(Ot C�t]i t t](� 'Q pf ��, 0/A ' 1i t 'i fireplace 23.32
AC9O 1 XOO-46 J 1 i 1 Is Nev,( e,c ,)`,4' 'f R N3 '•c Log lighter(gas) 23.32
Wood/pellet stove 33.39
e) tr-O e pr Wood fireplace/insert 32
Chimney/liner/flue/vent 23.32
Other: 23.32
❑ PROPFR11 OWN ER V TLV`A\7
Environmental exhaust and ventilation:
Name: S (ri Yt/r?'-r(D'� Range hood/other kitchen
� � �� ��� Jl�f equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms_
toilet compartments,at;Iits rooms) 23.32
Phone:( ) , - Attic/crawlspace tans 23.32
►i 1PI'I I('.a\I' (X i o's,I . i i't I.y(,ti Other: 23.32
Fuel piping:
Business name: CDOI 54 S c- 3
$1415 for first four;$4.03 for each additional
Contact name: `)I' kti 1 Am so IJ Furnace,etc.
Address: 55l4 St ytcLw ,n]t1n a(Vd Gas heat pump
'f' JJ Wall/suspended/unit heater
City/State/ZIP: MtL�pot./-1 , bill- Water heater
Phone:(503 ) 53 6 y 0 S' Fax: :( i
Fireplace
Range
;nail: o,'is'(S; -' COL)151 S . ('t6 r'N Barbecue
('O\I'R 1,('l'OR Clothes dryer(gas)
Other:
I{winess name: SAME prS CG.-•+-a i,}-- 4TF-('FI lNIC.11,PFILMl I Fl;T:S'
Address: Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fa`; , i State surcharge(12%of permit fee)
CCB lie.: 141100 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: C 44' -}o(^f,,) i rate: ip2//L]
I:\BuildingPermits\MEC_PermitApp_040113.doc 440-4617T(I I/02/COM/WEB)
it
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Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional $100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
t:\Building\Permits\MEC_PermitApp_040113.doc 2