Permit IN CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Pe
COMMUNITY MEC2021-00588
Date Issued: 8/16/2021
TIC;A R 0 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S102CC09000
Jurisdiction: Tigard
Site address: 13545 SW PACIFIC HWY
Project: Fast Lane Oil Change Subdivision: 2008-058 PARTITION PLAT Lot: 1
Project Description: Replacement of rooftop package unit
Contractor: D& R HEATING &AIR Owner: JABRA INVESTMENTS LLC
12220 SW GRANT AVE PO BOX 1789
TIGARD, OR 97223 TUALATIN, OR 97062
PHONE: 503-678-2517 PHONE:
FAX: 503-387-5827
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 08/16/2021 $411.21
Class of Work: ALT Type of Const: VB Plan Review 08/16/2021 $102.80
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 08/16/2021 $49.35
Stories: Info Process/Archiving-Sm$0.50(up to 08/16/2021 $27.50
11 x17)
Project Valuation: $12,482.00
Fuel Air Handlers
Fuel Types: Natural Gas 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: Vent Systems: Total $590.86
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: �s Permittee Signature: \ _ ._ //, /Id���\
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application RECEIVE FOR OFFICE USE ONLY
City of Tigard r' ceived Permit No.:
13125III
SW Hall Blvd.,Tigard,OR 97223 DateBy: j.Q2�p2/ 146.1o2/-aC/5g8
S Phone: 503.718.2439 Fax: 503.598.1960 JUL 2 �021 Plan Review /�� 21 Other Permit:
TIGARD Inspection Line: 503.639.4175 C1)-� DateReadyBy: / hds: ® See Page 2for
Internet: www.tigard-or.gov S I L(aJ �y�j Notifed/Method: /�t/ �/ Supplemental Information
3UILDING�11/IS��( / �6f
/� ! s
TYPE OF WORK COMMERCIAL FEE* SCHEDULE-USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 12/LYE,2 -
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ba. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
��^ Air conditioning 46.75
Job site address: j 35►. 5 S 1N P )C t-�1 C l l tA-�'L Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: `l',,a,y C- Op_ 9±2. 23 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: I Project name: Duct work 23.32
Cross street/directions to job site: S/+ (ig� H drone hot water system 23.32
H ��/ -O �' 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
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
rC \Z C e (. 7 hr 1 ' - fireplace 23.32
Log lighter(gas) 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
Environmental exhaust and ventilation:
Name: --F' j-i-- Lane 01` cArcen ce Range hood/other kitchen
� t 1 � equipment 33.39
Address: i 3545 S V v Pi Z(1 C 1�/`/`"J Clothes dryer exhaust 33.39
City/State/ZIP: T19-� Ck 0 Th22 C�" > Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(SJ03)( ?201-6 f f 2 Fax:( ) Attic/erawispace fans 23.32
❑ APPLICANT D CONTACT PERSON Other. 23.32
Business name: D f. R k*e2.1 n9 ?,4-' .j,'C Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: N z)ie Etch Iet.-- Furnace,etc.
Address: 'Z220 3\i'V C ram - AcvGas heat pump
Wall/suspended/unit heater
City/State/ZIP: t (cy� (\ DV._ --cl. -2,'2� Water heater
Phone:(503) 1(j'�a 19-- Fax::( ) Fireplace
1y Range
E-mail: na ,\\e @ dr 11e 1 Iy\ ^ LC 'l) Barbecue
CONTRACTOR ^ Clothes dryer(gas)
Business name: I Ate 2� 1Ct (/\1 r Other: MECHANICAL
CAL PERMIT FEES*
Address:\222a �� --v- ..ve 1 Subtotal
City/State/ZIP:"--`-' .-a,t/d 0 c2_ c '-'7-2-� Minimum permit fee($90.00)
Phone:(5p-) o lap, 26`� Plan surchargerevw(25%of permit fee)
Fax:( ) State (12%of permit fee)
CCB lie.: 'a 1'tj-1 g D TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
�� `/�I days after it has been accepted as complete.
Authorized signature: � -32..S 0 11 C r • Fee methodology set by Tri-County Building Industry Service Board
Print name: 4Q 1. `�e a tt` '- v Date: 1 (�/(/}}L ;22. 2.1
I:1Buading\Permits\MEC PemtitApp_040113.doc 440--4617T(I I/02/C014/WEB)
City of Tigard
III ® COMMUNITY DEVELOPMENT DEPARTMENT
C
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: PkitCC2oZ1 --00588
Site Address: 13545 SW Pacific Highway Suite/Bldg#:
Project Name: Fast Lane Oil Change
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Plarmi Review
Proposal: Roof-top mechanical
Existing Business Activity: N/A
Proposed Business Activity:
® Verify site address/suite#exists and active in permit system.
I River Terrace Neighborhood: E Yes n No
l Zoning: C-G
Permitted Use: ❑ Yes ❑ No ❑ Spec Space
E! Confirm no land use required.
TV Business License:
Exists: ❑ Yes ❑ No,applicant was provided a business license application
Notes: &.Ye e ed bv‘ 12-00c.
Approved by Planning: ArA 4/1 Date: 7/27/2021
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: 0 Approved 0 Not Approved
i3 iilditlk Petthit Strbrhittal /
Original Submittal Date: if�72p/ 2/
Site Plans: # do
Building Plans: # 7-
Building Permit#: irEnter building permit# above.
Workflow Routing: ET-Planning 0 Permit Coordinator [VBuilding
Workflow Sign-off: [ 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: Date: 10 2,
I:1Bui I ding\Forms\B IdgPermitRvw_COM_No L andUse_l 11819.docx
t Coordittatot i evieW
❑ Conditio " et"prior to issuance of building permit
❑ Approved,NO •ased: •
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 • se Permit
roved by Permit Coordinator: Date:
1:1B ui I ding\Forms\BldgPermitRvw_COM_NoL andU se_111819.docx