Permit IN CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2021-00593
Date Issued: 9/20/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 28112DD01400
Jurisdiction: Tigard
Site address: 15686 SW SEQUOIA PKWY
Project: Courtyard by Marriott Subdivision: PACIFIC CORPORATE CENTER Lot: 5
Project Description: Partial removal of HVAC equipment and ductwork over pool area.Add(2)ductless split systems AC units(ceiling
cassettes w/outdoor units)Add(2)ductless split systems AC,plus(2)fans&extend duct over area.
Contractor: ROBERT LLOYD SHEET METAL INC Owner: PACIFIC REALTY ASSOCIATES LP
PO BOX 307 PO BOX 58990
INDEPENDENCE, OR 97351 SEATTLE,WA 98138
PHONE: 503-606-5007 PHONE:
FAX: 503-838-3964
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 08/20/2021 $1,104.63
Class of Work: ALT Type of Const: VB Plan Review 08/20/2021 $276.16
Occupancy Grp: R-2 Occupancy Load: 12%State Surcharge-Mechanical 08/20/2021 $132.56
Stories: Info Process/Archiving-Lg$2.00(over 08/20/2021 $8.00
Project Valuation: $39,800.00 11x17)
Info Process/Archiving-Sm$0.50(up to 08/20/2021 $12.50
11x17)
Fuel Air Handlers Additional Plan Review 09/16/2021 $45.00
Fuel Types: Electricity Units< 10000 cfm: 2
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: 2
Appliances
Vent Fans: Vent Systems: I Total $1,578.85
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) l
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: H v De,wege Permittee Signature: 0 Vli Applicati,an
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.
13- 28 2
Mechanical Permit Applicati ,,�n FOR OFFICE USE ONLY
E C FJ V E D Received d��Q W LI �,/ :M
City of Tigard .br/! Permit No Nl.fy/t 7/"2i
Date/By: T`Yrr '.'1L�.LV
• 13125 SW Hall Blvd.,Tigard,OR 97223:11 Plan Reviefp u
. a Phone: 503.718.2439 Fax: 503.598.1960 8 202 Y 40 /(.,z Other Permit.
Inspection Line: 503.639.4175 Date/By: VV /
TIGARD Date Ready/By: _ rs. WI See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD No' d/Method: �, G. Supplemental Information
BUILDING nN S!ON �/.1 .ie ) /.
TYPE OF WORK 'OM E' :. r E* SCHEDULE- USE CHECKLIST
Mechanical permit fe. *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,labor,overhead,and profit
Value$39,800.00
CATEG 12Y OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
0 1-and 2-family dwelling Commercial/industrial ❑Accessory building For special information use checklist.
❑ Multi-family ❑ Master builder ❑Other: Description Qty_ Ea Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75 .1
Job site address: 15686 SW Sequoia Parkway Furnace 100,000 BTU(dnetsivents) , 46.75
City/State/ZIP: Tigard, OR 97224 Furnace 100,000+BTU(deets/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: Courtyard by Marriott Duct work 23.32
Cross street/directions to job site: -POOL CONVERSION- Hydronic hot water system 23.32
Residential boiler(radiator or
SW Sequoia Parkway, between SW Upper Boones Ferry Rd hydronic) 23.32
Unit heaters(fuel-type,not electric),
and SW Redwood Lane in-wall,in-duct,suspended,etc 46.75
Flue/vent for any of above 23.32
Subdivision: Pacific Corporate Center Lot no,: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: 2S 1 12DD01400 Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
Partial removal of(e) HVAC equipment and ductwork over pool area fireplace 23.32
Add x2 ductless split sys AC units(ceiling cassettes w/outdoor units) Log lighter(gas) 23.32
Wood/pellet stove 33.39
Add x1 ducted split sys AC, plus 2 fans &extend (e) duct over(e)area Wood fireplace/insert 23.32
(under Bldg Permit#BUP2021-00164) Chimney/liner/flue/vent 23.32
IIIPROPERTY OWNERElTENANT 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
APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name:
Robert Lloyd Sheet Metal Inc Fuel piping:
S14.15 for first four;$4.03 for each additional
Contact name: Joshua Cook (estimator) - Furnace,etc.
Address: 4485 Independence Highway Gas heat pump
Wall/suspended/unit heater
city/State/ZIP: Independence, OR 97351 Water heater
Phone:(503)838-3863 ext 5014 Fax::(503)838-3964 Fireplace
E-mail: JOSh.Cook@RLSM.net Range
Barbecue
CONTRACTOR Clothes dryer(gas)
Business name Robert Lloyd Sheet Metal Inc Other
MECHANICAL PERMIT FEES*
Address: 4485 Independence Highway Subtotal $1,104.63
City/State/ZIP: Independence, OR 97351 Minimum permit fee($90.00)
Plan review(25%'of permit fee) $276.16
Phone:(503)838-3863 ext 5014 Fax:(503) 838-3964 state surcharge(12%of permit fee) $132.56
CCB lie.: 62476 (exp 1 1/08/2021) TOTAL PERMIT FEE $1,513.35
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: oS '1I �QQ Date: 07/21/2021
I iBui IdinglPermitslMEC_Pe,mit,pp_040113.doe 440-4617r(11/02/COMNWEB)
Mechanical Permit Application - City of Tigard
Page.2 - Supplemental Information
Commercial & Multi-Family Fce Schedule:
Total Valuation: Permit Fee:
$0.00 to$500.00 Minimum fee$69.06
$500.01 to S5,000.00 $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.
•
1:\Building\Permits\MEC_PermitApp_040113.doc 2
T�
•
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
C
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: MEC,.292(--06593
Site Address: ( S"(2 S W se-c_ t l 0-vi lP kw\/ Suite/Bldg#:
Project Name: CtOberfiirip 0 01e v/toil
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: KtOtArn aL lN((i / WVAC Ue6,041(-
Existing Business Activity:
rPropo Business Activity:
fy site address/suite#exists and active in permit syst
/ver Terrace N i bo od: ❑ Yes LI No
.Wing:
emitted Use: XJ Yes ❑ No ❑ Spec Space
ii Confirm no land use required.
9J Business License:
Exists: ❑ Yes 0 No, applicant was provided a business license application
Notes:
Approved by Planning: Date: 8 ._ Z
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: E Approved 0 Not Approved
Building Permit Submittal /8,'Original Submittal Date: C7 2D2/
Site Plans: # -2-
Building Plans: # 2—
Building Permit#: P—Enter building permit#above.
Workflow Routing. g'Planning 0 Permit Coordinator C-Building
Workflow Sign-off: [Sign-off for Planning(include notes from planning review)
Route Application Documents: Ilk-Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: D,'AO4/2#f12d
I:\Building\Fortes\B1dgPermitRvw_COM_NolandUse_111819.docx
—ter
ermit Coordinator Review
El Con..'ins "Met"prior to issuance of building permit
❑ Approved,N• ' ' eleased: Dat"•
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 Appli
❑ SDC Fees Entered: Wash Co ,ns Dev Tax: ❑ Yes /A
T-:e . rans SDC: ❑ Yes ❑ N
'arks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Perm'
Approved b ' rmit Coordinator: Date:
L\Building\Forms\B1dgPennitRvw_COM_NoLandUse_111819.docx
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Letter
TIt AR[) 13125 SW HaII Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-orgov
TO: DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
FROM: JOSHUA COOK
SEP 1 4 2021
COMPANY: ROBERT LLOYD SHEET METAL Inc
CITY Ol-i IG flL,
PHONE: 503-838-3863 ext 5014 3UILDING DIV�S9ON t ?-
EMAIL: Josh.Cook@RLSM.net
RE: 15686 SW Sequoia Parkway,Tigard, OR 97224 MEC2021-00593
(Site Address) (Permit Number)
COURTYARD by MARRIOTT-POOL ROOM RENOVATION
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s)of plans. 3 Revisions: revised plans
Cross section(s)and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
3 Other(explain):Cut Sheet Data for HVAC Units (Ductless AC,supply Fan, Elec duct heater)
REMARKS: less room above ceiling than anticipated,going to use a ductless AC split system instead.
Changes to existing Supply Air Intake Fan and heater design
FOR OFFICE USE ONLY
Routed to Permit T nician: Date: \S'.. 19-2,) Initials
Fees Du s ❑No Fee Description: Amount Due:
� S
Jr
P $r�h ev �l�
1
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes �'['N [ Done n
Applicant Notified: Date: 417//5--/,2 / Initials: j/�