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Permit
CITY OF TIGARD MECHANICAL PERMIT aIN COMMUNITY DEVELOPMENT MECHANICAL MEC2021-00722 Date Issued: 9/29/2021 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S 135DC00600 Jurisdiction: Tigard Site address: 11765 SW GREENBURG RD Project: Scott Bodyfelt DMD Subdivision: TIGARDVILLE PARK Lot: 8 Project Description: Replace 4 ton rooftop HVAC Contractor: SPECIALTY HEATING&COOLING Owner: BODYFELT,SCOTT B 7500 SW TECH CENTER DR,STE 130 11765 SW GREENBURG RD PORTLAND,OR 97223 TIGARD,OR 97223 PHONE: 503-620-5643 PHONE: FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 09/29/2021 $240.93 Class of Work: ALT Type of Const: VB Plan Review 09/29/2021 $60.23 Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 09/29/2021 $28.91 Stories: Info Process/Archiving-Sm$0.50(up to 09/29/2021 $3.00 11x17) Project Valuation: $6,200.00 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: Vent Systems: Total $333.07 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules Issued By: Hauid Va De,We36 Permittee Signature: nw A a r n vt Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. E —q q z. Mechanical Permit Application �q r(tiz OI I l( I. t sl 0yI.1 Cityof Tigard fE1 _EIVE Received g C =` DaterBy: °k\wokz\ �V Permit No ��C.2AZ�-00122- 13125 SW Hall Blvd.,Tigard,OR 9722 Plan Review s Phone, 50.3.718.2439 Fax: 503.598.1960 C, DateIB : q - Other Permit: t �" `l� Inspection Line: 503.639.4175 SEP 0 p 20 y -a° a] Date Ready.By la see Page 2 for Internet: www.tigard-or,gov N. ified/Met •. i 1 1ci Supplemental Information CITY OF TIGARD % TYPE OF WOilkilLplitNitlp ► ! A rrp RCIAt.FEE* SCHEDULE USE CHECKLIST Mechanical permit fees*are based on the value of the work ❑New construction Addition/aheration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$‘ 0740 ,;; :, CATEGORY OF CONSTRUCTION j ' RESIDENTIAL EQUIPMENT!SYSTEMS FEES* ❑ I-and 2-family dwelling Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total t ' JOB iITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: //714,3 5k16,e 9.' c1f- Rd Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: 7;�4,' / ePh• 9 7,2t2 3 j Furnace 100,000+BTU(ducts/vents) 54.91 6106 Suite/bldg./apt.no.: I Project name:5�oft /dy i 'fi' 04/17 Heat pump 23 32 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 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 �9,14ZLp -! 7o� _C4�elt se- et/4" c 'f/, fireplace 23.32 1 f/ / Log lighter(gas) 23.32 /i{Id A- 4/ (1 -- -------- Woodl.dlet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 + 'PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation: Name: s,e,e-- 2 a4Je i - 0 ,4fi:______ Range hood/other kitchen e•ui.ment 33.39 Address: 1176 3 Sk/ 6Piee L1 y fp Clothes dryer exhaust 33.39 City/State/ZIP: 77 0,,,), 97�2"�3 Single-duct exhaust(bathrooms, . toilet compartments,utility rooms) 23.32 Phone:(50,) ) 277/ Fax:( ) Attic/crawlspace fans 23.32 E X1 PLICANNT /1 'Ea-CONTACT PERSON Other: 23.32 StPC/4 , / r.4b-ye il L 741;1; 'C/ L t-(C Fuel piping: Business Warne: ✓ V Sd�l � � S14.15 for first four;S4.03 for each additional Contact name: y^ Furnace,etc. 7 e..l� ' �"ef�P p_at ,e,t ,rz�.rt Gas heat pump Address: ' T� /C.7[/ Wall/suspended/unit heater City/State/ZIP: rid' C7��G17 J Water heater Phone:j$ ) 0'77 '' Fax::( ) Fireplace -- _—.__ Range E-mail:.j e(',.5 <¢,ft4oe,s/ ef.", lcrn'Z ( 1, j Barbecue ;; CONTRACTOR Clothes dryer(gas) / Business name:?ac ; // odd 4 Other: MECHANICAL PERMIT FEES*Address:7 j �41 7� ( / der ; 0 / 0 Subtotal City/State/ZIP: ' Oh //7p7 3 Minimum permit fee($90.00) r� Plan review(25°l.of permit fee) Phone:(23)6s 6-O 7_/ Fax:( ) -- -- w..._ __ - — State surcharge(12%of permit fee) CCB lie.: TOTAL PERMIT FEE" "' """ "" This permit application expires if a permit is not obtained within 100 days after it has been accepted as complete. Authorized signature: • Fee methodology set by Tri,Coeruy Building Industry Service Board Print name: V ea s• Date: 9 ? 1?©2/ Julie Drinkwater From: Julie Drinkwater Sent: Wednesday, September 29, 2021 8:43 AM To: Tom Hochstatter Subject: Request to enter AS-Mechanical, Fees, &Workflow - MEC2021-00722 Importance: High Hello Tom When you have a chance,could you please enter the mechanical information into the ASI-Mechanical, enter the fees, and sign off on the workflow for MEC2021-00722? You signed off on the application on 9/28/21. Thank you! Julie Drinkwater TjVVV/ Permit Technician ( /I City of'1'igard ( Building Department V 13125 SW I Tall Blvd Tigard, OR 97223 503-718-280-1 Due to an increased demand for services,please expect longer wait times for responses to emails,voice messages and building inspections. Requests for permit status may not be responded to until the permit is ready to issue. Other requests deemed non- essential,such as fee estimates, may take longer to respond. In the meantime, please view this quick guide on how to submit common service requests. DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail runder Oregon Public Records Law. E-mails are retained maybedisclosed to another partyunless exempt from disclosure ub c ec P bythe Cityof Tigard in compliance with the Oregon Administrative Rules "City General Records Retention Schedule." 9 9 1 , 111 City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT TIGARLI Building Permit Review — Commercial - No Land Use Building Permit #: il\SC 2oz\- 001 2,2 Site Address: Ill-car - SW cU i iu (L,(0. Suite/Bldg#: Project Name: cCor- g6py ix (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: 11 R G k P aegGACente 1T Existing Business Activity: 1Vq(a Proposed Business Activity: /yerir site address/suite# exists and active in permit syst2. Df River Terrace Neighborhood: ❑ Yes L1 No 27}oning: C— E P mitted Use: EYees ❑ No ❑ p Spec Space Confirm no land use required. OBusiness License: Exists: ❑ Yes ❑ No, applicant was provided a business license application Notes: Approved by Planning: �— — Date: A3/Z) 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: ak\61\Z.1 Site Plans: # 1 Building Plans: # 1 Building Permit#: [/Enter building permit# above. Workflow Routing: R.-Planning -B Permit C. Ldivaior Building 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: �tCi Gn(10 L e q A Date: 9,‘lot 24 I:\Building\Fonns\BldgPennitRvw_COM_NoLandUse_l 11819.docx Pe - ' Coordinator Review ❑ Conditions i et"prior to issuance of building permit ❑ Approved,NOT Re :.sed: Date: 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 Applicant: ❑ SDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes ❑ N/• Tigard Trans SDC: 0 Yes ❑ N/A Parks SDC: 0 Yes 0 N/A ❑ OK to Issue Permit Approved by Permit Coordinator: Date: 1:\Building\Fonns\B1dgPermitRvw_COM_NoLandUse 111819.docx