Permit CITY OF TIGARD MECHANICAL PERMIT
III11 COMMUNITY DEVELOPMENT Permit#: MEC2021-00869
Date Issued: 12/20/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101BB01300
Jurisdiction: Tigard
Site address: 11958 SW GARDEN PL
Project: Zoom+Care Billing and Help Office Subdivision: CROW PARK 217 Lot: 1
Project Description: New condensing rooftop unit serving new air handler at Server Room.New exhaust fan at new restroom. Revised
ducting from existing RTU's to serve altered spaces.
Contractor: NORWEST CONTRACTORS INC Owner: BKM PARK BC 252 LLC
PO BOX 25305 BY SLK GLOBAL SOLUTIONS AMERICA
PORTLAND, OR 97298-0305 2727 LBJ FREEWAY STE 806
DALLAS, TX 75234
PHONE: 503-291-6986 PHONE:
FAX: 503-291-7036
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 11/17/2021 $277.46
Class of Work: ALT Type of Const: VB Plan Review 11/17/2021 $69.37
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 11/17/2021 $33.30
Stories: Info Process/Archiving-Lg$2.00(over 11/17/2021 $2.00
11x17)
Project Valuation: $7,500.00
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 $382.13
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 rule are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: '�L Permittee Signature: '' Y /e7 7/I/�j
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 Applicatioi 'L `h' FOR OF1�l('F FSF ONLY
Received
INCity of Tigard Re Re Date/By: / Qi �J Permit No.:M�70� _O '��
13125 SW Hall Blvd.,Tigard,OR 97223 0 CT 2 5 2021 '•, ��r vc� v��+
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: i l" j%C L Other Peruie42/�2/- /"Y5 AS
1 1.; 1,I� Inspection Line: 503.639.4175 ( �"'�OF TIGARD f �"-*k/! (•V
Date Ready/By: furls: ® See Page 2 for
Internet: www.tigard-or.gov ?I l'I flirtC flVnrr P1i Notif ethod./i/� t . ( Supplemental Information
TYPE OF WORK COMMERCIAL FEE' SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction X Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit
Value:$$7500
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES"
❑ 1-and 2-family dwelling iii Commercial/industrial ❑Accessory building For special information use checklist
0 Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 11958 SW Garden Place Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Tigard, OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name:Zoom+Care Billing&Help Office Space Heat Duct pump 61.06
work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
Off SW Hall Blvd at HWY 217&HWY 99W, SW Garden Place 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
Other: 23.32
Subdivision: I Lot no.: Other fuel appliances:
Tax map/parcel no.: 2S101 BB01300 Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
Office T.I.within an existing office park building. New condensing unit on roof fireplace 23.32
serving new air handler at Server Room 112. New exhaust fan at new Log lighter(gas) 23.32
Restroom 110. Revised ducting from existing RTU's to serve altered spaces Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Team/Break 104&Tech Storage 107. Chimney/liner/flue/vent 23.32
0 PROPERTY OWNER 1 X TENANT Other:
Environmental exhaust and ventilation: 23.32
Name: Zoom+Care Contact:Jeffrey Schoenberg Range hood/other kitchen
equipment 33.39
Address: 1455 NW Iriving St#600 Clothes dryer exhaust 33.39
City/State/ZIP: Portland, OR 97209 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( 206)852-8751 Fax:( ) Attic/crawlspace fans 23.32
X APPLICANT X CONTACT PERSON Other: 23,32
Fuel piping:
Business name: Scott 1 Edwards Architecture LLC
S14.15 for first four;S4.03 for each additional
Contact name: Mark Steinhardt Furnace,etc.
Address: 2525 E Burnside St Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Portland,OR 97214 Water heater
Phone:( 503)896-5385 Fax: ( ) Fireplace
Range
E-mail: msteinhardt@seallp.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: Other:
NW Contractors, Inc Attn:Seth Kiser MECHANICAL PERMIT FEES*
Address: 7235 SW Stephen Ln. Subtotal
City/State/ZIP: Portland, OR 97225 Minimum permit fee($90.00)
Phone:( 503)291-6986 Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lie.: OR 89425 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: Mark Steinhardt Date:10/19/21
I\Building\Permits\MEC_PermiiApp_0401 13.doc 440-4617T(I I/02/COM/W EB)
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.
I:1BuildinglPermits\MEC_PermitApp_040113.doc 2
City of Tigard
• COMMUNITY DEVELOPMENT DEPARTMENT
T I c; ►z n Building Permit Review — Commercial - No Land Use
Building Permit #: �ZOZI-00 $(P9
Site Address: II, U rs(n)--& vile,vi , Suite/Bldg#:
Project Name: (AA, t( i(9 He(p octc.Q
(Name of commercial business occupying the space. If vacant,enter Spec Space.) f
Planning Review
Proposal: 4-tiftA,rl• i f)trOV'-Q-(Nt-to,f-S• CO frlAtVLI �(.y U G!% G✓l r�oT� �../
segi(uuSt- tI.t S 2{-C•
Existing Business Activity: _,CJ(/i/I,-l-- 6k47-{, ' ((;'fry -f i' c
Proposed Business Activity: SCUAA.a.
XVerify site address/suite#exists and active in permit system.
❑ River Terrace Neighborhood: ❑ Yes No
Zoning: G— 6
l7 Permitted Use: J' Yes E No ❑ Spec Space
5i" Confirm no land use required.
43 Business License:
Exists: Yes ❑ No,applicant was provided a business license application
Notes:
4Approved by Planning: Date: (Q`Z6 Z_.a2-1
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: /a/S,ZOL/
Site Plans: #
Building Plans: # 2
Building Permit#: 13/Enter building permit#above.
Workflow Routing: O'Planning ❑ Permit Coordinator Building
Workflow Sign-off: [Sign-off for Planning(include notes from planning review)
Route Application Documents: 1E'Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: v Date: l/o/foil
1:\Building\Forms\BldgPermitRvw_COM NoLandUse 111819.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: 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: Wh Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM NoLandUse_111819.docx