Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2022-00061
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date issued: 2/10/2022Parcel: 2S112DC01400
Jurisdiction: Tigard
Site address: 15865 SW 74TH AVE 105
Project: Cognex Subdivision: FANNO CREEK ACRE TRACTS Lot: 4
Project Description: Install 3-ton split in conference room
Contractor: HVAC INC Owner: JDS LLC
5188 SE INTERNATIONAL WAY CRITERION CREEKVIEW LLC
MILWAUKIE, OR 97222 BY SPECTRUM REAL ESTATE ADVISORS
1125 SE DIVISION ST#209
PORTLAND, OR 97202
PHONE: 503-462-4822 PHONE:
FAX: 503-462-6555
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/10/2022 $366.03
Class of Work: ALT Type of Const: VB Plan Review 02/10/2022 $92.01
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 02/1012022 $44.16
Stories: Info Process/Archiving-Lg$2.00(over 02/10/2022 $2.00
Project Valuation: 11x17)
$10,750.00 Info Process/Archiving-Sm$0.50(up to 02/10/2022 $5.00
Fuel Air Handlers 11x17)
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 $511.20
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: ( ,� Permittee Signature:
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.
112-012-9
Mechanical Permit ApAlicatioM �^
JDE)ate/By:
eceOt k City of Tigard Permit No.: "" I/Qlf
13125 SW Hall Blvd.,Tigard,OR 97223 P' fn ?
�- of <n` _'"L E_ Plao Revie _ qa7 2_e7
= Phone: 503.718.2439 Fax: 503.598.1960 I "�-1'� OtherPerm (.{Z b
Do
Inspection Line: 503.639.4175 I)
a t;i l'', {'- - ete Ready/By: Juris: I ® See Page 2 for
Internet: www.tiov �e A
�Td-or.g LUIINotified/Meth � � / 1/,_ Supplemental information
TYPE OF WORK 6J COMMERCIAL FEE- SCHEDULE - USE CHECKLIST
Mechanical permit fees'are based on the value of the work
❑New construction 153Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:S 1 7 1 `'� V,
CATEGORY OF CONSTRUCTION
RESIDENTIAL EQUIPMENT!SYSTEMS FEES•
❑ I-and 2-family dwelling aCommercial/industrial ❑Accessory building For special information we checklist.
❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. Total I
JOB SITE INFORMATION AND LOCATION I I Heating/coolig:
� Ii
E46.75Air conditioning
Job site address: Furnace 100,000 BTU(ducts/vents) 6.75City/State/ZIP: Furnace 100,000+BTU(ducts/vents) 4.91
p 61.0
Suite/bldg./apt.no.: , � I Project name: �. y� QV C ipcx re 71& wok 23.32
Cross street/directions to job site: J � I Hvdronic hot water system 23.32
Residential boiler(radiator or
hydropic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32 I
Subdivision: ( Lot no.: I Other: I 23.32 I
Other fuel appliances:
'fax map/parcel no.: I I Water beater 23.32
DESCRIPTION OF WORK Gas fireplace/inscM I 33.39
Flue vent for water heater or gas
`''�\ ) fireplace ( 23.32
rA� ( „ . _�1 �,t �p. t�r��n�tt I I Log lighter(gas) 23.32
l_ - - / 'l 1 V Wood/ ellet stove _ 33.39
Wood fireplacelinsert I 23.32
1 Chimney/liner/flue/vent 23.32
I
El PROPERTY OWNER ;I ❑ TENANT I mo' 23.32
Environmental exhaust and ventilation:
Name: I ( Range hood/other kitchen
Address. equipment 33.39
Clothes dryer exhaust 33.39 I
City/State/ZIP: I I Single-duct exhaust(bathrooms,
toilet compartments,utility morns) 23.32
Phone:( ) Fax:( ) I I Attic/erawlspace fans 23.32 I
❑ APPLICANT ❑ CONTACT PERSON 1 Other: 23.32 I
Business name: �t J ��1 I I Fuel piping: I
t I $14.15 for first four;$4.03 for each additional
Contact name: �p ���J'�A� _
�J�` I Furnace,etc.
Aaamag: r�, % Ul ")(, 4, Js { f� I I casheat pump
nde I
M 1 1 W OJA � V L - I I Water heatndedJunit heater
City/State/ZIP: --t " Water heater
Phone:(`��� Vi p' �� ' Fax::(`�j3) L( �p� )� I I Fireplace
,.�/ Range
—---- - i
E-mail: `t �, �� lAi' VY'•.VP(, ✓1_VtL Qv-rl, W-V1\ I I Barbecue 1
I 1 4 CONTRACTOR = j Clothes dryer(gas) 1
X
Business name: �',) r� / I Other:
MECHANICAL PERMIT FEES*
Address: I I Subtotal
City/State/ZIP: l�W� I I Minimum permit fee($90.00)
' I Plan review(25%of permit fee)
Phone:( ) I Fax:( ) I I State surcharge(12%of permit fee)
CCB lic.: �r1� I I TOTAL PERMIT FEE 1
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: * Fec methodology set by Tri-County Building Industry Service Board
Print name: k/e ' Date: � O
I:1R.dd,%%Permib�,MEC_Pennit _a40113.doc 4704617r(I 1/02/COM(WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
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Building Permit Review — Commercial - No Land Use
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Building Permit #: kf ZO2j,-2--OCCYQ
Site Address: 5 5w 7q k &L Suite/Bldg#: ((9 Cj'
Project Name: �ry VU1,X
(Name of ommerdal business occupying the space. If vacant,enter Spec Space.)
Planning Re 7.
Y` II
Proposal: ► �� Vi I v1 Co(,, �e.�vt C-e �?,r,
f 1 -
Existing Business Activity: Cl
Proposed Business Activity:
PVerify site address/suite# exists and activeinpermit system.
❑ River Terrace Neighborhood: ❑ Yes I1 No
20 Zoning. __:r —F
Permitted Use: X Yes ❑ No ❑ Spec Space
Confirm no land use required.
® Business License:
1'' Exists: ❑ Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
.. ... ,.... 11 1, ILL I HILL iI�Lu,.,Lill.ib.. ,,., I'll . ....-',..W.,,�
Building Permit Submittal
Original Submittal Date: 01/2 c120�
Site Plans: # Z
Building Plans: # 2—
Budding Permit#: l�$nter building permit# above.
Workflow Routing: Planning ❑ Permit Coordinator ®wilding
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: Q'Budding: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
,��///''' 11-11—By Permit Technician: C` Date: OIIT.Io�ZZ
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_1 l 1819.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building pertnit
❑ 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 Applic t:
❑ SDC Fees Entered: Wash Co Trans ev Tax: ❑ Yes ❑ N/A
Tigard Tran DC: ❑ Yes ❑ N/A
Parks S ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordin tor: Date:
is\Building\Forms\B1dgPemi itRvw_COM_NoLand Use_111819.docx