Permit CITY OF TIGARD MECHANICAL PERMIT
III _ , COMMUNITY DEVELOPMENT MECHANICAL
MEC2022-00030
Date Issued: 1/27/2022
T ICi AR.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112DA00700
Jurisdiction: Tigard
Site address: 15333 SW SEQUOIA PKWY, STE# 100
Project: Bridgetown ER and Veterinary Subdivision: PACIFIC CORPORATE CENTER Lot: 3
Project Description: Install(1)ductless system, (1)ductless AC, (2) roof-mount fans, (3)ceiling-mount fans,air distribution.
Contractor: OREGON HEATING&AIR CONDITIONING LLC Owner: PACIFIC REALTY ASSOCIATES LP
6950 SW 111TH AVE ATTN: N PIVEN
BEAVERTON, OR 97008 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-691-9699 PHONE:
FAX: 503-691-8556
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 01/25/2022 $2,842.31
Class of Work: ALT Type of Const: VB Plan Review 01/25/2022 $710.58
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 01/25/2022 $341.08
Stories: Info Process/Archiving-Lg$2.00(over 01/25/2022 $4.00
11x17)
Project Valuation: $107,950.00 Info Process/Archiving-Sm$0.50(up to 01/25/2022 $6.00
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: 1
Appliances
Vent Fans: 2 Vent Systems: Total $3,903.97
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
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: Ho-LLy Vim,De,wege, Permittee Signature: Ow Aptati.c,c14-i-oi,t,
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 FOR OFFICE USE ONLY
r
City of TigardRE r ., "Oat& y:?JI/13/jo2„, �� P ,,,t Nam.:1 ��G2022 e o
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
' Phone: 503.718.2439 Fax: 503.598.1960 i f rI ° y. ^ aa.
/ Other Permit:
/1 2 DateB 1—a`�
Inspection Line: 503.639.4175 Date Read B w�: ® See Page 2 for
TIGARDy y: / / g
Internet: www.tigard-or.gov . r a,A.RD �;fied/Method: i {� �4 Supplemental Information
L / /
TYPE OF WORK RCIAL FEE* SCHEDULE—USE CHECKLIST
Mechanical permit fees*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:$107,950.00
CATEGORY OF CONSTRUCTION RESID: NTIAL EQUIPMENT I SYSTEMS FEES*
❑ I-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address:15333 SW Sequoia Pkwy Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.:100 Project name:BRIDGE TOWN ER AND Heat pump 61.06
VETERINARY HOSPITAL 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
Provide and install (1) ductless system, (1)ductless AC, (2) roof- fireplace 23.32
mount fans, (3) ceiling-mount fans, air distribution Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
ElPROPERTY OWNER ❑ TENANT 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
0 APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name: Fuel piping:
Oregon Heating and Air Conditioning $14.15 for first four;S4.03 for each additional
Contact name: Jeff Sanchez Furnace,etc.
Address: 6950 SW 111th Ave Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Beaverton OR 97008 Water heater
Phone:(508) 572-6984 Fax::( ) Fireplace
Range
E-mail: jsanchez@oregonheating.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: Oregon Heating and Air Conditioning Other:
MECHANICAL PERMIT FEES*
Address: 6950 SW 11 i th Ave Subtotal
City/State/ZIP: Beaverton OR 97008 Minimum permit fee($90.00)
Phone: Plan review(25%of permit fee)
(503) 572 6984 Fax:( )
State surcharge(12%of permit fee)
CCB lic.: 137653 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: 4,i ,04taaj Date:01/1 0/2022
lftBailding\Permns1ME _erntitApp 040113.doc 44045171'(11/02,COMMTB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: 1,-,12022-O 30 ,y
Site Address: 1 / 312 54 �J1 j�( P vI Suite/Bldg#: 1!'O
Project Name: grt` Vuin 6' ' V -Ho pT1-
(Name of commerdil business occupying the space. If vacant,enter Spec Space.)
Planning Review �r
Proposal: y44A !44 C� s �-y.S kv"I . i Y ( 2 _
�S( 3 G'ttCi(t wta iC.st -fct251, a%i'Let1Sk_f t,E A
Existing Business Activity: r r4of�,, 1 n— tJ`e'4'
Proposed Business Activity: ".f._-
pp Verify site address/suite# exists and active in permit system.
River Terrace Neigh rhood: ❑ Yes ] No
Zoning: 3
Permitted Use: Cie) Yes ❑ No ❑ Spec Space
Confirm no land use required.
Business License:
Exists: �/r Yes Fyn❑ QNo,applicantpn was provided a business license application Q (�
Notes: �c v is/ fro toy ��IJY`1tif Q ► l-ef- �Pr 'eri4(J�/�y
Approved by Planning: Date: 2/(Z/Z07i2
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: b(/1(/2022.
Site Plans: # Z.
Building Plans: # 2_
Building Permit#: 5--Enter building permit#above.
Workflow Routing: Lam,[(, /'tanning Cl P'Permit Coordinator Et-Building
Workflow Sign-off: Pr/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: ���'-2
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: Wash Co Trans Dev Tax: ❑ Yes /N/A
Tigard Trans SDC: ❑ Yes N/A
J Parks SDC: ❑ Yes /1 N/A
jLJ OK to Issue Permit
/Approved by Permit Coordinator: Date: t L; [Z,622-
I:\BuildineForms\BIdgemlitRvw_COM_NoLandUse_111819.docx