Permit CITY OF TIGARD MECHANICAL PERMIT
1111
COMMUNITY DEVELOPMENT Permit#: MEC2022-00008
Date Issued: 1/26/2022
T i G A R is 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S1026D02600
Jurisdiction: Tigard
Site address: 12925 SW PACIFIC HWY
Project: Verizon Wireless Subdivision: NORTH TIGARDVILLE ADDITION Lot: 37
Project Description: Remove&replace(2)HVAC single packaged vertical air conditioners(SPVAC)units and upgrade to(2)5-ton
HVAC SPVAC units for telecom equipment shelter.
Contractor: PERFORMANCE HEATING&AIR CONDITIONING Owner: KIM, PENNEY
1012 CENTRAL AV S 395 NW SILVERADO DR
KENT,WA 98032 BEAVERTON, OR 97006
PHONE: 425-251-0356 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 01/24/2022 $754.11
Class of Work: ALT Type of Const: VB Plan Review 01/24/2022 S188.53
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Mechanical 01/24/2022 $90.49
Stories: Info Process/Archiving-Sm$0.50 (up to 01/24/2022 $2.00
11x17)
Project Valuation: $25,950.00 Misc Administration Fee 01/26/2022 $5.00
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: 2
Appliances
Vent Fans: Vent Systems: Total $1,040.13
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 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: //ea
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.
! - I 2 21
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard RECEIVE 1. �/� 117
t sate/By:O� �� K/ I 'etrnit No.: EGGVGL.'Oe.ve�6
1111
• 13125 SW Hall Blvd.,Tigard,OR 97223 2 Pian Review
i Phone: 503.718.2439 Fax: 503.598.1960 DEC I; 2021 i ,, /3�a,, `�'�'� Other Permit:
Date/By: `„'r` ' -/
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: lie, ® See Page 2 for
Internet: www.tigard-or.gov ���CITY OF TIGARD Notified/Method: Supplemental Information
3Ult,.li`;{i! i7(.;/I'^R"+^.\, —
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST.
Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteration/rcplaccmcnt performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$25, 950.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ I-and 2-family dwelling Commercial/industrial ❑Accessory building For special information use checklist.
O Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 12925 SW Pacific Highway Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Tigard, OR. 97223 Furnace 100,000+BTU(ducts/vents) 54.91 _
Heat pump 61.06
Suite/bldg./apt.no.: Project name: ye r i z o n Wireless Duct work 23.32
Cross street/directions to job site:Int.of SW Pacific Hwy. /SW Walnut St. Hydronic hot water system 23.32 .
Residential boiler(radiator or
I5 South to Exit 294 to merge onto OR-99W/Pacific Hwy.W hydronic) 23.32
SW Barbur Blvd./Pacific Hwy W toward Tigard/Newberg. Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Appx. 2 . 6 miles, Site is on left . Flue/vent for any of above 23.32
Subdivision: Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: 2 S 10 2 B D 0 2 6 0 0/R 4 6 4 5 8 0 Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
Remove & replace two HVAC Single Packaged Vertical Air fireplace 23.32
Conditioners (SPVAC) units and upgrade to two 5—ton Log lighter(gas) 23.32
Wood/pellet stove 33.39
HVAC SPVAC units for a telecom equipment shelter. Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER IVTENANT Other: 23.32
_Environmental exhaust and ventilation:
Name: ye r i z on Range hood/other kitchen
equipment 33.39
Address: 5930 NE 12 2 nd Ave . Clothes dryer exhaust 33.39
City/State/ZIP: Portland, OR. 97230 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( 5 0 3) 9 0 7—5 518 Fax:( 5 0 3) 4 0 7—5 5 2 0 Attic/crawlspace fans 23.32
APPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name: Performance Heating & Air Conditioning $14.]5 for first four;$4.03 for each additional
Contact name: Mark Smelt zer Furnace,etc.
Address: 1012 Central Ave. S . Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Kent, WA. 98032 Water heater
Phone:(425)251-0356 Fax: :(253)867-5775 Fireplace
Range
E-mail: mark@pmghvac.corn Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: Performance Heating & Air Conditioning Other:
MECHANICAL PERMIT FEES*
Address: 1012 Central Ave. S. Subtotal
City/State/ZIP: Kent, WA. 98032 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( 425)251-0356 Fax:(253)867-5775 State surcharge(12%ofpermitfee)
CCB lie.: 198231 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
�/y
Authorized signature: (((( C * Fee methodology set by Tri-County Building Industry Service Board
Print name: Mark Smeltzer Date: Dec. 22, 2021
1.Building\Permits\MEC_PermitApp_040113.doc 440-0617T(I 1/02/COM/WEB)
IN City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
T]GARD Building Permit Review — Commercial - No Land Use
a
Building Permit #: All -C.2O2,Z- 8
Site Address: iZA Z5---S(A/ Ptta-Fir w.y Suite/Bldg#:
Project Name: Vtr WM, UU h ( S
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review (� ( i L
Proposal: tesmOve,2,y i &ce. 2, 1 L�� 4,v cow4i,'- �l Unik- t .?.-
Existing Business Activity: \4((y j01/l, (VA,
Proposed Business Activity:
,04 Verify site address/suite # exists and active in permit system.
❑ River Terrace Neighborhood: ❑ Yes g7 No
Fr Zoning: G— G
APermitted Use: 7] Yes ❑ No ❑ Spec Space
r Confirm no land use required.
la Business License:
Exists: Yes ❑ No,applicant was provided a business license application
Notes: �( � 4.0(11
Approved by Planning: )4-.{.2A „ " Date: 1 /3/Zi ZZ
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved 0 Not Approved
Building Permit Submittal „„ �/
Original Submittal Date: /o'(/i24/2/
2 Site Plans: # /
Building Plans: # R
Building Permit#: [ Enter building permit#above.
Workflow Routing: 0—Planning 0 Permit Coordinator ["Building
Workflow Sign-off: [-Sign-off for Planning(include notes from planning review)
Route Application Documents: G-Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes: /� /
By Permit Technician: --412
Date: p//Q /�,2,�
L\Building\Forms\BldgPenn itRvw_COM_NoLandUse_111819.docx
Permit Coordinator Review
D 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 0 N/A
Tigard Trans SDC: 0 Yes 0 N/A
Parks SDC: ❑ Yes 0 N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
1:1B uil ding\Forms\BldgPennitRvw_COM_NoLandUse 111819.docx