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Permit CITY OF TIGARD MECHANICAL PERMIT 111 COMMUNITY DEVELOPMENT Permit#: MEC2022-00024 Date Issued: 2/3/2022 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S136DB02502 Jurisdiction: Tigard Site address: 11634 SW PACIFIC HWY Project: Mike's Drive in Subdivision: None Lot: None Project Description: Replace 10 ton RTU for 7.5 ton Contractor: SUN GLOW INC Owner: JORORET LLC 2428 SE 105TH 888 SW 5TH AVE STE 1600 PORTLAND, OR 97216 PORTLAND, OR 97204 PHONE: 503-253-7789 PHONE: FAX: 503-253-7693 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 01/25/2022 $1,287.51 Class of Work: ALT Type of Const: VB Plan Review 01/25/2022 $321.88 Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 01/25/2022 $154.50 Stories: Info Process/Archiving-Sm$0.50(up to 01/25/2022 $12.50 11x17) Project Valuation: $47,000.00 Fuel Air Handlers Fuel Types: Natural Gas 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: 2 Vent Systems: Total $1,776.39 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules Issued By: Edgewater Ma.(.otovtado- Permittee Signature: ye e, ado p l i cci�i o w Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. / ..2--� Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard RECEIVED Received //(, n %', tn I ,,�, r��y� DateBy:��( Z02� 'i l Permit No.:'-1 � f.:0 1 NI ill ■ 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2439 Fax: 503.598.1960 � Plan Review Date/By: JAN Q '� C�i22 )-(2/..0Q ..... �� Other Permit: .1I 6A It I) Inspection Line: 503.639.4175 Date Ready/By: i Juris: ® See Page 2 for Internet: www.tigard-or.gov ��- fit' •flCARD Not' d/Metho • j Supplemental Information BUQQCNNG D vtS-Wd ►si7J�! . TYPE OF WORK COMMERC Al. FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*arc based on the value of the work ❑New construction ,,❑'Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Valuc:$ 0 CATEGORY OF CONSTRUCTION ��� G,z� RESIDENTIAL.EQUIPMENT/SYSTEM' t _�,k 0 1-and 2-family dwelling Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Job site address: /t //�� ``,, '' ' 1 Air conditioning 46.75 l /l{/J�� 5 W ly GAL/ {`"I(„ 14 c..a ,r Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: -r- i 0 A r d D '-7 S 3 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: ill t'he Or l l/2 I ►'V 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 Other: 23.32 Subdivision: Lot no.: Other fuel appliances: Tax map/parcel no.: Water heater 23.32 $4� ,' ,'!iz DESCRIPTION OF WORK Gas fireplace/insert 33.39 ° Flue vent for water heater or gas F F ,() )�cL A 'o;< Oe Lec) fireplace 23.32 5 co/�e O( w 0(' Log lighter(gas) 23.32 _ /� Wood/pellet stove 33.39 - /v! ; /0 /)N tC l LAW p�� � 7 3" �j Wood fireplace/insert 23.32 �'"J Chimney/liner/flue/vent 23.32 ❑ PROPERTY 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 ,,EI APPLICANT ,,..a"CON'TAC'T PERSON Other: 23.32 Fuel piping: Scl:,-) `u t.y Business name: _� $14.15 for first four;$4.03 for each additional Contact name: `/✓'l`54 -vJ f'r0 Furnace,etc. Address: 0 . l S IG'5-fV1/� Gas heat pump Wall/suspended/unit heater City/State/ZIP: P©r-(-1„ ,a 9 7 /(p Water heater A Phone:(()3)_4(07_ -7 9a a Fax::( ) Fireplace Range E-mail: i{/`1 5 6LK) - '. C';_,, (I-1N7, ? ii ( , C .1')''N Barbecue ` a" g t ' CONTRACTOR Clothes dryer(gas) Business name: e,,,ii 6--L(A.), Other: (/t (1 .5 S C_' - `0 tj+L' ! I IECIIi11VICAC Jl E � u�i . Address: Subtotal City/State/ZIP: polo( ©'- 9-7,9, / & Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( ) 9.5''- W Fax:( ) State surcharge(12%of permit fee) CCB lie.: l 1( �l 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: __-IG- c * Fee methodology set by Tri-County Building Industry Service Board Print name: /5-7zc,..- rtr(9 Date: /-!`...aa 1:\Building\Permits\MEC_PennitApp_040113.doc 440-4617T(I l/02/COM/WEB) City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT r1cA1zD Building Permit Review — Commercial - No Land Use Building Permit #: Pit C2022 2 1-- Site Address: l i ii 3'1 SW P/aC(Pic th446ite/Bldg#: Project Name: pi I ice S R t / (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: 124aC>>•far7 w1 CZ1+ QQ,p(,bwueivv- Existing Business Activity: Proposed Business Activity: fy site address/suite#exists and active in permit system. �,/River Terrace Neighborhood: ❑ Yes E No I^mo' ning: Cyr l tted Use: 12f Yes ❑ No ❑ Spec Space rr Confirm no land use required. [ Business Livens Exists: ❑ Yes ❑ No,applicant was provided a business license application Notes: Approved by Planni • Date: (�7e-2—: Revisions (after Building S mittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: OI/067J_Q22. Site Plans: # 2 Building Plans: # �-- Building Permit#: enter building permit# above. Workflow Routing: Planning ❑ Permit Coordinator Building Workflow Sign-off: [Sign-off for Planning(include notes from planning review) Route Application Documents: C-Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: � Date: 1,0 V2622_, I:\Building\Forms\BldgPermitRvw COM NoLandUse_111819.docx Permit Coordinator Review 01. Conditions "Met"prior to issuance of building permit ❑ Appro•-d,NOT Released: Date: Notes: Revisions (after Building Submi • only) Revision Notice 1: Date Sen • Applica• : Revision Notice 2: Date Sent to Apr nt: Revision Notice 3: Date Sent to pplicant: ❑ SDC Fees Entered: Wash • Trans Dev Tax: ■ - ❑ N/A T•.rd Trans SDC: ❑ Yes ❑ N/A arks SDC: ❑ Yes • A ❑ OK to Issue Permi Approved by P- it Coordinator: Da -• ti `rt I:\Building\Forms\B1dgPermitRvw_COM NoLandUse_111819.docx <4