Permit 7 4 CITY OF TIGARD MECHANICAL PERMIT
``� COMMUNITY DEVELOPMENT Pe
CITY MEC2022-00079
Date Issued: 2/15/2022
T t G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S 110DCO2300
Jurisdiction: Tigard
Site address: 11545 SW DURHAM RD B-6
Project: Blue Mountain Orthodontics Subdivision: 1998-128 PARTITION PLAT Lot: 1
Project Description: Install(1)new 2-ton RTU&8"RTU roof curb.
Contractor: OREGON AIRE INC Owner: HIP WILLOWBROOK LLC
7715 NE 33RD DR STE A BY HARSCH INVESTMENT CORP
PORTLAND, OR 97211 PO BOX 2708
PORTLAND, OR 97208
PHONE: 503-335-2222 PHONE:
j FAX: 360-423-1978
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/14/2022 $469.63
Class of Work: ALT Type of Const: VB Plan Review 02/14/2022 $117.41
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 02/14/2022 $56.36
Stories: Info Process/Archiving-Sm$0.50(up to 02/14/2022 $3.00
11x17)
Project Valuation: $14,750.00
Fuel Air Handlers
Fuel Types: Electricity Units< 10000 cfm:
i 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: Vent Systems: Total $646.40
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: JJ..(7j ) "��s �� Permittee Signature:Call 503.639.4175 by 7:00 a.m.for the next available inspection date. ' w
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 Applica FOR OFFICE USE MIA
Receivedn
City of TigardFEB1 2022 �' Permit No. t)2 rr�� M 079
Date/By:t% �""'� �2 2G"(.(J�/
II 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
= Phone: 503.718.2439 Fax: 503.598.19 'Y OF TIGARL) Date/By: O ' )0-- i 4' Other Permit:
T I G A R D Inspection Line: 503.639.4175 n ^ n(�``''�e+ Date Ready/By: / ® See Page 2 for
Internet: www.tigard-or.gov tti' ,1_!ING DIVISION Notified/Meth6d: /Gf/ Supplemental Information
TYPE OF WORK COIMERCIAL 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:$14,750.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ■❑Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address:11545 SW Durham Rd. Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard/Oregon/97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.:B-6 Project name:Dr.Willcox-Blue Mountain Orthodontics 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
Install(1) new 2-Ton RTU &(1) 8" RTU roof curb fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER ® TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Dr. Willcox-Blue Mountain Orthodontics Range hood/other kitchen
equipment 33.39
Address:11545 SW Durham Rd. Clothes dryer exhaust 33.39
City/State/ZIP:Tigard/Oregon/97224 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT 0 CONTACT PERSON Other: 23.32
Business name:Oregon-Alre Inc. Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Ian McDonald Furnace,etc.
Address:7715 NE 33rd Drive I Suite A Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Portland/Oregon/97211 Water heater
Phone:(503) 335-2222 Fax::( ) n/a Fireplace
Range
E-mail:Permits@oregon-aire.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Oregon-Aire Inc. Other:
MECHANICAL PERMIT FEES*
Address:7715 NE 33rd Drive I Suite A Subtotal
City/State/ZIP:Portland/Oregon/97211 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503 )335-2222 Fax:( ) n/a State surcharge(12%of permit fee)
CCB lie.:64235 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: C' 'Zd '� * Fee methodology set by Tri-County Building Industry Service Board
Print name:Ian McDonald Date: 1/31/22
1_\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
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:\Building\Permits\MEC_PermitApp_040113.doc 2
City of Tigard
IIIA COMMUNITY DEVELOPMENT DEPARTMENT
a
T1GARD Building Permit Review — Commercial - No Land Use
em,
Building Permit #: ti c, 'j22--00079
Site Address: It 51-f 9 S(ki r kit Litt DA. Suite/Bldg#: r:6
Project Name: OP. W i l Co IC EtU2 1 " OON.ccivt er'Y4006/ t4}Z.S
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
p kLl l VL 2- -�pi j2 rU k- 1— " �u ,ram
Pro osal:
(,u r to
Existing Business Activity: geAk41 cPI
Proposed Business Activity:
Verify site address/suite# exists and active in permit system.
River Terrace Neighborhood: ❑ Yes lE No
pZoning. G-- &
Ej Permitted Use: i Yes ❑ No ❑ Spec Space
14 Confirm no land use required.
V Business License:
Exists: ❑ Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: 4-24. Date: Z2 zo z�2�
l
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: V2/0(/2Z
Site Plans: # 2.
Building Plans: # 2-
Building Permit#: E'Enter building permit# above.
Workflow Routing: [ .-Planning ❑ Permit Coordinator B'Building
Workflow Sign-off: [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: 3/Z1JZL--
I:\Building\Forms\B1dgPermitRvw_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
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM NoLandUse_111819.docx