Permit III CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Pe COMMUNITY MEC2022-00170
Date Issued: 3/21/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112AA01000
Jurisdiction: Tigard
Site address: 14100 SW 72ND AVE
Project: Curtiss Wright Subdivision: 1992-007 PARTITION PLAT Lot: 2
Project Description: Replace(15)like-for-like package units/RTUs and(1)like-for-like split system.
Contractor: AMERICAN HEATING INC Owner: WILLIAMS CONTROLS INDUSTRIES INC
5035 SE 24TH AVE 14100 SW 72ND AVE
PORTLAND, OR 97202-4765 TIGARD, OR 97224
PHONE: 503-239-4600 PHONE:
FAX: 503-239-7038
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/18/2022 $3,776.71
Class of Work: ALT Type of Const: Plan Review 03/18/2022 $944.18
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 03/18/2022 $453.21
Stories: 1 Info Process/Archiving-Lg$2.00(over 03/18/2022 $2.00
Project Valuation: $139,928.00 11x17)
Info Process/Archiving-Sm$0.50(up to 03/18/2022 $27.50
11x17)
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: Vent Systems: Total $5,203.60
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
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: �r� L 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.
fa- 22 2
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard RECEIVED DatReceived
y: 3/ 22 ��' pennit No MEf O (JC/7D
I Date/B v
13125 SV1 Hall Blvd.,Tigard,OR 97223 Plan Revie
Phone: 503.718.2439 Fax: 503.598.1960 FEB 2 4 202Z —Jt3 ".../..),.. Other Permit:
Date/By:
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: v Juris- E5 See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method:,A /�� �J iV/) l Supplemental Information
BUILDING DIVISION � t rfl
TYPE OF WORKiet LMMERCIAL 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:$1 39,928
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
0 1-and 2-family dwelling ®Commercial/industrial ❑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: 14100 SW 72nd Ave Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Tigard,OR 97224 Fumace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: Curtis Wright 13 RTUs(621504) 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
Replace(15)like-for-like package units/RTU and(1)like-for-like split system 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 ElTENANT 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
® APPLICANT ® CONTACT PERSON Other: 23.32
Fuel piping:
Business name: American Heating
$14.15 for first four;$4.03 for each additional
Contact name: Melina Swalko Furnace,etc.
Address: 5035 SE 24th Ave Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Portland,OR 97202 Water heater
Phone: 503-519-1337 Fax:: Fireplace
Range
E-mail: m.swalko@americanheating.net Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: American Heating Other:
MECHANICAL PERMIT FEES*
Address: 5035 SE 24th Ave Subtotal
City/State/ZIP: Portland,OR 97202 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone: 503 239 4600 Fax: State surcharge(12%of permit fee)
CCB lie.: 33135 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Melina Swalko Digitally signed by Melina sweikc days after it has been accepted as complete.
0N_GUS,ad by alko@americanheaYng.nel,CN=Melina Swalko
Authorized signature: Sat.-aoaa oza3 u:a,:,a-oeoo * Fee methodology set by Tri-County Building Industry Service Board
Print name: Melina Swalko Date: 02/23/22
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(I1/02/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\Pemuts\MEC_PemutApp_040113.doc 2
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
11111
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: /hQLaj —60,i 10
Site Address: I t 1007 SIN .-7-c pVt Suite/Bldg#:
Project Name: S L I. 61-
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: RTU t2 A CEWICK11—
Existing Business Activity: ,�
Proposed Business Activity: V
Verify site address/suite# exists and active in permit system.
❑ ,River Terrace Neighborhood: IIYes J No
Zi.. ning. t'—4
10 Permitted Use: f 'es E No ❑ Spec Space
Confirm no land use required.
N" n Business License:
Exists: ❑ Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: Date: 4 f2 A 2
_...
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved E Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: Q,/ 0022-
Site Plans: # 72
Building Plans: # ,2—
Building Permit#: 1- Enter building permit# above.
Workflow Routing: li—Planning ❑ Permit Coordinator IC�Suilding
Workflow Sign-off: Li:1,'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: 03/6J/27
I:\Building\Forms\BldgPermitRvw_COM NoLandUse_111819.docx
Perini Coordinator Review
❑ Conditions i et"prior to issuance of building permit
❑ Approved, NOT ' ased: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applican
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
D SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ■ N/A
Parks SDC: ❑ Yes El A
❑ OK to Issue Permit
Approved by Permit Coordinator: I • e:
I:\Building\Fonns\BldgPermitRvw_COM NoLandUse_1I1819.docx