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CITY OF TIGARD MECHANICAL PERMIT
: a COMMUNITY DEVELOPMENT Permit#: MEC2022-00185
Date Issued: 3/22/2022
TIC A P I) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 1 S136AD06503
Jurisdiction: Tigard
Site address: 10900 SW 68TH PKWY
Project: Chang's Mongolian Grill Subdivision: WAY LEE Lot: 2
Project Description: Replace one existing rooftop gas pack, like for like
Contractor: ARROW MECHANICAL Owner: WAY W LEE GENERAL CONTRACTOR
10330 SW TUALATIN RD 5210 SE 26TH AVE
TUALATIN, OR 97062 PORTLAND, OR 97202
PHONE: 503-692-1565 PHONE:
FAX: 503-691-1879
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/22/2022 $550.91
Class of Work: ALT Type of Const: VB Plan Review 03/22/2022 $137.73
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 03/22/2022 $66.11
Stories: 1 Info Process/Archiving-Sm$0.50(up to 03/22/2022 $6.00
11x17)
Project Valuation: $17,920.00
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: Vent Systems: Total $760.75
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for m• e the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are - orth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: Permittee Signature: f 6eC 'y1
��V
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This p•rmit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
- a13
Mechanical Permit Application roll orrlct: I sl:o\l.\
City of Tigard RFCFIVED Date/By:•
Received II03OS?RZZ Permit No.:M bzz-COt85
-" 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 r.j 2022 7 2,Z Other Permit:
Inspection Line: 503.639.4175 Dace/By:
T I ;A R D Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov Ci l 1 Lit- I IGARD °`ified/Method: .2_ Supplemental Information
BUILDING DIVISION I
TYPE OF WORK OM CIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
0 New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 17,920
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist.
❑ Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 10900 SW 68TH PARKWAY Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: TIGARD,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: I Project name: CHANG'S MONGOLIAN GRILL Heat pump 61.06
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: i 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 ONE EXISTING ROOFTOP GAS PACK, LIKE FOR LIKE 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 [ 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: WAY W. LEE GENERAL CONTRACTORS Range hood/other kitchen
Address: 5210 SE 26TH AVE equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP: PORTLAND,OR 97202 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone: 503-347-5605 Fax:( ) Attic/crawlspace fans 23.32
M APPLICANT 0 CONTACT PERSON Other: 23.32
Business name: ARROW MECHANICAL Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: JOE CHAMBERLAIN Furnace,etc.
Address:10330 SW TUALATIN RD Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: TUALATIN,OR 97062 Water heater
Phone: 503-692-1565 Fax:503-691-1879 Fireplace
E-mail: ARROWMECH@FRONTIER.COM Range
Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: ARROW MECHANICAL Other:
MECHANICAL PERMIT FEES*
Address:10330 SW TUALATIN RD Subtotal
City/State/ZIP:TUALATIN, OR 97062 Minimum permit fee($90.00)
Phone: 503-692-1565 Fax 503-691-1879 Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lie.: 5193 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: JOE CHAMBERLAIN Date: 3/3/2022
h\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
W.
City of Tigard
lig4 COMMUNITY DEVELOPMENT DEPARTMENT
■
Building Permit Review — Commercial - No Land Use
l i AizI:)
Building Permit #:
Site Address: WOO OO SW 6SP'' rVy. Suite/Bldg#:
Project Name: 61141/14`� dll'h &In'11
(Name of comntarcial business occuu ing the space. If vacant,enter Spec Space.)
Planning Review � I_ n
Proposal: (Zt f 1Ufr , CI) 'CAG' . 'i r o0 ak,s bct t ke 1 'r` 1"I
Existing Business Activity: ett ,* J ). DA w► 2 b` (� ik-1--
Proposed Business Activity: f��
PiP Verify site address/suite#exists and active in permit system.
❑ River Terrace Neighborhood: ❑ Yes I No
111) Zoning: 6-- G
45 Permitted Use: A Yes ❑ No ❑ Spec Space
VI Confirm no land use required.
La Business License:
Exists: /`4 Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: ie ?j, , Date: 7 3 - 2 2_'Z
� 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: D,3/Q3/2U?.3
Site Plans: # '—
Building Plans: # 'Y
Building Permit#: 41/Enter building permit# above.
Workflow Routing: 11.--"Planning ❑ Permit Coordinator 3tuilding
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: 12'Building: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: Date: dileV/2022--
I:\Building\Forms\B1dgPermitRvw_COM NoLandUse_111819.docx
Permit Coordinator Review
❑ .•ditions "Met"prior to issuance of building permit
❑ Approve., OT Released: Date:
Notes:
Revisions (after Building Submittal o
Revision Notice 1: Date Sent..to - ;.: a
Revision Notice 2: Date Sent t. - .:
Revision Notice 3: Date . Applicant:
❑ SDC Fees Entered: i sh Co Trans Dev Tax: ■ '..-- ❑ N/A
rry‘. Tigard Trans SDC: ❑ Yes `0. N/A
Parks SDC: ❑ Yes • A .,.,
❑ OK to Iss -i emit
APP rov•+ by Permit Coordinator: Date:
I:\Building\Forms\B1dgPermitRvw COM NoLandUse_111819.docx