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Permit CITY OF TIGARD MECHANICAL PERMIT I COMMUNITY DEVELOPMENT Permit#: MEC2021-00863 Date Issued: 3/14/2022 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S136D602600 Jurisdiction: Tigard Site address: 11201 SW 72ND AVE Project: McDonald's Subdivision: None Lot: None Project Description: Replace(1)RTU Contractor: HUNTER DAVISSON INC Owner: STEWART/BARI PROPERTIES LLC 1800 SE PERSHING ST STEWART TRUST PORTLAND, OR 97202 BY US BANK BOX 64142 ST PAUL, MN 55164 PHONE: 503-542-3628 PHONE: FAX: 503-542-3654 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 11/16/2021 $710.93 Class of Work: ALT Type of Const: Plan Review 11/16/2021 $177.73 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 11/16/2021 $85.31 Stories: Info Process/Archiving-Sm$0.50(up to 11/16/2021 $27.50 11x17) Project Valuation: $24,247.00 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 $1,001.47 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: Edgard.o-Mat4.ov c- Permittee Signature: ye,e,eujortizzuji,Pvt, 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. $-102 2 Mechanical Permit Application City of Tigard ` Received r/ q� III 'a 13125 SW Hall Blvd.,Tigard,OR 972 C E f !� a DateBy: IO�7J1.�Z/ Permit No.:MOZ./-00 g(,3 _ Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: ' 1 Other Permit: Inspection Line: 503.639.4175 OCT 2 5 2021 TIGARD Date Ready/By: ur1' El See Page 2 for Internet: www.tigard-or.gov otified/Method: J/ ' Supplemental Information CITY OF T IG1Ario /( RI111N1 11/1S!OA1 caRs tr Vs as t r TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees*are based on the value of the work ❑New construction IX Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$24,247.00 CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ 1-and 2-family dwelling ©Commercial/industrial ❑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: 11201 SW 72ND AVE 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: McDONALD'S RTU REPLACEMENT Duct work 23.32 Cross street/directions to job site: PACIFIC HWY W&SW 72ND AVE 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: I Lot no.: 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(1)RTU fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 El PROPERTY OWNER I Other: 23.32 ❑ TENANT Environmental exhau.t and ventilation: Name: UTB MANAGEMENT McDONALD'S Range hood/other kitch cn • equipment 33.39 Address: 8900 NE WALKER RD Clothes dryer exhaust 33.39 City/State/ZIP: HILLSBORO/OR/97006 Single-duct exhaust(bahrooms, toilet compartments,utility rooms) 23.32 Phone:( 503 )803-3835 Fax:( ) Attic/crawlspace fans' 23.32 ® APPLICANT ❑ CONTACT PERSON Other: 23.32 Fuel Business name:HUNTER DAVISSON piping: $14.15 for first four;$4.03 for each additional Contact name: ROB BUTLER Furnace,etc. r Address: 1800 SE PERSHING ST Gas heat pump WalUsuspended/trnit heater City/State/ZIP: PORTLAND/OR/97202 Water heater Phone:( 503 )542-3616 Fax: :( ) Fireplace Range E-mail: RBUTLER@HUNTERDAVISSON.COM Barbecue CONTRACTOR Clothes dryer(gas) Business name: HUNTER DAVISSON Other: MECHANICAL PERMIT FEES* Address: 1800 SE PERSHING ST Subtotal City/State/ZIP: PORTLAND/OR/97202 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( 503 )5az-3616 Fax:( ) State surcharge(1 2/u of permit fee) CCB tic.: 1612 TOTAL PERMIT FEE $973.97 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorize • afore: * Fee methodology set by Tri-County Building Industry Service Board Print name: iZibR C 5 to Z Date: L 0l 2. /Z( I:\Building\Permits\MEC_PermitApp_0401 I3.doc 440-4617T(II/02/COM/WEB) City of Tigard ® COMMUNITY DEVELOPMENT DEPARTMENT Tl cARD Building Permit Review — Commercial - No Land Use Building Permit #: 4 C,Z j2!-p0 g64 3 Site Address: 1120 I S1 7Zn(J /9 )E Suite/Bldg#: Project Name: 'V)c.i J LDS (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: pery cp2pLAcerytextr Existing Business Activity: /l/4, Proposed' Business Activity: �/,7 Ld' Verify site address/suite# exists and active in permit system. Z,/River Terrace Neighborhood: ❑ Yes ❑ No L d'Z ing: C'G � mitted Use: Z Yes ❑ No ❑ Spec Space Confirm no land use required. ❑ Business License: Exists: ❑ Yes ❑ No,applicant was provided a business license application Notes: Approved by Planning: Date: /6/26// Revisions (after Building Submittal onl ) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: /0/25402/ Site Plans: # .2- Building Plans: # .- Building Permit#: REnter building permit#above. Workflow Routing: Er Planning ❑ Permit Coordinator ["Building Workflow Sign-off: 2' Sign-off for Planning(include notes from planning review) Route Application Documents: 21Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: A� By Permit Technician: '; Date: 0/2/421 I:\Building\Fonns\BldgPermitRvw_COM_NoLandUse_111819.docx Per Coordinator Review ❑ Conditions •' -t"prior to issuance of building permit ❑ Approved,NOT Re , ed: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to "pplicant: Revision Notice 2: Date Se o Applicant: Revision Notice 3: Dat- 'ent to Applicant: ❑ SDC Fees Entered: ash Co Trans Dev Tax: ❑ Yes El • Tigard Trans SDC: ❑ Yes ❑ N/A Parks SDC: El Yes ❑ N/A ❑ OK to Is .e Permit App s ed by Permit Coordinator: Date: 1:\Building\Forms\BldgPennitRvw_COM_NoLandUse_111819.docx