Permit ti CITY OF TIGARD MECHANICAL PERMIT
'"1 COMMUNITY DEVELOPMENT Permit#: MEC2022-00164
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 3/23/2022
Parcel: 1 S135BC01100
Jurisdiction: Tigard
Site address: 11101 SW GREENBURG RD
Project: D-Bat Subdivision: None Lot: None
Project Description: Install(1)RTU,(1)exhaust fan,air distribution. Includes gas piping.
Contractor: OREGON HEATING&AIR CONDITIONING LLC Owner: GREENBURG SPACE CENTER LLC
6950 SW 111TH AVE 4804 NW BETHANY BLVD STE 1-2#243
BEAVERTON, OR 97008 PORTLAND, OR 97229
PHONE: 503-691-9699 PHONE:
FAX: 503-691-8556
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/16/2022 $1,455.84
Class of Work: ALT Type of Const: VB Plan Review 03/16/2022 $363.96
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 03/16/2022 $174.70
Stories: Info Process/Archiving-Lg$2.00(over 03/16/2022 $2.00
11x17)
Project Valuation: $53,625.00 Info Process/Archiving-Sm$0.50(up to 03/16/2022 $6.00
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: 2 Vent Systems: Total $2,002.50
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
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: Eotga.roLo-MaldoK .4 - Permittee Signature: Yet, 0-p-r)-1.4,C-0-4-i-Cv4.,
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.
g-
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard RECEIVED Dac/B:03 01 Z2 ��• Permit No.:III€(2 22 0Q(bL f-
• 13125 SW Hall Blvd.,Tigard,OR 97223
Z Plan Review _
Phone: 503.718.2439 Fax: 503.598.19602-2_
4 Other Permit:
FEB 2 2 2022 Date/By: 3' 9 2 2_ l /
T 1 G A R D Inspection Line: 503.639.4175 Date Ready/By: / / lurk: ® See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Not' d/Method: / "� iI Supplemental Information
TYPE OF WORK / RCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit tees*are based on the value of the work
❑New construction ® Addition/alteration/replacement perfonned.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:S 53,625.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ I-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:1 1 101 SW Greenburg Rd Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard, OR 97223 Furnace 10(1,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:D-BAT 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
Provide and install (1) RTU, (1) exhaust fan, air distribution. fireplace 23.32
Includes gas piping. Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
0 PROPERTY OWNER ElTENANT Other:
Environmental exhaust and ventilation: 23.32
Name:Greenburg Space Center LLC Range hood/other kitchen
equipment 33.39
Address:4804 NW Bethany Blvd Ste 1-2 #243 Clothes dryer exhaust 33.39
City/State/ZIP:Portland OR 97229 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( I Attic/crawlspace fans 23.32
® APPLICANT 0 CONTACT PERSON Other: 23.32
Business name: Oregon Heating and Air Conditioning Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: Jeff Sanchez Furnace,etc.
Address: 6950 SW 111th Ave Gas heat pump
Wall/suspended/unit heater
City/state/ZIP: Beaverton OR 97008 Water heater
Phone:(503 ) 572-6984 I Fax: :( ) Fireplace
Range
E-mail: jsanchez@oregonheating.com Barbecue
CONTRACTOR Clothes dryer(gas) _
Oregon Heating and Air Conditioning Other:
Business name: MECHANICAL PERMIT FEES*
Address: 6950 SW 111th Ave Subtotal
City/State/ZIP: Beaverton OR 97008 Minimum permit fee(S90.00)
Plan review(25%of permit fee)
Phone:1503) 572-6984 Fax:( ) State surcharge(12%of permit fee)
CCB lie.: 137653 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
7 / / days after it has been accepted as complete.
Authorized signature: �97y/"//�Gr/6W-a- * Fee methodology set by Tri-County Building Industry Service Board
Print name:Amy McDonald _ Date:02/21/2022 J
I:Building/Pennits ME('PermitApp 040113 doc 440-4617T(11/02/COM/WEB)
City of Tigard
11111 .1 COMMUNITY DEVELOPMENT DEPARTMENT
T1cuD Building Permit Review — Commercial - No Land Use
Building Permit #: L-G2022f-Ob ((oy-
Site Address: [, (Of 5W (01f eewleer, Rat . Suite/Bldg#:
Project Name: Dom.
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review � ( r l r
Proposal: ?,�t1vi i- l VI,S ht7,*) R,-�- ) �+( (t �C.KA.Ua?' lt'l (I�r (/�t�T/'i 01/ k7 .
lAct� 5 y ct.s pip;
Existing Business Activity: 2- MT-
Proposed Business Activity:
Of Verify site address/suite# exists and active in permit system.
El River Terrace Neighborhood: ❑ Yes K1 No
pip Zoning: MAj C
Permitted Use: ,p) Yes ❑ No ❑ Spec Space
Confirm no land use required.
C? Business License:
Exists: Ai Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: Apititil Date: ?-- 111 ZOZ'Z
Revisions (after Building Submittal only) Reviewer Date
Revision 1: El Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 02 ��
Site Plans: # -
Building Plans: # 2
Building Permit#: [tenter building permit#above.
Workflow Routing: [Planning ❑ Permit Coordinator [P Wuilding
Workflow Sign-off: 0--"Sign-off for Planning(include notes from planning review)
Route Application Documents: P.- Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: er7-3 z2
I:\Building\Forms\BldgPermitRvw_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 Applican
Revision Notice 3: Date Sent to App • ant:
❑ SDC Fees Entered: Wash Co T . s Dev Tax: ❑ Yes ❑ N/A
Tigard ans SDC: ❑ Yes ❑ N/A
P. s SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM NoLandUse_111819.docx