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Permit IIICOCITY OF TIGARD MMUNITY DEVELOPMENT MECHANICAL PERMIT ■ n Permit#: MEC2021-00683 Date Issued: 4/4/2022 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 1S136CD00100 Jurisdiction: Tigard Site address: 11705 SW PACIFIC HWY X Project: Jersey Mike's Subdivision: None Lot: None Project Description: New Type I and Type II hoods and HVAC distribution for new restaurant tenant. Note: Rooftop RTUs under separate permit MEC2021-00599. Contractor: JRT MECHANICAL INC Owner: PACIFIC CROSSROADS PROPERTIES INC PO BOX 1450 BY WYSE INVESTMENT SERVICES CO BATTLE GROUND,WA 98604 810 SE BELMONT ST#100 PORTLAND, OR 97214 PHONE: 360-666-0330 PHONE: FAX: 360-666-0830 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 09/30/2021 $1,236.71 Class of Work: ALT Type of Const: VB Plan Review 09/30/2021 $309.18 Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 09/30/2021 $148.41 Stories: Info Process/Archiving-Lg$2.00(over 09/30/2021 $10.00 11x17) Project Valuation: $45,000.00 Fuel Air Handlers Fuel Types: Electricity Units< 10000 cfm: 1 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 $1,704.30 Hoods: Comm Incinerators: r Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set fort in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules Issued By: , iii?Arol... --__Permittee Signature: ; �Z ,...=z -- U Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the Job site at the time of each inspection. s. . 1. Mechanical Permit ApplieatiFCEIVED FOR off lct: l sl<t)s,l l Received ,.t/ p City of Tigard BlvdDate/13y: 9t Z r/ <PA Permit No.MFe�24- 7c(G J 3 13125 SW Hall Blvd,Tigard,OR 97223 A U G 2 b 2021 Plan Revie 41/...ill �I Other Permit: Phone: 503.718.2439 _ Date/By: J TIGARD Inspection Line: 503.639.4175 CITY OF JIGARu Date Ready/By: / l'u'rIir'.� ® See Paget for Internet www.tigard-orgov BUILDING DIVISION otifed/Mettto ' / / I ►( Supplemental Information iMv 'kS 4 t5 v...F vN'..rv^.v - ... a..c,1.,;im,. u... Ga.r - - ❑New construction ® Addi tion/alteration/replacement Mechanical permit fees'are based on the value of the work performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit. 11:,.K s ,ra Y •,, Value$ 45,000 I t ar,;i; ❑ 1-and 2-family dwelling IXJ.Commercial/industrial 0 Accessory building For special information use checklist ❑Multi-family ❑Master builder 0 Other. Description I Q '- . Ea- I Total .'ia lsl ®t0 pce'"5� .�.F...F... T. - - .. Heating/cooling: Job site address: 11705 SW Pacific Hwy. Air conditioning 46.75 Ci /S[ate/ZIl': Tigard,OR Furnace 100,000 BTU(ducts/vents) 46.75 t3' xFurnace 100,000+BTU(ductUvean) 54.91 Suite/bldg.Japt no.: !f�( 11_,Project name:Jersey Mike's SubsHeat pump61.06 Cross street/directions to jo acinc t:rossroadS Ketall Center. Cross St. Duct work 23.32 Hydronic hot water system 23.32 is SW 78th Ave. Residential boiler(radiatoror 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 Tax map/parcel no.: Other fuel appliances: Water heater 23.32 - t!n> urn a7.- ss,.kON'OF�1'[1fL ' , m„ _. :" .. --- _..ri L.,9 .� .e9 -• ass r.: a. a-r Gas fireplace/insert 33.39 Interior TI for a new fast casual restaurant. Work includes new Type I & Fl for water heater or gas YP firee placeplace 23.32 Type II hoods, HVAC distribution(RTUs by sep. permit) r2' inter--• Loglighter(gas) 23.32 Wood/pellet stove 33.3 Note rooftop equipment& screening under e/ins separate permit by Landlord. wood elreplace/in«t 23.322 Chimney/finer/flue/vent 23.32 '' •iQ _ 11ia'; �'1 _ ,4FN, n€r_= ',71a _�. Other 23.32 Name: Daniel Watts/Watts World dba Jersey Mike's Subs Environmental exhaust and ventilation: Range hood/other kitchen Address:5204 P St. equipment 33.39 Washougal,WA 98671 Clothes dryer exhaust 33.39 City/StateJZIP: Single-duct exhaust(bathrooms, Phone:(661 ) 623.3809 Fax:( ) toilet compartments,utility rooms) 23.32 __" -�.. Attic/crawispace fans 23.32 '' ',3+ I ,Pgr'' 11-!.I. WArt: 0. 11: Other: 23.32 Business name: GA Miller Architecture PC Fuel piping: Contact name: Glen Miller $14.15 for first four$4.03 for each additional Furnace,etc. Address: 141 Del Prado St. Gas heat pump City/State/ZIP: Lake Oswego, OR 97035 Wall/suspended/unitheater , Water heater Phone:( 503)636.7979 I Fax::(503 )636.9898 Fireplace E-mail: glen©gamillerarchitecture.com Range _ Barbecue ti'i Wilk. a__ .-- Clothes dryer(gas) Business name: Tim-' Other: ",� ,TiQ7-/L1r�G�l��pig/ Address: //y1-2,�, ! CO .`,'"? {'i. '-I 'A'-s.`. .?v ` i '^ " / r " Z" G//5-'(/ Subtotal City/State/ZIP: yy�jjr /„� 1 J �/ 7�0L� Minimum permit fee($90.00) G e:ice� fL [ C �Fax: Plan review(25%of permit fee) Phone:(3 P j�°'�JC care) Fes:( ) State surcharge(12%of permit fee) CCB lic.: / ,, O _4)f 37 / 3 TOTAL PERMIT FEE ���,r� , /.,t�,7,� This permit application expires if a permit is not obtained within ISO Authorized signature: 7.��t^t�/i.�tit-,11 days after it has been accepted as complete. ' Fee methodology set by Tri-County Building Industry Service Board Print name: Glen A. Miller Date: 8/26/21 !Mudding lPe,mirsw4EC Permlapp 082520.doc 440-4617T(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Submittal Requirements: • (2)sets of plans, drawn to scale. • (2) sets of equipment cut sheets. • (2)copies of site plan for ground and roof top equipment No ground or roof top equipment submitted for review location and screening per Tigard development code. under this permit application. Commercial &Multi-Fami Fee Schedule: $0.00 to S500.00 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. [:\Building\Permits MEC_PermitApp_082520.doc 2