Permit CITY OF TIGARD MECHANICAL PERMIT
11 COMMUNITY DEVELOPMENT Permit#: MEC2022-00316
T I G A R L? 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/10/2022
Parcel: 2S 112AD00301
Jurisdiction: Tigard
Site address: 14610 SW SEQUOIA PKWY
Project: John Barleycorns Subdivision: BONITA GARDENS
Lot: 4
Project Description: Replace swamp cooler from lower roof attaching to existing curb.
Contractor: HVAC INC Owner: STEMLYCORNS LLC
5188 SE INTERNATIONAL WAY BY SMETS, JOHN E
MILWAUKIE, OR 97222 PO BOX 560
AURORA, OR 97002
PHONE: 503-462-4822 PHONE:
FAX: 503-462-6555
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/03/2022 $235.31
Class of Work: ALT Type of Const: Plan Review 05/03/2022 $58.83
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 05/03/2022 $28.24
Stories: Info Process/Archiving-Sm$0.50(up to 05/03/2022 $2.50
11x17)
Project Valuation: $6,000.00
Fuel Air Handlers
Fuel Types: Electricity 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 $324.88
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: swamp cooler
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for •re the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules - forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy oft les
Issued By: „7//��
�6- / i Permittee Signature:
171
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This •ermit card shall be kept in a conspicuous place on the job site until completi of the project.
Approved plans are required on the job site at the time of each inspection.
RECEIVED61
Mechanical Permit Application APR 13 2021 FOR OFFICE USE ONLY
City of Tigard Received /� / r Permit Nu �A ��f� /�
e Date/By- "1 121.1 22 Mer2022-On!
co
t " 13125 SW Hall Blvd.,Tigard,OR 97223 CITY Y OF T1GARLI Plan Revier
' Phone: 503.718.2439 Fax: 503.598.1 (� A��± n n Other Permit:
DIVISIO, Date/By:
TIGARD Inspection Line: 503.639.4175 Date Ready/By: ���^De� > Jura: 171 See Page 2 for
Internet: www.tigard-or.gov Notified/Method / 22 p —ff Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:$ }c\M) —
RESIDENTIAL EQUIPMENT I SYSTEMS FEES*
0 I-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist
0 Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
— Air conditioning 46.75
Job site address: I,} `l r-' n }/
1 V k V t t'/r ( }‘`v�� Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: C;iQ°•re\ } 1;.7 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt,no.: Project name: c}1,_ 'il i I'I( yn1AS ;;V\V.vI
Duct work 23.32
Cross street/directions to job site: j VV i{' T' rl Hydronic hot water system 23.32
cJ Y 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
i �ti 4' 1 :i'�1/ I 't'n"
y� y: 1 �. j' 1. I fireplace 23.32
\ 't A. — \,(7Q�, -. attaching to existing curb Log lighter(gas) 23.32 _
Wood/pellet stove _ 33.39 _
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
❑ PROPERTY OWNER 0 TENANT
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
Address: equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans t 23.32
❑ APPLICANT 0 CONTACT PERSON Other: 23.32
\A`f n C. Fuel piping:
Business name: v
$14.15 for first four;$4.03 for each additional
Contact name: 1 {� Q n Furnace,etc.
Address: t r f V 4;"�..�-- 6 �1iI1 te.Q ( �t Gas heat pump
�J11 Wall/suspended/unit heater
City/State/ZIP: ri^ 1 W 'VC b2 ( �-- -- Water heater
Phone:( 3j)`, Fax:: j Fireplace
(� . tl`�— (` ; 7) �ftod' la`s _
E-mail: Q ri� nc..v -r1, 1, t Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: t ,) IMP Other:
MECHANICAL PERMIT FEES*
Address: Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Phone:( ) Fax:( ) Plan review(25%of permit fee)
_ State surcharge(12%of permit fee)
7
CCB lic.: t) r. (TA TOTAL PERMIT FEE
\\&a
This permit application expires if a permit is not obtained within 180
daysafterithasbeenacceptedascomplete.Authorized signature: i \"" _ * Fee methodology set by Tri-County Building Industry Service Board
Print name: 0 .� 13' , � Date: I �✓
1:1Building1Permits X_Permit pp_040113.doc 440-4617T(I I/02/COM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
Tln Building Permit Review — Commercial - No Land Use
k'a '4, iN tent/ 3+H£^ 3f ww,,,Er' i .+.fa x�#a't° e!" :a" .. 1.4F` ;. ive.i. '.'. '"'k'bE'at patf dfik frrtmsv.1+.:
Building Permit #: M C-C 2022.- 00 01 (D
Site Address: I L{ (D ( t7 ski ' JO I b. P Zfr.f Suite/Bldg#:
Project Name: MLMe vvIIM 30 -t3ad2Leyearis
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 2 j t t.r 'f-
Existing Business Activity:
Proposed Business Activity:
Verify site address/suite#exists and active in permit system.
❑ River Terrace Neighborhood: ❑ Yes gII No
a mitted Use: ❑ No ❑ Spec Space
Confirm no land use required.
0 3 Business License:
Exists: ❑ Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: Date: t-{/f g /2—C-
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved El Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 13/2.2.
Site Plans:
Building Plans: # 2—
Building Permit#: CZ Enter building permit#above.
Workflow Routing: 4 Planning ❑ Permit Coordinator 14 Building
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: ig Building: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes: ��
By Permit Technician: C!). ,r`Q) 'fi t Date: '4Ia'laa
I:\Building\Forms\BldgPennitRvw_COM NoLandUse_111819.docx