Permit CITY OF TIGARD MECHANICAL PERMIT
.1111
= COMMUNITY DEVELOPMENT Permit#: MEC2022-00305
Date Issued: 5/25/2022
T f G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S102AB03500
Jurisdiction: Tigard
Site address: 12405 SW MAIN ST
Project: Tigard Chiropractic Subdivision:)ND ELECTRIC ADDITION TO TIGARD' Lot: 2
Project Description: Replace 80%pas furnace with new 80%furnace. Replace 3.5 ton AC with new 3.5 ton AC. Install air purifier.
Contractor: SPECIALTY HEATING&COOLING Owner: 12405 SW MAIN STREET LLC
7500 SW TECH CENTER DR, STE 130 15536 SW ROSHAK RD
PORTLAND, OR 97223 TIGARD, OR 97224
PHONE: 503-620-5643 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/04/2022 $308.37
Class of Work: ALT Type of Const: VB Plan Review 05/04/2022 $77.09
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 05/04/2022 $37.00
Stories: Info Process/Archiving-Sm$0.50(up to 05/04/2022 $5.00
11x17)
Project Valuation: $8,575.00
Fuel Air Handlers
Fuel Types: Natural Gas Units< 10000 cfm:
Gas Pressure: Units> 10000 cfm:
Furnaces Boilers&Compressors
Furnaces< 100K BTU: 1 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: 1
Appliances
Vent Fans: Vent Systems: Total $427.46
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: air purifier
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: �/ 2.7 /� Permittee Signature: >�2`
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
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Mechanical Permit APPlicati (� C n,� I.(uc orruT. 1 SI. )NI ,
City of Tigard`-'E��G • D carer uT/'$ 2Z Permit No_: te,ZD -o03()7
13125 SW Hall Blvd.,Tigard,OR 97223 Plan RevK
e Phone: 503.71 B.2439 Fax: 503.598.1960 FEB 1 8 2022 Dais/ay A6 .....2_2. Other Permit - -
.r lc;A It D Inspection Line: 503.639.4175 pate ReadyrBy /Is' I�wi/ /� ®See Page x nor
Internet: www.tigard-ongov CITY OF TIGAND Noified•M tho �/� I1 /ter Supplemental Information -
BUILDING DIVISIQ _ 1
TYPE OF WORK COMMERCIAL FEE* SCHEDULE-USE CHECKLIST
------ Mechanical pemtit 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
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead.and profit.
Value:$S8,575.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES*
❑ I-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
,_ Air conditioning 46.75
Job site address:12405 SW Main St Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard Or,97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heal pump 61.06
Suite/bldgiapt.no.: Project name:Tigard Chiropractic 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
Other: 23.32
Subdivision: 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 B0%gas furnace with new 80%gas furnace fireplace 23.32
Replace 3.5 ton AC w new 3.5 ton AC Log lighter(gas) 23.32
Wood/pellet stove 33.39
Install air purifier Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
--- Other: 23.32
0 PROPERTY OWNER te TENANT Environmental exhaust and ventilation:
Name:Tigard Chiropractic Clinic Range hood/other kitchen
equipment 33.39
Address:12404 SW Main Clothes Myer exhaust 33.39
City/State/ZIP:Tigard Or.97223 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)620.4880 Fax:( ) ABic/crawlspace fans 23.32
® APPLICANT ICI CONTACT PERSON Other: 23.32
Fuel piping:
Business name:Specialty Heating and cooling LLC 514.15 for first four;S4.03 for each additional
Contact name:Jeff Schwab Furnace,etc.
Address:7500 SW Tech center Dr.#130 Gas heat pump
Wall/suspended/unit healer
City/State/ZIP:Tigard Or.97223 Water heater
Phone:(503)616-0773 Fax::( ) Fireplace
Range
E-mail:jeffst;specialtyheating.com Barbecue _
CONTRACTOR Clothes dryer(gas) _
Business name:S ecialt- Heatingand coolingLLC Other.
P ) MECHANICAL PERMIT FEES*
Address:7500 SW Tech center Dr,#130 Subtotal
City/State/ZIP:Tigard Or.97223 Minimum permit fee($90.001
Plan review(25%of permit fee)
Phone:(503-)616-0773 Fax:( ) State surcharge(12%of permit fee)
CCH Vic.:224977 TOTAL PERMIT FEE
This perm app0cuan expires if a permit B not obtained within l00
days after it has been accepted is complete.
Authorized signature: .'11 • Fee methodology set by Tn-Covnty Budding Industry Service Board
IPrint name:Jeff Schwa Dale:2/14/2022
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
■
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: C— - 3()5
Site Address: IMP 50/ Naha 5-1-: Suite/Bldg#:
Project Name: C Bp i-it
(Name of commercial busine,s occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: t cLcl` ex°ldqas ri1 rh.G�LL w/�.Gw 1 ✓`�plu t, ,y Iavl. �►
�`w.w 7 141,Sd-arL atilt uri4ty
Existing Business Activity: il to I FftC{_
Proposed Business Activity:
VI. Verify site address/suite#exists and active in permit system.
0 River Terrace Neighborhood: ❑ Yes E No
Zoning. Xi) CA32
qvPermitted Use: A Yes ElNo ElSpec Space
Confirm no land use required.
Business License:
Exists: A Yes ❑ No,applicant was provided a business license application
Notes: ScvUk1 vt, p(avL uL pr -ed vto Mfr1 tNiVlyJ
Approved by Planning: kv ` a Date: 11/12/
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: CAL/1 272022-
Site Plans: # IZ
Building Plans: # 2
Building Permit#: ' Enter building permit#above.
Workflow Routing: Planning 0 Permit Coordinator 12-"Building
Workflow Sign-off: Er Sign-off for Planning(include notes from planning review)
Route Application Documents: 1/Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: Date: 00 Z/ Z
I:1Bui Iding\Forms\BI dgPerm itRvw_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 Applicant: '
Revision Notice 3: Date Sent to Applicant:
❑ SDC Fees Entered: Wash Co Trans Dey Tax: ❑ Yes 0 N/A
Tigard Trans SDC: • 0 Yes ❑ N/A
Parks SDC: 0 Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
1:1Building\Forms\BldgPermitRvw_COM NoLandUse_111819.docx