Permit PI CITY OF TIGARD MECHANICAL PERMIT
R
COMMUNITY DEVELOPMENT Permit#: MEC2022-00115
Date Issued: 5/11/2022
'TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110AC01100
Jurisdiction: Tigard
Site address: 11300 SW BULL MOUNTAIN RD
Project: Bull Mountain marijuana Subdivision: None Lot: None
Project Description: Replace existing mechanical RTU with new unit in same location
Contractor: Owner: BULL MTN LLC
10685 SW CLAY ST
SHERWOOD, OR 97140
PHONE: PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/22/2022 $728.71
Class of Work: ALT Type of Const: VB Plan Review 03/22/2022 $182 18
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 03/22/2022 $87.45
Stories: 1 Info Process/Archiving-Lg$2.00(over 03/22/2022 $20 00
11x17)
Project Valuation: $25,000.00 Info Process/Archiving-Sm$0.50(up to 03/22/2022 $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: Vent Systems: Total $1,024 34
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 50
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 foll w the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. Yoy may o tain a copy of the rules
"/ii l
Issued By: Permittee Signature: `' 1'�i( (./1,//`-,
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 ulntil completion of the project.
Approved plans are required on the job site at the time of each inspection.
i
Mechanical Permit ApplicationFOR OFFICE USE ONLY
City of Tigard RECEIVED Received �] `
Date/By: O� 2 `i Permit No.:mw_c_ZOZZ^op\15-
13125 SW Hall Blvd.,Tigard,OR 97223
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 FEB 01 7.71 Date By: 3^j CJ.�i Q Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready/By: lurs:
Internet: www.tigard-or.gov TIGARD
g A yr� Tler See SupplementalPage for
CITY OF {!�apiRD Notified/Metho • Information
t?t tiI t-sI t ' r-1,� "ri
TYPE OF WORK COM RCI L FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction .,1 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:`S T5t 007)
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-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: it 3 0 0 s u �I , lf1Gunici to a Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Ii garcki (�Q CO r]a u Furnace 100,000+BTU(ducts/vents) 54.91
�J ` Heat pump 61.06
Suite/bldg./apt.no.: Project name: 64a dlu t.7a.6'4 iL(t falARMl 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
Re, I C.trA X t �t Ike 1 t�.C/�C.In1CL1( �j ��n lIA �l'" k 1 K,i� fireplace 23.32
( Log lighter(gas) 23.32
`ri �� Sant c.ci tail . Beni►-‘ 'tn�tr',r- dtnctt n
` . `` Wood/pellet stove 33.39
COY 'An. n art i�t J r 0 001 S a t
L rCiL to ;-�e . ,t Ikl Wood fireplace/insert 23.32
r o 7 .> ode. J Chimney/liner/flue/vent 23.32
Other: 23.32
0 PROPERTY OWNER 'TENANT Environmental exhaust and ventilation:
Name: ��-.5 1--,\b;II t 11 g LL(. Range hood/other kitchen
equipment 33.39
Address: .33.E N ie, Sal\clL \3 Vs . Clothes dryer exhaust 33.39
City/State/ZIP: 'POrti oh 1 0A G•a 3a Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
APPLICANT 0 CONTACT PERSON Other: 23.32
Business name: Fuel piping:
�� �!►n/�1 pt t)tt^CL re-C .(�r< $14.15 for first four;$4.03 for each additional
Contact name: 0) 1,.L Furnace,etc.
Address: 3 5 Co se M;1 ijau k - Sort t. t Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: 19h 14 ion J) OR 4 1 Da Water heater
Phone:(503) 5 3 La q 3 Fax::( ) Fireplace
Range
F.-mail: ijorlir'I ,] �Qtvio,atr''j,. i,.v
t - ' J J (_O!r+ Barbecue
CONTfirXCTOR Clothes dryer(gas)
Business name: ,0 B i AOther:
MECHANICAL PERMIT FEES*
Address: Subtotal 7a I
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee) j 8 I. 'I3
Phone:( ) Fax:( )
State surcharge(12%of permit fee) s�7. 3 3
CCB lic.: TOTAL PERMIT FEE 9C L. `i
This permit application expires if a permit is not obtained within 180•
�j� days after it has been accepted as complete.
Authorized signature: �// * Fee methodology set by Tri-County Building Industry Service Board
Print name: �0,, G F,C, Date:0,) ) e 8/a 3-3
B t:\ uildinn\ \Permit.MFC Permit Ann n A �441I11 ,. Urn�i�..,....,.-,,.
'PI City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use ,
o,
Building Permit #: t'n _.-C.202Z- O.U\1 c
Site Address: 113(56- 5W gam(, /VOLVca.lfr1 f,,, Suite/Bldg#:
Project Name: Fjv (( 1V,a0144 . IY a `I,(`( ,vl,Q
(Name of commercial business occupying the space. Yf vacant,enter Spec Space.)
Planning Revie
Proposal: RQ, Q `W34; 1MQ.fik l iv tiVI/ UM V Vl j i-1‘(/1 Sa UV(lL_
Existing Business Activity: Ma rI I('a(ii3O D(3fr-ev)sa(ty
Proposed Business Activity: v _
VA Verify site address/suite # exists and active in permit system.
❑ River Terrace Neighborhood: ❑ Yes n No
Zoning: 0 (_ 0
Xi Permitted Use: X Yes ❑ No ❑ Spec Space
129 Confirm no land use required.
0 Business License:
Exists: p Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: Date: VA"l/ze Z Z
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: a ,q`ZZ
Site Plans: #
Building Plans: # 5
Building Permit#: g'Enter building permit#above.
Workflow Routing: 'Planning Q.Building
Workflow Sign-off: D/Sign-off for Planning(include notes from planning review)
Route Application Documents: [Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: `) QrOQA..JJ-9 A Date: `a, 1 5A2Z
1:\Building\Forms\BldgPerm itRvw_COM_NoLandUse_111819.docx
Permit Coordinator Review
❑ Cons •ons "Met"prior to issuance of building permit
❑ Appro -d,NOT Released: Date:
Notes:
Revisions (after Buil• Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: ate Sent to Applica
❑ SDC Fees Entered: Wash .o Tra : 1ev Tax: ❑ Yes ❑ N/A
Tigard T . s SDC: ❑ Yes ❑ N/A
Par.. DC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Per Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM NoLandUse_1I1819.docx