Permit .1,1 CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2022-00399
Date Issued: 6/9/2022
T IG.A.RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S135C600300
Jurisdiction: Tigard
Site address: 11445 SW TIEDEMAN AVE
Project: Roof Life of Oregon Subdivision: None Lot: None
Project Description: Replace existing 7.5 ton unit with new 7.5 ton unit.
Contractor: SPECIALTY HEATING&COOLING Owner: TIEDEMAN CROSSING LLC
7500 SW TECH CENTER DR, STE 130 11445 SW TIEDEMAN AVE
PORTLAND, OR 97223 TIGARD, OR 97223
PHONE: 503-620-5643 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/09/2022 $561.07
Class of Work: ALT Type of Const: Plan Review 06/09/2022 $140.27
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 06/09/2022 $67.33
Stories: Info Process/Archiving-Lg$2.00(over 06/09/2022 $2.00
11x17)
Project Valuation: $18,382.00 Info Process/Archiving-Sm$0.50(up to 06/09/2022 $2.50
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 $773.17
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules ar set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard gRFX C° f DaceivDaWHed �)-3/ itt p ` 2e ec
13125 SW Hall Blvd.,Tigard,0
' .Plan Rev iew )
II Phone: 503./18.2439 Fax: 503598.1960 Date/By 6-I - Z,Z Other Permit.
T I G A R 13 inspection Line: 03.639 4175 MAY 19 2022 Date Rcady/By Jam V( See Page 2 for
Internet www.tigard-or.gov Notified/Method; ( /'1f'e I/ Supplemental Information
CITY OF TIGARU
TYPE O'I$V DIVISION' COMMERCIAL FEE' SCHEDULE - USE CHECKLIST
Mechanical permit fees'are based on the value of the work
0 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:$ 18,382.00
CATEGORY OF CONSTRUCTION
i --�. �-.. - ..--.-, �. .-.x,d�,<u� s RESIDENTIAL EQUIPMENT/SYSTEMS FEES'
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist
❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
, y ¢��U �`' -,' Air conditioning 46.75
Job site address: n 9 f ('M AJ r'/t Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 2'23 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt,no.: i Project name: �
7 Y.�u yr
� Heat pump 61.06
0 \. 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
f T j)/ t4� �� Flue vent for water heater or gas
ty 1 I 1- A)&� �t�Tv t fireplace 23.32
Pf
h q 'It " 010 Log lighter(gas) 23.32
1 W V .. Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY OWNER 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Kt. (�'r � � Range hood/other kitchen
,,,�,........... . ^.�..� .: r,.:...,, <...,,. equipment 33.39
Address:
i4 < w I i Av Clothes dryer exhaust 33.39
City/State/ZIP: CI ' Single-duct exhaust(bathrooms,
• .. -«%• -. toilet compartments,utility rooms) 23.32
Phone (501)9245.1 012 Fax:( ) Attic/crawispace fans 23.32
El APPLICANT 0 CONTACT PERSON Other: , 23.32
Fuel piping:
Business name: Faster Permits
514.15 for first four;$4.03 for each additional
Contact name. Walter Stern Furnace,etc.
Address. 2000 SW 1st Ave, STE 420 Gas heat pump
....:,,. Wall/suspended/unit heater
city/stateizip:Portland, OR 97201 Water heater
__
Phone:(503)703-7592 Fax::( ) Fireplace
.. - Range
E-mail wafter@fasterpermits.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: / Other:
= MECHANICAL PERMIT FEES*
Address: 1 C 13 iZeo (i
els-_ Subtotal
CityJState/ZIP: Minimum permit fee($90.00)
�y Plan review(25%of permit fee)
Phone:( ) j � Fax:( ) State surcharge(12%of permit fee)
st _ ,
CCB tic / 6i-2 f? 2..2— -, ? TOTAL PERMIT FEE
This permit application expires if a permit Is not obtained vrithin 180
�, .-M""'^" °"' days after it has been accepted as complete.
Authorized signature: �.. - -~�"�- ' Fee methodology set by Tn-County Building Industry Service Board
Print name: ) f Date: j� L -...
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City of Tigard
r COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
0
Building Permit #:
Site Address: I ( of 4 S°-" S v 71 e 6-e jfv(24 Suite/Bldg#:
Project Name: ezD cA-C L2A Oroc
(Name of commercial business occupying thekpace. If vacant,enter Spec Space.)
Planning Review
Proposal: ,---eQ\a C\Yx:j yt;tAe \\VA
Existing Business Activity: ` ,k
Proposed Business Activity: N
I I.' Verify site address/suite#exists and active in permit system.
❑ River Terrace Neighborhood: ❑ Yes g7 No
Zoning:
ermitted Use: ❑ Yes ❑ No ❑ Spec Space
Confirm no land use required.
usiness License:
Exists: ❑ Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: ,SPk 'b\,(4��/(,� Date: �' 'M _ 7,02._--7
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:
Site Plans: #
Building Plans: #
Building Permit#: ❑ Enter building permit#above.
Workflow Routing: ❑ Planning ❑ Permit Coordinator ❑ Building
Workflow Sign-off: ❑ 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: Date:
I:\Building\Forms\BidgPermitRvw_COM_NoLandUse_l 11819.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 Applica .
Revision Notice 2: Date Sent to App • ant:
Revision Notice 3: Date Sent to ' .plicant:
❑ SDC Fees Entered: Wash C. rans Dev Tax: ❑ Yes ❑ N/A
Ti:.. . Trans SDC: ❑ Yes ❑ N/A
'arks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Pe ' t Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_111819.docx