Permit III CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Pe
COMMUNITY MEC2022-00337
Date Issued: 6/14/2022
T I t;A 12.0 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S113AB01400
Jurisdiction: Tigard
Site address: 7374 SW DURHAM RD
Project: Providence Pharmacy Subdivision: None Lot: None
Project Description: Installation of freezer box that contains the evaporator.The condensing unit to be mounted on adjacent building
roof.
Contractor: PORTLAND MECHANICAL Owner: PACIFIC REALTY ASSOCIATES LP
2000 SW HANNA HARVESTER DRIVE ATTN: N PIVEN
MILWAUKIE, OR 97222 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-656-7400 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/25/2022 $1,911.51
Class of Work: ALT Type of Const: VB Plan Review 05/25/2022 $477.88
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 05/25/2022 $229.38
Info Process/Archiving-Sm$0.50(up to 05/25/2022 $12.00
Stories:
11x17)
Project Valuation: $72,000.00
Fuel Air Handlers
Fuel Types: Electricity Units< 10000 cfm: I
Gas Pressure: Units> 10000 cim:
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 $2,630.77
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: walk in 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 more the 180 days. ATTENTION: Oregon law requires you to follow the ru adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You m obtain a o f the rules
Issued By: Permittee Signature: r,
�--
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 Applic FOR OFFICE USE ONLY
lil �./EI VE 1�-' Rccciccd
City of Tigard DateiBy: L Pe _ '"`
I3125 SW Hall Blvd. Tigard,OR 97223
g PR 2 8 2022 Plan Rcvicu
AA ^ Other Permit:
' Phone: 503.718.2439 Fax: 503.598.t9GQ'
Date/By: S' S j�
TIGARD Inspection Line: 503.639.4175 TV r-r Dale ReadyBy: laris: ® See Page 2 for
Internet: www.tigard-or.gov CITY 1 Or I IUHli�J Notitied/Method: Supplemental Information
BUILDING DivISIOr•
TYPE OF WORK C4SOIERCIAL FEE* SCHEDULE USE CHECKLIST
Mechanical permit fees*are based on the value of the work
®New construction ❑Additionialterationireplacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ElOther: mechanical materials,equipment,labor,overhead,and profit.
Value:572,000
CATEGORY OF C(I'VS'1'1{E,(;FION RESIDENTIAL EQUIPMENT I SYSTEMS FEES*
❑ 1-and 2-family dwelling CM Commercial/industrial ❑Accessory building For special igformalion use chechlin7.
❑Multi-family ❑Master builder ❑Other: Description Qty. La. Total
JOB SITE INFORMATION AND LOCATION Heating cooling:
---- Air conditioning 46.75
Job site.address: 7374 SW Durham Rd. Furnace 100.000 BTU(ducts/vents) 46.75
City'State/ZIP: Tigard, OR 97224 Furnace 100,000—BTU(duets vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:Providence Credena Mail Pharmacy Duct work 2332
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 nn.: Other: 23.32
Other fuel appliances:
-Ins non parcel no-: Water heater 23.32
Iy .JAI Gas fireplace/insert 33.39
Flue vent for water heater or gas
Installation of a 14'-8" x 6'-8" freezer box w/ evaporator fireplace 23.32
mounted inside the box and a condensing unit mounted on log lighter(gas) 23.32
Wood pellet stove 33.39
an adjacent building roof. Wood fireplacciinscn 23.32
Chimney,liner/Flue/vent 23.32
ElPROPERTY OWNERTENANT Other: 23.32
Environmental exhaust and ventilation:
Name. Credena Health,LLC Range hood/other kitchen
Address: 6348 NE Halsey St.Suite A equipment 33.39
-_ Clothes dryer exhaust 33.39
City/State/ZIP: Portland,OR 97213 Single-duct exhaust(bathrooms.
toilet compartments,utility rooms) 23.32
Phone:(503 ) 962-1700 Fax:( 503 1 215-8455 Attic/crawlspace fans 23.32
0 APPLICANT- ❑ CONTACT PE * `;' Other: 23.32
J H Kelly Fuel piping:
Business name, $14.15 for first four;$4.03 for each additional
Contact name: Mark Goebert Furnace,etc.
Address: 2000 SE Hanna Harvester Dr. Gas heat pump
Wall/suspended/unit heater ,
City/State/ZIP: Milwaukie, OR 97222 Water heater
Phone:(360)-703-7534 Fax: :( 1 Fireplace
Range
1--mail: mgoebert@jhkelly.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name. JH Kelly ' Other:
MECHANICAL PERMIT'FEES*
Address: 2000 SE Hanna Harvester Dr. Subtotal $1,911.51
City/State/ZIP: Milwaukie, OR 97222 Minimum permit fee($90.00)
Phone:(360)703 7534 Fax:( ) Plan review(25%of permit fee) $477.88
State surcharge(12/0 of permit fee) $229.38
ccB lie.: 117544 TOTAL PERMIT FEE $2,618.77
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: --8igttglly signed by Mark Goebert * Fee methodology set by Tri-County Building Industry Senicc Board
Mark O A Ar -U5,E=mgo b�{t@�hkelly.cam,O=JH
C C /IOU=JH KeIIvCIU"°151arpknnGppoebert
I lBuilding)Permi)s)MHC_PermnApp_040113 doe a,- f 2022.04.28 08:48:19-044tl`4617T 111,02.comuw to Si
City of Tigard
IICOMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review — Commercial - No Land Use
TIGARD
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Building Permit #: („a20").-Z-(337
Site Address: 714 stijourf+-4yl1 Suite/Bldg#:
Project Name: ?i2ov,o4ke 02 49MJA-
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review n
Proposal: (Ron fror PA,111901111GL uiii r / Ll S 7 U_.
Existing Business Activity: /� /
Proposed B siness Activity: �'V
erify site address/suite# exists and active in permit system.
❑ Nye-Terrace Neighborhood: ❑ Yes f No
Zog. - c
itted Use: es 0 No ❑ Spec Space
prtonfirm no land use required.
it 1Business License:
Exists: 0 Yes 0 No,applicant was provided a business license application
Notes:
Approved by Planning: -Date: y/1.-gbe2-
PP
Revisions (after Building Submittal on,,) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: ❑ Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date:
Site Plans: # 2
Building Plans: # '�
Building Permit#: a-Enter building permit#above.
Workflow Routing: �-Planning rl Doan t Ceer�ator .8 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: 4. Date: L//4
I:\Building\Forms\BIdgPermitRvw_COM NoLandUse_111819.docx