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Permit
�, CITY OF TIGARD MECHANICAL PERMIT 11111 COMMUNITY DEVELOPMENT Permit#: MEC2022-00496 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 7/7/2022 Parcel: 2S113AB01201 Jurisdiction: Tigard Site address: 16290 SW UPPER BOONES FERRY RD Project: Oregon State Treasure Subdivision: None Lot: None Project Description: Install(1)RTU,(2)exhaust fans,diffusers and grilles. Redistribute ductwork. Contractor: EXCEL HVAC INC Owner: PACIFIC REALTY ASSOCIATES LP PO BOX 1188 ATTN: N PIVEN CANBY, OR 97013 15350 SE SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 971-930-7194 PHONE: FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 07/05/2022 $728.71 Class of Work: ALT Type of Const: VB Plan Review 07/05/2022 $182.18 Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 07/05/2022 $87.45 Stories: 1 Info Process/Archiving-Lg$2.00(over 07/05/2022 $4.00 Project Valuation: $25,000.00 11x17) Info Process/Archiving-Sm$0.50(up to 07/05/2022 $49.00 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: 2 Vent Systems: Total $1,051.34 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: 1 Other Desc: Duct Work: 10 Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules Issued By: er ' e Signature: Call175 by 7:00 a.m.for the next available insp ion date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit ApplicktibnC IV D FOR OFFICE 1 SF ONLY Received T City of Tigard J!1"i 1 U 2022 Date/By: W I(0122 l Ej Permit No.: �1/`�7j�?�7�004,0 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review evL�4 C Phone: 503.718.2439 Fax: 503.598.14.liyOF�"IGARD Date/By: �}�a,��2 Other Permit: T I G A R D Inspection Line: 503.639.4M5 5 Date ReadyBy: / 2.2 ris: H See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION ified d:7i Gr Supplemental Information TYPE OF WORK CO:IMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit lees*are based on the value of the work ❑New construction X❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ 25,000.00 CATEGORY OF CONSTRUCTION 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: Air conditioning 46.75 Job site address: 16290 SW UPPER BOONES FERRY RD. Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: PORTLAND/OR/97224 Furnace 100,000+BTU(ducts/vents) 54.91 PBC195 Heat pump 61.06 Suite/bldg./apt.no.: BLDG.E Project name: Duct work 23.32 Cross street/directions to job site: SW UPPER BOONES FERRY RD.AND SW DURHAM Hydronic hot water system 23.32 Residential boiler(radiator or RD. 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 INSTALL(1)RTU,(2)EXHAUST FANS,DIFFUSERS AND GRILLES. fireplace 23.32 RE-DISTRIBUTE DUCTWORK Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 0 PROPERTY OWNER I ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name: PACTRUST Range hood/other kitchen Address: 15350 SW SEQUOIA PARKWAY SUITE#300 — equipment 33.39 Clothes dryer exhaust 33.39 City/State/ZIP: PORTLAND/OR/97224 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( 503 ) 624-6300 I Fax:( 1 Attic/crawlspace fans 23.32 ❑ APPLICANT ® CONTACT PERSON Other: 23.32. Business name: EXCEL HVAC,INC. Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: ZACH BARBER Furnace,etc. Gas heat pump Address: 15832 SW UPPER BOONES FERRY RD. Wall/suspended/unit heater City/State/ZIP: LAKE OSWEGO/OR/97035 Water heater Phone:( 503 ) 550-6042 I Fax::( ) Fireplace Range E-mail: ZACiHJ EXCEL IIVAC.NET Barbecue CONTRACTOR Clothes dryer(gas) Business name: EXCEL HVAC,INC. Other: MECHANICAL PERMIT FEES* Address: 15832 SW UPPER BOONES FERRY RD. Subtotal City/State/ZIP: LAKE OSWEGO/OR/97035 Minimum permit fee($90.00) Phone:( 503 ) 828-5121 Fax:( ) Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lie.: 214345 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: i‘IC/WA, e 'e24 C�Q/2. * Fee methodology set by Tri-County Building Industry Service Board Print name: ZACHARY BARBER Date: 06/15/2022 I:\Building\Permits\MEC_PermitApp_040113.doc 440-46I7T(I t/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. 1:\Building\Perm its\MEC PermitApp_040113.doc 2 City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT R TIcnRe Building Permit Review — Commercial - No Land Use Building Permit #: MCC' 0049 (o Site Address: 1(0210 (A) 't) leif Vooi'eS Suite/Bldg#: '-t Project Name: ()C€ DI\ Sty 'V'C t \ j Avictn /VeG E cvl (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: VW Pr(' v I (I� - U Existing Business Activity: (,Q" Proposed Business Activity: o c 1C) Verify site address/suite#exists and active in permit system. ❑ River Terrace Neighborhood: ❑ Yes n No 'a Zoning: \- V ►: Permitted Use: Yes ❑ No ❑ Spec Space ►di Confirm no land use required. if Business License: Exists: ..Yes ❑ No,applicant was provided a business license application Notes: Approved by Planning: Date: j Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: 14 1(p 122 Site Plans: # 3 Building Plans: # '$ 2 Building Permit#: Enter building permit#above. Workflow Routing: [Planning ❑ Permit Coordinator S.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: r" By Permit Technician: Date: (01KPIZZ I:\Building\Forms\B1dgPermitRvw_COM_NoLandUse_111819.docx Permit : srdinatorReview ❑ Conditions " -t"prior to issuance of building permit ❑ Approved,NO 'eleased: Date: Notes: Revisions (after Building Submitt. only) Revision Notice 1: Date Se to As•. ant: Revision Notice 2: Date Se . : .plicant: Revision Notice 3: - Sent to App: ant: ❑ SDC Fees Enter . Wash Co Trans Dev Tax: ❑ Yes ❑ N/A Tigard Trans SDC: ■ -s ❑ N/A Parks SDC: ❑ Yes ❑ N/A ❑ K to Issue Permit Approved by Permit Coordinator: P - e: I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_111819.docx