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Permit CITY OF TIGARD MECHANICAL PERMIT iii q 2 ' COMMUNITY DEVELOPMENT Permit#: MEC2022-00572 Date Issued: 7/21/2022 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S102AA00600 Jurisdiction: Tigard Site address: 11940 SW PACIFIC HWY E Project: Tigard Shopping Center Subdivision: TIGARD HIGHWAY TRACTS Lot: 12 Project Description: RTU replacement. Contractor: HUNTER DAVISSON INC Owner: BIRKLAND,WENDELL R 1800 SE PERSHING ST PO BOX 25277 PORTLAND, OR 97202 PORTLAND, OR 97298 PHONE: 503-542-3628 PHONE: FAX: 503-542-3654 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 07/21/2022 $398.51 Class of Work: ALT Type of Const: VB Plan Review 07/21/2022 $99.63 Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 07/21/2022 $47.82 Stories: Info Process/Archiving-Sm$0.50(up to 07/21/2022 $4.00 11x17) Project Valuation: $12,000.00 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 $549.96 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) 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 are set forth in OAR 952-001-0010 through OAR 952-001-0090. You mayG�obtain a copy of the rules .teIssued By: Permittee Signature: +� 5��' t :ef)40 404cai.,,,tee_._ 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 Cityof Tigard �+' Received _ g E �� Date/By j •- Permit No.: i►1 /,a}n-� .6-" j a 13125 SW Hall Blvd.,Tigard,OR 97 C Illrrr""" �/5 �� t"" / /(aY/ IN ll' °PI I Plan Review Phone: 503.718.2439 Fax: 503.598. 7.. 7...1.1 Other Permit: Date/By: GARD JUN 15 zozz Date Ready/By:- 3uris Inspection Line: 503.639.4175 y ®See Page 2 for TI • Internet: www.tigard-or.gov ified/Method: Supplemental Information .��1lC D TYPE OF «OR I.q t,t';(�'` C : R AL`FEE* SCHEDULE- USE CHECKLIST r-,,; -:t'¶ INI`'l ` . Mechanical permit fees*are based on the value of the work ❑ LJ New Construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment;labor,overhead,and profit. Value:$12,000 CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT i SYSTEMS FEES* 0 1-and 2-family dwelling [l Commercial./industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: IiRLP 5W &aid HWy Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: T;Tp.I,©q 417227 Furnace 100,000+BTU(ducts/vents) 54.91 1 5i�epf+ n J Ceder4TEI ,14atmt Heat pump 61.06 Suitebldg.;apt.no.: svift E Project name:Mud Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas Demo exis1in$ RTtt; irtsiakl new RTW fireplace 23.32 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 - ei TENANT Other: 23.32 Environmental exhaust and ventilation: Name: Mark Scii;Gil (property represeitttfire) Range hood/other kitchen equi pment 33.39 Address: V905 SW &ri{{;fII t r. c111i 205 Clothes dryer exhaust 33.39 City/State/ZIP:Beaverton, op 1 mos Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(S03 ) 1f33- 8606 Fax:( ) Attic/crawlspace fans 23.32 0 APPLICANT Qi CONTACT PERSON Other: 23.32 Fuel piping: Business name: Holder•partltcsoit Lc. $14.15 for first four;$4.03 for each additional Contact name: R°kr' coatis Furnace,etc. Address: moo 5-,E. Persia 5irect Gas heat pump 11 J Wall/suspended/unit heater City/State/ZIP: Pertlan�Z OR 97202 Water heater Phone:(4 71 ) 710-1165 Fax::( ) Fireplace 1 Range E-mail: r5AIf�le tattte,Oa✓/SSo>t.eont Barbecue CONTRACTOR Clothes dryer(gas) Incher: Business name: Haeter.DD,..ss.il tte. MECHANICAL PERMIT FEES* Address: 1900 5.1. Perth Is,' Srtreef Subtotal City/State/ZIP: Po riiatsJ, OR Minimum permit fee($90.00) Plan review(25%of pemtit fee) Phone:(5(23 ) 234-0477 Fax:( ) State surcharge(12%of permit fee) CCB lie.: 16 j 2 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 ,�p .f' days after it has been accepted as complete. Authorized signature: / 4, * Fee methodology set by Tri-County Building Industry Service Board Print name: 14,pr f 5nd{hi Date: 3I22/2022 i:''nuitding\Permits'•.MEC PermitApp 040I 13.dc 440-46I 7T(f 1/02,COMiWEtl) ' :d, ..� City of Tigard IIICOMMUNITY DEVELOPMENT DEPARTMENT Q TlcAua` Building Permit Review — Commercial - No Land Use '. . � .rs+, .-. anr,u.�,.?aidFA .('v'81 Si_. ie.,a.t =b9 "t;zs a_ s.r,�•ts+. + .. Building Permit #: pl1 _szw,_OAS.-7 Site Address: (('V-(Q (v) PaC?tG -bury Suite/Bldg#: Project Name: _ Vet c2 FI& P ta3-o't £Tv ,(-&PIaee . .'/- (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: ?cwtoi e- d' Fer1ac , 9.70 S Existing Business Activity: R106k i C k vor 1111izt1�a( -Ca�l 15N ailt Proposed Business Activity: I1 c Verify site address/suite#exists and active in permit system. ❑ River Terrace Neighborhood: ❑ Yes I] No .4ty Zoning: MV- C ) ,.Permitted Use: ❑ Yes ❑ No ❑ Spec Space Confirm no land use required. Business License: Exists: ❑ Yes ❑ No,applicant was provided a business license application Notes: .(0)/1 Q V-t vJa it © L Approved by Planning: lV Date: 10 ' 252/ 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: /j Site Plans: # Building Plans: # Building Permit#: nter building permit#above. Workflow Routing: E%1'Vcining ❑ Permit Coordinator w ding Workflow Sign-off: BSrign-off for Planning(include notes from planning review) Route Application Documents: ding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: 6-tr.__,„....xe, 2 Date: 7/5/) I:\Building\Forms\BldgPennitRvw_COM_NoLandUse_111819.docx Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal o ) Revision Notice 1: Date Sent t. . .• cant: Revision Notice 2: Date Se o A..licant: Revision Notice 3: Da = ent to App .•nt: ❑ SDC Fees Entered: Wash Co Trans Dev Tax. ❑ Yes ❑ N/A Tigard Trans SDC: ❑ Yes El N/A Parks SDC: ❑ Yes ❑ N/A ❑ OK to Is le Permit App ed by Permit Coordinator: Date: •. I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_111819.docx