Permit CITY OF TIGARD MECHANICAL PERMIT
111111
I a COMMUNITY DEVELOPMENT Permit#: MEC2022-00837
Date Issued: 10/13/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S113AD01800
Jurisdiction: Tigard
Site address: 16780 SW 72ND AVE B14
Project: RapidMade Subdivision: ROSEWOOD ACRE TRACTS Lot: PTS 5-1
Project Description: (1)exhaust accelerator cap and(2)make up air intakes.
Contractor: EXCEL HVAC INC Owner: PACIFIC REALTY ASSOCIATES
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 10/10/2022 $221.26
Class of Work: ALT Type of Const: Plan Review 10/10/2022 $55.32
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 10/10/2022 $26.55
Stories: Info Process/Archiving-Sm$0.50(up to 10/10/2022 $12.00
11x17)
Project Valuation: $5,500.00
Fuel Air Handlers
Fuel Types: Electricity 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: 1 Vent Systems: Total $315.13
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. /`
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
.Mechanical Permit Application FOR OFFICE CSI: ONLY
City of Tigard Received
Date./By: ://�/7).. Jj Permit No.: /.'1n )�
14
13125 SW Hall Blvd.,Tigard,OR 97223 (/�/J 111E 'ir. '
■ Plan Review
Phone: 503.718.2439 Fax: 503.598.19 Date/Bg Other Permit: /l /�, ^ e
Inspection Line: 503.639.4175 - "4 — 1 71I1i f
TIGARD 6PIEC��VE® Daze Ready/By: I� in s: EaSee Pa or
Internet: www.tigatdor.gov '0ed/M Supplemental Information
SEP 12
TYPE OF WO COMMERCIAL FEE* SCHEDULE— USE CHECKLIST
ITI(OF TIGARD Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteraIDIVIS)ON performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 5500.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling IN Commercial/industrial El Accessory building For special information use checklist
❑Multi-family 0 Master builder 0 Other. Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 16780 SW 72ND AVE. Furnace l00,000 BTU(ducts/vents) 46.75
City/State/ZIP: PORTLAND/OR/97224 Furnace 100,000+BTU(duets/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: BLDG. 14 I Project name: RAPID MADE PAINT BOOTH
Duct work 23.32
Cross street/directions to job site: SW DURHAM RD.AND SW 72ND AVE. 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
INSTALL(1)EXHAUST ACCELERATOR CAP,AND(2)MAKE UP AIR INTAKES fireplaceFlue for water heater or gas
23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY OWNER I ❑ TENANT Other 23.32
Name: PACTRUST Environmental exhaust and ventilation:
Range hood/other kitchen
equipment 33.39
Address: 15350 SW SEQUOIA PKWY.#300 Clothes dryer aust 33.39
City/State/ZIP: PORTLAND/OR/97224 Single-duct exhaust(bathrooms,
toilet compartments,utility moms) 23.32
Phone:(503 ) 624-6300 Fax:( ) Attic/crawlspace fans 23.32
In APPLICANT 0 CONTACT PERSON Other: 23.32
Business name: RAPIDMADE Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: GINA DIGIACOMO Furnace,etc.
Address: 15883 SW 72ND AVE.#7960 OREGON BUSINESS PARK III Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: TIGARD/OR/97224 Water heater
Phone:( 860 ) 672-5866 Fax::( ) Fireplace
E-mail: GDIGIACOMO@RAPIDMADE.COM Range
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)
Plan review(25%of permit fee)
Phone:( 503 ) 550-6042 Fax:( ) 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:r * Fee methodology set by Tri-County Building Industry Service Board
Print name: Gil/VA i(7i LACoW`C Date: 09/12/2022
1:\Bullding'Permits)MEC_PcmtitApp_040117.doc 440-4617T(11/02/COMIWEH)
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 S10,000.00 $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$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I:1Building\Permits\MEC_PermitApp_040113.doc 2
City of Tigard
11111 COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: MtF-26?-}_a)T37
Site Address: (p31$O 31„0 72 47 At// Suite/Bldg#:
Project Name: v-tr-z,,
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: T- • ('-{p�1- ,,isrAu 1 NTZknaC
Existing Business Activity: �/�/)
Proposed Business Activity: �//�f
Verify site address/suite# exists and active in permit system.
❑ River Terrace Neighborhood: ❑ Yes Z.-No
g: P
emitted Use: � Yes ❑ No ❑ Spec Space
/CJ firm no land use required.
Business License
Exists: A Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: i Date: ,,/'Z/?le
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: 0 Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date:
Site Plans: # A/0
Building Plans: #
Building Permit#: tenter building permit#above.
Workflow Routing: —inning 0 Permit Coordinator B�Suilding
Workflow Sign-off: �off for Planning(include notes from planning review)
Route Application Documents: a Building: original permit application, site plans, building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: TA/}2
1:\BuildingTonnslBldgPermitRvw COM NoLandUse 09072022.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of permit
❑ Approved,NOT Released: Date:
❑ ENG Revisions Required: Date:
Notes:
❑ SDC Exemption ❑ Applied for 0 Received ❑ Does not apply
El Fees Entered: Wash Co Trans Dev Tax: 0 Yes ❑ N/A ❑ Deferred
Tigard Trans SDC: ❑ Yes ❑ N/A ❑ Deferred
Parks SDC: ❑ Yes 0 N/A ❑ Deferred
LIDA Fee: ❑ Yes ❑ N/A
❑ OK to Issue/Approved by Permit Coordinator: Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_08l 62022.docx