Permit CITY OF TIGARD MECHANICAL PERMIT
1111 ft , • COMMUNITY DEVELOPMENT Permit#: MEC2022-00981
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/15/2022
Parcel: 2S112DA01100
Jurisdiction: Tigard
Site address: 6600 SW CARDINAL LN
Project: PCC236 Subdivision: 1995-098 PARTITION PLAT Lot: 2
Project Description: New(1) 10 ton and(1)7.5 ton RTU and curb adaptors.
Contractor: PROTEMP ASSOCIATES INC Owner: PCC 236
9788 SE 17TH AVE 6600 SW CARDINAL LN
PORTLAND, OR 97222 TIGARD, OR 97224
PHONE: 503-233-6911 PHONE:
FAX: 503-238-9767
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 11/14/2022 $1,069.07
Class of Work: ALT Type of Const: VB Plan Review 11/14/2022 $267.27
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 11/14/2022 $128.29
Stories: Info Process/Archiving-Lg$2.00(over 11/14/2022 $8.00
Project Valuation: $38,360.00 11x17)
Info Process/Archiving-Sm$0.50(up to 11/14/2022 $62.50
Fuel Air Handlers
11x17)
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 $11535.13
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 10
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are sett forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By:G �� �iK-s Permutes signature: ✓"'.
a 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the Job site at the time of each inspection.
Mechanical Permit Application C EIVE rrt.O1 I It I. I ,I.O.I.v
Received
City of Tigard Permit No.:
• 13125 SW Hall Blvd.,Tigard OR 97223 1 �( 0 Da B c/ /V)ZL 3C — �
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review f
'� Date/By. J al-�"'f��,,,, Other Pemtit:
Inspection Line: 503.639.4175 .A I Y OF- rI GA R ' ate Ready/By: ® See Page 2 For
TIGARD r' 1 tuns:
Internet: www.tigard-or.gov - i !II. fl I NI G Pl\/I SI II I\otified/Method: I(!I/ .>j-.515 f Supplemental Information
FIvaL+(^J Lac +'' t yPt "-
TYPE OF WORK COMMERCIAL FE SCHEDULE- USE CHECKLIST
Mechanical permit tees*are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 38,360.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES*
❑ 1-and 2-family dwelling ®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:6600 SW Cardinal LN Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard, OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: I Project name:PCC 236 Heat pump 61.06 Ductwork 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
Provide and install (1) 10 ton & (1)7.5 ton RTU'S, and Curbs fireplace 23.32
�p �� 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:PCC 236 Range hood/other kitchen
equipment 33.39
Address:6600 SW Cardinal LN Clothes dryer exhaust 33.39
City/State/ZIP:Tigard, OR 97224 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name:Protemp Associates Inc Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Louis Leon Furnace,etc.
Address:9788 SE 17th Ave Gas heat pump
heater
city/State/ZIP:Portland, OR 97222 Water heater
Phone:(503 )519-3083 Fax: :(503)238-9767 Fireplace
Range
E-mail:louis@protmp.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:SAME AS APPLICANT Other:
MECHANICAL PERMIT FEES°
Address:
Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Pyle:( ) Fax( ) State surcharge(12%of permit fee)
CCB lie.:88868 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
®®® days after it has been accepted as complete.
Authorized slgnatur� � * Fee methodology set by Tri-County Building Industry Service Board
Print name:Louis Leon Date:10/13/22
I\Building\Permits\MEC_PeemitApp_04on3.doc 440-4617r(I I/02/COM/WEB)
RECEIVED
City of Tigard OCT 2 0
COMMUNITY DEVELOPMENT DEPARTMENT CITY OF TIGANL,
Building Permit Review — Commercial - No L '�4� eSIOnF
TIGARD
Building Permit #: / v i ri C )-O?—?-- OQ 7 8/
Site Address: Q(p0 SIB Oyfil .011J1&L LJ Suite/Bldg#:
Project Name: 512- -(
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review l�l
Proposal:
• Business Activity: A
Proposed ctivity: / �/ ,
fy site address/suite#exists and active in permit system/
�e rrace Neighborhood: ❑ Yes LNo
o g: (-6
tted Use: es ❑� Now ❑ Spec Space
ocated in Floodplain: ❑ Yes L�No
Supplemental Floodplain Form Required: ❑ Yes,applicant was notified ❑ No
3actived: ❑ Yes ❑ No
leW-05,n&in no land use required.
P"gusiness License:
Exists: IP-Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: 72
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: (O/ -o f a a-
Site Plans: # -
Building Plans: # Z>
Building Permit#: Enter building permit# above.
Workflow Routing: iS Planning . Permit Coordinator Building
Workflow Sign-off: J` Sign-off for Planning(include notes from planning review)
Route Application Documents: )k` Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: �o 'L l Date: [0 (c c 4,3
l:\Building\Forms\B1dgPermitRvw_COM_NoLandUse_111819.docx
Pe it Coordinator Review
❑ Condi':is "Met"prior to issuance of permit
❑ Approved, Released: Date:
❑ ENG Revisions Re• 'red: Date:
Notes:
❑ SDC Exemption 0 Applied 0 Received 0 Does not apply
❑ Fees Entered: Wash Co Trans D Tax: ❑ Yes 0 N/A 0 Deferred
Tigard Trans SDC: 0 Yes 0 N/A 0 Deferred
Parks SDC: ■ Yes 0 N/A 0 Deferred
LIDA Fee: ❑ - 0 N/A
❑ OK to Issue/Approved by Permit Coordinator: Date:
Revisions (after Building Submittal only) Revi- er: Date:
Revision 1: ❑ Approved 0 Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: ❑ Approved 0 Not Approved
I:1 Building\Forms\BldgPermitRvw_COM_NolandUse_08l 62022.doex