PermitL.
CITY OF TIGARD
MECHANICAL PERMIT
N _„
Permit#: MEC2022-00863 COMMUNITY DEVELOPMENT Date Issued: 10/12/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S112DC00701
Jurisdiction: Tigard
Site address: 15989 SW 72ND AVE
Project: Momo Sushi&Grill Subdivision: FANNO CREEK ACRE TRACTS Lot: 39
Project Description: Mechanical for shell only:(1)make-up air unit, (2)kitchen exhaust fans,and(2)RTU's. Mechanical for TI will be
submitted separately.
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
tion Date Amount
Description p
Permit Fee 10/10/2022 51,488.21
Type of Use: COM Plan Review 10/10/2022 $372.05
Class of Work: ALT Type of Const: VB 12%State Surcharge-Mechanical 10/10/2022 $178.59
Occupancy Grp: B Occupancy Load: Info Process/Archiving-Lg$2.00(over 10/10/2022 $2.00
Stories: 11)(17)
Project Valuation: $55,000.00 Info Process/Archiving-Sm$0.50(up to 10/10/2022 $100.50
11x17)
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
Total $2,141.35
Vent Fans: 2 Vent Systems:
Hoods: Comm Incinerators: Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Kitchen hood
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: Pees Signature:
al 03.639.4175 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 - 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.
I.\Building\PermitslMEC_PermitApp_040113.doc 2
s
City of Tigard
Illg ® COMMUNITY DEVELOPMENT DEPARTMENT
C Building Permit Review — Commercial - No Land Use
TIGARD
Building Permit #: /'PWC,--9j4)--c 3
Site Address: 01 e $w 1') A 1W, Suite/Bldg#:
Project Name: MOVVO SUSYA1 K\M -
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: \Aga/0k VVAA) 'lit CI'\G41A1CM l I \C,W aivi1 U
Existing Business Activity: Par
Proposed Business Activity: 2C310/W 't
X.Verify site address/suite# exists and active in permit system.
❑ River Terrace Neighborhood: ❑ Yes )0 No
- rIlik Zoning: ,' Q
T114 Permitted Use: 0 Yes ❑ No ❑ Spec Space
rtiP Confirm no land use required.
)11\Business License:
Exists: R. Yes ❑ No,applicant was provided a business license application
Notes: tS1 ('ry eaeci Wild Q .
Approved by Planning: Date: '/i 5/ 2-
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: %/A
Site Plans: #
Building Plans: # .a
Building Permit#: ❑ Enter building permit#above.
Workflow Routing: arming 0 Permit Coordinator .1:3--Iligaing
Workflow Sign-off: off for Planning (include notes from planning review)
Route Application Documents: uilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: e . Date: `,If}`/2-.i
I:\Building\Fonns\BldgPcrmitRvw_COM_NoLandUse_09072022.docx
I
Permit Coordinator Review
Cl Conditions "Met"prior to issuance of permit
❑ Approved,NOT Released: Date:
❑ ENG Revisions Required: Date:
Notes:
❑ SDC Exemption ❑ Applied for ❑ Received El Does not apply
Cl Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A ❑ Deferred
Tigard Trans SDC: ❑ Yes ❑ N/A ❑ Deferred
Parks SDC: ❑ Yes ❑ 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 ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
1:\Building\Forms\BldgPermitRvw COM NoLandUse 08162022.docx