Permit (52) CITY OF TIGARD MECHANICAL PERMIT
''�1 ° COMMUNITY DEVELOPMENT Permit#: MEC2023-00640
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8/14/2023
Parcel: 2S102DA00401
Jurisdiction: Tigard
Site address: 13125 SW HALL BLVD
Project: City of Tigard-Police Department Subdivision: None Lot: None
Project Description: (2)new ductless heat pumps for Police Department modular buildings.
Contractor: REITMEIER MECHANICAL Owner: TIGARD,CITY OF
19570 SW 90TH CT 13125 SW HALL
TUALATIN,OR 97062 TIGARD, OR 97223
PHONE: 503-603-0205 PHONE:
FAX: 503-603-0150
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 08/14/2023 $285.89
Class of Work: ALT Type of Const: VB Plan Review 08/14/2023 $71.47
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 08/14/2023 $34.31
Stories: 1 Info Process/Archiving-Sm$0.50(up to 08/14/2023 $2.50
Project Valuation: $7.800.00 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: 2
Appliances
Vent Fans: Vent Systems: Total $394.17
Hoods: Comm Incinerators: Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
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 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 Signatu .
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
City of Tigard ReceivedDate/By: $/7 rj g Penn"No.: 1k �2?� fO/
13125 SW Hall Blvd.,Tigard,OR 97223 if! / lJ h
II ' Phone: 503.718.2439 Fax: 503.598.1960 RECEIVED" 41,00
iew �O Other Pemile 1
I I G,�I;I I Inspection Line: 503.639.4175 Date Ready/By: furls: g
Internet: www.ti and-or. ov See Page 2 for
g g 2023 Notified Metbod: g/ /I ?? y� Supplemental Information
AUG 7 ® ,,,,I..,cQ ` !�
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
C TY OF TIGARD Mechanical permit fees*are based on the value of the work
❑New construction Addition/alterationperformed.Indicate the value(rounded to the nearest dollar)of all
t9 yfirt DIVISION
El Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 7toO, OO
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ,commercial/industrial ❑Accessory building Fur 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: /3/,2 5 S IN' H a// .) ,D. Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:TI-G_e,,r el_ Dif. 17 a 2 3 Furnace 100,000+BTU(ducts/vents) 54.91
•,f Heat pump 61.06
d
Suite/bldg./apt.no.: I Project name: PbTb )r c.e f O 4 M. la r Duct work 23.32
Cross street/directions to job site: G i f /I..e.6 Hydronic hot water system 23.32
V /�r^"�1 Residential boiler(radiator or
v 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: I Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
t Flue vent for water heater or gas
i D D (a ) /)u " 1 I[(SS. -1 ea,t p tet-y77 ,, fireplace 23.32
L ,^ / / / Log lighter(gas) 23.32
S y S f cni S -6 -ex) Sf/14C' t I OGL(A. kW Wood/pellet stove 33.39
IJLL 1'ld 1)1 /f Wood fireplace/insert 23.32
i' Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER Other: 23.32
0 TENANT Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Atticicrawlspace fans 23.32
APPLICANT 0 CONTACT PERSON Other: 23.32
Fuel piping:
Business name: 4-w e tl� $14.15 for first four;$4.03 for each additional
Contact name: iiikto II irc h Furnace,etc.
Address: /t. 57o S VJL� A f i... Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: TLta..Qit ,r7 yr 97U4, Z. Water heater
Phone:0r03)707, 247 g Fax: :( ) Fireplace
Range
E-mail: 3-e ,h IBC l I l m e, e.►- n oil- ( t'1 'ill Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: CJ'( L tZ S a_hm�e Other:
MECHANICAL PERMIT FEES*
Address: Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) a
State surcharge(12%of permit fee)
CCB lie.: /5 3 7 7D TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 188
days after it has been accepted as complete.
Authorized signature: 9464 * Fee methodology set by Tri-County Building Industry Service Board
Print name: J cep 'T J Date: k_ 7- 23
I:1Buildiag\Pc, its\MEC_Pemdt pp_040113.dnd/ 4404617T(11/02/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$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I:1Building\Permits\MEC_PermitApp_040113.doc 2
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
i II L
TIGARo Building Permit Review — Commercial - No Land Use
Building Permit #: pc 1&-3 -(...0(94-to
Site Address: 1'31 ..S Sw Om)/ t ivA Suite/Bldg#:
Project Name: CoT D i,lo lckc A-/C- .nstmlI
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review •
Proposal: Ajj, I ').) CUc4 .c ►,tea{- Qurq 5ys - S ri exi-stm_l itAcA0I r Baki.t�.
T r%skglit°, on Inei'r(' 9_ 5•o41t --Ncr'43 walls
Existing Business Activity: 0 ,G12_ (?)
Proposed Business Activity: 1
Verify site address/suite#exists and active in permit sysst m
/River Terrace Neighborhood: ❑ Yes L7 No
U Zoning: MO- Cr;13 j ....A too wnio,.. p c$
52/„Permitted Use: I1 'Yes ❑ No ❑ Spec Space
1'Confirm no land use required.
'- r
F.:i+ D Yes 8 No,applicant was provided a business license application I
Notes: V et11 -t�o„„ic.�l e.1 v:Qwa.i- flo# s4 ae-1-- AaM. N. tot1 a 3< gi{qu'ilek ,
Approved by Planning: Date: g/7 f'a.0 0.7
Revisions (after Building Submittal only) 8fleiReviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
INCt.
Building Permit Submittal
Original Submittal Date: ti74
Site Plans: # N fH
Building Plans: #
Building Permit#: nter uilding permit#above. ,.., __
Workflow Routing: ❑ Permit Coordinator L-.13-ndtng
Workflow Sign-off: t r g or Planning(include notes from planning review)
Route Application Documents: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: , •_ t7/y3
I:1BuildinglFomis1BldgPermitRvw_COM_NoLandUse_09072022.docx
• • "veering Review
❑ Slop- • building pad:
❑ PFI Permi
❑ Conditions "Met -or to issuance of permit
❑ Easements (encroachm •ts)per engineering conditions of approval and plat(not typical on S P ' CUP)
❑ Water Quality/Quantity Fa . :
Assess Water Quality Fee in-h-.• ❑ Yes ❑ No
Assess Water Quantity Fee in-lieu: • Yes ❑ No
LIDA Facility on lot: ■ . -s ❑ No ' dd Fee: ❑ Yes ❑ No
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: Date:
Revisions (after Bui g Submittal only) Reviewer Date
Revision 1: Approved ❑ Not Approved
Revis 2: ❑ Approved ❑ Not Approved
'evision 3: ❑ Approved ❑ Not Approved
. . "t Coordinator Review
❑ Condit..• "Met"prior to issuance of permit
❑ Approved,N•" Released: D,
❑ ENG Revisions Re• ed: Date:
Notes:
❑ SDC Exemption ❑ Applied o ❑ Rec- -. ❑ Does not apply
❑ Fees Entered: Wash Co Trans Dev' : ❑ es ❑ N/A ❑ Deferred
Tigard Trans SDC: ■ Yes ❑ N/A ❑ Deferred
Parks SDC: ■ es ❑ N/A ❑ Deferred
LIDA Fee: ❑ Yes ❑ N/A
❑ OK to Issue/Approved by P- • it Coordinator: Date:
Revisions (after Buildin. : bmittal only) Reviewer Date
Revision 1: i Approved ❑ Not Approved •
Revision 2: ❑ Approved ❑ Not Approved
Revisi.• : ❑ Approved ❑ Not Approved
I:1Building\Forms\BldgPerm itRvw_COM_NoLandUse_08162022.docx