Permit (41) CITY OF TIGARD MECHANICAL PERMIT
q COMMUNITY DEVELOPMENT Permit#: MEC2023-00516
Date Issued: 6/27/2023
T[GAR I) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S102AA02400
Jurisdiction: Tigard
Site address: 12160 SW MAIN ST
Project: Cyti Psychological Subdivision: None Lot: None
Project Description: Replacing(2)RTU's.Existing curbs to remain.
Contractor: SERVICE FIRST HEATING&COOLING INC Owner: CCC2REB
6907E 18TH ST PO BOX 1310
VANCOUVER,WA 98661 SHERWOOD, OR 97140
PHONE: (360)591-7274 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/27/2023 $1,488.21
Class of Work: ALT Type of Const: VB Plan Review 06/27/2023 $372.05
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 06/27/2023 $178.59
Stories: Info Process/Archiving-Lg$2.00(over 06/27/2023 $2.00
Project Valuation: $55,000.00 11x17)
kilo Process/Archiving-Sm$0.50(up to 06/27/2023 $4.50
11x17)
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: 2
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $2.045.35
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. Youou may obtain a copy of the rules
Issued By: ittee Signature: I
1150 .639.4175 by 7:00 a.m.for the next available inspection e.
This permit card shall be kept in a conspicuous place on the job site until co prof the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard RECEIVES Received /
Date/By: (/ 7/t. en'' Permit No.: �`_
III
• 13I25 SW Hall Blvd.,Tigard,OR 97223 ' a�-cps-to
= Phone: 503.718.2439 Fax: 503.598.1960 Flan Review
Date/13y: 6-�3-�3 Other Permit:
r I r n Inspection Line:8 03.639go4175 JUN 2 7 Zp23 Date Ready By: Janis: Iii See Page 2 for
Internet: www.ti ardor. v / /j? /r g
!� �n�pp Noti�fifedT/MJet'hod:(!l/ (/ Supplemental Information
I
OF
G TI\lr1f'14/ *�J �' COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
TYPE OF WO t�
❑New construction �' Addition/alteration/replacementDIVISION
ON Mechanical permit fees*are based on the value of the work
performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 55,000
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling [2 Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder ❑Other: Description Qty.
Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 12160 SW Main St., Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard, OR 97223 Furnace 100,000+BTU(ducts/vents) 2 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:Main Street Bldg.-RTU Replacement 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
Replace (2), `Like-for-Like' , Roof Top Units fireplace 23.32
Curbs are existing to remain Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
I PROPERTY OWNER 0 TENANT Other 23.32
Environmental exhaust and ventilation:
Name: CCJi PROPERTIES, LLC Range hood/other kitchen
equipment 33.39
Address: PO BOX 220 Clothes dryer exhaust 33.39
City/State/ZIP: Sherwood, OR 97140 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
IX APPLICANT 0 CONTACT PERSON Other: 23.32
Business name: NW Precision Design Fuel piping:
$14.15 for first four;S4.03 for each additional
Contact name: Darin Bouska Furnace,etc.
Address: 17407 SW Inkster Dr Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Sherwood, OR 97140 Water heater
Phone:(503)680-6444 Fax::( ) Fireplace
Range
E-mail: Darin@NW-Precision.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: SERVICE FIRST HEATING &COOLING INC Other:
MECHANICAL PERMIT FEES*
Address: 270o NE ANDRESEN RD STE Ft Subtotal
City/State/ZIP: VANCOUVER WA 98661 Minimum permit fee($90.00)
Plan review(25./a of permit fee)
Phone:(360)591-7274 Fax:( ) State surcharge(12%of permit fee)
CCB lie.: 204391 TOTAL PERMIT FEE
CIZ�^—� n This permit application expires if a permit is not obtained within ISO
d ` * Fee methodology
after it has been accepted as complete.
Authorized signature: dology set by Tri-County Building Industry Service Board
Print name: Darin Bouska Date: 6/10/23
I:BntdingtPermits\MECPermitApp 040113.doc 440-1617T(I I/02/COM/WEB)
Branden Taggart (� G T(e fc 017
From: darin@nw-precision.com
Sent: Thursday, June 8, 2023 9:27 AM
To: Branden Taggart
Subject: Re: OTC Meeting - Schedule
See below:
From: Branden Taggart <brandent@tigard-or.gov>
Date: Wednesday, June 7, 2023 at 5:20 PM
To: NW Precision Design <darin@nw-precision.com>
Subject: RE: OTC Meeting- Schedule
Hey Darin,
Tom is on vacation for the next two weeks, so we are not accepting OTC appointments until he returns. I would say that
it is best to submit the permit now, and then it will get reviewed in the order in which it was received --when he
returns. You also have the option to schedule an OTC appointment when he returns. June 27, 28 and 29 are the
soonest available OTC times at 10:00 a.m. We will need the following information to schedule an appointment:
Please provide the following information to schedule an OTC appointment:
1. Name: Darin Bouska
2. Company Name: NW Precision Design
3. Company Phone: 503-680-6444
4. Site Address: 12160 SW Main St
5. Suite Number:
6. Project Name:TI: Cyti Psychological Offices, MECH: Main Street BLDG
7. Scope Of Work: , MECH: `Like-for-Like' RTU Replacement, (2) Units
8. Existing Use: Office (No Change)
9. New Use: Office
10. Project Valuation:eFt $18,880, MECH: $53,500
Here is a list of submittal items needed for an OTC plan review appointment:
1. Building Permit Application. noted
2. (3) sets of plans. noted
3. Contractor identified on application. noted
4. Payment in full. noted
Thanks,
1
Branden Taggart
City of Tigard
Senior Permit Technician
Community Development
TIGARD
13125 SW Hall Blvd
Tigard, OR 97223
(503)718-2449
brandent c,tigard-or.g ov
Original Message
From: NW Precision Design<darin@nw-precision.com>
Sent:Wednesday,June 7, 2023 5:04 PM
To: Branden Taggart<brandent@tigard-or.gov>
Subject: OTC Meeting-Schedule
Brandon,Tom said I need to schedule an OTC meeting through you, can you tell me the days and times, he'll be available
next week?
Project Address: 12160 SW Main St
Permits: Building (New Interior Walls) and Mech (Like for Like RTU Replacement)
Thank you,
Darin
NW Precision Design
17407 SW Inkster Drive
Sherwood, OR 97140
Phn: (503)680-6444
email: darin@nw-precision.com
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail
may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained
by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule."
2
City of Tigard • BUILDING DIVISION
111 ° Over-The-Counter (OTC) Mechanical Permit
TIGARD Appointment Checklist
Permit Record#: /"JI Z3VOv 57(r
Contact Name: A %'.1,,, 004611 Phone #: (Q (9 4--6 GIGLG/
Business Name: ) ���.`J�� f Appointment Date: Csf�7 3
Site Address: /�/(ad �-j Matw Bldg/S✓utte///"#"#:
Project Name: (' f `2ify atd
Project Description: Y/,enco o 472,1
Related Record#:
GENERAL INFORMATION
*Class of Work: Ja j -i' Occupancy Group: Type of Construction: V 13
*Type of Use: Oregon Specialty Code: ap 1.4
Number of Stories:
FUEL FURNACES
Type: G ,,S Furnace<100K BTU Furnaces>= 100K BTU
Gas Pressure: tqo/ti Roof Top Unit(RTU) a Tons )0
Floor Furnaces Unit Heaters
Vents without Appliances Air Conditioning L
Heat Pump
AIR HANDLERS HOODS
Units <= 10000 cfm Type 1 Hood Type 2 Hood
Units > 10000 cfm Grease Duct 1 Hour Shaft
Fite Wrap
APPLIANCES
Boiler(BTUs) Vent Fans Gas Line
Solid Fuel Fireplace/ Clothes D ers Gas Outlets
Woodstove Duct Work Gas Fireplace
Fire/Smoke Dampers Other Mechanical Units—Describe:
Total Project Valuation: $1/4§.5—/ 0 00
$ Mechanical Permit Fee
$ Plan Review
$ , 12%State Surcharge
$ cx►o q Info Proc/Arch,Lg(over 11x17$2.00)
$ Lj .SQ Info Proc/Arch,Sm(up to 11x17$0.50)
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
$ Other:
Building Staff:
Date/Time: $ap TOTAL FEES DUE
I:1Building\Forms\OTC_Iv_EC_021116.docx