Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2023-00300
T I(;A R 1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/25/2023
Parcel: 2S 101 AD00800
Jurisdiction: Tigard
Site address: 12550 SW 68TH AVE
Project: Cache Valley Electric Subdivision: WEST PORTLAND HEIGHTS Lot: 26
Project Description: Installing(8)units with associated piping for existing HVAC units.
Contractor: AMERICAN HEATING INC Owner: VINE CREEK PROPERTIES LLC
5035 SE 24TH AVE 875 NORTH 1000 WEST
PORTLAND, OR 97202-4765 LOGAN, UT 84321
PHONE: 503-239-4600 PHONE:
FAX: 503-239-7038
FEES
Specifics:, Description Date Amount
Type of Use: COM Permit Fee 05/25/2023 $2,285.01
Class of Work: ALT Type of Const: VB Plan Review 05/25/2023 $571.25
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 05/25/2023 $274.20
Stories: Info Process/Archiving-Lg$2.00(over 05/25/2023 $2.00
Project Valuation: $87,000.00 11x17)
Info Process/Archiving-Sm$0.50(up to 05/25/2023 $32.50
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:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $3,164.96
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. You may btain a copy of he rules
6.7 Issued By: Permiftee Signature:
Call 503.639.4175 eY . 0 a.m.for the next available inspection date.
This permit card shall be kept in 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 Received / ) 5
DateBy: (/ )-
13125 SW Hall Blvd.,Tigard, V
Plan Review
Phone: 503.718.2439 Fax: 503.59 . 9 Date/By: — 9 Other Permit:
i G A R la Inspection Line: 503.639.4175
p`:;{'sl 2 6 2023 NotiDate Ready/By:: Jurist See Page 2 for
Internet: www.tigard-or.govfied/Method•
747 Supplemental Information
/L . F
•
t u i Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/. teration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$87 000
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist
0 Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
F tI : 77 Heating/cooling:
Air conditioning 46.75
Job site address: 12550 SW 68th Ave. Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: I Project name: Cache Valley Electric Office RTU Replacements 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: I Lot no.:
Other. 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
Gas fireplace/insert 33.39
Flue vent for water heater or gas
Provide and install(8)replacement units with associated piping for existing HVAC units fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
_,._.,- Other:
23.32
x '*' .. Environmental exhaust and ventilation:
Name:Vine Creek Properties Range hood/other kitchen
Address: equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
» ,1. t. Other. 23.32
Fuel piping:
Business name: American Heating
$14.15 for first four;$4.03 for each additional
Contact name: Melanie Hart Furnace,etc.
Address: 5035 SE 24th Ave. Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Portland,OR 97202 Water heater
Phone: 503-239-4600 Fax:: 503-239-7038 Fireplace
Range
E-mail: m.hart@americanheating.net Barbecue
at ;= Clothes dryer(gas)
Business name: American Heating Other.
Address: 5035 SE 24th Ave. Subtotal
City/State/ZIP: Portland,OR 97202 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone: 503-239-4600 Fax: 503-239-7038 State surcharge(12%of permit fee)
CCB lic.: 33135 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 1S0
Melanie Hart r sv w�.`Ho days after it has been accepted as complete.
U3,E.m.haM1®emerkSShSSWg.M,CNdelenie NM
Authorized signature: a. �„,.o:z°zs.azooe:°3:ui.o arc * Fee methodology set by Tri-County Building Industry Service Board
Print name: Melanie Hart Date: 4/20/2023
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
City of Tigard
111 COMMUNITY DEVELOPMENT DEPARTMENT
T A R O Building Permit Review — Commercial - No Land U s e
Building Permit #:
Site Address: VaSSO S v,J b . A Suite/Bldg#:
Project Name: rcic-epic --
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: nstal+ (fig �Cg1aCrD"t,�� �� U ' W( �tS�cc�gg4P 'j s+� :.�C;Sf� •°; 0 �c 0
flioc(
Existing Business Activity:
Proposed Business Activity: ,0 ;ce
L( Verify site address/suite# exists and active in permit sys�t m.
Zoning:
ver Terrace Neighborhood: ❑ Yes o TL No Mv , `r T p t i }!`<(4.
ermitted Use: ErYes ❑ No ❑ Spec Space
��onfirm no land use required.
M Business License:
Exists: ❑ Yes El/No,applicant was provided a business license application
�1 �c �l
Notes: y n�fi v ��r�2.. f v Voh<<C '�C vv. �i �j 51-ehr• + 4
a —
Approved by Planning: " Date: k( /D 3
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: 4/11/4
Site Plans: #
Building Plans: # a
Building Permit#:Enter building permit#above.
Workflow Routing: LJ Planning ,B Building
Workflow Sign-off: if ^Sign-off for Planning(include notes from planning review)
Route Application Documents: ,2—Building: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
icBy Permit Technician: Date: �/
I:\Building\Forms\B1dgPennitRvw_COM_NoLandUse 09072022.docx
Engine- ' g Review
El Slope at builds , .ad:
El PFI Permit#:
El Conditions "Met"prior to • uance of permit
❑ Easements (encroachments) per :.v'neering conditions of approval and plat (not .•. cal on SDR/CUP)
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: \ Yes El No
Assess Water Quantity Fee in-lieu: ❑ ` : ❑ No
LIDA Facility on lot: El Yes • o Add Fee: ❑ Yes El No
El NOT Approved by Engineering: Date
Notes:
Approved by Engineerin_. Date:
Revisions (after Bt.'. sing Submittal only) Reviewer Date
Revision 1: Approved El Not Approved
Revisi.- : El Approved El Not Approved
'-vision 3: El Approved El Not Approved
mit Coordinator Review
•
❑ Con. :, s "Met"prior to issuance of permit
El Approved, $ Released: Dat-•
❑ ENG Revisions Re. •'red: I ate:
Notes:
❑ SDC Exemption ❑ Applied fo ❑ ' : eived El Does not apply
❑ Fees Entered: Wash Co Trans Dev .x: E Yes ❑ N/A El Deferred
Tigard Trans SDC: El Yes El N/A ❑ Deferred
Parks SDC: ■ es ❑ N/A ❑ Deferred
LIDA F-'. El Yes El N/A
El OK to Issue/Approv .y Permit Coordinator: Date:
Revisions (after B. ding Submittal only) Reviewer Date
Revision 1• ❑ Approved ❑ Not Approved
Revis•.n 2: El Approved ❑ Not Approved
t -vision 3: El Approved El Not Approved
I:\Building\Forms\BldgPermitRvw_COM NoLandUse_08162022.docx