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Permit (11) 114 CITY OF TIGARD MECHANICAL PERMIT ' COMMUNITY DEVELOPMENT Permit#: MEC2023-00239 T I GA It 17 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/18/2023 Parcel: 2S112DA00700 Jurisdiction: Tigard Site address: 15333 SW SEQUOIA PKWY 190 Project: Lakefield Veterinary Subdivision: PACIFIC CORPORATE CENTER Lot: 3 Project Description: Mechanical for TI:(2)bathroom exhaust fans,duct work,diffusers,and grilles. Contractor: EXCEL HVAC INC Owner: PACIFIC REALTY ASSOCIATES LP PO BOX 1188 ATTN: N PIVEN CANBY, OR 97013 15350 SW SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 971-930-7194 PHONE: FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 05/18/2023 $240.93 Class of Work: ALT Type of Const: VB Plan Review 05/18/2023 $60.23 Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 05/18/2023 $28.91 Stories: 1 Info Process/Archiving-Lg$2.00(over 05/18/2023 $2.00 Project Valuation: $6,150.00 11x17) Info Process/Archiving-Sm$0.50(up to 05/18/2023 $1.50 Fuel Air Handlers 11x17) 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 Vent Fans: 2 Vent Systems: Total $333.57 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: 1 Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You m obtain a copy oft rul s Issued By: 7 /77 / Permiftee Signature: Call 503.639.4175 b 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. r - • - Mechanical Permit Application FOR OFFICE I.SF ONLY City of Tigard Received jjj //�'� Q� III i. Date/By: ��#� /,.yrrr� PertnitNo.: Ml�t 9.6^� � 13125 SW Hall Blvd.,Tigard,OR 97221E C E I V E D Plan Review �� 11 r7 Phone: 503.718.2439 Fax: 503.598. Date/By: (..4-ao '" 3 OtherPennit /�1'ly �00nil T I G A R D Inspection Line: 503.639.4175 Date Read/B Jun,: + i r w�lVJ/� Internet: www.tigard-or.gov y Y See Page 2 for APR 2023 Na..ied/Method:�A 24 Supplemental Information TYPE'OF Wo _HGARD CO RCIA .F-EE* ScHLDULE-USE CIIItCKLTST'. crry©F Mechanical permit fees*are based on the value of the work ❑New construction ®Addition alter J r ii6un2f341NGEDIVISION performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ 6,150.00 CATEGORY OF CONSTRUCTION RESIDENTIA-L EQUIPMENT I SYSTEMS FEES* ❑ 1-and 2-family dwelling ®Commercial/industrial 0 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:15333 SW Sequoia Pkwy. Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard/OR/97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.:190 I Project name:Lakefield Vet T.I. Duct work 23.32 Cross street/directions to job site: SW Redwood Lane and SW Sequoia Pkwy. 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: 1 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 Install (2) Bath Exhaust Fans, ductwork, diffusers, and grilles. fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ® PROPERTY OWNER I 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name:PacTrust Range hood/other kitchen — equipment 33.39 Address:15350 SW Sequoia Pkwy. Clothes dryer exhaust 33.39 City/State/ZIP:Portland /OR/ 97224 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( 503 624-6300 Fax:( ) Attic/crawlspace fans 23.32 APPLICANT 0 CONTACT PERSON Other: 23.32 Business name: Excel HVAC, Inc. Fuel piping: $14.15 for first four;$4.03 for each additional Contact name.Zach Ba rbcr S ire-n4 c'' /A 0 7- Furnace,etc. Address:P.O. Box 1188 J Gas heat pump Wall/suspended/unit heater City/State/ZIP:Canby/ OR/97013 Water heater Phone:(503)550-6042 I Fax: :( ) Fireplace G( /fir g E-mail: G ..excelhvac.net Range � Barbecue CONTRACTOR Clothes dryer(gas) Business name:Excel HVAC, Inc. Other: MECHANICAL PERMIT FEES* Address:15832 SW Upper Boones Ferry Rd. Subtotal City/State/ZIP:Lake Oswego/OR /97035 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( 503)550-6042 Fax:( ) State surcharge(12%of permit fee) CCB lic.: 214345 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tn-County Building Industry Service Board Print name:Zachary Barber Date:04/03/2023 I:ABuilding\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB) • M 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\Permits\MEc PermitApp_040113.doc 2 IIICity of Tigard p COMMUNITY DEVELOPMENT DEPARTMENT T I GA R D Building Permit Review — Commercial - No Land Use Building Permit #: i 1vG c) 3 - �2G23 7 Site Address: /c`?,3 5tJ L) 1 A { w-ySuite/Bldg#: Project Name: t,,AeLifD it 2.101-Py uP (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: s' AN IGA L T IT Existing Business Activity: gr-f-e, (ri,ep Proposed siness Activity: c jj._ C t wo"l Verify site address/suite# exists and active in permit system. ❑ 'Iv-6 Terrace Neighborhood: ❑ Yes IJ No . g: I—P Llermitted Use: -CJYes ❑ No ElSpec Space 14 irm no land use required. Business License: Exists: Yes ❑ No,applicant was provided a business license application Notes: NO 71) i 11XchtL, fri if{- ,- IVYl&if r r ye L Approved by Planning: G' Date: y/ 4 Jz 3 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: E Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: 417414-3 Site Plans: # Building Plans: # Building Permit#: .0"-Enter building permit#above. Workflow Routing: lanning rmlt C oro d nator —Building Workflow Sign-off: 'Sign-off for Planning(include notes from planning review) Route Application Documents: Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: er4ti it /1— 4.#-- Date: IY/L1 /L I:\Building\Forms\B1dgPennitRvw COM NoLandUse 09072022.docx ineering Review ❑ S .eat building pad: El PFI''ermit#: ❑ Conditions "Met"prior to issuance of permit ❑ Easement- (encroachments)per engineering conditions of approval and plat (not typical on SDR/CUP) ❑ Water Quail' Quantity Facility: Assess Wat. Quality Fee in-lieu: El Yes El No Assess Water Suantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility o lot: El Yes ❑ No Add Fee: El Yes El No ❑ NOT Approved by •ngineering: Date Notes: Approved by Engineering: Date: Revisions (after Building Submittal . ly) Reviewer Date Revision 1: ❑ Approved ❑ of Approved Revision 2: ❑ Approved ❑ Ni t Approved Revision 3: El Approved El Not 'pproved Permit Coordinator Review El Conditions "Met"prior to issuance of permit ❑ Approved,NOT Released: Date: ❑ ENG Revisions Required: Date: Notes: El SDC Exemption El Applied for ❑ Re,eived ❑ Does not apply El Fees Entered: Wash Co Trans Dev Tax: El Yes ❑ N/A ❑ Deferred Tigard Trans SDC: ❑ Yes ❑ N/A Cl Deferred Parks SDC: El Yes ❑ N/A ❑ Deferred LIDA Fee: El Yes IN N/A ❑ OK to Issue/Approved by Permit Coordinator: Date: Revisions (after Building Submittal only) Revie -r Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved El Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\B1dgPermitRvw COM NoLandUse_08162022.docx