Permit CITY OF TIGARD MECHANICAL PERMIT
" COMMUNITY DEVELOPMENT Permit#: MEC2023-00322
Date Issued: 5/25/2023
T p'ARI 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S126CC00200
Jurisdiction: Tigard
Site address: 10069 SW CASCADE AVE
Project: Tesla Subdivision: None Lot: None
Project Description: 140 ft.of gas piping from meter to 2 RTU's for Shell building of future showroom.
Contractor: COLUMBIA ALLIED SERVICES INC Owner: 10065 SWC LLC
1315 SE GRACE AVE SUITE 130 BY ALSTON &BIRD LLP
BATTLE GROUND, WA 98604 BANK OF AMERICA PLAZA
101 SOUTH TRYON ST STE 4000
CHARLOTTE, NC 28280
PHONE: 360-256-1024 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/23/2023 $130.46
Class of Work: ALT Type of Const: Plan Review 05/23/2023 $32.62
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 05/23/2023 $15.66
Stories: Info Process/Archiving-Lg$2.00(over 05/23/2023 $2.00
11x17)
Project Valuation: $2,500.00
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 $180.74
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: 2 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 obtain a copy of the rules
Issued By: Permittee Signature: ,_.0%��1�,
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 Received 9' /V tM 2,02 .CO3 22
Date/By: Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 Ian Review
Phone: 503.718.2439 Fax: 503.598.1960 ate/Byc S Other Permit:
8/ 2J�r /c i"4�Ins ection Line: 503.639.4175T'CARD
Date Ready/By: Juris: El See Page 2 for
Internet: www.tigard-or.gov N ified/Me d: .272.)d Supplemental Information
MAY 3 2023 ��`_
*SCHEDIILE— USE QOM KUST
CITY or TI ARD ° ° Mechanical permit fees*are based on the value of the work
®New construction 0 Addition/alteration/rEfft93m DIVISION performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
L" Value $ 2 V zl
EY
❑ 1-and 2-family lrr E*
y dwellin g ®Commercial/industrial ❑Accessory building For special information use checklist.
0 Multi-family 0 Master builder
0 Other: Description Qty. Ea. Total
JOB snit>l� To$' � '," Heating/cooling:
` „ ,"0 p'"" Air conditioning 46.75
Job site address:10065 SW Cascade Ave. Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard, OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: I Project name:Benderson Development Tesla Showroom Heat pump 61.06
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
IIESCRIFillni at , . ' ..c, 4.xGas fireplace/insert 33.39
Flue vent for water heater or gas
Tesla shell building. New gas piping from meter to 2 new RTU's fireplace 23.32
Refrence#BUP2202-00145 Log lighter(gas) 23.32
��y �{ Wood/pellet stove 33.39
1 i l V C.f ,`�°-1 91)O,{r`�� Wood fireplace/insert 23.32
V Chimney/liner/flue/vent 23.32
Other: 23.32
PROPERTY+ � v; ' „T.< ,,.
Co, Environmental exhaust and ventilation:
Name:
Benderson Development LLC Range hood/other kitchen
Address:570 Delaware Ave — equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP:Buffalo, NY 14202 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
el APPLICANT ` �" �� other:
_ . . .. i, ��� ,r ws ,a,;� • 23.32
Business name:Columbia Allied Services Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Rylan Massie Furnace,etc.
Address:1315 SE Grace Ave. Suite 130 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Battle Ground, WA 98604 Water heater
Phone:(3602163392 Fax::( ) Fireplace
E-mail:rylan@columbiaallied.com Range
Barbecue
Cf T TO Clothes dryer(gas)
Business name:Same as applicant Other:
MECHANICAL.PERMIT FEES*
Address:
Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Phone: Plan review(25%of permit fee)
( ) Fax:( ) State surcharge(12%of permit fee)
CCB lic.: S_/[ 2 3 l .f/��— TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
I� 7 i days after it has been accepted as complete.
*
Authorized signature: Fee methodology set by Tri-County Building Industry Service Board
Print name: Rylan assle Date 4.27.23
1:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(I1/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi Family Fee Schedule:
$0.00 to$500.00 Minimum fee$69.06
IODU.UI to 10,000.UU )by.Ub tor me nrsi louu.00 anu
$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