Permit (14) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2023-00372
Date Issued: 5/25/2023
TI Ca} RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S104BB07900
Jurisdiction: Tigard
Site address: 14300 SW BARROWS RD
Project: Safeway Subdivision: RUSSELL'S SCHOLLS FERRY Lot: A
Project Description: Mechanical for TI:(3)new RTU's.
Contractor: KEY MECHANICAL CO OF WASHINGTON Owner: SPIRIT SPE HG 2015-1 LLC
19430 68TH AVE SO BY SPIRIT REALTY CAPITAL
KENT,WA 98032 ATTN PETER CAVAZOS
2727 HARWOOD ST STE 300
DALLAS,TX 75201
PHONE: 503-231-0731 PHONE:
FAX: 503-236-5848
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/25/2023 $6,696.71
Class of Work: ALT Type of Const: VB Plan Review 05/25/2023 $1,674.18
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Mechanical 05/25/2023 $803.61
Stories: Info Process/Archiving-Lg$2.00(over 05/25/2023 $14.00
Project Valuation: $240,000.00 11x17)
Info Process/Archiving-Sm$0.50(up to 05/25/2023 $5.50
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:
Appliances
Vent Fans: Vent Systems: Total $9,194.00
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. Those rules are set forth `—001-0010 through OAR 952-001-0090. You may obtain a co of the rules
Issued By: `` rmittee Signature: •
aGall 03.639.4175 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 LSE ONLY
City of Tigard Reoeiv�3 I'l�11,oti3 pip M{C2o23.0(312
lig ,eteiv Permit No.:
ul 13125 SW Hall Blvd.,Tigard,OR 97223 F1ECEIVE �1
_ Phone: 503.71 Blvd. Fax: 503.598.196 Plan Reviewf� of /ation �
Date/By: V -,3-2,3 Other Permit: �(U��Q2 k�"`--�JO
T I G:�R D Inspection Line: 503.639.4175 MAR 16 2023 Date Ready/By: pp /// ,�f/�� ♦♦ Juris: ® See Page 2 for
Internet: www.tigard-or.gov ( L Notifies��thud: J /4.►/1.3 Supplemental Information
let
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteratio rep acement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
a
E co€ rr o value $240,000 00
❑ 1-and 2-famil dwellin ,�. o r "" �.`°`"
y g ®CommerciaUindustrial ❑Accessory building For special tnformauon use checklist.
❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total
{ J ( )<OlY (?C (} a Heating/cooling:
' Air conditioning 46.75
Job site address:14300 SW Barrows Rd Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard, OR 97223 C` Furnace 100,000+BTU(ducts vents) 54.91
4,,v,
Heat pump 61.06
Suite/bldg./apt.no.: Project name:Safy/AIsons 3542 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
�., .t. 'w ti.. I� ' O O :4r 1 ;' Gas fireplace/insert 33.39
1 . t:. , ., _ '''" �'' '`' "� Flue vent for water heater or gas
Remodel. Three new RTU's under 300# each. No new walk-in fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
''��`� .� '®® � 1 � _.! „_ �' ; Other: 23.32
" "'- -' ^ " . 3 '� -'a ...._ . t-=x,.' .+t.,,. �.. .. _. . . ._ Environmental exhaust and ventilation:
Name: Safeway/Albertsons Range hood/other kitchen
Address:14300 SW Barrows Rd equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP:Tigard, OR 97223 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax ( ) c/cra ce fans
31 n x 1. i 1
ttI wlspa 23.32
.. : ..,. ,, - . .... a; t ❑ Other: 23.32
Business name: Key Mechanical Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:lzaac McKenzie Furnace,etc.
Address:4655 NE 190th Lane Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Portland, OR 97230 Water heater
Phone:(503)505-4812 Fax::( ) Fireplace
Range
Email Imckenzie@keymechanical com Barbecue
�_
... .. _ ` . :� ...N I �; ''' � .4... �.', Clothes dryer(gas)
Business name:Key Mechanical Other
Address: 4655 NE 190th Lane Subtotal
City/State/ZIP: Portland, OR 97230 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503) 505-4812 Fax:( ) State surcharge(12%of permit fee)
CCB lie.:93479 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 Tri-County Building Industry Service Board
Print name: lzaac McKen Date:3/15/2023
440-4617I'(11/02/COM/WEB)
I:\Building\Permits\MEC_PermitApp_040113.doc
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial &Multi-Famil Fee Schedule:
$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
City of Tigard
.71 q COMMUNITY DEVELOPMENT DEPARTMENT
T 1 G AR D Building Permit Review — Commercial - No Land Use
Building Permit #: k*,C1023 •QG311
Site Address: 1 Li g c--> �u,____) .= -G CAS Suite/Bldg#:
Project Name: ,(6}. y
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: '-P7'U
Existing Business Activity: cAL,0S ( L„{1 Z
Proposed Business Activity: .s\(t'c ( G.e,,_;;— 7 )
erify site address/suite# exists and active in permit system.
0 Rive errace Neighborhood: ❑ Yes _1;V5 o
Zo ing: C,
nerriittted Use: es 0 No 0 Spec Space
firm no land use required.
Business License:
Exists: es ❑ No,applicant was provided a business license application
Notes: �c_Rc_,C O&(. /QeC(JArc , e TU
Approved by Planning: 7 y —`_ --- Date: 1 7 /Z 3'
Revisions (after Building Submittal only) 2,
Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: ❑ Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: 3Marlon
Site Plans: ## H IA
Building Plans: # 2,
Building Permit#: 'Enter building permit#above. �,/
Workflow Routing: [Planning ) o or NJ Building
Workflow Sign-off: ' ign-off for Planning(include notes from planning review)
Route Application Documents: Q'Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: %L Date:
51►712623
I:\Building\Forms\B1dgPermitRvw COM NoLandUse 09072022.docx
Engin: -ring Review
❑ Slope at ► ilding pad:
❑ PFI Permit •:
❑ Conditions " et"prior to issuance of permit
❑ Easements (enc .achments)per engineering conditions of approval and plat(not typical on SDR/CUP)
❑ Water Quality/Quantity Facility:
Assess Water Q .lity Fee in-lieu: ❑ Yes ❑ No
Assess Water Qua'tity Fee in-lieu: ❑ Yes ❑ No
LIDA Facility on to . ❑ Yes ❑ No Add Fee: ❑ Yes ❑ No
O NOT Approved by Eng eering: Date
Notes:
Approved by Engineering: Date:
Revisions (after Building Submittal on ) Reviewer Date
Revision 1: ❑ Approved ❑ it Approved
Revision 2: ❑ Approved ❑ No •pproved
Revision 3: ❑ Approved ❑ Not • .proved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of permit
❑ Approved,NOT Released: Date:
❑ ENG Revisions Required: Date:
Notes:
❑ SDC Exemption ❑ Applied for ❑ Rec-'ved ❑ Does not apply
❑ Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A ❑ Deferred
Tigard Trans SDC: ❑ Yes ❑ N/A ❑ Deferred
Parks SDC: ❑ Yes \ N/A ❑ Deferred
LIDA Fee: ❑ Yes ❑ /A
Date:
❑ OK to Issue/Approved by Permit Coordinator:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Fonns\B1dgPennitRvw_COM NoLandUse_08162022.docx