Permit (12) CITY OF TIGARD MECHANICAL PERMIT
3 COMMUNITY DEVELOPMENT Permit#: MEC2023-00302
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/23/2023
Parcel: 25102AA02800
Jurisdiction: Tigard
Site address: 8770 SW SCOFFINS ST
Project: Lifeworks NW Subdivision: TIGARD HIGHWAY TRACTS Lot: 26
Project Description: Removing and replacing gas package unit.
Contractor: HUNTER DAVISSON INC Owner: LIFEWORKS NW
1800 SE PERSHING ST 14600 NW CORNELL RD
PORTLAND, OR 97202 PORTLAND, OR 97229
PHONE: 503-542-3628 PHONE:
FAX: 503-542-3654
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/23/2023 $2,484.21
Class of Work: ALT Type of Const: VA Plan Review 05/23/2023 $621.05
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 05/23/2023 $298.11
Stories: Info Process/Archiving-Sm$0.50(up to 05/23/2023 $18.00
Project Valuation: $95,000.00 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 $3,421.37
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 r es are set fo in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: Permittee Signature:
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 Applica "' 41,If—
City of Tigard "" �`"' Received 7
Date/By: 5f/ 2, l ? o
111 13125 SW Hall Blvd.,Tigard,OR 97223 / 'L/
S ,��� �; Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Other Permit:
Date/By: -y—�J
I I 6 A R 1� Inspection Line: 503.639.4175 Cr,
, t> ), ; Date Ready/By: Juris:
1�;' ,,,, Y Y See Page 2 for
Internet: www.tigard-or.gov Notified/Metho✓ j Supplemental Information
r-
.,,a..wr'.. n,..;,f.,,, >t k:'_ ,x"s;'.1�4 ;@r .S#' -.:•,. ". :i- sea. .:. Mechanical
.. .. e ,,, based
.� ';
Mechanical permit fees*are bas on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
iiii : a Value:$95y,000
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑ Master builder ❑Other: Description I Qty. I Ea. I Total
a 4.. i,^,`.... Heating/cooling:
Air conditioning 46.75
Job site address: 8770 SW SCOFFINS ST 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: LIFEWORKS NW - TIGARD Duct work 23.32
Cross street/directions to job site: SOUTHWEST OF RITE AID OFF Hydronic hot water system 23.32
SCOFFINS STREET 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: Other: 23.32
Lot no.:
Other fuel appliances:
Tax map/parcel no.: 2S102AA02800 Water heater 23.32
a; r (�>('i^ § " M: Gas fireplace/insert 33.39
*`1' ` - r` Flue vent for water heater or gas
REMOVE AND REPLACE GAS PACKAGE UNIT fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
t Other: 23.32
/ ,1 " it '"' 9:. ` ` 1 . ;'�'d .yk. '" -,: ---7,1,-ii Environmental exhaust and ventilation:
Name: SHAWN OLIN Range hood/other kitchen
Address: 14255 SW BRIGADOON COURT — equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP: BEAVERTON / OR / 97005-2361 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)645-3581 Fax:( ) Attic/crawlspace fans 23.32
pipit' ' pAti e Other: 23.32
Business name: HUNTER DAVISSON INC. Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:JORDAN VANAKEN Furnace,etc.
Address: 1800 SE PERSHING ST Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: PORTLAND / OR / 97202 Water heater
Phone:(503)234-0477 Fax: :( ) Fireplace
E-mail: JVANAKEN@HUNTERDAVISSON.COM Range
Barbecue
MI, I . '',:i.g t, r,,.. .. tl.: .fir :iz
�� .:M Clothes dryer(gas)
Business name: HUNTER DAVISSON INC. Other:
to. `
Address:1800 SE PERSHING ST ^ m
Subtotal
City/State/ZIP: PORTLAND / OR / 97202 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)234-0477 Fax:( ) State surcharge(12%of permit fee)
CCB lie.: 1612 4--(7,2,//,2-5-- / 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:_To Rp4N VA1VAb«N Date:ON/21/2p2.y _
I:A Building A Permits\MEC_PermitApp_040113.doc 440-4617T(I I/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
'1'
$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
COMMUNITY DEVELOPMENT DEPARTMENT
III ■
T I G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: /kfev?ve3. O��Cj�
Site Address: 9 7 o cat,.J Cv ;iA S s „ _ Suite/Bldg#:
Project Name: -e wa .i ,j P V Oqc -k
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: . 9 n ref 1 LC' t Pt c u r " l TV
Existing Business Activity: /I4 (-9 c C-C
Proposed Business Activity: M 0, ,'ce
El/Verify site address/suite#exists and active in permit syste
El/River Terrace Neighborhood: ❑ Yes No
Ur/Zoning: / 'l v L ( t I t `1 t
. Permitted Use: ❑ Yes ❑ No ❑ Spec Space
t Confirm no land use required.
dBusiness License:
Exists: ❑ Yes 1-No, applicant was provided a business license application
Notes: ^� U Ro ' �'�� lamtn� p,OlC W (2r 4t2A4- k)0 \<.
Approved byPlanning: ri��� 1.
pP 7� � `�"�� Date: � (
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: 41U 7Z2 3
Site Plans: # -Z
Building Plans: # 2
Building Permit#: rE `nter building permit#above.
Workflow Routing: elf- Planning for ceding
Workflow Sign-off: .Q--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: ate: ec-` 4 j
I:\Building\Ponns\BldgPennitRvw COM NoL.andUse 09072022.docx
•
•
Engineering Review
❑ Slope at building pad:
❑ PFI Permit#:
❑ Conditions "Met"prior to issuance of permit
❑ Easements (encroachments) per engineering conditions of.►.roval and plat (not typical on SDR/CUP)
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ -s ❑ No
Assess Water Quantity Fee in-lieu: % Yes ❑ No
LIDA Facility on lot: ❑ Yes ❑ No Add Fee: ❑ Yes ❑ No
❑ NOT Approved by gineering: Date
Notes:
Ap► oved by Engineering: Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
rmit Coordinator Review
El Con ' 'ons "Met"prior to issuance of permit -
❑ Approved, S T Released: D .
❑ ENG Revisions Re ired: Date:
Notes:
❑ SDC Exemption ❑ Applies or Received ❑ Does not apply
❑ Fees Entered: Wash Co Trans_`ev)--af: ❑ Yes ❑ N/A ❑ Deferred
Tigard Trans,SDC: ❑ Yes ❑ N/A ❑ Deferred
Parks,SDC: ❑ Yes ❑ N/A ❑ Deferred
LIDA Fee: ❑ -s ❑ N/A
❑ OK to Issue/Approved by Permit Coordinator: Date:
ReCvis' ns (after Building Submittal only) Revie, -r Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BldgPennitRvw_COM NoLandUse_08162022.docx