Permit (8) CITY OF TIGARD MECHANICAL PERMIT
a, COMMUNITY DEVELOPMENT Permit#: MEC2023-00235
Date Issued: 5/23/2023
T I G 1 RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S136AD04000
Jurisdiction: Tigard
Site address: 11507 SW PACIFIC HWY A
Project: Transforming Life Church Subdivision: VILLA RIDGE Lot: 7
Project Description: Replacing existing RTU with new RTU of same capacity.
Contractor: WILLAMETTE HVAC LLC Owner: MCLELLAN ESTATE CO
3075 SE CENTURY BLVD STE 206 707 OLD COUNTY RD
HILLSBORO, OR 97123 BELMONT, CA 94002
PHONE: 503-259-3200 PHONE:
FAX: 503-848-2597
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/17/2023 $423.91
Class of Work: ALT Type of Const: VB Plan Review 05/17/2023 $105.98
Occupancy Grp: A-3 Occupancy Load: 12%State Surcharge-Mechanical 05/17/2023 $50.87
Stories: 1 Info Process/Archiving-Sm$0.50(up to 05/17/2023 $4.00
11x17)
Project Valuation: $13,000.00
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 $584.76
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
•
Mechanical Permit Application FOR OFFICE USE ONLY
Cityof Tigard CEIReceived
III 111 131SW Hall Blvd.,Tigard,0 Y Date/By: i'1!3/ ./ . ?`j,UL1 (.tJ S-
Phone: 503.718.2439 Fax: 503.598. 960 fiE
Plan Revie
ry Date/By: la: Other Permit:
T 1 G�u D Inspection Line: 503.639.4175 Pr i-R 3 2013 Date Ready/By: Juris:www.tigard-or.gov y ` See Page 2 for
Notified/Method: F .9" Supplemental Information
CITYOF,TiGJRD t -(�l fi r®,1
Tipta Divi ' "coMMiRCI , E*,SC VLE-USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
value:$ 13,000
CATEGORY Of CONSTRUCTION , z
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
0 1-and 2-family dwelling Commercial/industrial®
❑Accessory building For special information use checklist.
❑Multi-family 0 Master builder
❑Other: Description
Qty. Ea. Total
JOB SITE INFORMATION ANDLOCATION Heating/cooling:
Job site address:
11507 SW Pacific Hwy Air conditioning 46.75
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard, Or 97223 i—e_emi 4'F 1kbr. Lik-Q.cL,.._�\1. Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.:Ste A I Project n i�1 Heat pump 61.06
n Duct work 23.32
/�
Cross street/directions to job site: I F-i•r( S' •oe_n't l ,�q L.t4- Hydronic hot water system 23.32
i r Q��,/ `V Residential boiler(radiator or
l�l t( 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
DESCRIPTION OF wow- Gas fireplace/insert 33.39
Flue vent for water heater or gas
Replace existing RTU with new RTU of same capacity fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
0 PROPERTY OWNER ❑ TENANT Other: 23.32
'`
Environmental exhaust and ventilation:
Name: 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
APPLICANT 0 CONTACT PERSON Other: 23.32
Business name:Willamette HVAC Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Sharon Nelson Furnace,etc.
Address:3075 SE Century Blvd, Suite 206 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Hilisbor, Or 97123 Water heater
Phone:( 503-259-3200 Fax::( ) Fireplace
E-mail:snelson@willamettehvac.com Range
Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Same as Applicant Other:
MECHANICAL 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 lie.:56951 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
��� /J days after it has been accepted as complete.
Authorized signature: Q�Q,� * Fee methodology set by Tri-County Building Industry Service Board
Print name:Sharon Nelson Date:3/23/23
I:\Building\Pettnits\MEC PemutApp_040113.doc 440-4617T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
T talValuation P rmit 'ee;
$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
111
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: .* fC,Z 4 _ r.2aZ3
Site Address: // 'Ce/lr� z fleck Suite/Bldg#:
Project Name: _ E ' er���yy G. (. 4
(Name of commercial by:iness occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: , �{ /lei 4 // % to ( o*71
Existing Business Activity: lc .
Proposed Business Activity:
Jrify site address/suite#exists and active in permit system.
❑ River Terrace Neighborhood: ❑ Yes
Zoning: C' �'
J"Permitted Use: -0' Yes ❑ No ❑ Spec Space
„D.-Confirm no land use required.
..,.Business License:
Exists: ❑ Yes ❑ No,applicant was provided a business license application
Notes: P/i.,,,/-1r �` � °'� S' r1�tL 1 L< t4 27,41 /�O CQJ , — /�
Approved by Planning: C.; Date: 3 .
f
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: 41(3/2_3
Site Plans: #
Building Plans: #
Building Permit#: .,B--Enter building permit# above.
Workflow Routing: ,E3 Planning ❑ P r� Building
Workflow Sign-off: B'Sign-off for Planning(include notes from planning review)
Route Application Documents: ( f Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: Date: 'Vl ?�1 3
I:\Building\Forms\B1dgPermitRvw_COM NoLandUse 09072022.docx
Engineering Review
❑ Slope at building pad:
❑ PFI Permit#:
El Conditions "Met"prior to issuance of permit
❑ Easements (encroachments) per engineering conditions of approval and plat ( .t typical on SDR/CUP)
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No
LIDA Facility on lot: ❑ Yes ❑ No Add Fee: ❑ Yes ❑ No
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Appr, ed
Revision 2: ❑ Approved ❑ Not Ap',roved
Revision 3: ❑ Approved ❑ Not ' .proved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance o'permit
❑ Approved,NOT Released: Date:
❑ ENG Revisions Required Date:
Notes:
❑ SDC Exemption ❑ Applied for ❑ Received ❑ Does not apply
❑ Fees Entered: Wash Co Trans Dev Tax: El Yes ❑ N/A ❑ Deferred
Tigard Trans SDC: El Yes ❑ N/A ❑ Deferred
Parks SDC: ❑ Yes ❑ N/A ❑ Deferred
LIDA Fee: ❑ Yes ❑ N/A
❑ OK to I .ue/Approved by Permit Coordinator: Date:
Revisio (after Building Submittal only) Reviewer Date
Rev' ion 1: ❑ Approved ❑ Not Approved
' -vision 2: ❑ Approved ❑ Not Approved
evision 3: ❑ Approved ❑ Not Approved
L•\Building\Forms\BldgPermitRvw COM NoLandUse_08162022.docx