Permit (4) t ..
CITY OF TIGARD MECHANICAL PERMIT
2 • '' COMMUNITY DEVELOPMENT Permit#: MEC2023-00856
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/15/2023
Parcel: 2S 102DA00401
Jurisdiction: Tigard
Site address: 13125 SW HALL BLVD
Project: City of Tigard-Permit Center Subdivision: None Lot: None
Project Description: (1)new ductless heat pump for Permit Center.
Contractor: WILLAMETTE HVAC LLC Owner: TIGARD, CITY OF
3075 SE CENTURY BLVD STE 206 13125 SW HALL
HILLSBORO, OR 97123 TIGARD, OR 97223
PHONE: 503-259-3200 PHONE:
FAX: 503-848-2597
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 11/14/2023 $207.21
Class of Work: ALT Type of Const: VB Plan Review 11/14/2023 $51.80
12%State Surcharge-Mechanical 11/14/2023 $24.87
Occupancy Grp: B Occupancy Load:
Stories: Info Process/Archiving-Lg$2.00(over 11/14/2023 $4.00
Project Valuation: $5,000.00 11x17)
Info Process/Archiving-Sm$0.50(up to 11/14/2023 $6.00
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: 1
Appliances
Vent Fans: Vent Systems: Total $293.88
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 t forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
pp.?t
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 AupjklitLACE NE D Folz orFICF 1_SF OyI.V'
City of Tigard Received 1 RpDate/By: I0 )1 I"WO) Permit No.: tC (?c o
13125 SW Hall Blvd.,Tigard,OR 9722 ,
111 g �( � 7 6 2023 Plan Review
Phone: 503.718.2439 Fax: 503.598.19`6tl' Other Permit:
Inspection Line: 503.639.4175 Date/By:R � �- )
1 I G A Rio CITY r v TIGARD Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov V 1 i OFRD Notified/Method: i f�/ fzj Supplemental Information
3UILDING DIVISION
" I . ! I - 5'*
" : / _ o � " � ; I I V � ASt 7
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.
. S ,4, Value: E c't c
� �i ��" TEG(�itY �OQ ' ,
❑ 1-and 2-family dwelling ❑Commercial/industrial 0 Accessory building For special information use checklist
❑Multi-family ❑Master builder ®Other: Description Qty. Ea. Total
4OB S 1NFOR A� ,.AND L ATION ',f Heating/cooling:
� Air conditioning 46.75
Job site address: 13125 SW HALL BLVD Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: T I GARD, OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 1 61.06
Suite/bldg./apt.no.: Project name: PERMIT BUILDING
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
'„ ' 'DESPTION Ili,/el'" .ORK" Zg.. � ''' Gas fireplace/insert 33.39
• �s ti Flue vent for water heater or gas
INSTALL NEW INDOOR & OUTDOOR SPLIT SYSTEM fireplace 23.32
Log lighter(gas) 23.32
—• Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address: 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
e4 �, CANT ,, ' .,� cOrtAcr pzi,sos''""` Other: 23.32
Fuel piping:
Business name: WILLAMETTE HVAC $14.15 for first four;$4.03 for each additional
Contact name: MAURICE HOUSTON Furnace,etc.
Address: 3075 SE Century Blvd Ste 206 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: H I L L S B ORO r OR 97123 Water heater
Phone:(5 0 3) 2 5 9—3 2 0 0 Fax: :( ) Fireplace
Range
E-mail:mhouston@willamettehvac . corn Barbecue
y''1 OONTRACT0 Clothes dryer(gas)
Business name: Willamette HVAC Other:
MECIIAI4*.iCAL PE „ I ;FEES* `' 7Y
Address: 3075 SE Century Blvd Ste 206 Subtotal
City/State/ZIP: HILL SBORO r OR 97123 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(5 0 3) 2 5 9-3 2 O O Fax:( ) State surcharge(12%of permit fee)
CCB lic.: 56951 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: MAURICE HOUSTON Date: 10/13/2023
1:\Building\Permits\MEC_PermitApp_040 113.doc 440-4617T(I I/02/COM/WEB)
City of Tigard
q COMMUNITY DEVELOPMENT DEPARTMENT
X
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: Mi(,1tliV40%5RO
Site Address: `2,\2S S&A) Nate. Xt.W°t Suite/Bldg#:
Project Name: et iv) ',off t( 1 V+ rC
(Name Jof commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review Proposal: NJAG 5?\7 c1g-te n CW kino(9Ar etAvtoOr VIVA
Existing Business Activity: C#1(4 ' C0i.tv klC(y SeNtEeS
Proposed Business Activity: o,ft c I C`prtirrros g-e,Vicef
Verify site address/suite#exists and active in permit system. •!
/LJver Terrace Neighborhood: ❑ Yes 2/No
21 Zoning: y( �j
XPermitted Use: 0 Yes ❑ No Li Spec Space
Z(Confirm no land use required.
j Business License:
Exists: ❑ Yes ❑ No,applicant was provided ja�business license application
Notes: ,S^k $Or&P/f1A4 -to "e f‘atr ,� upelettqf C iMACIvr
Approved by Planning: Date: i U I4P'
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: l( '1,(p 1,01/
Site Plans: # ,
ti
Building Plans: #
Building Permit#: S Enter building permit#above. ,/
Workflow Routing: (S Planning f Permit Coordinator gJ Building
Workflow Sign-off: [S Sign-off for Planning(include notes from planning review)
Route Application Documents: V Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: 1U„ 'k1 & Date: 10I11 '""23
I:\Building\Forms\B1dgPerm itRvw_COM_NoLandUse_09072022.docx
Engineering Review
❑ Slope at building pad:
❑ PFI Permit#:
❑ Conditions"Met"prior to issuance of permit
❑ Easements (encroachments)per engineering conditions of approval and Oat(not typical on SDR/CUP)
❑ Water Quality/Quantity Facility: f.
Assess Water Quality Fee in-lieu: ❑ Yes ❑ No /f
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No
'
LIDA Facility on lot: ❑ Yes El No/ Add Fee: ❑ Yes ❑ No
❑ NOT Approved by Engineering: q` Date
Notes:
Approved by Engineering: Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: El Approved ❑ No Approved
Revision 2: ❑ Approved ❑ of Approved
Revision 3: Cl Approved ❑ of Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issu. ce of permit
❑ Approved,NOT Releas•d: Date:
❑ ENG Revisions Requ' ed: Date:
Notes:
El SDC Exemption El Applied for ❑ Received ❑ 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 ❑ N/A
❑ OK to Iss a/Approved by Permit Coordinator: Date:
Revisions (a er Building Submittal only) Reviewer Date
Revision : ❑ Approved ❑ Not Approved
Revisio 2: ❑ Approved ❑ Not Approved
Revis' n 3: ❑ Approved ❑ Not Approved
1:\Build ing\Forms\BldgPermitRvw COM_NoLandUse_08162022.docx