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iliN CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT
Permit#: MEC2023-00795
Date Issued: 10/25/2023
T I GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S102AB05300
Jurisdiction: Tigard
Site address: 9169 SW BURNHAM ST
Project: Tigard Vision Center Subdivision: None Lot: None
Project Description: Replace split system furnace and AC like-for-like.Furnace in attic and AC on ground.
Contractor: OREGON HEATING&AIR CONDITIONING LLC Owner: JB OAK HILL LLC
6950 SW 111TH AVE 7500 NE DOG RIDGE RD
BEAVERTON, OR 97008 NEWBERG, OR 97132
PHONE: 503-691-9699 PHONE:
FAX: 503-691-8556
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 10/25/2023 $482.33
Class of Work: ALT Type of Const: VB Plan Review 10/25/2023 $120.58
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 10/25/2023 $57.88
Stories: 1 Info Process/Archiving-Sm$0.50(up to 10/25/2023 $7.50
11x17)
Project Valuation: $15,256.00
Fuel Air Handlers
Fuel Types: Electricity Units< 10000 cfm:
Gas Pressure: Units> 10000 cfm:
Furnaces Boilers&Compressors
Furnaces< 100K BTU: 1 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 $668.29
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: o ---2
Pefm3ttee Signature: —
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application RECEIVN ,.„,,OUNCE t SE ONLN
City of Tigard Date/By: 1 pit./ / Permit No. `)O 0 / !S
ill Plan Review
111 13125 SW Hall Blvd.,Tigard,OR 97223 OCT 0 4 2023
�
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: /O- 1 . 1^� Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY
A r J�J
Internet: www.tigard-or.gov CI 1 i OF TIG/`�(Jr-_ate ReadyBy: tuns: (a See Page 2 for
otified/Method: ! / j� �� Supplemental Information
BUILDING DIVISION ,{ /
TYPE OF W ORK ar-)1C"riEVI S f DULE,.USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION
Value:$ 15,256.00
❑ 1-and 2-family dwelling ®Commercial/industrial RESIDENTIAL EQUIPMENT'/SYSTEMS FEES*
J
❑Accessory building For special information use checklist
❑Multi-family ❑Master builder 0 Other: Description
Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating cooling:
'. Air conditioning 46.75
Job site address: 9169 SW Burnham St 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.: Project name:TIGARD VISION CENTER SPLIT 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: Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
Replace split system furnace &AC, like-for-like fireplace 23.32
`/IA Le, jo d`�;t1•G/ [A C t V.,O l lVl Log lighter(gas) 23.32
r` Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
0 PROPERTY OWNER 0 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 ❑ CONTACT PEEgOj Other: 23.32
Business name: Oregon Heating and Air Conditioning Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Address: 6950 SW 111th Ave Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Beaverton OR 97008 Water heater
Phone:(503) 691-9699 Fax::( ) Fireplace
Range
E-mail: permits@oregonheating.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: Oregon Heating and Air Conditioning Other:
MECHANICAL PERMIT FEES*
Address: 6950 SW 111th Ave Subtotal
City/State/ZIP: Beaverton OR 97008 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503) 691-9699 Fax:( ) State surcharge(12%of permit fee)
CCB lic.: 137653 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: 4 ,Z7,0, * Fee methodology set by Tri-County Building Industry Service Board
Print name:Amy McDonald Date:09/20/2023
I,\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
City of Tigard
i 71 COMMUNITY DEVELOPMENT DEPARTMENT
I
T 1 R Building. Permit Review — Commercial - No Land Use
Building Permit #: Al>cC„7p,i -Oa 71c-
Site Address: 9 i fi StA) RQJfl1 Suite/Bldg#:
Project Name: ._�1("N .D V`S 101v C.'arrrYZ _
(Name of commercial business occupying the space. if vacant,enter Spec Space.)
Planning Review
Proposal: C42'0 Ur,ID Ui/111 A C_ re 2X)V
Existing Business Activity: trrx((L- r c 6\.._nT lIde)
Proposed Business Activity: d��.K21 Cfi t- Oil e� "�
Z Verify site address/suite#exists and active in permit system.
g River Terrace Neighborhood: ❑ Yes B' To
oning: rVi J--Gt
^�P rmitted Use: 'es ❑ No ❑ Spec Space
I� snfirm no land use required.
Ail Business License:
Exists: Yes ❑ No, applicant was provided a business license application
Notes: 0111 r 1S /4-(.(2eil-O`/ a peer D 7 ,€XI jnnL- LArlpjap1.J("(s' 0
iv Au t-1- co)00A-
Approved by Planning: .,. " '.-„, Dated LL74
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: I b Af C a-j
Site Plans: #
Building Plans: ##
Building Permit#: [I Enter building permit#above.
Workflow Routing: [A Planning [ Pet Coordinator [,,Building
Workflow Sign-off: fg.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: Date: l 0 1
l:\Building\Forms\BldgPermitRvw COM NoLandUse 09072022.doex
Engineering Review
❑ Slot at building pad:
• PFI Pe';niit#: /
44� `
❑ Conditions "Met"prior to issuance of permit
❑ EasementsXencroachments)per engineering conditions of approval and plat(not typical o vSDR/CUP)
❑ Water Qua14iQuantity Facility: f`
,_ Assess War Quality Fee in-lieu: ❑ Yes ❑ No
Assess Water\Quantity Fee in-lieu: ❑ Yes ❑ No
LIDA Facility 64 lot: ❑ Yes ❑ No Add Fee' ❑ Yes ❑ No
ElNOT Approved byoEngineering: Date
Notes: 4� ,%�
r
Approved byEngineering: \ I Date:
\ �r
Revisions (after Building Submitta I nly) ,/ Reviewer Date
Revision 1: ❑ Approved • Not Approved f;
Revision 2: ❑ Approved ❑ of Approved/
Revision 3: ❑ Approved ❑ No Approve'd
Permit Coordinator Review
/
❑ Conditions "Met"prior to issuance of peifnit
i
❑ Approved,NOT Released: ii Date:
❑ ENG Revisions Required: / Date:
Notes: /
❑ SDC Exemption /i Applied for ❑ 'eceived ❑ Does not apply
❑ Fees Entered: Wash Co Trans Dev Tax: ❑ `es ❑ N/A ❑ Deferred
Tigard Trans SDC: ❑ Ye ❑ N/A El Deferred
,f Parks SDC: ❑ Yes ❑ N/A ❑ Deferred
r'� LIDA Fee: ❑ Yes ❑ N/A
❑ OK to IssuaApproved by Permit Coordinator: Date:
Revisions (ar Building Submittal only) 'eviewer Date
Revision/: ClApproved CINot Approved
Revisi4(2: ❑ Approved ❑ Not Approved
Revisn 3: ❑ Approved ❑ Not Approved
/
I:\Building\Forms\B1dgPermitRvw_COM NoLandUse_08162022.docx