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Permit CITY OF TIGARD MECHANICAL PERMIT " s. COMMUNITY DEVELOPMENT Permit#: MEC2023-00858 I[GA D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/7/2023 , Parcel: 1 S 136AD06507 Jurisdiction: Tigard Site address: 11460 SW PACIFIC HWY Project: FAMILY PROMISE OF TUALATIN VALLEY Subdivision: WAY LEE Lot: 3 Project Description: Ductless mini-split system for elevator mechanical room. Outdoor unit placed on pad exterior of building. Contractor: PYRAMID HEATING&COOLING Owner: FAMILY PROMISE OF TUALATIN VALLEY 9409 NE COLFAX 20425 SW STAFFORD RD PORTLAND, OR 97220 TUALATIN, OR 97062 PHONE: 503-786-9522 PHONE: FAX: 503-786-3432 FEES Specifics: Description Date Amount Type of Use: MF Permit Fee 11/07/2023 $411.21 Class of Work: ALT Type of Const: Plan Review 11/07/2023 $102.80 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 11/07/2023 $49.35 Stories: 4 Info Process/Archiving-Sm$0.50(up to 11/07/2023 $4.00 11x17) Project Valuation: $12,500.00 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: 1 Appliances Vent Fans: Vent Systems: Total $567.36 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 sta d within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rule adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. Yo a ain a cop of the rules Issued By: Permittee Signature: Call 3.639.4175 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 City of Tigard Received / / 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2439 Fax: 503.598.1960 I�, _ 1 •ther Permit: �_ �,n 1.t> Inspection Line: 503.639.4175 RECEIVE •. :. � I See Page 2 for Internet: www.tigard-or.gov ,, ' Y rl/ p�I iji! - i �. Aa _ 'i v I I �'"' i Il i atikt . ''''',6d' i'''"' --- r>' ��,,''� 1 ' 'Ile _ P4- I I ., so r� �n : . . ❑ t,rrU TIGA � Mechanical permit fees*are based on the value of the'work New construction M. Addition/alteration/r performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: BUILDING DIVISION mechanical materials,equipment,labor,overhead,and profit. a ue ❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist [,Multi-family ❑Master builder 0 Other: Description I Qty. I Ea. I Total 1111 ,11 0 4` OB V iiu tol i lr © '''r .�ia�C�F _ Heating/cooling: Air conditioning 46.75 Job site address: iHd,0 Sk,7 at', w r Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: �fl f Z 2 Furnace 100,000+BTU(ducts/vents) 54.91 u�`• V ,p Heat pump 61.06 name:Suite/bldg./apt.no.: Project nae: r�I1 /c'6.44,<e Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 �+ -vt., / '` Residential boiler(radiator or n-e%P��5 -1'., , to -' p�,.k.-.7o hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Itn /_ iir C e.xpeett'.- //Lrl4✓k s Q ii/g0 Flue/vent for any of above 23.32 Other: 23.32 Subdivision: Lot no.: Other fuel appliances: Tax map/parcel no.: Water heater 23.32 ! ill0imilippo E c----"'r r 'm ji al �y'�I°111'-a���[ainit��N� Gas fireplace/insert 33.39 ,i, t1 r.. p . Flue vent for water heater or gas ��ci a d�71 Le c 5 0' or>/�✓ Gin r fireplace 23.32 {{ Log lighter(gas) 23.32 - T� 1 e va ✓ �e"t' .e'/ igt/14 ' Wood/pellet stove 33.39 Wood fireplace/insert 23.32 6u l.-G,v U H 7 L- 6/CA.yy la,i,/ Chimney/liner/flue/vent 23.32 MhP l _ l ii op rh ' Other: 23.32 h�h ,lll 111 , ��,����� ��t - Environmental exhaust and ventilation: Name: ,r1A /� ler,3 S,-e id. ` -�'a /o H ��//1 Range hood/other kitchen l equipment 33.39 Address: i//t 6 O 5 i t, no (i _,ii-L 4i.�/ Clothes dryer exhaust 33.39 City/State/ZIP: /' /� !� 7Z Zf 3 r Single-duct exhaust(bathrooms, /�en.6 v toilet compartments,utility rooms) 23.32 Phone:(co j ) YZ 7-,g,7(r 1 Fax:( ) Anic/crawlspace fans 23.32 114 . )'�itii ) t " 1t �r Mpg! Other: 23.32 g OP Business name:- Fuel piping: y✓tt tM c ."(/``J� $14.15 for first four;$4.03 for each additional Contact name: �p yr s'�//� M� Furnace,etc. Address: 9 4 j 67 Ni. ee /7 Gas heat pump j� Wall/suspended/unit heater City/State/ZIP: l'.f io C 0 5 7 Z Z C7 Water heater Phone:(4`J3) Fax::( ) Fireplace Range E-mail: QS al I©f yl 91---fi✓a oy,(/A4 t)1,3„ CV e r✓7 Barbecue �t rt� J l�it�� iiit9iii� tDi' i l; , �._ w o " r= N6 p a i�!j « l Clothes dryer(gas) Business name: tt'� Other: Address: c3 qcc /ye l'B/(2 Subtotal City/State/ZIP: /7 )(/ , d4X Minimum permit fee($90.00) ��' l Plan review(25%of permit fee) Phone:(5-63) 7`t-6 - f S Z.- Fax:( ro3) 2 t 6 - 3 113 7. State surcharge(12%of permit fee) CCB lie.: 5 ?3 7.2_ 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:_ �J1 .•" .yls * Fee methodology set by Tn-County Building Industry Service Board Print name: t2gt, if�f/1� -1-, Date: Jr/1/L 3 I:\Building\Permits\MEC_PermitApp_040113.doc `[ 440-4617T(11/02/COM/WEB) q/1,2/ r I VZ.it" 9-63.34 Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Family 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 a COMMUNITY DEVELOPMENT DEPARTMENT III T I G A R D Building Permit Review — Commercial - No Land U s e Building Permit #: 0cA( -.--- For Site Address: ‘ , 14 b 0 '�,,,,1 f Ate i'T'i c- �^°' 7 Suite/Bldg#: Project Name: �3,,,a,1 1 c e)1(111 5E (c7c 1i A t. ,+ 0 N (Name of commercial business occupying the space. f vacant,enter Spec Space.) Planning Review Proposal: A . cc-,,A, n '\O >)( .lV,v f �/✓r� iArt,,G ,^�( 01, Existing Business Activity: !l4 s'i ‘ c,1 (1-1—tn ne( , ;,i ) Proposed Business Activity: { Verify site address/suite#exists and active in permit syst . River Terrace Neighborhood: ❑ Yes E No /Zoning: £— 6 -N"0`31( P b Ltd�'ermitted Use: 'Yes ❑ No ❑ Spec Space Confirm no land use required. Elr Business License: Exists: ❑ Yes ❑ No,applicant was provided a business license application Notes: \Jn,'.4- \_�,t.,4r= +1 pe-t1 .. . _`\i1c`11y S ti-ceieck ` L)1"1 !'✓talFL ray f),-,id 07, tAv ct S S i-- 5 t'60r..,"c4 . Approved by Planning: /)( 1'( Date: ( ( 0-1)-0-3 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: /A 2if, Site Plans: # Building Plans: L`J'E Building Permit#: me building permit#above. J Workflow Routing: L�YPlanning CI -1ld Permit Coordinator L4ing Workflow Sign-off: ff for Planning(include notes from planning review) Route Application Documents: uilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Fze,,e..., Date: AN?, I:\Building\Forms\BldgPermitRvw COM NoLandUse 09072022.docx Engineering Review • Slope at building pad: ❑ P •- mit#: ' ❑ Conditions ' ' : "prior to issuance of permit ❑ Easements (encroac --nts)per engineering conditions of approval and plat(not 'cal on SDR/CUP) ❑ Water Quality/Quantity Fac..:ik,: Assess Water Quality Fee in-he.• ❑ Yes ❑ No Assess Water Quantity Fee in-lieu: MI Yes ❑ No LIDA Facility on lot: ❑ -- ❑ ► • Add Fee: ❑ Yes ❑ No ❑ NOT Approved by Engineering: Date Notes: 7 d > d Approved by Engineerin.• d d Date: Revisions (after But' .ing Submittal only) Reviewer Date Revision 1: a Approved ❑ Not Approved Revis.e 2: ❑ Approved ❑ Not Approved t vision 3: ❑ Approved ❑ Not Approved ermit Coordinator Review ❑ ••••tions "Met"prior to issuance of permit ❑ Approve• OT Released: I ate: ❑ ENG Revisio 'equired: Date: Notes: ❑ SDC Exemption ❑ App i:• for ❑ 'eceived ❑ Does not apply ❑ Fees Entered: Wash Co Tra Dev Tax: ■ Yes ❑ N/A ❑ Deferred Tigard Trans SDC: ❑ Yes ❑ N/A ❑ Deferred Parks SDC: ❑ Yes ❑ N/A ❑ Deferred LIDA Fee:7 Ell Yes ❑ N/A r ❑ OK to Issue/Approved brmit Coordinator: Date: Revisions (after Buildirjg''Submittal only) Rey -wer Date Revision 1: 0. Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revisi 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_08162022.docx