Permit (27) CITY OF TIGARD MECHANICAL PERMIT
,IN __s ' COMMUNITY DEVELOPMENT Permit#: MEC2023-00835
T I I.:1 li D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/1/2023
Parcel: 2S 101 BA00101
Jurisdiction: Tigard
Site address: 7500 SW DARTMOUTH ST 150
Project: Kyuramen Subdivision: None
Lot: None
Project Description: (3)new type I hoods and make-up air units.
Contractor: MODERN VISIONS CONSTRUCTION Owner: DARTMOUTH DSK LLC
12218 SE SHERMAN ST 217 SE 136TH AVE#105
PORTLAND, OR 97233 VANCOUVER, WA 98684
PHONE: 503-784-1563 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 11/01/2023 $1,826.85
Class of Work: ALT Type of Const: VB Plan Review 11/01/2023 $456.71
Occupancy Grp: A-2 Occupancy Load: 12%State Surcharge-Mechanical 11/01/2023 $219.22
Stories: 1 Info Process/Archiving-Lg$2.00(over 11/01/2023 $4.00
11x17)
Project Valuation: $68,511.00 Info Process/Archiving-Sm$0.50(up to 11/01/2023 $34.00
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:
Appliances
Vent Fans: Vent Systems: Total $2,540.78
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 rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may ob "t a copy of the rules C.
Issued By: Permittee Signature:
allt.-72
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 Apnlication l(II((ll FI( FF: ( SE O11.1
City of Tigard r y IG nerniit h ci::
.-_ 13125 SW hall Blvd.,Tigard,OR.97223 RE V E VA`'0^ M KEG Zl
Phone: 503.718.2439 Fax: 503.598.1960 at Review i b 'as ' ,j
DatelAy; `7 '7� Other Pcrm3c
i t ;A p t_, Inspection Line: 503,639.4175 f' ' ``,, l 3 y: Fa See Page 2 for
��L� U 4 �023t3ateReadvB 3uri5:
- Internet: wnw(iron!-or.gov n t ncd'Mrti- Supplemental lnfnrmaHnrt
t 4410-2*
�t''&-'57-ttliiGiy-ARit� Mechanical pen nit fees*are based on the value of the work
AL New construction ` 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
[j Demolition
Q Other: mechanical materials eq Value S labor,w�o,}verheafd and rofit
y� p y
e]1-and 2-family dwelling Ptcommerciallindustrial 0 Accessory building For special information use ihecktisr.
0°'u`ti`ariiy 0 Master L 1der 0 Other Description 1 Qty. t Total -.
W 1+ �1*i Fleatinglcoolang:
' ,t� ftir-conditioning 46.75
Job site address: i O 0 5 0 . imaSi—, 5 t i ' Furnace 100,000 BTU(ducts'venis) _ 46.75
City/State.1ZIP: T i lL- t p , ei di 7-2'3 Furnace 100,000+BTU(ductsivents) : 54.91
f y. Q tit bleat pumpwork 61. 2
Sul#etbidg fapt.no.: 'Project name:
Duct work 23.332
Cross street/directions to job site: Hydronic hot water system I ` 23.32.
Residential boiler(radiator or 1
z
` 7 2 _9 . hydronic) 1 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 146.75
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
t ttahl iGl Gas fireplace/insert 33.39
r�- �' Flue vent for water heater or gas
�l.-.fit * - � 7 ( > 1 e 1 vo 0 C j i .. , fireplace 23.32 .
fM /� Log lighter{gas} 23.32
1 d ( et �' (A-AA is t ) 1 u4i Wood/pellet stove 33.39
t e..t~ t� 1 t-pi ct S.t.&f f Y".e,.c;I 0 v+. Gal t 4 6 e Wood fireplace/insert 23.32
#� 0 fvik�D P- Chimney/liner/flue/vent 23.321 Other: 23.32
- -; -° • ` + : - ., Environmental exhaust and ventilation:
Name: D AJ- 6 kA Df J Range hood/other kitchen
equipment 33.39
Address: 2, f (iy i" ,j` . Clothes dryer exhaust l 33.39
City/State/ZIP: v ' ;it 1Jt' Q
"" / Gr j A 67 j j/ Single-ditvi eal;ausi tuat'urion s, '
toilet compartments utility rooms) 23.32
Phone:( 0) 6 i J OOt? Fax:( ) Attic/crawlspace fans 23.32
. i ..1 , 7 0 * Other: 23.32
q ) Fuel piping:
Business name: p Q R t ir'wl L) r' . _$3`O*1;j CO t't.c . ( $14.15 for first four,$4.03 for each additional
Contact name: ! v g 14, 1 , [ Furnace;etc. ,
Address: l os, 3 3-, Nr'`c .y .?e-e - Gas heat pump
_ Wall/suspended/unit heater
r
City/State/ZIP: i (�•L.. Ci k Li 11- 'C; Water beater
' 7 -ire) Fireplace
Phone:( Fax::
E-mail Range
" 1 (r1 ? Barbecue i
! -..�,<- Clothes dqer(gas)
Business name. f} ]/r'L V' i.. t d t tl I.tti-at Other '1
Address: (c1,,"'3,. " 4 tC ,+t"-fl_zet. }- Subtotal
City/State/ZIP: --i ! 2:3 fit Minimum permit fee($90,00)
Phone:( ' ., I y--/5- I Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lie.: ! b ; C s TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete.
Authorized signature: -" - * Fee methodology set by Tri-County Building Industry Service Board
Print name: 14 `i7 r"l. f 1.42i'r'., Date: to-Di ).3
1 fall ildingPermit&MEC PrrniaApp 0401/3.doe7 440-46l7r(1 l)U«CrOMIWE8)
6
i
City of Tigard
RECEIVED
114 '4 COMMUNITY DEVELOPMENT DEPARTMENT OCT 04 2023
T l c a o Building Permit Review — Comme and Use
a _
Building Permit #: c. �G -.Cc)
- _ VI `
Site Address: 7S(X) ) ,,r+yviokkk R. Suite/Bldg#: IS 0
Project Name: 1(.1/41Jlr4tw%atn Ides-t rw' -[�
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: M,eCl/I&W CO) - � nem (fi-tctt,e,/\ e.A4146v11 s4115
Existing Business Activity: \jacco' ( C 4315tce.
Proposed Business Activity: - (YiiI le-►VJ .�-Es Lisi4
Verify site address/suite#exists and active in permit system. `J
River Terrace Neighborhood: ❑ Yes Zr No
j Zoning: C Ca
Permitted Use: .f Yes ❑ No ❑ Spec Space
. Confirm no land use required.
'Business License:
Exists: ❑ Yes /E-No,applicant was provided a business license application
Notes: 0 1 U�Q�� t kAZtAl
(`'3&"" Ok.
Approved by Planning: Date: (off 123
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: U A/�3
Site Plans: # ./
Building Plans: # "3
Building Permit#: Enter building permit#above.
Workflow Routing: Er Planning ❑ Permit Coordinator uilding
Workflow Sign-off: Er Sign-off for Planning(include notes from planning review)
Route Application Documents: C,�Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: V" \\1 Date: (C;&i/
I:\Building\Forms\BldgPermitRvw_COM NoLandUse_09072022.docx
Engineering Review
❑ Slope at building pad:
❑ PFI Permit#:
❑ Conditions"Met"prior to issuance of permit
❑ Easements (encroachments)per engineering con • s of approval and plat(not typical on SDR/CUP)
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee i - • : ❑ Yes ❑ No
Assess Water Qua • ee in-lieu: • ❑ Yes ❑ No
LIDA Fac* • on lot: ❑ Yes ❑ No Add Fee: ❑ Yes ❑ No
❑ Approved by Engineering: Date
Notes:
Approved 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
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of 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: ❑ Yes ❑ N/A ❑ Deferred
Tigard Trans SDC: ❑ Yes ❑ N/A ❑ Deferred
Parks SDC: ❑ Yes ❑ N/A ❑ Deferred
LIDA Fee: ❑ Yes ❑ N/A
❑ OK to Issue/Approved by Permit Coordinator: Date:
Revisions(after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\B1dgPermitRvw_COM NoLandUse_08162022.docx