Permit (177) CITY OF TIGARD MECHANICAL PERMIT
° ! 11 COMMUNITY DEVELOPMENT Permit#: MEC2020-00484
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8/17/2020
T fa r\R"O Parcel: 2S 101 B B01300
Jurisdiction: Tigard
Site address: 11950 SW GARDEN PL 100
Project: State of Oregon Employment Department Subdivision: CROW PARK 217 Lot: 1
Project Description: Install 2-ton roof mounted RTU ductless split inside the IT room. Relocate registers to accommodate new office
layout. Provide fire smoke dampers for duct work through new demising wall.
Contractor: WILLAMETTE HVAC LLC Owner: BKM PARK BC 252 LLC
3075 SW 234TH AVE.#206 1701 QUAIL ST STE 100
HILLSBORO, OR 97123 NEWPORT BEACH, CA 92660
PHONE: 503-259-3200 PHONE:
FAX: 503-848-2597
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 08/17/2020 $804.91
Class of Work: ALT Type of Const: VB Plan Review 08/17/2020 $201.23
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 08/17/2020 $96.59
Stories: Info Process/Archiving-Sm$0.50(up to 08/17/2020 $7.00
11x17)
Project Valuation: $28,000.00
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 $1,109.73
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
or direct questions OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By. (i!/ytPX4, PermitteeSignature: fevj7pG709 D,")
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.
pp o�ECEIVE I "` �`0
Mechanical Permit A licati FOR OFFICE USE oriL�
City of Tigard p`' r1 Received 7 y �/ 7 y/�� p
g .I U I V 2 3 Z�ZU Date/13y: / Z ./J 4iO Permit No.f70e./* 2 o 7� _wit y
13125 S W Hall Blvd.,Tigard,OR 97223 Plan Revie ! _` f�FK�e
Phone: 503.718.2439 Fax: 503.598.1960 Other Permit:
T I c A R D Inspection Line: 503.639.4175 CITY OF TI GAR D Date/By: "p�f0 kris: ® See Page 2 for
i^,,I^ ntlfl�InIS, Date Ready/By:Internet: www.tigard-or.gov Notified/Method:� / ,6, Supplemental Information
tl
TYPE OF WORK COMMERCIAL FEE* SCHEDULE—USE CHECKLIST
Mechanical permit fees*are based on the value of the work
D New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$$28,000.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
O 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building Fur special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address:11950 SW Garden PI (requires site plan showing placement) 46.75
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard OR Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.:100 Project name:Oregon Unemployment Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
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
Subdivision: Lot no.: Flue/vent for any of above 23.32
Other: 23.32
Tax map/parcel no.: Other fuel appliances:
DESCRIPTION OF WORK Water heater 23.32
Install two ton ductless split inside the IT room.Relocate registers to Gas fireplace/insert 33.39
Flue vent for water heater or gas
accommodate the new office layout.Provide fire smoke dampers for ductwork fireplace 23.32
Log lighter(gas) 23.32
through the new demising wall. Wood/pellet stove 33.39
ik Q r fhDL�/ijii is N J �J J Wood fireplace/insert 23.32
/aoo
❑ PROPERTY OWNER ,„/.......,„.
'"0! r ElTENANT Chimney/liner/flue/vent 23.32
Other. 23.32
Name: Environmental exhaust and ventilation:
Address: Range hood/other kitchen
equipment 33.39
City/State/ZIP: Clothes dryer exhaust 33.39
Single-duct exhaust(bathrooms,
Phone:( ) Fax:( ) toilet compartments,utility rooms) 23.32
® APPLICANT 0 CONTACT PERSON Attic/crawlspace fans 23.32
Other: 23.32
Business name:same as below
Fuel piping:
Contact name: S14.15 for first four;$4.03 for each additional
Address: Furnace,etc.
Gas heat pump
City/Stag "TP: WalUsuspended/unit heater
Phone., Fax::( )
Water heater
Fireplace
E-mail: MFt ce.1s- roftAIQ v1'II a rA.aft-e___ h41&(. , CC. •L Range
CONTRACTOR Barbecue
Business name:Willamette HVAC,LLC Clothes dryer(gas)
Other:
Address:3075 SE Century Blvd Suite 206 MECHANICAL PERMIT FEES*
City/State/ZIP:Hillsboro,OR 97123 Subtotal
Phone:(503)2593200 Fax:(503)848.2597 Minimum permit fee($90.00)
Plan review(25%of permit fee)
CCB lie.:56951 State surcharge(12%of permit fee)
TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized signature: toondays after it has been accepted as complete.
Print name:michael malstrom Date:6/15/2020 * Fee methodology set by Tri-County Building Industry Service Board
1\Building Permits\MEC-PamitApp.doc 03/07/12 440-4617T(11/02/COM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
INxi
TIGARD Building Permit Review — Commercial - No Land Use
-711
Building Permit #: M EC Zo 2-c 00 H 8 41
Site Address: 11c1ED SV.I z,r en P Lace, Suite/Bldg#: 1 -1 L
Project Name: Oregon Uvlemotp -
(Namela.commercial business ccupyi ig the space. If vacant,enter Spec Space.)
Planning Review
Proposal: R(LU1 nhi(fin,. — roof-1)
Existing Business Activity: V4 1, Pr
Proposed Business Activity: P' Or
NrVerify site address/suite# exists and active in permit system.
River Terrace Neighborhood: ❑ Yes '4 No
:1 Zoning: C
!l.1 3ermitted Use: ❑ Yes ❑ No ❑ Spec Space
NC—Confirm no land use required.
114k-Business License:
Exists: 0 Yes ❑ No,applicant was provided a business license application
Notes: per Lit - Iv SU(e2,YI n ► c u lrrol.
Approved by Planning: Al, ' LAVA.. SvA-'�- Date: I/21I`I.o
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: (p/ /2-0
Site Plans: #
Building Plans: #
Building Permit#: CEnter building permit#above.
Workflow Routing: 1E--"Planning 0 Permit Coordinator ig—guilding
Workflow Sign-off: Q—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: /i� �fjy� ��_ Date: "ZS/Zo
I:\Building\Forms\B IdgPennitRvw_COM_NolandUse_111819.docx
Permit Coordinator Review
D Conditions "Met"prior to issuance of building permit
El Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant
Revision Notice 3: Date Sent to Applic.. t:
❑ SDC Fees Entered: Wash Co Trans 0 ev Tax: ❑ Yes ❑ N/A
Tigard Trans :DC: ❑ Yes ❑ N/A
Parks SD . ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordi' tor: Date:
1:\Building\Forms\BldgPermi tRvw_COM_NolandUse_1 1 1819.docx