Permit (4) CITY OF TIGARD MECHANICAL PERMIT
' COMMUNITY DEVELOPMENT Permit#: MEC2021-00783
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/15/2021
Parcel: 2S 101 BB01500
Jurisdiction: Tigard
Site address: 12236 SW GARDEN PL
Project: Chimcare Subdivision: CROW PARK 217
Lot: 3
Project Description: Relocate T-bar grills to accommodate new office lay out.Add two supply air grills and two 8"duct runs.
Contractor: PCI CONSTRUCTION Owner: BKM PARK BC 252 LLC
24627 SE HOFFMEISTER RD BY SLK GLOBAL SOLUTIONS AMERICA
DAMASCUS, OR 97089 2727 LBJ FREEWAY STE 806
DALLAS, TX 75234
PHONE: 503-262-8600 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 11/11/2021 $221.26
Class of Work: ALT Type of Const: VA Plan Review 11/11/2021 $55.32
Occupancy Grp: A-4 Occupancy Load: 12%State Surcharge-Mechanical 11/11/2021 $26.55
Stories: 1 Info Process/Archiving-Lg$2.00(over 11/11/2021 $16.00
11x17)
Project Valuation: $5,500.00
Fuel Air Handlers
Fuel Types: 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 $319.13
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 10
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 fo in OAR 952-001-0 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: ��^ e mittee 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.
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Saitolbt no-: I I Plojectname: Chinn care Duct,eodc a _ 2332 .'#&.G'
Cross streatichromions to job ohm s w Na 11 tat1 v a and 9 9 w' Ityrtrrnic hot ouster system 23.32
Residential boil(radiator or
hydrarlic) 2332
I thithartors(feel-type,not electric),
n-vall,ia-0nct,cusp nd d,eta. 46.75
Fmtetvent for am-of above 23.32
Snbtiviion: I Lot n� -- 2332
Other kW ate:
Tax map/panel no.: Watmr hoots- 23.32 -
DESCRIPTION OF ARK on fimplaceJ6nstrt 33.39
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hfrf - Q (I�S "a Li) O't't'tCR. fxOs - 2332
�y Q t t Ara tti u� 5 uric I u ir' a r E 11 ` L,og HAW fly) , 2332
Weectipetkt stove 3339
LIU c.+ run ..Wood firepiacslimed 23.32
Chinni yitirterrdadvent 2332
3 nlor(mom I b °elm 2332
Eusburrms tal=bootmaivsHitisst
t l+ 8Km M.2,nacy., ►e..r,+ Ccrnparlt Rta�ehooiAoitrb
equipment 33.39
Address:]In I Q4.kai I ct r-tG t &F . i oD Clothes Myer exhaust 33.39
Ncl.�port a _ 91 66rb cxh�(b"®a°oma'
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Phone:(b60)334 -b5 Z1 , Fax( ) Attida:wisparx:has 23.32
2332
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Address: 14870 4F_ 80ib Place
Gas beat pump
Wallismmendoilmii holm
City/Shan/ZIP: mr+Lanci, GE 974 41 Water heater
Phrme:(503) 784.-4 54 3 Fax:( ) Fireplace
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Addlem2.4itgi 5A iltrff ien e i Sit r' R Subtotal 6 9.94,,
C"h"' ' Uatn,a s e.0 Dig 9' o S`3 _ irliaiaarms permit l:e(s9t)uo} q0•oc�
review(25%
(503) 26?,-4bob Fa=(503 26Z- Iri.GY _.__.. Plan � �) __ _
(12%dparaitfoe)
MB lic.: 154 507 7//71-,3 TOTAL PERMIT FRR
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City of Tigard
III COMMUNITY DEVELOPMENT DEPARTMENT
i
T1cARD Building Permit Review — Commercial - No Land Use
e
Building Permit #: YeC2221- 00783
Site Address: /Z23(, Ski 6iieOC pita' Suite/Bldg#:
Project Name: CNhrvi CA15
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: aELoC#TJ t- OPE Ce121U S 7D At C41iM0OATu 6f7fC6 (Myr,
A PSG TWO s oppi,y pi ce t 11-1 s Ano Two if ticr tong
Existing Business Activity: n
Propos d Business Activity: '`R"
fy site address/suite# exists and active in permit system.
^ er Terrace Neighborhood:n / ❑ Yes o
L�X ing: tj" l7
Ld ermitted Use: Yes ❑ No E Spec Space
,` Confirm no land use required.
Nt1 . I Business License:
I Exists: ❑ Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: II A
Date: 9III
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: E Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 00T/Z2i
Site Plans: # .2
Building Plans: # 2
Building Permit#: I Enter building permit# above.
Workflow Routing: [Planning ❑ Permit Coordinator [ Building
Workflow Sign-off: ISign-off for Planning(include notes from planning review)
Route Application Documents: PrBuilding: original permit application, site plans,building plans,engineer and
beam calculations and . st details,if applicable, etc.
i
Notes:
/ Z By Permit Technician: %'%��' Date: _ 6 �
I:\Building\Fonns\BldgPennitRvw_COM_NoLandUse l 118 19.docx
it Coordinator Review
❑ Conch i: "Met"prior to issuance of building permit
❑ Approved,N I ' eleased: Date:
Notes:
Revisions (after Building Submittal only
Revision Notice 1: Date Sent to Ap.. ant:
Revision Notice 2: Date Sent to Applican
Revision Notice 3: Date Sent to Applicant:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ■ es 7 N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ■ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
1:\Building\Forms\BldgPermitRvw_COM_NoLandUse_111819.docx