Permit (194) CITY OF TIGARD MECHANICAL PERMIT
ti
COMMUNITY DEVELOPMENTIII
Permit#: MEC2020-00019
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/23/2020
Parcel: 1 S135BD00100
Jurisdiction: Tigard
Site address: 9600 SW OAK ST 400
Project: Miller Consulting Engineers Subdivision: ASHBROOK FARM Lot: 5
Project Description: Installing 3 ton ductless split system for server room and terminal unit in conference room. Modifying ductwork to
accommodate TI.
Contractor: HUNTER DAVISSON INC Owner: PLAZA WEST OWNER LLC
1800 SE PERSHING ST BY CHIEF FINANCIAL OFFICER
PORTLAND, OR 97202 680 FIFTH AVE 20TH FL
NEW YORK, NY 10019
PHONE: 503-542-3628 PHONE: 503-542-5895
FAX: 503-542-3654
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 01/23/2020 $728.71
Class of Work: ALT Type of Const: VB Plan Review 01/23/2020 $182.18
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 01/23/2020 $87.45
Stories: Info Process/Archiving-Lg$2.00(over 01/23/2020 $4.00
11x17)
Project Valuation: $25,000.00 Info Process/Archiving-Sm$0.50(up to 01/23/2020 $8.00
11x17)
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: 1
Appliances
Vent Fans: 1 Vent Systems: Total $1,010.34
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions/to OUNC by calling 503.232.1987 or 1.800.332.2344.
( � 2 �'
Issued By:�� ' Sk17 t Permittee Signature: Mr
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Received
l 7 of C)/ / P y',tie,azOa)a--crC71 i
'I13125 SW Hall Blvd.,Tigard,OR 97223
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 DDate/By: J
II I •+ PA'P/j ��/W93,�
T t CARD Inspection Line: 503.639.4175 Date Ready/By: � �� Juris. Page7
Internet: www.ti and-or. ov // ` ® See 2 for
g g Notified/Method/7 41 III Supplemental Information
77y76-- /2
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction Ig Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ .,,, OO'Fj
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SfSTEMS FEES*
❑ 1-and 2-family dwelling Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: '60 t5 Sit" Op sfrx.Q,t Fumace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: q Fumace 100,000+BTU(ducts/vents) 54.91
�Jqr,t vl/ �� ���'�7 J Heat pump 61.06
Suite/bldg./apt.no.: 4%/a) I Project name:4614M (/✓ts-f 7+4 floor. Duct work 23.32
Cross street/directions to job site: / r I ((eC Hydronic hot water system 23.32
J 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: 1 Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
�f /J �j / / _/. Flue vent for water heater or gas
lJ.i I ,,,a 3 /O l� (41 G7tC ear .51 C l 1 jf/,S 1'`c AA '(e r fireplace 23.32
s r✓er �'v<�/u! • -1lJ Sfa// fe('/yli r1 a lit rJ i ! . Log lighter(gas) 23.32
e Wood/pellet stove 33.39
Con/fege,ic Coc)M / AN d T o ff/, oftrC,:Ivor 7o Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
aG%0M/IA0eitje -r i,)50 Other: 23.32
PROPERTY OWNER I 0 TENANT Environmental exhaust and ventilation:
Name: Cee ) c �me"c 14' rr-t&tor.+r �(., • Range hood/other kitchen
O equipment 33.39
Address:SS 73 S / sf C rC:/e Clothes dryer exhaust 33.39
City/State/ZIP: ec(rTI2Gel VV,4 ci0 0 a Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(36p) 3a/-ZS77 Fax:( ) Attic/crawlspace fans 23.32
M APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name: Fuel piping:
�tQ N�¢c- t✓J S Sa N 1/J $14.15 for first four;$4.03 for each additional
Contact name: /`;,RN /Ot'�. Fumace,etc.
Address: /O p 6 SE- `S-X i'C1 STrez f Gas heat pump
-./
Wall/suspended/unit heater
City/State/ZIP: /,Nd of 7720 Water heater
Phone:(sa3)S`7'a2-SCO2e Fax::( )
Fireplace
�e Range
E-mail: rPote_de A f E:�QttVISS0 isi•. GO M Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: SSMs✓ 4J �6o V� Other
MECHANICAL PERMIT FEES*
Address:
Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee)
CCB lic.: /6(A2 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
�/{7+- days after it has been accepted as complete.
Authorized signature: 1:146 * Fee methodology set by Tri-County Building Industry Service Board
Print name: /Q N Piv-- Date: /7--02 p
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
ce)7 y 57
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
$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
,1114 r COMMUNITY DEVELOPMENT DEPARTMENT
■
T 1 c n R D Building Permit Review — Commercial - N o Land Use
Building Permit #: /g ,0400l!/
Site Address: 9&00 j) (90, ,C Suite/Bldg#: 1/OD
Project Name: /9712721m, 1 c+
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review ��
Proposal: ��.eit) rpo-74/0 4 t7/ke/ (yl(
Existing Business Activity: 074 9C cA14/ /V'
Proposed Business Activity: // I /
LJ Verify site address/suite# exists and active in permit system.
Z �J
lf ''ver Terrace Neighborhood: ❑ Yes 0 No
1E oning: /PUl r
rmitted Use: 0 Yes 0 No 0 Spec Space
Confirm no land use required.
OcKsiness License:
Exists: 0 Yes 0 No,applicant was provided a business license application
Notes:
Approved by Planning: - Date: ;a�U
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: / (9/�
Site Plans: #
Building Plans: #
Building Permit#: ► " nter building permit#above.
Workflow Routing: ai Planning `Permit Coordinator Building
Workflow Sign-off: i Sign-off for Planning(include notes from planning review)
Route Application Documents: 4 Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: //,./02
1:,(Ziffi . 41..G041 *---
I:\Building\Forms\BldgPernvtRvw_COM_NoLandUse_l 11819.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ 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 Applican •
❑ SDC Fees Entered: Wash Co Tr, • Dev Tax: ❑ Yes ❑ N/A
Tigard ans SDC: ❑ Yes ❑ N/A
P. •s SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw COM_NoLandUse_111819.docx