Permit CITY OF TIGARD MECHANICAL PERMIT
g - COMMUNITY DEVELOPMENT Permit#: MEC2014-00443
T WAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/15/2015
Parcel: 1S135BA00102
Jurisdiction: Tigard
Site address: 10230 SW WASHINGTON SQUARE RD
Project: Panera Bread Subdivision: OAKBURG Lot: 9
Project Description: Mechanical work to convert a portion of former bookstore into a Panera Bread restaurant.
Contractor: CLARK COUNTY MECHANICAL Owner: PPR SQUARE TOO LLC
6300 NE ST JAMES RD,STE 105 PO BOX 847
VANCOUVER,WA 98663 CARLSBAD, CA 92018
PHONE: 360-735-7720 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 01/15/2015 $2,484.21
Class of Work: ALT Type of Const: Ilg Plan Review 01/15/2015 $621.05
Occupancy Grp: A-2 Occupancy Load: 12%State Surcharge-Mechanical 01/15/2015 $298.11
Stories: Info Process/Archiving-Lg$2.00(over 01/15/2015 $16.00
Project Valuation: 11x17)
Project $65,000.00 Permit Fee 01/15/2015 $-747.00
Plan Review 01/15/2015 $-186.75
Fuel Air Handlers 12%State Surcharge-Mechanical 01/15/2015 $-89.64
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: 5 Vent Systems: Total $2,395.98
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility No - •• -nter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or. -ct questions to O • b -:ling 503.232.1987 or 1.800.332.2344.
-sued By: k / -7_ Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit A lic FOR OFFICE USE ONLY
City of Tigard PP aCEIVEP Date/By:
_ Permit No.: 7�i j —�
• 13125 SW Hall Blvd.,Tigard,OR 97223 y y
;" Dan Ry S � q /ol ��
Phone: 503.718.2439 Fax: 503.598. �/C�J I Other Permit:
pe � � 18 2014 Date/
By:
Inspection Line: 503.639.4175
7 I(i-\K I) Date Ready/By: 10 tuns: 63 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Iu fk (VT Supplemental Information
�_pp CITY OF TIGA RD VP f,,,„ 44( 73-'
TYP8 DIVISION COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead1 and profit.
Value:$ 0.00 WS 000 . at 4i
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist. Z.
El Multi-family ❑ Master builder ❑Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75 h
Job site address: 10230 SW Washington Square Road Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: I Project name: Panera Bread
Duct work 23.32 1
Cross street/directions to job site:SW Greenburg Road 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 k
Flue/vent for any of above 23.32
Other: _ 23.32 _ R1
Subdivision: Lot no.: 102 Other fuel appliances: N
Tax map/parcel no.:Tax Map 1S135BA Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
TI of a portion of a former bookstore for a new Panera Bread restaurant fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32 _
Chimney/liner/flue/vent 23.32 _
❑ PROPERTY OWNER I ® TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Panera,LLC Range hood/other kitchen
equipment 33.39
Address:3630 S.Geyer Road,Suite 100 Clothes dryer exhaust 33.39
City/State/ZIP:Sunset Hills,MO 63127 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(314)984-1000 Fax:(314)909-3300 Attic/crawlspace fans 23.32
❑ APPLICANT ® CONTACT PERSON Other: 23.32
Business name: Panera,LLC Fuel piping:
$14.15 for first four;S4.03 for each additional
Contact name:John Sturges Furnace,etc.
Address:3187 Airway Avenue,Suite A Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Costa Mesa,CA 92626 Water heater
Phone:(714)966-9400 Fax: :(949)258-5655 Fireplace
Range
E-mail: rsi.johns @gmail.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: C Al Other:
C. L A2�� (�Gt NT/ ,L EL �/�f MECHANICAL PERMIT FEES*
Address: 6 3 a o Al --S- . -AlES 11.L'\• SrE Zo3 Subtotal 1120
City/State/ZIP: V ' 'CO it l/E7e/ /4f 9B-6 / Minimum permit fee($90.00)
ta_7 Plan review(25%of permit fee) 280
Phone:(i fpc) (�� 77v;' 0 Fax:( ) State surcharge(12%of permit fee) 134
CCB lic.: J1(0 / 7�/ CAL 3{0 0 -e023—FY37 TOTAL PERMIT FEE 414
This permit application expires if a permit is not obtained within 180
OZ/07/ �{C �m QQ r��)�� r v� days after it has been accepted as complete.
Authorized signature: ' Fee methodology set by Tri-County Building Industry Service Board
Print name: R„..�� — Date:,-""/ -/s---
1:\Building\Pernits\MEC_Pe tApp_040I13.doc 440-4617T(II/02/COM/WEB)
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.
1:Building\Permits\MEC_PermitApp_040113.doc 2
September 10, 2014
RE: MECHANICAL
Project Information
Building Permit: MEC2014-00443 Construction Type: 2B
Tenant Name: Panera Bread Occupancy Type: M
Address: 10230 SW Wash. Sq. Occupant Load: NA
Area: NA Stories: 1
The plan review was performed under the State of Oregon Mechanical Specialty Code
(OMSC) 2014 edition; and the State of Oregon Fire Code (OFC) 2014 edition, ASCE7
and 2014 OSSC. The following corrections need to be submitted for review prior to
issuing of the permit
1) Provide cut sheets for RTU's to be installed.
2) Provide drawings for attachment of all equipment on the roof showing
connection of any curb to roof and equipment to the curb. Provide
calculations and drawings showing seismic attachment of all equipment with a
weight 4001b or greater.
3) Provide connection details for exhaust hoods.
4) Provide connection details for cooler and freezer compressors.
5) Show how make up air for hoods is provided.
When responding, provide an itemized letter stating in what way each numbered
issue has been addressed in the revision.
When submitting revised drawings or additional information, please attach a copy of the
enclosed City of Tigard, Letter of Transmittal. The letter of transmittal assists the City
of Tigard in tracking and processing the documents.
Respectfully,
Dan Nelson,
Senior Plans Examiner
(503) 718-2436
dann @tigard-or.gov
FOR OFFICE USE ONLY-SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
ill ■ Transmittal Letter
I 1(.,\IZ I) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: DATE CEIYED:
DEPT: BUILDING DIVISION �.�,C U �
'f I , OCT 8 2014
FROM: 2GGYV J i v- S CITY OF AGM)
COMPANY: /e '
BUILD1Nf
MINIM'
'
L�
PHONE: 7j1-t- T6cp --9i/co By:
RE: )al ` IA I) jevui . ,O �� ill-CO 44)
ite ress) �/ (Permit Number)
kiltramel or su n ame and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s)of plans. Revisions:
C s section(s)and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
o) her(explain): ben Ve-ci,vr✓ alb,1 /FX,c, 7 tio4 , S
aar-1-
REMARKS:
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: apt 1---.5 �It\__ Initials:('-""DiNed
Fees Due: ❑ Yes If 10 Fee Description: Amount Due:
$
$
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes ❑No _ ❑ Done
Applicant Notified: _ Date: Initials:
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
RSI GROUP RECE/VED
OCT 8 2014
�ITY0f jQD
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LETTER OF TRANSMITTAL
October 7, 2014
Dan Nelson
Senior Plans Examinar
City of Tigard
13125 SW Hall Blvd
Tigard, OR 97223
RE: Panera Bread -Tigard
Dan:
Enclosed please find the following items:
Items
1) 2 copies of Sheet S-1.1
2) 2 copies of Sheet M-4.1
3) 2 copies of Sheer M-4.1a
If you should have any questions or concerns,feel free to give us a call.
Thank you,
'OPP"
fr
ohn S rges
3187 Airway Avenue • Suite A • Costa Mesa, CA 92626 • T: 714-966-9400 F:949-258-5655
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10230 SW WASHINGTON SQUARE RD,
TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2014-00443
Chip Barnett
Violation Summary:
Inspector Contractor