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Permit IJ V CITY OF TIGARD i i II MECHANICAL PERMIT II . COMMUNITY DEVELOPMENT Permit#: MEC2014-00403 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/24/2015 Parcel: 2S1 12C B00900 Jurisdiction: Tigard Site address: 15000 SW HALL BLVD Project: Bonaventure of Tigard Subdivision: WILSON ACRES Lot: 8 Project Description: Mechanical work for new 3-story senior living facility.3/25/15,reprinted to correct address to 15000 SW Hall Blvd. Contractor: JET INDUSTRIES INC Owner: MWSH TIGARD LLC 1935 SILVERTON RD NE 3425 BOONE RD SE SALEM, OR 97303 SALEM,OR 97317 PHONE: 503-363-2334 PHONE: 503-566-5715 FAX: 503-363-2622 FEES Specifics: Description Date Amount Type of Use: Permit Fee 02/24/2015 $23,048.71 Class of Work: Type of Const: Plan Review 02/24/2015 $5,762.18 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 02/24/2015 $2,765.85 Info Process/Archiving-Lg$2.00(over 02/24/2015 $46.00 Stories: 11x17) Project Valuation: $800,000.00 Info Process/Archiving-Sm$0.50(up to 02/24/2015 $37.50 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: Appliances Vent Fans: Vent Systems: Total $31,660.24 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 obtain a copy of the rules or direct to OUNC by alling 503.232.1987 or 1.800.332.2344. Issued y: Pe rmittee Signal e: 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. CITY OF TIGARD MECHANICAL PERMIT 1 II ' COMMUNITY DEVELOPMENT Permit#: MEC2014-00403 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/24/2015 Parcel: 2S112CB00900 Jurisdiction: Tigard Site address: 15000 SW 83RD AVE Project: Bonaventure of Tigard Subdivision: WILSON ACRES Lot: 8 Project Description: Mechanical work for new 3-story senior living facility. Contractor: JET INDUSTRIES INC Owner: MWSH TIGARD LLC 1935 SILVERTON RD NE 3425 BOONE RD SE SALEM, OR 97303 SALEM, OR 97317 PHONE: 503-363-2334 PHONE: 503-566-5715 FAX: 503-363-2622 FEES Specifics: Description Date Amount Type of Use: Permit Fee 02/24/2015 $23,048.71 Class of Work: Type of Const: Plan Review 02/24/2015 $5,762.18 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 02/24/2015 $2,765.85 Info Process/Archiving-Lg$2.00(over 02/24/2015 $46.00 Stories: 11x17) Project Valuation: $800,000.00 Info Process/Archiving-Sm$0.50(up to 02/24/2015 $37.50 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: Appliances Vent Fans: Vent Systems: Total $31,660.24 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct que UNC by calling 503.232.1987 or 1.800.332.2344. Issued B Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. . a Mechanical Permit A lic F vF-D IOlt OI l 1( 1 1 SI O\I ) Received 'Mega- City of Tigard Date/By: Aff.3 Permit No.: - v /e3 • 13125 SW Hall Blvd,Tigard,OR 9722AUL, 1 Plan Review I ML A Phone: 503.718.2439 Fax: 503.598.1960 Date/By:,w-'►_ 6 , ether Permit: T t G A R D Inspection Line: 503.639.4175 (�11Y i ft/fN 1D Date Re:.77 Judy 0 See Page 2 for Internet: www.tigard-or.gov !��/1'+�/� Notified/Method: u of aj Supplemental Information 9011'11 `* 1 • TYPE OF WORK COMME• I L FEE• SCHEDULE - USE CHECKLIST Mechanical permit fees'are based on the value of the work 1 Eri;ew construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES" ❑ 1-and 2-family dwelling 2-Commercial/industrial ❑Accessory building For special information use checklist. Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: 3< 1 t i n, ./ Air conditioning 46.75 Job site address: 1"500 _ .. 0 3 /h/G, Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: 'r cr-c / 0 2 1 Z 2Z 3 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: I Project name: F,��.m ve 0,1- J 1 S� Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 LoResidential boiler(radiator or IG c7 S 5 1-.(yqAA-- ydronic) 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: I Lot no.: /3-06 Other: 23.32 Other fuel appliances: Tax map/parcel no.: 25 I 1 1 ce7 c' ?co Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 I Flue vent for water heater or gas I\/ Y1,f W rr e(in LAI Err i 3 s fireplace 23.32 l,f I t Log lighter(gas) 23.32 S e�1 I�� E. ) Wood/pellet stove 33.39 I( Wood fireplace/insert 23.32 Chimney/I finer/flue/vent 23.32 V PROPERTY OWNER ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name: Bo,y%tiL.4 'iLu..j r- -n.J V Range hood/other kitchen equipment 33.39 Address: _ 2 5 Yo c V4 Clothes dryer exhaust 33.39 City/State/ZIP: ' a l-e,.,_ 0/t int 9 731 / Single-duct exhaust(bathrooms, 731 toilet compartments,utility rooms) 23.32 Phone:(51:) 544 • S?(S*" Fax:( ) Attic/crawlspace fans 23.32 /ETTPPLICANT ❑ CONTACT PERSON Other: 23.32 Business name: Q Fuel piping: i�O�L�'�,' � t rYl�` L-1 u t� $14.15 for first four;54.03 for each additional Contact name: J _._ GEC- fs c",/1 Furnace.etc. Address: 5'4 f 9 s' Q � d Gas heat pump I J D Wall/suspended/unit heater City/State/ZIP: G LPti( °VL-- Water heater Phone:( 9 3 31; • 5 ,t„,' Fax::( --), Fireplace Range E-mail: j C Ia.('V-JS tf,,.,C. ) ((' EKL_,C owe Barbecue CONTRACTOR Clothes dryer(gas) Business name: T r I )us I ✓11 Es J 01._ Other: \ I MECHANICAL PERMIT FEES' Address: 19'3 S t LA f IL-re N Subtotal City/State/ZIP: 11 Lt H O Q Q7 50, _ Minimum permit fee($90.00) 2 t►I r�,� 2 Plan review(25%of permit fee) Phone:(500) xA- -s 3 '! Fax:('�'-J) 3&. -9��"- State surcharge(12%of permit fee) CCB Iic.: 39/../L/ TOTAL PERMIT FEE This permit application expires if a permit is not obtained within I80 days after it has been accepted as complete. Authorized signature-. • Fee methodology set by Tri-County Building Industry Service Board Print name: (3/7/ `Date: ) -A/I.\Building\Pe nits∎I 'ernutApp_040113.doc 440-4617T(1I OM/WFB) 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 104 _ al Transmittal Letter A i< 1, 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: ,i vt 1f•-.1.-1 307( DATE RECEIVED: DEPT: BUILDING DIVISION AEcEwE V FROM: , Lc.)1c..Lso OCT 8 ?_G , COMPANY: Bc>c4 A Usa- v12e3 Cow Poa4 , _ OF li(7Al' b . ' ntinsIM PHONE: S63 '— C-F 0 1 — �o 1'S d y: RE: /SC7co 5vd 9i--)-cc(c '' J Vc1', 7 (Site Address) j ermit m er) n fQvname ors iv si • - and lot , ■∎- C— — ATTACHED ARE THE FOLL ING I ► (.: Copies: Description: I Copies: Description: _ Additional set(s) of pl Revisions: 4 t/r4_? Cross section(s) and d iV Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: FOR OF ICE SE ONLY Routed to Perm' Technician. Date: l0 1 1 rA Initial Fees Due: • es 'No Fee Description: Amount ue: $ $ $ $ Special Instructions: Reprint Permit(per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: j:,. I li-1 i 1 Initials: � I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012 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 15000 SW HALL BLVD, TIGARD, OR, 97224 Commercial - Mechanical 699 Mechanical ﬁnal PASS - No C of O MEC2014-00403 Jeff Grove Balance report received Violation Summary: Inspector Contractor