Permit (40) 111 CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2016-00264
T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/18/2016
Parcel: 1 S 1260000300
Jurisdiction: Tigard
Site address: 9374 SW WASHINGTON SQUARE RD R05
Project: Verizon Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: Mini split system for server room
Contractor: Owner: PPR WASHINGTON SQUARE LLC
PO BOX 847
CARLSBAD, CA 92018
PHONE: PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 04/18/2016 $99.76
Class of Work: ALT Type of Const: Plan Review 04/18/2016 $24.94
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 04/18/2016 $11.97
Stories:
Project Valuation: $1,500.00
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 $136.67
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: ductless mini
Duct Work: split
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utili •. . •.- enter. os: rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
• direct questions to 6 ' by calling 503.232.1987 or 1.800.332.2344.
ssued By: A.
Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspectio date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application roll orrl( it E SF ON i.)
City of Tigard d Received
g Date/By. '7 /8"�lQ TA Permit No.: G/1 l��. , I
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan ReviewII II t��
Phone: 503.718.2439 Fax: 503.598.1960DateBy: Other Permit:
1 1 t A{t h Inspection Line: 503.639.4175 Date Ready/By: loris ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE– USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 45-00 o49
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling )Rr.Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 35-5- 51,1/ (.t1q
9 s A t h 1 f� 57, ,ed
Furnace 100,000 BTU(duets/vents) 46.75
City/State/ZIP: Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: 74,.-,',2.,c,-).( t-/4- S7ug,,__ Duct work 23.32
Cross street/directions to job site: 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
Flue/vent for any of above 23.32
Subdivision: Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
�1.5--('q /( 0 W S /,/r ece ..art/�,r1 fireplace 23.32
19� Log lighter(gas) 23.32
14 C -7' 5 ,I + it/94sec(
5 yS zest S e-!'v-er ✓ 7't1 . Wood/pellet stove 33.39
/ Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
❑ PROPERTY OWNER 0 TENANT
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address:
Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
APPLICANT 0 CONTACT PERSON Other: 23.32
/ Fuel piping:
Business name: W/Wei",.t ton TT VA-C) �vl,L{
$14.15 for first four;$4.03 for each additional
Contact name: .e-rr e- .fes f 5.,-,_ Furnace,etc.
Address: 2-7 2-3 "/E /S 7 O r e L, Gas heat pump
� Wall/suspended/unit heater
City/Sta ,te/ZIP: r e / ' I'd l�/l4 t7.5 l0 512 Water heater
Phone:(c7,( ) 2.3 S- 3 6„ 7 9 ) Fax: :( ) Fireplace
Range
E-mail: Pi A v e r t L r� �e% C al'+1 Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: Other:
MECHANICAL PERMIT FEES*
Address: Setn1 e_ 4 S c7. oVe__J Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee)
CCB lie.: TOTAL PERMIT FEE 3,67
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: �� * Fee methodology set by Tri-County Building Industry Service Board
Print name: -`T .n ! ,..,-•i L e 15 _ Date: „n 1-7/7/41/ 7
n/41/ 7
r
r- .t CITY OF TIGARD BUILDING PERMIT
t'..h ' COMMUNITY DEVELOPMENT Permit#: BUP2016-00122
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/14/2016
Parcel: 2S110DCO2200
Jurisdiction: Tigard
Site address: 15660 SW PACIFIC HWY A-5
Project: New Sound Subdivision: 1997-016 PARTITION PLAT Lot: 2
Project Description: TI
Contractor: CECIL SMITH DBA CECIL SMITH CONSTRUCTION Owner: ROIC OREGON LLC
305 NE PALMBLAD DR ATTN: SCHOEBEL, RICHARD
GRESHAM, OR 97030 8905 TOWN CENTRE DR, STE 108
SAN DIEGO, CA 92122
PHONE: 503-784-0456 PHONE:
FAX: 503-667-9479
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 04/14/2016 $910.17
Demolition
Occupancy Grp: B Occupancy Load: 15 12%State Surcharge-Building 04/14/2016 $109.22
Dwelling Units: 0 Plan Review 04/05/2016 $591.61
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 04/14/2016 $88.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 04/14/2016 $364.07
Value: $74,000 Info Process/Archiving-Lg$2.00(over 04/14/2016 $10.00
11x17)
Floor Areas:
Total Area: 1135
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,073.07
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
•
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 a • •-•ce 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. AT NTION: Ore••n law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those r =s are set forth in O••
952-00 -0010 through OAR • 2-01 -r••0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.3 44.
Issu•d By: . P . 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.
g 4a
Building Permit Application
Commercial FOR(IF I"I( I I •1: (l\I \
City of Tigard \'cD Date/B� I, :4i Permit No.: ia0 l(y 0D/
• 13125 SW Hall Blvd.,Tigard,OR 9722 1 V fir. Plan Revie••
r //�
111 II Phone: 503.718.2439 Fax: 503.598.19E,� DateB : ili'h EN Other Permit [/V7, CAP"' ,y
�.�C�\R D Inspection Line: 503.639.4175 rl 016 Date ReadyBy H See Page 2 for
Internet: www.tigard-or.gov APR p'a 4 Notified/Method: g� 111 Supplemental Information
TYPE OF WORD, . F O v S QN REQUIRED DATA:1-AND 2-FAMILY DWELL,G
0 New construction 0 ai+ ' Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:15660-A5 SW Pacific Hwy New dwelling area: square feet
City/State/ZIP:Tigard,Oregon 97224 Garage/carport area: square feet
Suite/bldgiapt.no.:5-A Project name:Willoughby-New Sound Hear Covered porch area: square feet
Cross street/directions to job site:SW Royality Pkwy Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Tenant Improvement Valuation: $$74,000.00
Existing building area: 1135 square feet
New building area: 1135 square feet
0 PROPERTY OWNER TENANT Number of stories: 1
Name:NewSound Hearing Aids Type of construction: VB Sprinklered
Address:26222 HWY 12 Occupancy groups:
City/State/ZIP:Dripping Springs,Texas,78620 Existing: General Commerc
Phone:(813)831-8181 Fax:( ) New: General Commerc
0 APPLICANT CONTACT PERSON BUILDING PERMIT FEES*
Business name:Cecil Smith dba Cecil Smith Construction (Please r�rrtafee scAarfe�
Structural plan review fee(or deposit):
Contact name:Cecil Smith
FLS plan review fee(if applicable):
Address:305 NE Palmblad Dr.
City/State/ZIP:Gresham,OR 97030 Total fees due upon applicatiot9l /. j_i
Phone:(503)666-8746 Fax::(503)667-9479 Amount received:(( w
E-mail:cecil@healthyhomebuilder.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Cecil Smith dba Cecil Smith Construction Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:305 NE Palmbald Dr Solar Installation Specialty Code checklist.
City/State/ZIP:Gresham,OR 97030 ... Permit fee(includes plan review $180.00
f and administrative fees):
Phone:(503)784-0456 ce F.. :(503)667-9479 State surcharge(12%of permit fee): $21.60
CCB lie.:72300 31111 ` Total fee due upon aPP lication: $201.60
Authorized signature: ' i 1 0 4 F / This permit application expires if a permit is not obtained
A ; within 180 days after it has been accepted as complete.
Print name: a} lil p j ZD S � Date: 3-6N ` Fee methodology set by Tri-County Building Industry
f•�' F�'�- Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-46131(11/02/COM/WEB)
IN ■ Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
REQUIREMENT: OREGON REVISED STATUTE(ORS)447.241.
(1) Every project for renovation,alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per-cent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering. [1] $ 74,000.00
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains:and, $
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $
I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011
46
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
■
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: 6 oN6?-0609,,
Site Address: 15660 3n) PaC-1 ei C. \-1vj' Suite/Bldg#: 11,5
Project Name: W1110140144
(Name of c mmerc.l business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: new hear\ng aia gaup s1'1op
Existing Business Activity: vA can+
Proposed Business Activity: o'1'1'j Ge C l c')
Verify site address/suite# exists and active in permit system.
-EFfliver Terrace Neighborhood: D Yes Xlr No
LrZoning: C-G
� 'ermitted Use: F(Yes ❑ No ❑ Spec Space
Confirm no land use required.
Business License:
Exists: ❑ Yes No, applicant notified to obtain business license
Notes:
Approved by Planning: Ti.e
iii m (.il,Y(loC.� Date: 4\SII
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 1
Original Submittal Date:
Site Plans: # 44
Building Plans: #
Building Permit#: nterbuilding permi -e.
Workflow Routing: lanning Permit Coordinatoruilding
Workflow Sign-off: - or Planning(include notes from planning review)
Route Application Documents: uilding: original permit application, site plans, building plans, engineer and
beam calculations and tnist details,if applicable, etc.
Notes:
By Permit Technician: � Date: y/5A
1:ABuilding\Fonns\BldgPennitRvw_COM_NoLandUse 070915.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes: O ,Gl/Yli e v l e, res a... (v,0 U acct -,.t) -k
of-(:ems - o SOC, or" T"DT ,� .
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 Applicant:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes X N/A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: ❑ Yes N/A
OK to Issue Permit
Approved by Permit Coordinator: C,avyt,14.) Date: I f
C,Building\Forms`,BldgPennitRvw_COM_NoLandUse_0709I5.docx
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
9374 SW WASHINGTON SQUARE RD R05,
TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2016-00264
Jeff Grove
Violation Summary:
Inspector Contractor