Permit (66) a .
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT JAN 1 g 2018
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$11 11. Request for Permit Action CiY Oh d t k5At )
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • www.tig - gi�i 1 l `
TO: CITY OF TIGARDi
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Building ion Di i
Division /4,///f-
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13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov
FROM: ❑ Owner ® Applicant ❑ Contractor ❑ City Staff
Check(✓)one
REFUND OR Name:
INVOICE TO: (Business or Individual) Streimer Sheet Metal Works, Inc.
Mailing Address: 740 N. Knott St.
City/State/Zip: Portland, Or. 97227
Phone No.: 503-288-9393
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓):
CANCEL/VOID PERMIT APPLICATION.
.16,
REFUND PERMIT FEES (attach copy of original receipt and provide explanation below).
❑ INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below).
❑ REMOVE/REPLACE CONTRACTOR ON PERMIT (do not cancel permit).
Permit#: MEC2017-00119
Site Address or Parcel#: 7358 SW Durham Road
Project Name: Coram
Subdivision Name: Lot#:
EXPLANATION: Project has been canceled.
Signature: Date: 1-18-18
Print Name: Paul I Likes
Refund Policy
1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of:
• Any fee which was erroneously paid or collected.
• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort
has been expended.
• Not more than 80%of the application or permit fee for issued permits prior to any inspection requests.
2. All refunds will be returned to the original payer in the form of a check via US postal service.
3. Please allow 3-4 weeks for processing refund requests. 9 /1-7 90 _ /750 i 3 �' ' 7. SP
i,6 .-SS — ',2/ e, , ey = .5 , 5'/
-s z y5d#r'5' 1 9 ter 3 6 `"y 9 4 , e V
FOR OFFICE USE ONLY
Route to Sys Admin: Date By Route to Records: Dat-— ,2P- / By.4 .;:,
Refund Processed: Dated%3/t By r' Invoice Processed: Date By
Permit Canceled: Date 7/,f// -- :..ice -Parcel Tag Added: Date By
I:\Building\Foams\RegPenmitAction_0923 4.doc
II
I1
TIGARD
City of Tigard
March 1,2018
Streimer Sheet Metal Works Inc.
Attn: Paul Lukes
740 N. Knott St.
Portland, OR 97227
Re: Permit No. MEC2017-00119
Dear Applicant:
The City of Tigard has canceled the above referenced permit(s) and encloses a refund for the
following:
Site Address: 7358 SW Durham Rd
Project Name: CVS Coram
Job No.: N/A
Refund Method: ® Check#227768 in the amount of$1,960.36.
❑ Credit card "return"receipt in the amount of$
Note: Please allow 2-5 days for this refund transaction to be
credited to your account by the company that issued your card.
❑ Trust account"deposit"receipt in the amount of$
Comment(s): Per applicant's request as job was cancelled. Refund 80% of permit fees.
If you have any questions please contact me at 503.718.2430.
Sincerely,
Dianna Howse
Building Division Services Supervisor
Enc.
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171
TTY Relay: 503.684.2772 • www.tigard-or.gov
CITY OF TIGARD MECHANICAL PERMIT
I a. COMMUNITY DEVELOPMENT Permit#: MEC2017 00119
t GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/04/2017
T
Parcel: 2S 113AB01400
Jurisdiction: Tigard
Site address: 7358 SW DURHAM RD
Project: Coram Subdivision: None Lot: None
Project Description: Replace rooftop a/c unit,duct work,and heap filter grilles.
Contractor: STREIMER SHEET METAL WORKS INC Owner: PACIFIC REALTY ASSOCIATES LP
740 N KNOTT STREET ATTN: N PIVEN
PORTLAND, OR 97227 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 503-288-9393 PHONE:
FAX: 503-288-3327
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/04/2017 $2,187.90
Class of Work: ALT Type of Const: VB Plan Review 05/04/2017 $546.98
Occupancy Grp: F-1 Occupancy Load: 12%State Surcharge-Mechanical 05/04/2017 $262.55
Stories: 1 Info Process/Archiving-Lg$2.00(over 05/04/2017 $22.00
11x17)
Project Valuation: $83,011.00 Info Process/Archiving-Sm$0.50(up to 05/04/2017 $17.50
11x17)
Fuel Air Handlers
Fuel Types: Natural Gas 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 $3,036.93
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: return air
Duct Work: 1 grills, 3
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a c py of t e rules
or direct questions to UNC by calling 503.232.1987 or 1.800.332.2344. y' /'�
Issued By: ` �, t,i1'�1 Permittee Signature: 'f.7-}1./11
4� J 4
C/ FC I
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
"Ng
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Received
Date/By: /V/7 -,ii Permit No.:tiw/7 1l7
14 '4 13125 SW Hall Blvd.,Tigard,Oil"g1.2 t i .
Plan Revie
Phone: 503.718.2439 Fax: 503.598 1960 y A r' 4,t.r7 Other Permit:�y'D9^!�ee
Inspection Line: 503.639.4175 Date/By: ^�-ee C�
p ,t ' 3 t Date Rea. Juris: El See Page 2 for
T CARD Internet: www.tigard-or.gov Notified/Method:i f/7�'//,7 Supplemental Information
i1 /�
°a iirte .&.(,, Ga-it--l' 6/
r -, TY 01 1'F'014 ,",)4&ar ' COMMERCIAL FEE* SCHEDULE-USE CHECKLIST'
Mechanical permit fees*are based on the value of the work
❑New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
['Demolition ❑Other: mechanical materials,equipment, overhead,and profit.
labor,ov ad, 1
CATEGORY. OJF CONSTI2UC ION Value:$ 53 0/4 D,
. „ .. "_ TtESIDEINTIAL EQUIPMENT/ STEMS FEES*
❑ 1-and 2-family dwelling Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family El Master builder 0 Other: Description Qty. Ea. Total
JOE SITE"T TFORM�i'ATiOINI":'AID'LOCATIO Heating/cooling:
Air conditioning 46.75
Job site address: "730 Se."." D Ur`a 4,,,, 72.ei Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: PriC4 6)-. ( �y}Y Furnace 100,000+BTU(ducts/vents) 54.91
/ Heat pump 61.06
Suite/bldg./apt.no.: 1 Project name: vs./c6r,a 4 Duct work 23.32
Cross street/directions to job site: �� /34,,--.4.4 rir £ �p e, /3e:.o b� Hydronic hot water system 23.32
/ Residential boiler(radiator or
re rel. 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
Other: 23.32
Subdivision: 1 Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF"`WORD- Gas fireplace/insert 33.39
/� d // ) Flue vent for water heater or gas
K 2P�ei.G c t-o of P F` G ci"j"1 QrUG�'LL*G/'/G� fireplace 23.32
/ / ��4 p/,/, - gr)/lg, Log Wood/pelletlighte (gas23.32
Y} stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
0 PROPEIR.TY OWNER TENANT ' • Other: 23.32
Environmental exhaust and ventilation:
Name: G (/J" PA4e-.4.1 tee-, Range hood/other kitchen
eqAddress: -7?,S$ St c� Clothes di 33.39
/✓U/'"�GsvLs �� Clothes dryer exhaust 33.39
City/State/ZIP: I1 j� 9 7 2*'?' Single-duct exhaust(bathrooms,
/ / / toilet compartments,utility rooms) 23.32
Phone:(5a3) £ '' 5 09 6 Fax:( ) Attic/crawlspace fans 23.32
,. .x A J'LTCANT CONTACT PERSON Other: 23.32
Business name: 5-ire.;,,,,,,
Fuel piping:
fie►t,,,, / S�,dei' e i $14.15 for first four;54.03 for each additional
Contact name: A u/ L-u4G ex Furnace,etc.
Address: 2 ) /4,01 a 1* Sr- Gas /suheas pump
f`�' F� Wall/suspended/unit heater
City/State/ZIP: Pt'1 / o,,. q'7 2-?,9 Water heater
Phone:($ 2.a$-4"34 3 I Fax::(j3 ) 28°v- 33'}, Fireplace
Range
E-mail: /:'.G i Lli ke..-r @ Etre:met: G-aM Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: .5'r-'-re.., e SACS. I-4.4-a) Other:
/ NWCHANICAL,PERMIT FEES*
Address: /471 A./ k t'+6 g
Subtotal
City/State/ZIP: //7/1.°)d/ a,- r ;t;,7 Minimum permit fee($90.00)
)(�3) ?_ff -C-r'363 Fax:5- 3 ) y 8 Q - 3'j>') Plan review(25%of permit fee)
Phone:
State surcharge(12%of permit fee)
CCB lic.: 2--3 6$ TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: 7G ‘,..-411 * Fee methodology set by Tri-County Building Industry Service Board
Print name: !a 4.4j e.1/4-e.1 Date: 3,^I!y J 7
C\Building\Permits\MEC_PermitApp_040113.doc 440-4617T I/02/COM/WEB)
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
11 Transmittal Letter
r c,n E; 1) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: i DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
L/ APR 6 2017
FROM: gt.A.1
� kekf- CITY OF rlGaRD
COMPANY: SStf.* er- J`/at 1-4•0)
DIVISION
PHONE: So 3 ' 244--93g 3 I c` 1 lei
RE: 7?J STS- u.A ko--K.` 1°4 Z f-C 6/7--06/i
(Site Address) (Permit Number)
Gal
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: ,,/ g -14,'J f-10( S�r' L/a 1 dL� ef-Ax. t,r
/1o`jol/ 0 r 10ks-±e,,.) ►✓t £in 7' jb GUI
G`/---6 117) r2YD P
FOOF CE USE ONLY
Routed to Permit Technician: Date: �? 17 ``
Inti tii
Fees Due: p Yes D N6 Fee Descnp ion: Amount 5 ue:
$
$
$
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes ❑No ❑Done
Applicant Notified: Date: Initials:
I:\Building\Forms\TransmittalLetter-Revisions 061316.doc