Permit (50) CITY OF TIGARD MECHANICAL PERMIT
t COMMUNITY DEVELOPMENT Permit#: MEC2017-01000
Date Issued: 12/21/2017
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S102AC00800
Jurisdiction: Tigard
Site address: 12549 SW MAIN ST
Project: Spec Space Subdivision: None Lot: None
Project Description: (2)indoor ductless units installed in 12549 SW Main St.and(1)1.5 outdoor unit located near 12555 SW Main St.
Contractor: ANDERSEN HEATING, INC. Owner: XU, ERIC(YU)
16285 SW 85TH AVE STE 410 10755 SW NAEVE ST
TIGARD, OR 97224 TIGARD, OR 97224
PHONE: 503-992-6664 PHONE:
FAX: 503-536-6615
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 12/21/2017 $254.98
Class of Work: ALT Type of Const: VB Plan Review 12/21/2017 $63.75
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Mechanical 12/21/2017 $30.60
Stories: 2 Info Process/Archiving-Sm$0.50(up to 12/21/2017 $2.50
11x17)
Project Valuation: $6,626.00
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 $351.83
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: 2 indoor
Duct Work: splits
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. �-
Issued By: e. ee Signature: f �
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applicati V FOR OFFICE USE ONLY
City of Tigard Received , M
Permit No.:
- q 13125 SW Hall Blvd.,Tigard,OR 97223 1.
g Plan By ie
Phone: 503.718.2439 Fax: 503.598.1960 DEC1 9 Date/By:
Inspection 503.639.4175 C 201
TIGARD p Date Ready :y. ' See Page 2 or
Internet: www.tigard-or.gov Notified/Method: f� i i`n J, . Supplemental Information
CITY OF TIGARD r t
TYPE plISG BIVSION46ti11" COMMERCIAL FEE* SCHEDULE —USE CHECKLIST itI11,4
f ` Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/replacement 'I` -- 1 performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor, te?fl�ak'urpf}t.
Value:$ % / of.
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT f SYSTEMS FEES*
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description ,.._ 7c 31 Qty. Ea. Total
JOB'SITE INFORMATION AND LOCATION Heating/cooling: _
{ , Air conditioning ,..� . `--Kir - 46.75
Job site address: t ! �Lc & ) f";
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:\BuildingWermits\MEC_PermitApp_040113.doc 2
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
III ■
T l c K n Building Permit Review — Commercial - No Land Use
Building Permit #: '1,3106-01,0 7_ WOO-6
Site Address: l?'L/!2.55) S w hiliA Sl, Suite/Bldg#:
Project Name: i/ e-ees Cake!
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: ' IvtW 6aEer7
Existing Business Activity: u ,v Or,14r. CS1A1Lkk ,4.'I-
Proposed Business Activity: t0.4{,, `
� 1 Or;4l,,y b(sii,-J.'.
[ fe❑ erify site address/suite#exists and active in permit syst�.
ver Terrace Neighborhood: ❑ Yes ❑'` No
Nr/Zoning: MV-031)
Lil ermitted Use: Lid Yes ❑ No ❑ Spec Space
IV onfirm no land use required.
`' Business License:
Exists: ❑ Yes I No,applicant notified to obtain business license
Notes:
Approved by Planning: (tiDate: 12"I,-1
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
- - -. -
Building Permit Submittal
Original Submittal Date: /4i.ZQ%7
Site Plans: #
Building Plans: # 02
Building Permit#: [ - iter building permit#above.
Workflow Routing: G7-Patri ing t Coordinator 13-Btdlding
Workflow Sign-of£ 1-off for Planning(include notes from planning review)
Route Application Documents: ding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit . .-, ' ir.C2----- Date: /).-//`/1 7
I:\BuildingWorms\BldgPennitRvw COM_NoLandUse 060116.docx
Engineering Review
Slope at building pad: C! 9
PFI Permit#: N'(4
-Conditions "Met"prior to issuance of building permit
2-tasements (encroachments)per engineering conditions of approval and plat (not typical on SDR/CUP)
[ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ®-No
Assess Water Quantity Fee in-lieu: ❑ Yes 2No
LIDA Facility on lot: ❑ Yes [ 4o
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: k� s Wtt Date: t Z 2i,--(
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
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 Applicant:
AC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes N/A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: ❑ Yes N/A
kl"OK to Issue Permit
Date: 1 Z/�
/1
Approved by Permit Coordinator:
1:\Building\Forms\B1dgPermitRvw_COM_WithLandUse_070915.docx