Permit (278) It qCITY OF TIGARD MECHANICAL PERMIT
s COMMUNITY DEVELOPMENT Permit#: MEC2014-00675
T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/16/2014
Parcel: 2S115BA02500
Jurisdiction: Tigard
Site address: 16200 SW PACIFIC HWY Q1
Project: Starbucks Subdivision: 2004-015 PARTITION PLAT Lot: 1
Project Description: Remove and replace 4 ton gas pack with adapter curb.
Contractor: OREGON AIRE INC Owner: SN PROPERTIES PARTNERSHIP
7715 NE 33RD DR STE A 1121 SW SALMON ST
PORTLAND, OR 97211 PORTLAND, OR 97205
PHONE: 503-335-2222 PHONE:
FAX: 360-423-1978
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 12/16/2014 $254.98
Class of Work: ALT Type of Const: Vg Plan Review 12/16/2014 $63.75
Occupancy Grp: A-2 Occupancy Load: 12%State Surcharge-Mechanical 12/16/2014 $30.60
Stories: 1 Info Process/Archiving-Sm$0.50(up to 12/16/2014 $12.50
11x17)
Project Valuation: $6,653.00
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 $361.83
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 questions to OUNC by calling 503.232.1987 . .;I I. . •
Issued By: "yam • ittee Signature: . (�/
Call 03.639.4175 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 e D FOR OFFICE USE ONLY
Cl of Tigard , Received Permit No.:
13125 SW Hall Blvd.,Tigard,OR 972230 EL 15 2014 Date/By: / /S 1� Fe�/yP7 j
Plan Re 1/ • Other Permit:
��11 Phone: 503.718.2439 Fax: 503.598.1960 Date/By: .9 1 (�
Inspection Line: 503.639.4175 CITY�lIGARD Date Re.i i.y: Juris
Fi See Page 2 for
Internet: www.tigard-or.gov If 1 Notified/Method: Supplemental Information
all Nx .i '-.J 0-t, %ai
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 ❑Other: mechanical materials,equipment,labor,overhead,andprofit.
,_ Value:$$6,653.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist.
❑ Multi-family ❑ Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 16200 SW Pacific Highway Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,Oregon 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: 01 Project name:Starbucks#418 Duct work 23.32
Cross street/directions to job site: / 1 Hydronic hot water system 23.32
Residential boiler(radiator or
x Y '/ hydronic) 23.32
it
Unit heaters(fuel-type,not electric),
_ in-wall,in-duct,suspended,etc. 46.75
II / Flue/vent for any of above 23.32
Subdivision: R� 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
Remove and replace existing 4 ton gas pack with adaptor curb 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 ® TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Starbucks Coffee Range hood/other kitchen
equipment _ 33.39
Address:PO box 94187 Clothes dryer exhaust 33.39
City/State/ZIP:Seattle Wa 98124-6487 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)896-9123 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT ❑ CONTACT PERSON i Other: 23.32
Business name:Oregon Aire Inc Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Steve Larson Furnace,etc.
Address:7715 NE 33n1 Drive suite A Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Porrtland Oregon 97211 Water heater
Phone:(503) 989-6421 Fax::( ) Fireplace
Range
E-mail: Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Same
Other:
MECHANICAL PERMIT FEES*
Address:
Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Phone:( ) Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lic.:OR64235 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: * Fee methodology set by Tri-County Building Industry Service Board
Print name:Steve Larson Date:12-15-14
I:1 Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
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
16200 SW PACIFIC HWY Q1, TIGARD, OR,
97224
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2014-00675
Jeff Grove
Violation Summary:
Inspector Contractor
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
16200 SW PACIFIC HWY Q1, TIGARD, OR,
97224
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2014-00675
Jeff Grove
Violation Summary:
Inspector Contractor