Permit (16) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2019-00251
T i i;A Ft jr) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/23/2019
Parcel: 2S 110AC01300
Jurisdiction: Tigard
Site address: 11430 SW BULL MOUNTAIN RD
Project: Bull Mountain Heights Subdivision: None Lot: None
Project Description: Installing 100 ft of 1/2 inch gas line from the meter to the bbq station and fire pit.
Contractor: LOVETT INC Owner: PATHFINDER TIGARD HOLDINGS LLC
PO BOX 86280 4380 LA JOLLA VILLAGE DR STE 250
PORTLAND, OR 97286 SAN DIEGO, CA 92122
PHONE: 503-737-8423 PHONE: 503-737-8423
FAX: 503-288-1630
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/09/2019 $235.31
Class of Work: ALT Type of Const: VB Plan Review 05/09/2019 $58.83
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 05/09/2019 $28.24
Stories: Info Process/Archiving-Sm$0.50(up to 05/09/2019 $12.50
11x17)
Project Valuation: $5,950.00
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 Fumaces: 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 $334.88
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: BBQ grills
Duct Work:
Fire/Smoke Dampers:
Thisermi
p t is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
9 P p ty
applicable law. All work will be done in accordance with approved plans. This permit will expire if wor. no started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to foll•w the ulks adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You ay obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. r.
Issued By: / i •- thee Signature:
Call 503.639.4175 by 7:00 a.m.for t•- ext availab - '• •-ction date.
This permit card shall be kept in a conspicuous . . . e job site until completi•- of the project.
Approved plans are required on the job site at the time of each ••ction.
l
Mechanical Permit Application FOR OFFICE USE ONLY
City of Ti andp ' S Received
!� 13125 SW Hall Blvd.,Tigard,OR 97223 Date/BY: i` /1 !� ��2/ -Di
• Phone: 503.718.2439 Fax: 503 5981960 'r., DateBy:Plan 1C1V t ca Other Permit:
Inspection Line: 503.639.4175 -� , j ��
T t G A It D " Date Ready/By: !aria: Ed See Page 2 for
Internet: www.tigard-or.gov Notified&Meh•,: e / /get Supplemental Information
L
x , X "i' ,, o d O1T`'"--la m.-4, i ry /t///' k/ ,i i:V a �t 1 �AL
N-:�,h:cG Kms.-.-u.;A..�f:.h`.c..t s��.m['.c... ..�.':mJY..(� .=.. :Y'g�-k`{4 � _' r_-
rnx Mechanical permit fees*are based on the value of the work
El 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.
a ,�, _ Value $5950.00
. T.. • fs .t,.. ;'.: ar I
❑ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
®Multi-family 0 Master builder 0 Other: Description .1 Qty. 1 Ea. 1 Total
- "�,.- :.. . Heatin coolin
g.
Air conditioning 46.75
Job site address:11430 SW Bull Mountain Rd Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: I Project name:Blue Mountain Heights Duct work 23.32
Cross street/directions to job site:SW 114°'ave Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit healers(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision: I Lot no.:
Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32 f
;r. . .. 8°` ¢ i e9 ,o-^k.--•.4 a . .:'-tz " Gas fireplaceJinseri 33.39
.. :_ � :.> Flue vent for water heater or gas
Installing 100 ft of 1/2"gas line from the meter to the bbq station and fire fireplace 23.32
pit Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/fiue/vent 23.32
g n D >'-i,® ';,e 6 1 11'1 ,z *'r * - ,• 7t4 f3 iii.,, -� :'�� T Other: 23.32
" � ''` `" Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/Z1P: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
'•- ,l W s T"�- s--='Y , '� s e a ell,r "4t l'r el4,i .i°;" Other: 2332 1.
Fuel piping:
Business name;Lovett inc
$14.15 for first four;$4.03 for each additional
Contact name:„So C., �'s rsti G '*1, 577 ,o9 -,C/ Furnace,etc.
Address:6920 NE 42"ave Gas heat pump
WalUsuspended/unit heater
City/State ZIP:Portland,OR 97218 Water heater
Phone:(503)737-8423 Fax::( ) Fireplace X
Range
E-mail:shellie.t®lovettservices.com Barbecue X
.. 'fi . V �r ll.� ,�e?, ... 1M:04.4 �, Clothes dryer(gas)
Business name:Lovett Inc Other:
Address:Same as above Subtotal -j-
City/State/ZIP:
City/State/ZIP: Minimum permit kc($90.00)
•
Phone:( ) Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lic.:125507 4-'1/6!t.i TOTAL PERMIT FEE Job,.
This permit application expires if a permit is not obtained within 180
Authorized signature: days after it has been accepted as complete.
Fee methodology set by Tri-County Building Industry Service Board
Print name;trkv....A____ Date:sc(/4/(11:
tArtuiIdiagWermi C PeroritApp 040113.doc 440-46171'01/02/C0M/WEB)
City of Tigard
1,1
COMMUNITY DEVELOPMENT DEPARTMENT
■
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: 4/1G.170.2-() C ?' )
,5-7
Site Address: ( /L/ 3U 510 g,// /1.1701,41a ite/Bldg#:
Project Name: 13(„P Ala I/ // 7 415-
(Name of commercial business occupying the space(If vacant,enter Spec Space.)
Planning Review
Proposal: 4 C �
X12
Existing Business Activity:
Proposed Business Activity:
LJ Verify site address/suite#exists and active in permit system.
'River Terrace Neighbo h od: [ 0 No
'Zoning. 5
.0 l ermitted Use: C7'Yes ❑ No ❑ Spec Space
,ErEonfirm no land use required.
td Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: Date: LI 79 9
4,'
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date:
Site Plans: ##
Building Plans: ##
Building Permit#: Enter building permit#above.
Workflow Routing: Planningermit Coordinator wilding
Workflow Sign-off: Sign-off for Iflanning(include notes from planning review)
Route Application Documents: Building: original permit application, site plans,building plans,engineer and
1� beam calculations and trust details,if applicable, etc.
Notes: f 4/ t k4 t'L 41 ' Gl/ ..$ hip C/_'ft
By Permit Technician: �- Gl
/A u �” Date:
IABuildineFormslBldgPermitRvw COM NoLandUse 060116.docx
Building Permit Submittal
Original Submittal Date:
Site Plans: #
Building Plans: #
Building Permit#: 0 Enter building permit#above.
Workflow Routing: 0 Planning 0 Engineering 0 Permit Coordinator ❑ Building
Workflow Sign-off: ❑ Sign-off for Planning(include notes from planning review)
Route Application Documents: ❑ Engineering: (1) copy of permit application, (1) site plan, (1)building plan and
original plan review routing form.
❑ Building original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date:
Engineering Review
❑ Slope at building pad:
❑ Conditions"Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: 0 Yes 0 No
Assess Water Quantity Fee in-lieu: 0 Yes 0 No N/18C LIDA Facility on lot: ❑ Yes ❑ No
❑ Final Plat Recorded:
❑ NOT Approved by Engineering: Date:
Notes:
❑ Approved by Engineering: Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
Permit Coordinator Review
❑ Coditions"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:
R sion Notice 3: Date Sent to Applicant:
'CJ SDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes lirN/A
Tigard Trans SDC: 0 Yes DV/A
Parks SDC: 0 Yes Ll N/A
LIDA 0 Yes /A
OK to Issue Permit 2/ 1!
Approved by Permit Coordinator: f /Date: /
I:\Building\Forms\BldgPermitRvw_RES_022819.docx