Permit (74) CITY OF TIGARD MECHANICAL PERMIT
.1104 I ' COMMUNITY DEVELOPMENT Permit#: MEC2019-00553
T i t;h Ft.13 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/06/2019
Parcel: 2S102AD00300
Jurisdiction: Tigard
Site address: 12555 SW HALL BLVD
Project: Hams-McMonagle Associates,Inc. Subdivision: TIGARD HIGHWAY TRACTS Lot: 19
Project Description: Interior mechanical and replacing(2)exterior units;(1)unit located behind the building and(1)unit to be screened.
Contractor: JACOBS HEATING&AIR CONDITIONING Owner: HARRIS, MCMONAGLE ASSOC INC
4474 SE MILWAUKIE 12555 SW HALL BLVD
PORTLAND, OR 97202 TIGARD, OR 97223
PHONE: 503-234-7331 PHONE:
FAX: 503-296-5351
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 08/06/2019 $774.43
Class of Work: ALT Type of Const: VB Plan Review 08/06/2019 $193.61
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 08/06/2019 $92.93
Stories: Info Process/Archiving-Sm$0.50(up to 08/06/2019 $20.50
11x17)
Project Valuation: $26,767.00
Fuel Air Handlers
Fuel Types: Electricity 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: 2 30-50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump: 2
Appliances
Vent Fans: Vent Systems: Total $1,081.47
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
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 .re set fo in OAR 952-001-0010 through OAR 952-0 1-1190. 'u may- copy of the rules
or direct questions to OU by cal' ` 503.42.1987//1.800. 32.2344.
Issued By: ,� / 'i. Permittee Signature: A z. Al Li a:'AO
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 Application FOR OFFICE USE ONLY
City of Tigard E i C E I V E D Date/ByReceived%�/ �.fa ermit N�"/t✓ �C�/9 —0055:3Phone: 503.718.2439 Fax: 503.598.1960
IIIa 13125 SW Hall Blvd.,Tigard,OR 97223
Plan Review Other Per
Inspection Line: 503.639.4175 J U L 2 9 2019 Date/By: 7-3�--�9 ` ' ' o/� Q D` 3
TIGARD Date Ready/By: ' Juris: ® See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD tified M/thio • I l Supplemental Information
BUILDING DIVISION f.i
�^"`� 4'
,,.... ROF 'y9Xt COMMERCIAL. I?EE* S DIJLE tsx.crime.Kust,..:
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:$$26,767.00
.CATEGO1tY';OF CONSTRUCTION
,..,, .- .. .` <,RESIDENTIAL EQUIPMENT/SYSTEMS FEES*~
0 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist.
0 Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. .1 Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address:12555 SW Hall Blvd Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: I Project name:Harris-McMonagle Assoc 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: I Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.:2S102AD00300 Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
Install 2 gas furnaces with coils.(1)2.5 ton and(1)3 ton Air Conditioner fireplace 23.32
serving NE Mech Rm and S Furnace Rm.New pumps,drains and flue for South Log lighter(gas) 23.32
Wood/pellet stove 33.39
furnace.Instil Duct for Exhaust Fans.Fans supplied by others Wood fireplace/insert 23.32
BUILDING PERMIT#BUP2019-00133 Chimney/liner/flue/vent 23.32
a Other: 23.32
s P PRQPER OWNER?. ': CI:TENANT
� Environmental exhaust and ventilation:
Name:Harris,McMonagle Assoc Inc 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
el:APPLICANT :' 0 CONTACT PERSON23.32
Other:
Fuel piping:
Business name:Jacobs Heating&Air Conditioning
$14.15 for first four;$4.03 for each additional
Contact name:ANDREA BOWLDS Furnace,etc.
Address:4474 SE Milwaukie Ave Gas heat pump
Wall/suspended/unit heater
Phone:(503)234-7331 Fax: :( ) Fireplace
Range
E-mail:andreab@jacobsheating.com
Barbecue
; i ..,: CONTRACTOR < Clothes dryer(gas)
Business name:Jacobs Heating&Air Conditioning Other:
MECHANICAL PERMIT FEES*
Address:4474 SE Milwaukie Ave Subtotal
City/State/ZIP:Portland,OR 97202 Minimum permit fee($90.00)
Phone: Plan review(25%of permit fee)
(503)234-7331 Fax:( )
State surcharge(12%of permit fee)
CCB lic.:1441 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
0days after it has been accepted as complete.
Authorized signature: 0 L * Fee methodology set by Tri-County Building Industry Service Board
Print name:ANDREA BOWLDS Date:7/29/2019
I:\Building\Permits\MEC_PermitApp_040113.doe 440-4617T(1l/02/COM/WEB)
City of Tigard
v COMMUNITY DEVELOPMENT DEPARTMENT
■
T1cARD Building Permit Review — Commercial - No Land Use
Building Permit #:
Site Address: iLSSS S'- illi I,J Suite/Bldg#:
Project Name: 14 rr;) — bc.IA 4�4,j1IL j6E,+4 us
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: nI;it' MVcCti t,1 64, rt \tL J ( �� el w Uf�Al- O U4 1- I LLLA [(( Jg�
Lt t' lSJ � �'7
Existing Business Activity: U- 1 u
Proposed Business Activity: ‘J-4.,...
LG' erify site address/suite# exists and active in permit system.
L� River Terrace N ' hb rhood: ❑ Yes 'No
ing:
EVf lP fitted Use: [ '4es ❑ No ❑ Spec Space
liE/Confirm no land use required.
$usiness License
Exists: CJ Yes ❑ No,applicant notified to obtain business license
Notes: At; p: piinj _cC(t' j-', L max)`. k3,LI Lo c -c
Approved by Planning: )311 (1,19Date: q-2I''11
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 7-a y /g
Site ails: —#- a-
Building Plans: # a--
Building
Building Permit#: ..Enter building permit#above.
Workflow Routing: ''Planning ❑ Permit Coordinator luilding
Workflow Sign-off: Q Sign-off for Planning(include notes from planning review)
Route Application Documents: "uilding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: Date: �� �/J
I:\Building\Forms\BldgPern itRvw_COM NoLandUse 060116.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit ''af
CI Approved,NOT Released: /�1 Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to App .-.nt:
Revision Notice 2: Date Sent to A.. 'cant:
Revision Notice 3: Date Sent to pplicant:
❑ SDC Fees Entered: Wash e,Trans Dev Tax: ❑ Yes ❑ N/A
Tig. -: Trans SDC: ❑ Yes ❑ N/A
ks SDC: ❑ Yes ❑ N/A
El OK to Issue Permit
Approved by Permit oordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM NoLandUse_070915.docx