Permit (158) CITY OF TIGARD MECHANICAL PERMIT
11 COMMUNITY DEVELOPMENT Permit#: MEC2019-00602
T 1(;A R,f) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/15/2019
Parcel: 2S115AB01900
Jurisdiction: Tigard
Site address: 16200 SW PACIFIC HWY J1
Project: Bank of the West Subdivision: 1994-028 PARTITION PLAT Lot: 2
Project Description: Replacing existing RTU with new 6-ton Trane RTU gas pack,install return air smoke detector,new electrical
disconnect,and reconnect gas line
Contractor: TOTAL SYSTEM SERVICES Owner: SN PROPERTIES PARTNERSHIP
17732 NE SAN RAFAEL ST 1121 SW SALMON ST
PORTLAND, OR 97230 PORTLAND, OR 97205
PHONE: 503-224-9329 PHONE: 503-624-0955
FAX: 503-232-4026
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 08/15/2019 $459.47
Class of Work: ALT Type of Const: VB Plan Review 08/15/2019 $114.87
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 08/15/2019 $55.14
Stories: Info Process/Archiving-Sm$0.50(up to 08/15/2019 $3.00
11x17)
Project Valuation: $14,313.00
Fuel Air Handlers
Fuel Types: Natural Gas Units<10000 cfm: 1
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 $632.48
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 are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct to O bycalling -1..232.1987 or 0.332.2344.
questions
Issued By: i�
/ — Permittee Signature: rg Ni ii a
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 01 FIC LSI?O\LI'
City of Tigard x Received _
11413125 SW Hall Blvd.,Tigard,OR 97223 Date/By: ��r`�• �,,/�
Phone: 503.718.2439 Fax: 503.598.1960 !; Plan Review .._ "'
TI G A R u Inspection Line: 503.639.4175 �' 2« -� Date/By: j Other Permit:
Internet: www.tigard-or.gov Date Ready/By: Juris: S See Page 2 for
t.. 1 . ' l, Notified/Method: Supplemental
':`,1,1 pp mental Information
r O r . n .te•••42%- ''' ',..: 74/4, , ., 7-Z
.......� m.. ., : w,-r .m, .-w.^uAart �` � ,iZ•�, ;., '.* �.-e«` zu�< '`., ,.
❑New construction ®Addition/alteration/replacement Mechanical permit fees*are based on the value of the work
performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
t , ;. � eq p
3 .1:1' ..,:v. x ' ,Aw tJ ` I ; 1, ",i,c It • t.f. ‘ Value:$$14,313 00
.' _.a. ., , ..4Y 6, • '. ',' 4 fel :,44 � 1. °_,, ,
❑ 1-and 2-family dwelling ®Commercial/Industrial '4..41.,;4.,,,,;.:4;,,,. ..- ,",',,,".„:,,,,;,,,,,
0 Accessory building For special information use checklist ..
❑Multi family 0 Master builder
0 OtherDescription
* 1' I Qty. I Ea. Total
t, 4F': , „,;:.-:.',`,-*'L' v, , '1 •i --.1 '', > s s s� f Heating/cooling:
e
Job site address:16200 SW Pacific Higwy Tigard Towne Square Air conditioning 46.75
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.:Ste J 1 I Project name:RTU Replacement BOW 158 Heat pump 61.06
Cross street/directions to job site:Take I-84 W to Pacific HWY W Duct work 23 32
Hydronic hot water system 23.32
From Pacific HWY W take a left on SW Durham Rd Residential boiler(radiator or
hydronic) 23.32
From SW Durham Rd,right on SW Summerfield Dr. Unit heaters(fuel-type,not electric),
Bank of the West is on the left in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision: I Lot no.: Other: 23.32
Tax map/parcel no.: Other fuel appliances:
g1 J , ,k Water heater 23.32
s , a9 s W 33.39
. A' ' a'' - ',;: � r> A2' .� ' '' Flue ventfor/water heater or gas
TSS will replace existing RTU with new 6-ton Trane RTU gas pack
fireplace 23.32
Install return air smoke detector,new electrical disconnect, Log lighter(gas) 23.32
reconnect gas line.Remove and dispose of old unit. Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent
x x11 t� °a,.. 23.32
. . ., a . , s a _ r#;n 1 Other: 23.32
Environmental exhaust and ventilation:
Name:Bank of the West
Range hood/other kitchen
Address:16200 SW Pacific Hwy Tigard Towne Square,Suite J.2. equipment 33.39
City/State/ZIP:Tigard,OR 97224 Clothes dryer exhaust 33.39
Single-duct exhaust(bathrooms,
Phone:(503)624-0955 toilet compartments,utility rooms) 23.32
Fax ( ) Attic/crawlspace fans 23.32
4. - I e # Other: 23.324 ` _w.1 �+' 4,4 , . :*#le '* a ' a
Business name:Total System Services Fuel piping:
Contact name:Tom Bourgo $14.15 for first four;$4.03 for each additional
Furnace,etc.
Address:17732 NE San Rafael St. Gas heat pump
City/State/ZIP:Portland,OR 97230Wall/suspended/unit heater
- ----, heater - --- - .
Phone:(971)400-7836 I Fax::(208)376-1395 Fireplace
E-mail:tbourgo@tsshvac.com Range
Barbecue
h t .,4- " .,p*rg .,1. ',."••1,, 4.1,u. nx .0,A 4 •. .,A _' 4r Clothes dryer
� °. rY (gas)
Business name:Total System Services 0 :
Address:17732 NE San Rafael St. 4 _',I" L. "' '
44.57,71.
City/State/Z1P:Portland,OR 97230 Subtotal
Minimum permit fee($90.00)
Phone:(503)224-9329 I Fax:(208)376-1395 Plan review(25%of permit fee)
CCB lic.:153181
State surcharge(12%of permit fee)
TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized signature: ✓ -S &Ot1 7150 days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry Service Board
Print name: I Date:8/14/19
1�p.+r,cc'►g Z , a�*moi",
I.\Building\Permits\MEC_PermitApp_040113.doc
440-4617T(11/02/COM/WEB)
City of Tigard
III
COMMUNITY DEVELOPMENT DEPARTMENT
III T G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: 7//( e,20( ''' . 0.2._
Site Address: j6 Leo s e ,( Z Iw Suite/Bldg#: J --I
Project Name: RTU Per lace N4 'c,„) IV
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review ,p j 7
Proposal: gpt `1.b.t.-i�, i Tv �; 1 nu./ 6- I� ++
( to �(1 Ti�� "'d �([�. >Fn, [� �""CJri (k
.s~ti,,Ist w+�r3 ,no,' •tte0-t`�Zu t iC64,-,��i:f) CI(onniii- jai tti'oz 6 l'-vj - a ti fiq 6f- 41 ,)^. I
Existing Business Activity: f 1,affn,1, ',erg, 7,:o
Proposed Business Activity: vv-
lai
6e� terift'site address/suite#exists and active in permit sys .
ltl ver Terrace Neighborhood: ❑ Yes :Cr No
[ Zoning: C— r^
VICermitted Use: hd" Yes ❑ No ❑ Spec Space
m/(onfirm no land use required.
liJ/Business License:
Exists: El Yes VNo,applicant notified to obtain business license
Notes:
Exists!):
;,h,tl Pe IAA- 1',LG„ i' „2 I,r ','r, 1,
l
Approved by Planning: 4Date: ei t
2_P- i
Revisions (after Building Submittal only) Reviewer
Revision 1: ❑ Approved 1:11 Not Approved Date
Revision 2: ❑ Approved El Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: eii i7/9
Site Plans: #
g ns: #
Building Permit#: IR' rater building permit#above.
Workflow Routing: I Planning mtt Coordinator /El—Building
Workflow Sign-off: i Sign-off for Planning(include notes from planning review)
Route Application Documents: Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: /,‘,- ./
~ Date: ,P/!, I
1:\Building\FormslBldgPermitRvw COM_NoLandUse 060116.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released:
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:
❑ SDC Fees Entered: Wash Co Trans Dev ❑ Yes ❑ N/A
Tigard Trans SD ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordi' .tor: Date:
1:\BuildingWorms\B1dgPermitRvw COM NoLandUse_070915.docx
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
16200 SW PACIFIC HWY J1 , TIGARD,
OR, 97224
Record Type: Record ID:
Commercial - Mechanical MEC2019-00602
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor