Permit (3) CITY OF TIGARD MECHANICAL PERMIT
111 .1
COMMUNITY DEVELOPMENT Permit#: MEC2019-00683
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/08/2019
Parcel: 1S136AD04000
Jurisdiction: Tigard
Site address: 11515 SW PACIFIC HWY
Project: Exclusive Salon Products Subdivision: VILLA RIDGE Lot: 7
Project Description: Remove and replace(1)4 ton RTU.
Contractor: WILLAMETTE HVAC LLC Owner: PORTLAND SW CENTER LLC
3075 SW 234TH AVE.#206 BY FELTON PROPERTIES INC
HILLSBORO, OR 97123 ATTN: FELTON, MATT
520 SW 6TH AVE, STE 610
PORTLAND, OR 97204
PHONE: 503-259-3200 PHONE:
FAX: 503-848-2597
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 09/30/2019 $339.28
Class of Work: ALT Type of Const: VB Plan Review 09/30/2019 $84.82
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 09/30/2019 $40.71
Stories: Info Process/Archiving-Sm$0.50(up to 09/30/2019 $12.50
11x17)
Project Valuation: $9,640.00
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: 30-50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump: 1
Appliances
Vent Fans: Vent Systems: Total $477.31
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
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 ol1Y.n a co of the rules
or direct questions to OUN callin• 03.232.19 or 1.8 .332.2344.
Issued By: , � Permittee Signature:
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
7 a r.am
x x' ReceivedByQ / l O 'fiit/pC.(/! [ Pl>4.,(J�
City of Tigard ,1 Li Date/By: —6/ dZ Gi ` G/ ) �e
13125 SW Hall Blvd.,Tigard,OR 97223
Plan Review
III
° Phone: 503.718.2439 Fax: 503.598.196EP 2019 �_a6. 19 '�� e i7J --0p6-3t�
Date/By: s`
T I GA R D Inspection Line: 503.639.4175 Date Ready/By:, Juris: ® ee Page 2 for
Internet: www.tigard-or.gov 1 "' -1oti +' ,ISupplemental Information
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,and profit.
Value:$9640
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ® Commercial/industrial ❑ Accessory building For special information use checklist.
0 Multi-family ❑ Master builder ❑ Other: Description Qty. Ea. Total
Heating/cooling:
JOB SITE INFORMATION AND LOCATION
Air conditioning
Job site address: 11515 SW Pacific Hwy. (requires site plan showing placement) 46.75
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name: )(c/a S i U C s(( Heat pump
�' 1 (requires site plan showing placement) 61.06
Cross street/directions to job site: ,()f �c-& Duct work 23.32
�" Hydropic 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
Subdivision: Lot no.: Flue/vent for any of above 23.32
Other: 23.32
Tax map/parcel no.: Other fuel appliances:
DESCRIPTION OF WORK Water heater 23.32
Push/Pull a 4 ton rtu. Gas fireplace/insert 33.39
Flue vent for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
0 PROPERTY OWNER 0 TENANT Chimney/liner/flue/vent 23.32
Other: 23.32
Name: Environmental exhaust and ventilation:
Address: Range hood/other kitchen
equipment 33.39
City/State/ZIP: Clothes dryer exhaust 33.39
Single-duct exhaust(bathrooms,
Phone:( ) Fax:( ) toilet compartments,utility rooms) 23.32
® APPLICANT 0 CONTACT PERSON Attic/crawlspace fans 23.32
Other:
Business name:same as below p. _ 23.32
Fuel piping:
Contact name: $14.15 for first four;$4.03 for each additional
Address: Furnace,etc.
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone:( ) Fax::( ) Water heater
J / �/4iCC- Fireplace
E-mail: M /V j1'%j-/ 'moo //(+4\ Q(d.J/"1 . / c'/v\ Range
CONTRACTOR Barbecue
Business name:Willamette HVAC,LLC Clothes dryer(gas)
Other:
Address:3075 SE Century Blvd Suite 206 MECHANICAL PERMIT FEES*
City/State/ZIP:Hillsboro,OR 97123 Subtotal
Phone:(503)259.3200 Fax:(503)848.2597 Minimum permit fee($90.00)
Plan review(25%of permit fee)
CCB lic.:56951 State surcharge(12%of permit fee)
TOTAL PERMIT FEE
/ This permit application expires if a permit is not obtained within 180
Authorized signature: Tdays after it has been accepted as complete.
Print name:michael malstrom Date:9/19/19 * Fee methodology set by Tri-County Building Industry Service Board
I:\Building\Permits\MEC-PennitApp.doc 03/07/12 440-4617T(11/02/COM/WEB)
0
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:\Building\Permits\MEC-PermitApp.doc 03/07/12 2
City of Tigard
RI COMMUNITY DEVELOPMENT DEPARTMENT
I
1_ �,n K n Building Permit Review — Commercial - No Land Use
Building Permit #: /kt •C/0/5 baeF5
Site Address: /STC— /0 f2veaJ4 hi0 Suite/Bldg#:
Project Name: EYc/Gu-iv-' _a/bn 1 466., c
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 41176Ve .af1W K-'elkCe. rbAl/= o'"°ii''ev__ (/1Cf -`
Existing Business Activity: P-erz / .S-e(v,'Ce S
Prop ed Business Activity: // //
Verify site address/suite# exists and active in permit syst
\ Ai 'ver Terrace Neighborhood: ❑ Yes VT No
Poning: O-6
ermitted Use: IQ Yes ❑ No ❑ Spec Space
zCo firm no land use required.
Business License:
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
Approved byPlanning: Date: .2.C----/ 9
t!
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:
Site Plans: #
Building Plans: #
Building Permit#: P' nter building permit#above.
Workflow Routing: P' lanning ermit Coordinator uilding
Workflow Sign-off: P ign-off for anning(include notes fro planning review)
Route Application Documents: �3��g: original permit application,site plans,building plans,engineer and
C beam calculations and trust details,if applicable,etc.
Notes: /
By Permit Technician: ��*�i iv 1' Date: 512,574/7
I:\Building\Pons\BldgPermitRvw_COM_NoLandUse_060116.docx
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 Se o Applicant:
Revision Notice 2: Date -nt to Applicant:
Revision Notice 3: D. e Sent to Applicant:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: 0 Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Iss 'ermit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPenmtRvw_COM_NoLandUse_070915.docx