Permit (2) CITY OF TIGARD MECHANICAL PERMIT
41
11111 I COMMUNITY DEVELOPMENT Permit#: MEC2019-00670
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/03/2019
Parcel: 1S135DD01800
Jurisdiction: Tigard
Site address: 11565 SW HALL BLVD 160
Project: Dr.John Chung Subdivision: None Lot: None
Project Description: Installing replacement package heat pump on ground,and installing(6)new exhaust fans for TI.
Contractor: OREGON HEATING&AIR CONDITIONING LLC Owner: TV5 LLC
6950 SW 111TH AVE 10855 SW CASCADE BLVD
BEAVERTON, OR 97008 TIGARD, OR 97223
PHONE: 503-691-9699 PHONE:
FAX: 503-691-8556
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 10/03/2019 $695.69
Class of Work: ALT Type of Const: VB Plan Review 10/03/2019 $173.92
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 10/03/2019 $83.48
Stories: Info Process/Archiving-Sm$0.50(up to 10/03/2019 $15.50
Project Valuation: 11x17)
$23,675.00
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: 5 Vent Systems: Total $968.59
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 10
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 OUN• • ailing .232. 987 or 1�' 0I
3 .2344.
Issued By: % Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection dat .
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 \� Received G ' 7G/ /ee7dC?1, ?)
111 'il JR
ECEI V ED PlanRe: Pe o(t.! l/
13125 SW Hall Blvd.,Tigard,OR 97223 Revie
C Phone: 503.718.2439 Fax: 503.598.196 `� _ 41 ii/
.: !/1/'�G����/
Date/By: e vL / C/( !/
TIGARD Inspection Line:g 03.63 8.4175 SEP 1 8 2019 Date Ready/By: / 9l ./���y Juris: 0 See Page 2 for
Internet: www.figard-or.gov Ov Notified/Method/t,/// �(f/Sc1--.) Supplemental Information
1TY OF TIGARD C:"i'Lvl-1L.- ...'" t"?4 -
TYPE OF WO I LDING DIVISION COMMERCIAL FEE* SCHEDULE – USE CHECKLIST
Mechanical permit fees*are based on the value of the work
0 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:$$23,675.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ®Commercial/industrial 0 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:11565 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.: Project name:Dr Chung 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: 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
Provide and install replacement packaged heat pump on ground,provide and fireplace 23.32
instal 6-new exhaust fans,air distribution as drawn. Log lighter(gas) 23.32
Wood/pellet stove 33.39
4—_ Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Oth
0 PROPERTY OWNER 0 TENANTS' 23.32
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
Address: equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility moms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT 0 CONTACT PERSON Other. 23.32
Business name:Oregon Heating&AC
Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Jeff Sanchez Furnace,etc.
Address:6950 SW l i 1°i Ave Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Beaverton,OR 97008 Water heater
Phone:(503)572-6984 Fax::( ) Fireplace
Range
E-mail:Jsanchez@oregonheating.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Oregon Heating&AC Other:
MECHANICAL PERMIT FEES*
Address:6950 SW 111th Ave Subtotal
City/State/ZIP:Beaverton,OR 97008 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)572-6984 Fax:( ) State surcharge(12%of permit fee)
CCB lic.:137653 ! 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
i
Print name:Jeff Sanchez ° Date:9/16/2019
I:\Building\Permits\MEC_PermitApp_04o113.doc 440-46171(11/02/COM/WEB)
City of Tigard
q
1111 COMMUNITY DEVELOPMENT DEPARTMENT
C.
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: ,4'{ e 9(9 -OQ�i-7b
Site Address: //S7/,, -(.7- Z.,(_.)� / // KA/j Suite/Bldg#:
Project Name: IV. eAt/it
(Name of commercial busin oc upying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: / a above ifki h /90/17p 6241 6e____./11-Q4 / ra/hy (.../ 4.g .
Existing Business Activity: Qeti,,e,g e}"(
Proposed Business Activity: /f j/
V4 Verify site address/suite#exists and active in permit sy_ste
0t '.ver Terrace Neighborhood: CI Yes Lam' No
� mong. C P
trmitted Use: 044es ❑ No ❑ Spec Space
firm no land use required.
Business Licens
Exists: \ 1 Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: - % Date:
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: 41
Site Plans: # ,,
Building Plans: #
Building Permit#: nter building permit#above.
Workflow Routing: Planning • ator tee:uilding
Workflow Sign-off: Sign-off for Tanning(include notes from planning review)
Route Application Documents: i'Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: ' -AZ �/ I p- Date: 77lT7/7
I:\Building\Fonns\BldgPermitRvw_COM_NoLandUse_060116.docx
1
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 Sent to Ap. • ant:
Revision Notice 2: Date Sent to.'pplicant:
Revision Notice 3: Date Se to Applicant:
O SDC Fees Entered: W-. Co Trans Dev Tax: 0 Yes 0 N/A
igard Trans SDC: 0 Yes 0 N/A
Parks SDC: 0 Yes 0 N/A
❑ OK to Issue P• it
Approved . 'ermit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM NoLandUse_070915.docx