Permit (2) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2019-00806
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/18/2019
TIGARD 13125 2S115BA00100
Jurisdiction: Tigard
Site address: 16200 SW PACIFIC HWY N
Project: Planet Fitness Subdivision: None Lot: None
Project Description: Gas piping for(4)water heater units.
Contractor: PMSI LLC Owner: TECOLOTE RESOURCES INC
8295 NW EVERGREEN PKWY#204 KELLY'S LEGACY LLC, ET AL
HILLSBORO, OR 97124 BY HESSLIN HOLDINGS INC
23421 SOUTH POINTE DR STE 270
LAGUNA HILLS, CA 92653
PHONE: 503-466-2222 PHONE: 503-764-7595
FAX: 503-466-2211
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 12/17/2019 $78.27
Class of Work: ALT Type of Const: VB Plan Review 12/17/2019 $19.57
Occupancy Grp: A-3 Occupancy Load: 12%State Surcharge-Mechanical 12/17/2019 $9.39
Stories: Info Process/Archiving-Lg$2.00(over 12/17/2019 $2.00
11x17)
Project Valuation: $800.00 Info Process/Archiving-Sm$0.50(up to 12/17/2019 $1.00
11x17)
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 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 $110.23
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: 5 Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1,$.00.312.2344.
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
City of TigardRECEIVED Date By: //// //((/i �- ��t/ Permit No.: !C/ Vi T.
111 " 13125 SW Hall Blvd.,Tigard,OR 97223 �H� )i
Plan Review
Phone:p503.718.2439 Fax: 503.598.1960 1.c 1 , 1 Other Permit. �Q�i 1/y ���y�
Date By: 7 J C�IJ/
TIGARD
Inspection Line: 503.639.4175 NOV 2019 Date Ready/By: / Juris: g
Internet: www.ti and-or. ov Note ed/metho See Page l t
g g Notified/method/2A 7 Supplemental Information
CITY OF TIGARD ! I!d
. BUILDING IVIS101 M'9't- 634 D
TYPE OF'WORK l Ie>i.L +" I SCHEDULE - I SE cHCI^
'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:$$800.00
CATEGORY'OE � UI , ,' �� y,,r ,> tl , ' C � VNMIN#.SYSTEMSF ESsg
lt
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AN•I) I,,t, '' p Heating/cooling:
r''' '"'' Air conditioning 46.75
Job site address:16200 SW Pacific Hwy.N Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Ar Heat pump 61.06
V
Suite/bldg./apt.no.: / Project name:Planet Fitness 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
a DESCRIPTION OF WORK' r- Gas fireplace/insert 33.39
heater vent for water or gas
Gas piping for(4)water heater units fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert , 23.32
Chimney/liner/flue/vent 23.32
• Other: 23.32
PROPERTY OWNER I ,y.,,.,„,,,,,,,,,,,,,, Environmental exhaust and ventilation:
Name: 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
,0 ONTACT FSON Other: 23.32
�� ' Q APPLICAN';1 ,... v.
Business name:PMSI LLC Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Brandy Solano Furnace,etc.
Address:8295 NE Evergreen Pkwy.,Ste.204 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Hillsboro,OR 97124 Water heater
Phone:(503)466-2222 Fax::(503)466-2211 Fireplace
Range
E-mail:bsolano@msi-systems.com Barbecue
CONTRACTORmay„ *I Clothes dryer(gas)
Business name:PMSI LLC Other:
•
: .
Address:8295 NE Evergreen Pkwy.,Ste.204 Subtotal 78.27
City/State/ZIP:Hillsboro,OR 97124 Minimum permit fee($90.00) 90.00
Plan review(25%of permit fee)
Phone:(503)466-2222 Fax:(503)466-2211 State surcharge(12%of permit fee) 10.80
CCB lic.:158286 TOTAL PERMIT FEE 100.80
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: *-66S * Fee methodology set by Tri-County Building Industry Service Board
Print name: dt,a>n Saj01-4.mb Date:11/7/19
1 I:\Building'Permits\MEC_PermitAp0113.doc 440-4617T(11/02/COM/WEB)
FOR OFFICE USE ONLY-SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
11111 Transmittal Letter
T I v A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.ti i rd-or,jov_
TO: � DATE RECEIVED:
DEPT: BUILDING DIVISION1'
DEC 4 2019
FROM: l P ca,/ c2/c ) i!y Wit- 's.�(:AE
COMPANY: 3t.11 )ING iI \14SUT N
Pi�j_
By/II
PHONE: 5'0.3 ebb 0.z-2,a__
RE: ?DW j cul4- r / C 17 0(/,F
(Site Address) (Permit Number)
p/ 214:4e s
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: /1- � 2
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: J Z c Initials:
Fees Due: ❑ Yes•----N No Fee Description: Amount e:
Special
Instructions:
Reprint Permit(per PE): ❑ Yes ANo D Done
Applicant Notified: Date: Initials:
I:\Building\Forms\TransmittalLetter-Revisions_061316.doc