Permit CITY OF TIGARD MECHANICAL PERMIT
1111 q
COMMUNITY DEVELOPMENT Permit#: MEC2020-00025
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/23/2020
Parcel: 1S126DC04400
Jurisdiction: Tigard
Site address: 9430 SW CORAL ST
Project: Martin Building Subdivision: LEHMANN ACRE TRACT Lot: 7
Project Description: Replacing RTU with new RTU(like for like.)
Contractor: AMERICAN HEATING INC Owner: MARTIN BUILDING LLC
5035 SE 24TH AVE BY BOGUMIL HOLZGANG& HARRIS PC
PORTLAND, OR 97202-4765 9430 SW CORAL ST#100
PORTLAND, OR 97223
PHONE: 503-239-4600 PHONE: 503-245-0766
FAX: 503-239-7038
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 01/23/2020 $1,787.01
Class of Work: ALT Type of Const: VB Plan Review 01/23/2020 $446.75
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 01/23/2020 $214.44
Stories: Info Process/Archiving-Lg$2.00(over 01/23/2020 $4.00
11x17)
Project Valuation: $67,000.00 Info Process/Archiving-Sm$0.50(up to 01/23/2020 $15.50
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 $2,467.70
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: 1 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 NC by calling 503.232.1987 or 1.800.332.2344.
Issued By: l - Permittee Signature: - , ,! 0"
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 Applica ' • _ FOR OFFICE USE ONLY
City of Tigard CEVEU' Received I
Date/By: i • li// . .„, . `0.
- •r 13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 JAN 13 2020
Plan Review ..., '�� •, iii Other Permit:
Inspection Line: 503.639.4175 Date/By:
T 1 G A R D p D
' r� Date Ready/By: Juris: H See Page 2 for
Internet: www.tigard-or.gov CITY OF � t, fAR Notified/Method: Supplemental Information
BUILDING I.ii'J1S1O 1
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:
� t x� o ,,,,,, .., ,,, .,„n,, , 4 , " i4T
�X ".;MS FES
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist.
0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
pzy r Heating/cooling:
d'"`' ' ' rikAmAir conditioning 46.75
Job site address:9430 SW Coral St Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Portland,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:Martin Building 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
Other: 23.32
Subdivision: Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
;r %0M-'i DEC, 1O :;OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
Replace existing RTU with new RTU(like for like) 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 �/e,'1,WI ,9,'.9 �e ',', 0 - , � w """>"
Environmental exhaust and ventilation:
Name:Martin Building LLC Range hood/other kitchen
equipment 33.39
Address:9430 SW Coral St.Ste 100 Clothes dryer exhaust 33.39
City/State/ZIP:Portland,OR 97223 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)245-0766 Fax:( ) Attic/crawlspace fans 23.32
v ,t t 5, f x ^,1e.
., i,, yrxs %,®..-7 ,..,3', ,," ®�".,COf ThCT 'EI SCIN Other: 23.32
Fuel piping:
Business name:American Heating Inc.
$14.15 for first four;$4.03 for each additional
Contact name:Amanda Bostic Furnace,etc.
Address:5035 SE 24th Ave Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Portland,OR.,97202 Water heater
Phone:(503)239-4600 Fax::(503)239-7038 Fireplace
Range
E-mail:a.bostic@americanheating.net Barbecue
/' �r01YTRCTO& Clothes dryer(gas)
Business name:American Heating Inc. Other:
�"
�t1 /411141270)`.'
, 4 n Subtotal51$0 .
Address:5035 SE 24th Ave "" �
City/State/ZIP:Portland,OR.,97202 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)239-4600 Fax:(503)239-7038
State surcharge(12%of permit fee)
CCB lic.:33135 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: iciCt * Fee methodology set by Tri-County Building Industry Service Board
IPrint name:Amanda Bostic Date: 1— O`d'.6
`�Building�Permits�ME.C_PermitApp_040113.doc
440-4617T(11/02/COM/WEB)
City of Tigard
IIq COMMUNITY DEVELOPMENT DEPARTMENT
1
T1caRo Building Permit Review — Commercial - No Land Use
®
Building Permit #: ! (!e" -00
Site Address: q.21,30 5-4,, ( /-4/ ..c?,- Suite/Bldg#:
Project Name: /140,:4,1 .8 v dk 17 i/A
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review ���/ iJJ
Proposal: Rp' lar_t' y,-c,,„_r T[ v .. (i n,.T
Existing Business Activity: ...-----
Proposed
'�`
Proposed Business Activity: .---,".-
-f Verify site address/suite# exists and active in permit system.
.- River Terrace Neighborhood: ❑ Yes 4"'Ko
.,I=L.Zoning: •Tjti 1J
®-Pzrrffifted Use: ❑ Yes ❑ No ❑ Spec Space
`if Confirm no land use required.
2J Business License:
Exists: E Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: l'C`�'L= — Date: /3/�ZIi
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: / // ,/20
Site Plans: #
Building Plans: #
Building Permit#: nter building permit#above.
Workflow Routing: lanning ❑ t Coordinator Building
Workflow Sign-off: Sign-off for Planning(include notes from anning review)
Route Application Documents: Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes: /e444.4
By Permit Technician: Date: /4 /..7Y/
1:\Building\Forms\B1dgPermitRvw_COM_NoLandU se_111819.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 Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applican •
❑ SDC Fees Entered: Wash Co Trans P ev Tax: ❑ Yes ❑ N/A
Tigard Trans : C: ❑ Yes ❑ N/A
Parks S : ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coor• nator: Date:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_l 11819.docx