Permit CITY OF TIGARD MECHANICAL PERMIT
1111 q
" COMMUNITY DEVELOPMENT Permit#: MEC2019-00169
Date Issued: 01/22/2020
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S115BA02500
Jurisdiction: Tigard
Site address: 16200 SW PACIFIC HWY Z3
Project: Starbucks Subdivision: 2004-015 PARTITION PLAT Lot: 1
Project Description: Mechanical for TI: New gas supplied RTU's,water heater,gas piping,and duct work.
Contractor: ALL COUNTY ELECTRIC LLC Owner: SN PROPERTIES PARTNERSHIP
15515 NW 2ND AVE 1121 SW SALMON ST
VANCOUVER,WA 98685 PORTLAND, OR 97205
PHONE: 360-904-7923 PHONE: 3
FAX: 360-314-2244
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 01/16/2020 $1,911.51
Class of Work: ALT Type of Const: VB Plan Review 01/16/2020 $477.88
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 01/16/2020 $229.38
Stories: Info Process/Archiving-Lg$2.00(over 01/16/2020 $8.00
11x17)
Project Valuation: $47,000.00 Info Process/Archiving-Sm$0.50(up to 01/16/2020 $3.00
11x17)
Fuel Air Handlers Permit Fee 01/16/2020 $-624.00
Fuel Types: Natural Gas Units< 10000 cfm: Plan Review 01/16/2020 $-156.00
Gas Pressure: Units> 10000 cfm: 12%State Surcharge-Mechanical 01/16/2020 $-74.88
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 $1,774.89
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By:� 'ermittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
w
Mechanical Permit Application
Received }
City 25 t!f Tigard R E C E I VED Date/By 3/2/10 Permit No. �.ytl" inti __
13125 SW Hall Blvd.,Tigard,OR 97223 C /�'—�—
Phone: 503.718.2439 Fax: 5.03.598.1960 Plan Revie
•a........ Other PermitL/I�� e „„iyJ) ,qDatelBy:
Ti' G A R t) Inspection Line: 503.639.4175 MAR 2 U 2019 Date Ready/By: �A �J�/ 3urls ® See Page 2 for
Internet: www.tigard-or.gov tified/Met /, -! "Z'S� Supplemental Information
WILDING
OF TIGARD AL,, , �(/ f'(�
TYPE OF WOWILDING DIVISION COMM' ' AL FEE' SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: ow* r,» mechanical materials,equipment,labor,overhead,and profit.
Y7 OOO ,
CATEGORY OF CONSTRU �t 1. Value:$ a! via
► _ r`+4 • f RESIDENTIAL EQUIPMENT/SYSTEMS FEES"
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Ac g For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 16200 SW PACIFIC HWY Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:TIGARD,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.:Z3 Project name:STARBUCKS Duct work 23.32
Cross street/directions to job site:PACIFIC IIWY W&SW DURHAM RD 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.:2S115BA02500 Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
Tenant build-out of existing building to include new gas supplied RTUs and water fireplace 23.32
heater,new gas piping,HVAC ductwork&controls,etc. Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert , 23.32
Chimney/liner/flue/vent , 23.32
0 PROPERTY OWNER ® TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:STARBUCKS COFFEE COMPANY Range hood/other kitchen
equipment 33.39
Address:2401 UTAH AVENUE SOUTH Clothes dryer exhaust 33.39
City/State/ZIP:SEATTLE,WA 98134 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(206)318-1575 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT 0 CONTACT PERSON Other: 23.32
Business name:GPD GROUP Fuel piping:
S14.15 for first four;$4.03 for each additional
Contact name:GUY RIPLEY Furnace,etc.
Address:4600 E WASHINGTON ST#310 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:PHOENIX,AZ 85034 Water heater
Phone:(602)733-6202 Fax::( ) Fireplace
Range
E-mail:gripley it gpdgroup.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: Ai, Lot-,t�` ' �T i)L C 1-c (1 (o v,1-X 11 U/ Other. MECHANICAL PERMIT FEES"
111 �f /� 1
Address: 1515 Yin/ Z�1, kL&-( Subtotal
, / Minimum permit fee($90.00)
City/State/ZIP: V v v„ �,/ Plan review(25%of permit fee)
Phone:(7 j) 6 9 c 7'7 30 Fax:( ) State surcharge(12%of permit fee)
--
CCB
CCB lie.: /7777 _ _ TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: f * Fee methodology set by Tri-County Building Industry Service Board
Print name:GUY RIPLEY Date:3/4/19
,.--
I 1}luilding1Permds1ME
I'Building\Pcrmits'MEC_Pe)tApp.040113 doc 440-4617T(1 i(02!COM/WEB1
A
r .
Mechanical Permit Application FOR OFFICE t'sE o\1.1
Receiv�d '���
It of Tigard DateB :
°"1/YR/r151 PermitNo.: tri
t,r '" -_
II q 13125 SW Hall Blvd.,Tigard,OR 9722RECEIVE"
Plan Review
Phone: 503.7182439 Fax: 503.598.1960 Date/By. Other Permit:,, ,f if
7
TIGARD Inspection Line: 503.639.4175 MAR 2019 Date Ready/By: ® page 2 for
4 Internet: www.tigard-or.gov Notified/Method: Supplemental Information
Cil=TIGP� '
TYPE OFW CDI COMMERCIAL FEE* SCHEDULE— USE CHECKLIST
Mechanical permit fees'are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Valuer$ '-'7A1Ot J.'
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/ YSTEMS FEES*
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family 0 Master builder ❑Other: Description Qty. Ia. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address:16200 SSW'PACIFIC HWY Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:TIGARD,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 ,
61.06
Suite/bldg./apt.no.:Z3 Project name:STARBUCKS Heat pump 23
Duct work 23.3232
Cross street/directions to job site:PACIFIC HWY W&SW DURHAM RD 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.:2S115BA02500 Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
Tenant build-out of existing building to include new gas supplied RTI's and water fireplace 23.32
heater,new gas piping,HVAC ductwork&controls,etc. Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
0 PROPERTY OWNER ® TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:STARBUCKS COFFEE CON1PAN't Range hood/other kitchen 1
Address:2401 UTAH AVENUE SOUTH equipment 33.39
SOUTH
Clothes dryer exhaust 33.39
City/State/ZIP:SEATTLE,WA 98134 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(206)318-1575 Fax:( ) Attic/crawlspace fans 23.32
�� APPLICANT 0 CONTACT PERSON Other: 23.32
Business name:GPD GROUP Fuel piping:
S14.15 for first four;$4.03 for each additional
Contact name:GUY RIPLEY • Furnace,etc.
Address:4600 E WASHINGTON ST#310 Gas heat pump
Wall/suspended/unit heater
•City/State/ZIP:PHOENIX,AZ 85034 Water heater
Phone:(602)733-6202 Fax: :( ) Fireplace
Range
E-mail:gripley@gpdgroup.com Barbecue
7-450 CONTRACTOR Clothes dryer(gas)
Other.
Business name:
MECHANICAL PERMIT FEES*
Address:
Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Phone:( ) Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lic.: TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
.� �� days after it has been accepted as complete.
f
Authorized signature: rte-' * Fee methodology set by Tri-County Building Industry Service Board
Print name:GUY RIFFLLEE- Date:3/4/19
i 113uilding\Permits\MEC_ iPltii'tApp_o40113 doe 440-4617T(I I/02/COM/WEB)
City of Tigard
q!PICOMMUNITY DEVELOPMENT DEPARTMENT
C .
T1cARD Building Permit Review — Commercial - No Land Use
Building Permit #: SCE Q O/C)—60/Cr 7)
Site Address: ,/(.2C:0 S1 ) A--)e/ j 2 Suite/Bldg#:
Project Name:
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review /
Proposal: % -e(42/7/Cz,-1/ 77/ } )1 ) rz) 90 1J,
Existing Business Activity: - 7j d (-A-2)7 iv./ s4_ /1J,,frai1 7
Prop. ed Business Activity: //' )/
IA V- 'fy site address/suite# exists and active in permit syst
PI!� 'ver Terrace Neighborhood: ❑ Yes No
ning:0;;;Imitted Use: ALJ Yes ❑ No ❑ Spec Space
V Cfirm no land use required.
ozBusiness License.pn
Exists: Yes ❑ No,applicantwas provided rovided a business license application
Pp
Notes:
Approved by Planning: � Date: �� �.Z
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: 1/4
Site Plans: #� .
Building Plans: #
Building Permit#: Enter building permit#above. �-
Workflow Routing: [[ P nning ❑ Permit Coordinator d�liuilding
Workflow Sign-off: Ur Si ff 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: /z.fe't £-s/4 /i`' r7►4-7hf� S 1 iP On 3)?1/l 7. 4600WJ TW 5e- C di.) `NA
73
By Permit Technician: /ac j,�,w,Qt2A ' (.4,.,, Date: /4//b
I:\Building\Forms\B ldgPermitRvw_COM_No LandUse_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 Applicant:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes 0 N/A
Tigard Trans SDC: ❑ Yes 0 N/A
Parks SDC: ❑ Yes 0 N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw COM_NoLandUse_111819.docx