Permit CITY OF TIGARD MECHANICAL PERMIT
!Ipl 14
3 COMMUNITY DEVELOPMENT Permit#: MEC2020-00060
T I G J\R o 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/06/2020
Parcel: 1 S134BC00200
Jurisdiction: Tigard
Site address: 12162 SW SCHOLLS FERRY RD
Project: Greenway Town Center Subdivision: None Lot: None
Project Description: Replacing 2.5 ton gas pack on roof with 3 ton.
Contractor: HUNTER DAVISSON INC Owner: ATLAS GREENWAY LLC
1800 SE PERSHING ST 808 SW ALDER ST STE 200
PORTLAND, OR 97202 PORTLAND, OR 97205
PHONE: 503-542-3628 PHONE:
FAX: 503-542-3654
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/06/2020 $249.36
Class of Work: ALT Type of Const: VB Plan Review 02/06/2020 $62.34
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 02/06/2020 $29.92
Stories: Info Process/Archiving-Lg$2.00(over 02/06/2020 $4.00
11x17)
Project Valuation: $6,500.00 Info Process/Archiving-Sm$0.50(up to 02/06/2020 $11.50
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 $357.12
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUN by calli 03.2/.1987 or 1.80 .332.2344.
Issued By: l - Permittee Signature: i 74if
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application'' " FOR OFFICE USE ONLY
City of Tigard - Date/By:Received ,
UPI • 13125 SW Hall Blvd.,Tigard,OR 97223
0 g 1 A N 2 Plan Review
' 111 Phone: 503.718.2439 Fax: 503.598.1960 2020 a_. 3 A� Other Permit:
Date/By:
TIGARD Inspection Line: 503.639.4175 Date Ready By: / 7nris: ® See Page 2 for
Internet: www.tigard-or.gov \— 1 14J f 1 WAR N ed/Method / �n) Supplemental Information
7,,I 1 U t - ((( PAC/
TYPE OF WORK 'COMM RCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ']Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ C oQ i 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:
:-II / J p Air conditioning 46.75
Job site address: p2 W a SG N CZC cS Fer I// /�LI Furnace 100,000 BTU(ducts/vents) 46.75
✓AC
City/State/ZIP: flo,,c (,f �f �� a3 Fumace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: GC291,i%d'iy 7;t4N C2,0t" Duct work 23.32
Cross street/directions to job site: EC/14rArr7 J Ne....S" 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
DESCRIPTION OF WORK Gas fireplace/insert 33.39
[, Flue vent for water heater or gas
f /4c �•S "tor,/ jttS /0C14'/\ wv rOdr fireplace 23.32
.} Log lighter(gas) 23.32
(r,1 I !a ' Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
PROPERTY OWNER 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: CA ieT G Pr�p��j t14 pC,cl Q,�yl Range hood/other kitchen
/ equipment 33.39
S Address: For W - S7reict Sle. (� )b Clothes dryer exhaust 33.39
City/State/ZIP: �r'1./,4,J ok 77,20 g Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name:fittrir Y C. Fuel piping:
�r' �V�SSeN t 11✓ $14.15 for first four;$4.03 for each additional
Contact name: �/ AN to/iQ 7L Furnace,etc.
Gas heat pump
Address: fro r� 4esAIre¢Z Wall/suspended/unit heater
City/State/ZIP:kW
asdd (1e r/) aZ Water heater
Phone:( $0)S`y Fax::( ) Fireplace
/ Range
E-mail: �p 0t'U.t.te tAt`i e,ch(/rSSJ/J• CALMBarbecue
1 CONTRACTOR Clothes dryer(gas)
Business name: M4N zr-. Vds-S�l�► .. C . Other:
f � MECHANICAL PERMIT FEES*
Address: /80 0 �F /,,,.. �,,,,, S { Me' Subtotal
City/State/ZIP: �t'1/avJei a 7`7a(:),0 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(563)3142-:?6,`Zer Fax:( ) State surcharge(12%of permit fee)
CCB lic.: /6/02 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
/0,2_ ; days after it has been accepted as complete.
Authorized signature: 7�7 * Fee methodology set by Tri-County Building Industry Service Board
Print name: lc,
7 of "At Date:/.. (7 j f C)
I:\Building\Permits\MEC_PermitApp_0401 13.doc 440-4617T(11/02/COM/WEB)
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_040113.doc 2
City of Tigard
IIII " COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Commercial - N o Land U s e
Building Permit #: 4/t � >—ZO
Site Address: 0�10, S 5ciL\lS .tr7 1 Suite/Bldg#:
Project Name: allf, r,7 TQt,,,,\ Ch k1- — hec'1a^r 1
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review II
Proposal: i\tOkct- 2.S 11n 5cS 1JacL ,,jk 3 4i
Existing Business Activity: 0
Proposed Business Activity: vk
L9 yerify site address/suite# exists and active in permit syste .
VW/River Terrace Nei hborhood: El Yes No
VW Zoning: C,—(7
p/yerrnitted Use: [ Yes El No ❑ Spec Space
Y. Confirm no land use required.
ICA-Business License:
Exists: ❑ Yes El No,applicant was provided a business license application
Notes:
Approved by Planning: ) . .L CJ,L Date: i Ut 2li'lU
Revisions (after Building Submittal only) Reviewer Date
Revision 1: El Approved ❑ Not Approved
Revision 2: ❑ Approved El Not Approved
Revision 3: El Approved ❑ Not Approved
Building Permit Submittal /
Original Submittal Date: / 42, /AO
Site Plans: # 2
Building Plans: #
Building Permit#: r- nter building permit#above.
Workflow Routing: ez lanning - 41erriiirnator V uilding
Workflow Sign-off: Sign-off for Planning(include notes from i anning review)
Route Application Documents: u leg: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: ;44 -
Date: < ljgC1 724
I:\Building\Forms\BldgPennitRvw COM NoLandUse_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 Applican
Revision Notice 2: Date Sent to App • .nt:
Revision Notice 3: Date Sent to A. cant:
❑ SDC Fees Entered: Wash Co ans Dev Tax: ❑ Yes ❑ N/A
Tigard ans SDC: ❑ Yes ❑ N/A
Parks:DC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPernutRvw COM_NoLandUse_111819.docx