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Permit 'pi CITY OF TIGARD MECHANICAL PERMIT Permit#: MEC2020-00101 COMMUNITY DEVELOPMENT Date Issued: 02/13/2020 T WARD13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110AB00200 Jurisdiction: Tigard Site address: 14361 SW PACIFIC HWY Project: Creative Kidz Subdivision: CANTERBURY PLACE,AMENDED Lot: PTS 1-4 Project Description: Replacing(1) roof top unit ductless split system. Contractor: NORTHWEST COMMERCIAL HEATING Owner: BULL MOUNTAIN INVESTMENTS LLC PO BOX 574 ATTN JERRY KOLVE CLACKAMAS, OR 97015 14389 SW PACIFIC HWY TIGARD, OR 97224 PHONE: 503-939-6928 PHONE: FAX: FEES Specifics: Description Date Amount Permit Fee 02/13/2020 $191.86 Type of Use: SF Type of Const: VB Plan Review 02/13/2020 $47.97 Class of Work: ALT yp 12%State Surcharge-Mechanical 02/13/2020 $23.02 Occupancy Grp: B Occupancy Load: Info Process/Archiving-Sm$0.50(up to 02/13/2020 $2.50 Stories: 11x17) Project Valuation: $4,500.00 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: Vent Systems: Total $265.35 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: 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 OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signatures /�J1 � � q.. /�"`"'_______._ �!u / - ;- 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 ReceivedDate/By: //i5i,r i Permit No.: yt'i �� ( , 't 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ,� F'� Phone: 503.718.2439 Fax: 503.598.196 I\ D Date/ ey: —)34. 1 Other Permit: TIGARD Inspection Line: 503.639.4175 V Date Ready/By: ' Juris: I Vi See Page 2 for Internet: www.tigard-or.gov Notified/Method: Su lemental Information r7�, 1 3 2020 Notified/Method)" / CT pp 0 ofz• TYPE OF WQ3lICY OF TIGARD COMMERCIAL FEE* SCHEDULE - USE CHECKLIST !h i(� !'lid/IcJQ Mechanical permit fees*are based on the value of the work El New construction Addition/alteratii rep�acetnent performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipmeujlabor,overhead,and profit. Value:sz;et7O CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ 1-and 2-family dwellingCommercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: /� Air conditioning 46.75 Job site address: ,1 / zji / 9 0-#< Airezi Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: 0,,,,ezo, �e, 972 q Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/b1dg./apt.no.: Project nameR ,497 fa4 1(1 o7 Duct work 23.32 Cross street/directions to job site: r,4 ell,4 8 Hydronic hot water system 23.32 f/p Residential boiler(radiator or /�N dam/S �,L`� "Vi4i7 4.5. l� Y 45V hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 eNVO ,, 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 Z7e/O L635 6,0 /,T" v c j�/v1 fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ElPROPERTY OWNER ElTENANT Other: 23.32 Environmental exhaust and ventilation: _ Name: _ 7,,f 7/J / t!'e,Lvi ✓ "vezo, / Range hood/other kitchen _ / equipment 33.39 Address: / y,z v4 �j //�+/v rv/`, 74 720, Clothes dryer exhaust 33.39 City/State/ZIP:eZ 47G ,44 l e'j,1 q7 p .J Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( ;� ,(�.4 f1 `f 47 Fax:( ) Attic/crawlspace fans 23.32 APPLICANT ❑ CONTACT PERSON Other: 23.32 Business name: /g/' , J/�e,j /vl r',_'1 JL #1, Fuel piping: /►' fir✓ ( (�i $14.15 for first four;$4.03 for each additional Contact name: �7�////<' r4c722 Furnace,etc. C/ / �li Gas heat pump Address: /g�s' ��a 2' j1�y Wall/suspended/unit heater City/State/ZIP:.. �Afiacc .5' 'i2 Z 9°f"af.' 9' Water heater Phone:6— ..,,,Z09 4,S4/ Fax: : ;.i.6,6 g go54 Fireplace Range E-mail: /(/ i9.,4 /3.5,, 67tvt Barbecue CONTRACTOR Clothes dryer(gas) Business name4/0/0-7,43-/ e0A4,41 ;„k ` 7,0,, Other: MECHANICAL PERMIT FEES* Address: /,96 J vlr // / Subtotal City/State/ZIP:�4 ,/1 z�� a,& 92 2 '9 Minimum permit fee($90.00) l Plan review(25%of permit fee) Phone: -/.7.211 gz6---.0d7o; Fax: j�j 9.+g2 'L State surcharge(12%of permit fee) CCB lic.: 5 %j' /2_(3)J.3(2 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 .2A01:el days after it has been accepted as complete. "ea,zoz Authorized Signature: �� * Fee methodology set by Tri-County Building Industry Service Board Print name: A A/. o' 4:-%11 Z/7 Date: 1 (:) I it in rmi U1� P rmi A -040113 / T 11/02/COM/WEB.ABu d \Pe is C e t .doc ) 8 _ PP_ 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 COMMUNITY DEVELOPMENT DEPARTMENT ■ T c n u n Building Permit Review — Commercial - No Land U s e Building Permit #: /►')g, 2-p - i 0( Site Address: 1`1361 S P c u-c,,,y Suite/Bldg#: Project Name: Cre_40 IC 4 t 907 (Art- he-c6,\IA[ (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review i Proposal: Ilia ICJ! sp h - tSi-At r�1o0 clvll� Can j� K� \ cry ;� (kW� .5 @�. N A leCa. c id. 1 Existing Business Activity: ©cat Cart. Proposed Business Activity: \` `+ [ erify site address/suite#exists and active in permit syst�. [ -ver Terrace N ighborhood: ❑ Yes Lid No U Zoning: t Z. Eft-Yes ii5ermitted Use: 0 No ❑ Spec Space ig Confirm no land use required. E Business License: Exists: ❑ Yes 0 No,applicant was provideda business licensens} application J Notes: n.in.h Oki liirh�lo,rC�� Ill �� 4 jr\ ROBS, Oct \ LuA a- -1-1,1,`1 l,�cal-ivk salt 1; - q 11 �. . cog_ (--1-i- Approved by Planning: 2iciJ2Date: 2-13-loLv Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved 0 Not Approved Revision 3: 0 Approved ❑ Not Approved Building Permit Submittal 'Original Submittal Date: ,I i 3 Site Plans: # 11f� Building Plans: # Building Permit#: R'Ey.er building permit#above. Workflow Routing: lanning CIPermit Coordinator L.Building Workflow Sign-off: ^-off for Planning(include notes from planning review) Route Application Documents: NS/fading: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: 0,2l 3 f I:\Building\Forms\B1dgPermitRvw_COM_No LandUse_111819.docx Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submitt- only) Revision Notice 1: D. e Sent to Applicant: Revision Notice 2: { i ate Sent to Applicant: Revision Notice 3: Date Sent to Applicant: ❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A Tigard Trans SDC: ❑ Yes ❑ N/A Parks SDC: ❑ Yes ❑ N/A ❑ OK to Iss Permit Approved,by Permit Coordinator: Date: I:\Building\Forms\B1dgPermitRvw_COM_N oLand U se_111819.docx