Permit IICITY OF TIGARD MECHANICAL PERMIT
' COMMUNITY DEVELOPMENT Permit#: MEC2019-00875
T r C.A i I) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/02/2020
Parcel: 2S115BA00100
Jurisdiction: Tigard
Site address: 16200 SW PACIFIC HWY N
Project: Planet Fitness Subdivision: None Lot: None
Project Description: Replacing(8)RTU's and new curbs.
Contractor: PROTEMP ASSOCIATES INC Owner: TECOLOTE RESOURCES INC
9788 SE 17TH AVE KELLY'S LEGACY LLC, ET AL
PORTLAND, OR 97222 BY HESSLIN HOLDINGS INC
23421 SOUTH POINTE DR STE 270
LAGUNA HILLS, CA 92653
PHONE: 503-233-6911 PHONE: 503-764-7595
FAX: 503-238-9767
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 01/02/2020 $2,524.05
Class of Work: ALT Type of Const: VB Plan Review 01/02/2020 $631.01
Occupancy Grp: A-3 Occupancy Load: 12%State Surcharge-Mechanical 01/02/2020 $302.89
Stories: 1 Info Process/Archiving-Lg$2.00(over 01/02/2020 $14.00
11x17)
Project Valuation: $96,559.00 Info Process/Archiving-Sm$0.50(up to 01/02/2020 $12.50
11x17)
Fuel Air Handlers
Fuel Types: Gasoline Units< 10000 cfm: 8
Gas Pressure: Units>10000 cfm:
Furnaces Boilers S 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 $3,484.45
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 10
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 north in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC • :- ling 503.232.1•j or 1.7 32.s 4.
Issued By: Permittee Signature:
‘11.711-1-e---a.
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 ONLI
C �/C Received _
- City of Tigard ((�� ��//""��,,GIV C Date By. lad�/ �9 -Pr- PemritNo.: i,
111 • 13125 SW Hall Blvd.,Tigard,OR �+ �!--0C-Ir7 '
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 I Date/By: 1�-a C - er Petm;r.&WO")/'cit —i 17)i.i-C--
TIGARD Inspection Line: 503.639.4175 DEC 17 2019 Date Ready/By_ ® Sec Paget for --
Internet: www.ti and-or. ov i Inns.
g g Notified/Method: Supplemental Information
11 Y OF TjI�GARD �r/n/i4 n � Pp
_M 0*yd,. : TYPE € *I'fai�ll ' ' 1Jlv1, �`.- COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteration/replacement I performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:$96,559
RESIDENTIAL EQUIPMENT/SYKEEMSFEES*
❑ 1-and 2-family dwelling gCommerciaVindustrial ❑Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description I Qty. I Ea I Total
74' JOB SITE INFORMATION AND LOCATION Heating/m°11"12:
Air conditioning 46.75
Job site address:16200 SW Pacific Hwy I Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard Oregon 97224 I Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: I Project name:Tigard town square,Plannet fittnles Heatcpump 61.06
Duct work 23.32
Cross street/directions to job site: I 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: I 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
Repalce (8) RTU,s new curbs and drops fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
0 PROPERTY OWNER I 0 TENANT `4` ' Enver 23.32
Environmental exhaust and vendla ion:
Name: Range hood/other kitchen
equipment 33.39
Address: I I Clothes dryer exhaust 33.39
City/State/ZIP: I Single-duct exhaust(bathrooms,
I toilet compartments,utility rooms) 23.32
IPhone:( ) Fax:( ) Attic/crawlspace fans 23.32
0 APPLICANT 0 CONT ICT PERSC N I I Other: 23.32
Fuel piping:
Same as below
Business name:
� $14.15 for first four;$4.03 for each additional
Contact name: Bruce Butner I Furnace,etc.
Address: I Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) I Fax: :( ) I Fireplace
Range
E-mail: brute@protmp.com I Barbecue I
CONTRACTOR Clothes dryer(gas)
Business name: Protemp Associates IOther
MECHANICAL PERMIT FEES*
Address: 9788 SE 17th Ave
Subtotal
City/State/ZIP: Milwaukee Or 97222 I Minimum permit fee($90.00)
- - -
Phone:(503 )519 6199 I Fax:f 50)238-9767 Plan review(25%of permit fee)
I State surcharge(12%of permit fee)
CCB tic.: 38868 I 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: �if./�., _,,A �i * Fee methodology set by Tri-County Building Industry Service Board
Print name: Bruce Butner 1 I Date: 12/17/19
1\Building\Permits\MEC_PemtitApp_040113 dot 4404617T(11/02/COM/WEB)
City of Tigard
�' COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: /v rrpa 1,1-Ili)g7S
Site Address: ( (o20 o Sw Pc Gi GI - 11W‘ Suite/Bldg#:
Project Name: P} '1 4- h±r e c&
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: OQ,nIGlLa- (ieCV! Cit'1tCcJ-- S (T V , tJ CJ i�S
r+ Axe Ps
Existing Business Activity: [ m A e_
Proposed Business Activity: ()j M M la_rC.tZ41--
Verify site address/suite#exists and active in permit system.
River Terrace Neighborhood: ❑ Yes Z1 No
Zoning: C
Permitted Use: 0 Yes 0 No 0 Spec Space
Confirm no land use required.
ia Business License:
//// Exists: 0 Yes 0 No,applicant was provided a business license application
Notes:
Approved by Planning: /1 V -- Date: 12i 1 1 / ( ci
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: 7/jcq
Site Plans: # /
Building Plans:
Building Permit#: Enter building permit#above.
Workflow Routing: inning 0 Permit Coordinator C�^B'il'ding
Workflow Sign-off: i-off for Planning(include notes from planning review)
Route Application Documents: D1 g: original permit application, site plans, building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: _ � Date: 4../TCy/y
I:\BuildingTbrms\BldgPemitRvw_COMNolandUse_l 11819.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
El 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:
El SDC Fees Entered: f' Wash Co Trans Dev Tax: El Yes ❑ N/A
././ Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes 0 N/A
❑ OK to Issue.Kermit
Approve y Permit Coordinator: Date:
I:\Building\Forms\BldgPennitRvw_COM_NoLandUse_111819.docx
Branden Taggart
From: Branden Taggart
Sent: Monday, December 30, 2019 12:39 PM
To: 'bruce@protmp.com'
Cc: #Building Permit Technicians
Subject: Planet Fitness Tigard Town Square Permit: MEC2019-00875 - 16200 SW Pacific Hwy
Attachments: Branden Taggart2.vcf; MEC2019-00875 Planet Fitness Invoice.pdf
Hi Bruce,
Your permit for Planet Fitness is ready to issue now. The balance due is$3,484.45, and I have attached an invoice above
for you to reference. The permit fees can be paid online now at https://aca.accela.com/TIGARD/Default.aspx or in
person between the hours of 8:00 a.m. and 4:00 p.m., Monday through Thursday. We are closed on Fridays and this
Wednesday for the holiday. If paid online, please have someone pick up the permit and plans prior to inspections.
Thank you,
Branden.Taggart
City of Tigard
r!^- Senior Permit Technician
TiCARTS Community Development
13125 SW Halt Blvd
Tigard, OR 97223
(503)718-2449
brandent@tigard-or.gov
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