Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT
Permit#: MEC2020-00213
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04l28/2020
TIGARD g Parcel: 1 S136DC03300
Jurisdiction: Tigard
Site address: 11734 SW 72ND AVE
Project: The 72nd Avenue Salon Subdivision: 72ND AVE APARTMENTS Lot:
Project Description: Interior mechanical work for new tenant.
Contractor: JACOBS HEATING&AIR CONDITIONING Owner: 72ND AVENUE PROPERTY LLC
4474 SE MILWAUKIE BY RICHARD CASSINELLI
PORTLAND, OR 97202 4804 NW BETHANY BLVD#I-2
PORTLAND, OR 97229
PHONE: 503-234-7331 PHONE:
FAX: 503-296-5351
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 04/28/2020 $322.42
Class of Work: ALT Type of Const: VB Plan Review 04/28/2020 $80.61
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 04/28/2020 $38.69
Stories: Info Process/Archiving-Lg$2.00(over 04/28/2020 $4.00
11x17)
Project Valuation: $9,010.00 Info Process/Archiving-Sm$0.50(up to 04/28/2020 $17.50
11x17)
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: 2 Vent Systems: Total $463.22
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 20
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center, Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to NC by calling 3.232.1987 or 1.8 .332.2344.
Issued By: ���!?' v +� Permutes Signature:2•;2---1/;C: C;7774k.427j
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applicati �
FOR OFFICE USE ONLY
r � NED
City of Tigard ; t"` Recei ed / Permit M1
n 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: �1�i��Zv T I Feta°aQ ec2,
( "�
77 Phone: 503.718.2439 Fax: 503.598.1960 O (. Plan RevieDate/By: or)..., ® Other Permit:
TI GARU Inspection Line: 503.639.4175 y y; / See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD�t Vot fied/�eBod /�j / Juris: Supplemental Information
BUILDING DIv �6/ e
TYPE OF.WORK COMMER IAL FEE* SCHEDULE —USE CHECKLIST
Mechanical permit fees*are based on the value of the work
'"New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
value:$ 9010.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
0 I-and 2-family dwelling Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 11734 SW 72nd Ave Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Tigard, OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: J Project name: Salon Retail TI 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
Subdivision: Tigard- Tualatin 1 Lot no.:
Other: 23.32
Other fuel appliances:
Tax map/parcel no.: 1 S 136DC03300 Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
(1) 1.5 ton 2 port ductless heat pump with(2)indoor wall mounted units.Oudoor fireplace 23.32
heat pumplocated in garage on wall bracket. (1)outside air supply fan untem ed Log lighter(gas) 23.32
g g ppy ( p ) Wood/pellet stove 33.39
to(3)supply differs.(2)ceiling exhaust fans ducted to(1)Exterior wall louver Wood fireplace/insert 23.32
Comm - Building Permit#BUP2O2O-00082 Chimney/liner/flue/vent 23.32
Other: 23.32
iity PROPERTY OWNER ❑ TENANT
Environmental exhaust and ventilation:
Name: 72nd ave property LLC Range hood/other kitchen
equipment 33.39
Address:
Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
0 APPLICANT 0 CONTACT PERSON Other: 23.32
Business name: Jacobs Heating&Air Conditioning
Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: Andrea Bowids Furnace,etc.
Address:4474 SE Milwaukie Ave Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Portland, OR 97202 Water heater
Phone:(503)234-7331 Fax: :( ) Fireplace
E-mail: andreab@jacobsheating.com Range
Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: Jacobs Heating&Air Conditioning Other:
MECHANICAL PERMIT FEES*
Address: 4474 SE Milwaukie Ave Subtotal
City/State/ZIP: Portland, OR 97202 Minimum permit tee($90.00)
Plan review(25%of permit fee)
Phone:(503 )234-7331 Fax:( ) State surcharge(12%of permit fee)
CCB lic.: 1441 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: * Fee methodology set by Tri-County Building Industry Service Board
Print name: ANDREA BOWLDS Date: 4/8/2020
L1Building\PermitslMEC_PermitApp_040113.doe 440-4617r(I 1/02/COM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
i II e
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: /V£C O 2 Q OOa/ 3
Site Address: 11"134 S J -72hc.1 Suite/Bldg#:
Project Name: Sol ion 71
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review Proposal: WG((1Gtpu cod p xnet i -GI 11 ivrim&l
Existing Business Activity: ( Pr
Proposed Business Activity: I I tr
Verify site address/suite# exists and active in permit system.
River Terrace Neighborhood: ❑ Yes W.No
Zoning: 1 'v WI-Permitted Use: ❑ Yes ❑ No ❑ Spec Space
yr Confirm no land use required.
'Business License:
Exists: ❑ Yes ❑ No, applicant was provided a business license application
Notes:
Approved by Planning: AITA4 /2 k_ Date: 4'1 I5)20
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: E Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: `//Vz B
Site Plans: # 2...
Building Plans: # o2.—
Building Permit#: "'Er Enter building permit# above.
Workflow Routing: LI Planning ❑ Permit Coordinator EBuilding
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: :1 B gilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: ZO� o.,,, -f, q-ems-- Date: y07/2.0
I:\Building\Fonns\B ldgPermitRvw_COM_NoiandUse_1118I9.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 Applic t:
Revision Notice 2: Date Sent to Applic. t:
Revision Notice 3: Date Sent to Apo.cant:
❑ SDC Fees Entered: Wash Co T s Dev Tax: ❑ Yes 0 N/A
Tigard .ns SDC: ❑ Yes ❑ N/A
Par - DC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit C. .rdinator: Date:
I:\Building\Forms\B1dgPermitRvw_COM_NoLandUse_1118I9.docx