Permit itilCITY OF TIGARD MECHANICAL PERMIT
■ 'a COMMUNITY DEVELOPMENT Permit#: MEC2020-00169
T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/29/2020
Parcel: 2S 103DD00400
Jurisdiction: Tigard
Site address: 13727 SW PACIFIC HVVY 200
Project: Rovente Pizzeria Subdivision: None Lot: None
Project Description: Installing 8 ft 6 inch type two(2)captive air hood,double stock pizza oven,and extend gas line for TI.
Contractor: PKNW CONSTRUCTION LLC Owner: VPT LLC
PO BOX 3686 610 SW ALDER ST STE 1221
HILLSBORO, OR 97123 PORTLAND, OR 97205
PHONE: 503-536-6427 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 04/28/2020 $601.71
Class of Work: ALT Type of Const: VB Plan Review 04/28/2020 $150.43
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 04/28/2020 $72.21
Stories: 1 Info Process/Archiving-Lg$2.00(over 04/28/2020 $4.00
11x17)
Project Valuation: $20,000.00 Info Process/Archiving-Sm$0.50(up to 04/28/2020 $7.50
11x17)
Fuel Air Handlers
Fuel Types: Natural Gas Units<10000 cfm: 2
Gas Pressure: Units> 10000 cfm:
Furnaces Boilers 8.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 $835.85
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 20
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OU by calling 50 232.1987 or 1.8 0. 2344.
r
Issued By: Permittee Signature: 7- '_ n/I/`��"'7�
Call 503.639.4175 by 7:00 a.m.for the next available Inspection date. v/`�//,/l �/l /L)
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application Fl ti. 1 ivy IC is t 51:1)>I.v
City5 of Tigard RECEIVE ��. � �/ �
• 13125 SW Hall Blvd,Tigard,OR 97223 �� ��
Pat/n':ie * a' iL�' �lt7J/J//�
I CT 111
Phone: 503.718.2439 Fax: 503.598.1960 Dare/By:
TIGARD Inspection Line: 503.639.4175 MAR 2 6 2020 Date Ready/By. See Page 2for
Internet: www.tigardor.gov ,_-ri ,,,r,r-; Notified/Method:Li 'fH 17 42)III Supplemental Information
v,�... .....
TYPE OF WORK COMMI?RCIAL FEE* SCHEDULE- USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction 0 Addition/alteration/replacement nerF-' Indicate the value(rounded to the nearest dollar)of all
0 Demolition [g6thec --'- n^tpment,labor,
.(f/" overhead,and prat
CATEGORY OF CONSTRUCTION V�
(1Fe �/1/j:''�jN alue:$if3 ii' 0-0 '
TIALEQNPMENTISYSTEMSFEES* ""
❑ 1-and 2-family dwelling Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total
nesting/cooling:JOB SITE INFORMATION AND LOCATION/
Job site address: '3 `? Z SW Pat f f t }�J�.,,!� Air conditioning , 46.75
G W !�( Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: *-...1 I'gal OILFurnace 100,000+BTU(ducts/vents) 54.01
Heat pump 61.06
Suite/bldg./apt.no.: Project name:4,V,,,���/ ���, / ,, 1 . 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: Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
' kl fa (1 y ( 6, i 1 G �' 64.1
� Flue ventfor water heater or gas
fireplace 23.32
CG r0{lV e c) Log lighter(gas) 23.32
Wood/pellet stove 33.39
'!V
14g (1 CI QUho k- CS10 I tr'2Ut O - Wood fireplace/insert 23.32
ems -e q J ad ` r j Chimneyfliner/flue/vent 23.32
`�"'7$ Other: 23.32
0 PROPERTY 0 TENANT Environmental exhaust and ventilation:
Name: ."Z.'of 0 el ei L BU OG Range hood/other kitchen
Address: l7 equipment 33.39
lothes dryer exhaust 33.39
City/State/ZIP: 1-i1 1Q i.eI
r u p;Z7enc.4 4' CO vb.` Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) -7 -Q( ((7 Fax( ) Attic/cawlspace fans 23.32
"APPLICANT ❑rr CONTACT PERSON Other: 23.32
Business name: > KIN t) C 0 rig f,cc"
L. i O LLC. Fuel piping:
(� �1 $14.15 for first four,$4.03 for each additional
Contact name: qr „tr-I yam-1 /tee,f✓�. Furnace,etc.
Address: ri9A/1( 7/,,0,6 l Gas heat pump
V�` Wall/suspended/unit heater
City/State/ZIP: /e(I O(O( B IP Cl 1 1 Z3 Water heater
Phone:(9)� S3 cj , 6,1 Z' Fax:( ) Fireplace
L Range
E-mail: n knW co os f-ry citoi e ,`,Y` I - c 0Y>' Barbecue
1Y CONTRACTOR , /' Clothes dryer(gas)
Business name: q t7(.� j C ( t O C L-C Other:
1 ` (/ le v t 1/l c. t d.I �-�- *" L MECHANICAL PERMIT FEES*
Address: Subtotal
City/State/ZIP: R 16 60V(7/ p L q '7 12'- Minimum permit fee($90.00)
( ) Plan review(25%of permit fee)
Phone:( 5�i (.1-3 /:�'?D Z"l Fax: _ State surcharge(12%of permit fee)
CCB lie.: 7 C) q q r� `� TOTAL PERMIT FEE
e This permit application expires if a permit Is not obtained within 180
• days after It has been accepted as complete.
Authorized si attire: * Fee methodology set by Tri-County Building Industry Service Board
Print name: K...411/K ..e.4_ Date:
I:1Bufding\Permits\MIC_Po cilApp_040113.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.
l:Alluilding\PennitsAMEC PennitApp 040113.doc 2
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
■
T c Building Permit Review — Commercial - No Land Use
Building Permit #: /1-7 CC d2..0-0 — )Q/6_, f
Site Address: 1 3 7 2i Sw Parj f jc, Nv)"j Suite/Bldg#:
Project Name: I`-overti2. PtZ _
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 12-0 4 -°p iviectitavt'CAA (IpA P tt i- .
Existing Business Activity: NI ft
Proposed Business Activity: I✓I Pc
Verify site address/suite# exists and active in permit system.
River Terrace Neighborhood: ❑ Yes No
Zoning: C G
- Permitted Use: Y'. Yes 0 No 0 Spec Space
7..Confirm no land use required.
Business License:
Exists: I(Yes ❑ No,applicant was provided a business license application
Notes: .i U 1 ii101+ VIIM VX. S(.h90014 (0,-1 fht IoU,IIM 01-1 $ ho-f V I Sl IAr -Frowt `f Yt4
. •' WA IV-. II
Approved by Planning: kt Date: 4 IZpRevisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: ❑ Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: .3/2 /2c
Site Plans: # .Z
Building Plans: #
Building Permit#: Enter building permit#above.
Workflow Routing: Manning 0 Permit Coordinator 4-Er-Building
Workflow Sign-off: .-Er Sign-off for Planning(include notes from planning review)
Route Application Documents: Bnilding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: ZVI' &r2 er i---7 Date: 7/-C
I:\Building\Fortes\BldgPermitRvw_COM_NoLandUse_l 118 19.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 ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
O OK to Issue Permit
Approved by Permit Coordinator: Date:
1:1Building Worms\BldgPennitRvw_COM_NoLandUse_111819.docx