Permit q CITY OF TIGARD MECHANICAL PERMIT
Es COMMUNITY DEVELOPMENT Permit#: MEC202000152
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/13/2020
Parcel: 2S113AB01400
Jurisdiction: Tigard
Site address: 7374 SW DURHAM RD
Project: PacTrust Business Center Subdivision: None Lot: None
Project Description: Replacing(3)RTU's,duct work,and gas piping.
Contractor: EXCEL HVAC INC Owner: PACIFIC REALTY ASSOCIATES LP
PO BOX 1188 ATTN: N PIVEN
CANBY,OR 97013 15350 SW SEQUOIA PKWY#300
PORTLAND, OR 97224
PHONE: 971-930-7194 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 04/09/2020 $1,572.87
Class of Work: ALT Type of Const: VB Plan Review 04/09/2020 $393.22
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 04/09/2020 $188.74
Stories: Info Process/Archiving-Lg$2.00(over 04/09/2020 $10.00
11x17)
Project Valuation: $58,350.00 Info Process/Archiving-Sm$0.50(up to 04/09/2020 $49.00
11x17)
Fuel Alr 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 Fumaces: 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 $2.213.83
Hoods: Comm Incinerators:
Woodstoves Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 3
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503. 32.1987 pc.j8 .332.2344.
Issued By: �J � / 1"ermittee Signature: /7(.4 iC 1C%/
OJ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. t
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Ottetr,"0,3voP rcte.I r f 3/I 7/7.0 c.✓/o,,1-,s;y;✓ ,.T-c, e-77,
Mechanical Permit Application FOR oH'ICEUS! I)NIA
_; City of Tigard i.. ECE VE DatdBx ;3 )3'�1 PamltNo.: M co`
N.i� 13125 SW Hall Blvd.,Tigard,OR 97223 !
Plan Review -
g - Phone: 503.718.2439 Fax 303.598.1960 Dote/By: � . tJtfnrrermit:
Pih T1Gdp Inspection Line: 503.639.4175 MAR 18 2020 DateReady/By: P i hide fill See Page 2 for
1 Internet www.tigard-or.gov NotiteadIMetho.J �' , �. �` Supplemental laformation
1 LY�� DGArD .�G�
141jL-DING tIVISIa ,
TYPE_ OF WO_ CO t ,a 411 F8E*',. DiILE.=LSR.CHR.CTaal'
[]New construction Mechanical permit fees'are based on the value of the work
(�Addition/alterationheplacement pet-fanned.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit
Value:$ Sit,3r O.00
CATEGORY OFCONSI'1tUCTCON RESIDENTIA'I.EQIIIPbiFicT/SYSTEMS I+F.FS*.
❑ 1-and 2-family dwelling ®Commercial/industrial ['Accessory building For egrectal f tfunaer inn me slier:tsar
❑Multi-family ❑Master builder 0 Other. Description 1 Qty. Ea. 1 Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 7 3-1 ei -• 7 37 6' 5 W D e.,tk Furnace 100,000 BTU(ducnlvetds) 46.75
City/State/ZIP: -Te3o,r,,t OR ci722y Furnace 100,000+BTU(rIorts/vents) 54.91
Heat no.: Project name: 61.06
Suite/bldg./apt,
j Qac Tw S} UuS1.,CSS Cts.i0+ r► Duct work 23.32
Cross street/directious tojob site: S W tvtl+a•ws ¶. 0.4 5 ts) Hydronic hot water stem 23.32
p t-� _ 1� Residential boiler(radiator or
k)F? l3ot v t,s i-e..rry 2.01, hydronic) 23,32
Unit heaters(Fret-type,not electric),
in-wal in-du su •-nd-. etc. 46.75
Flue/vent for may of above 23.32
Subdivision: ( Lot no.: Other: 23.32
Other fuel appliances:
Tax rnap/parcel no.: Water heater 2332
DESCRIPTION OF WORK Gas fueplace/[nsert 33.39
i1 Flue vent for water heater or gas
23.32
puma (3) r�visl ** ILTo f ano+4 eLtso 0.S'Sotlo eta a�i place 23.32t 2ni It (3) NCw PS w»r� 0.5ssta� � a,.e�r«w`tk Wood/pelletstove 33.39
o„ - :..1 �'r% Wood fireplace/insert 23.32
Cltimney/liner/ftue/vent 23.32
a OWNERFERTY ! Other: 23.32
El TENANT
Environmental exhaust and ventilation: _
Range hood/other latches
equipment 33.39
Clothes dryer exhaust 3339
City/State/ZIP: Single-duct exmr he(bathrooms,
toilet corn ar me ts,nub rooms 23.32_ ___
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
tgi APPLICANT 0 CONTACT PERSON Ocher 23.32
Fuel piping:
Business name: Elite( 10 V $14.15 for first four;$4.03 for each additional
Contact name: ?aty�p,,ry 134xlimiii. Furnace,etc.
Address: t $$3 I. $W U Q a a n�s Ftx }Zol. Gas heat Pump
P WelUsuspendetUnnit hoatcr
City/State/ZIP: Lia.e 0 ,G aft —l o rjs Water heater 1:
Fireplace
Phone:(563 ) 550 -60411 Fnx::( )
I { Range i
E-mail: - exat. eae.aA�VAL,KPA Barbecue
CDNTRACTOR Clothes dryer(gas)
Other:
Business .. •
NIECIIAYICAL PERMIT FEES' G
dAre t_ Subtotal
City/State/ZIP: y L_o..ke Ust.,e d 0 it. 9 7o 3 5 Minimum permit fee($90.00)
g Plan review(25%ofpeanit fee) ..
Phone:(SOS ) $9,$- 5 i�i Fax:( ) State surcharge(12%of. ..t fee)
CCB lie.: 21,4 3 UtS TOTAL PERMIT FEE
Thu Thb permit application expires If a permit is not obtained Within 180
days after it has been accepted as complete.
Authorized signature: . " • Fee methodology act by Tri-County Building industry Service Board
f
Print name: Zo,4.y y 1140A,t0.4 84.44 er Date: 03 /i !IS (202.0
I:tnaidss'Pam1skI C_7mmitAPp_0401134er 440-4617T(I t/C/COM/wc8)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
■
T I c n iz o Building Permit Review — Commercial - No Land Use
1 ,
Building Permit #: /01L6a00/0-e0/ d
Site Address: T fl & / 7icL.. Irk Suite/Bldg#:
Project Name: 19a.- Tr)- 1"P&c C&Ir G
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review Proposal: bcl,4, ) eic 12TUs 0,1 ( Soc,f jJ kikir lc a l, C31 s. J mot✓ (Ur
avt,Di r- fi 4u-(4F-I
•
Ili
J 1
Existing Business Activity: I
Proposedpo Business Activity: WA,
2' rify site address/suite#exists and active in permit systfm
ver Terrace Neighborhood: ❑ Yes LJ No
2 Zoning:
I�4ermitted Use: ❑ Yes ❑ No C Spec Space
1 Confirm no land use required.
0-Business License:
Exists: ❑ Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: . CVDate: 3 -7/r24
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:
Site Plans: #
Building Plans: #
Building Permit#: nt��er building permit#above. _�
Workflow Routing: E3 Pl�annmg ❑ Permit Coordinator - ldtng
Workflow Sign-off: E Sign-off for Planning(include notes from planning review)
Route Application Documents: ding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: r rjrfr7�
I:13uilding\Forms\BldgPermitRvw 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 Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applica. :
❑ SDC Fees Entered Wash Co Trans 6 ev Tax: ❑ Yes ❑ N/A
Tigard Trans : C: ❑ Yes 0 N/A
Parks SD . ❑ Yes 0 N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Fonns\B1dgPennitRvw_COM_NoLandUse_111 8 19.docx