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Permit CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit#: MEC2020-00168 Date Issued: 04/15/2020 �fiGARL7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S135BC00700 Jurisdiction: Tigard Site address: 10795 SW CASCADE AVE Project: Wiggle Land Subdivision: None Lot: None Project Description: Installing new captive air 14 ft island hood,kitchen equipment,and gas line(extended gas line)for TI. Contractor: PKNW CONSTRUCTION LLC Owner: CASCADE FUTSAL LLC PO BOX 3686 5010 NE OREGON ST HILLSBORO, OR 97123 PORTLAND, OR 97213 PHONE: 503-536-6427 PHONE: FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 04/15/2020 $1,388.61 Class of Work: ALT Type of Const: VB Plan Review 04/15/2020 $347.15 Occupancy Grp: A-3 Occupancy Load: 12%State Surcharge-Mechanical 04/15/2020 $166.63 Stories: Info Process/Archiving-Lg$2.00(over 04/15/2020 $2.00 11x17) Project Valuation: $51,000.00 Info Process/Archiving-Sm$0.50(up to 04/15/2020 $17.50 11x17) Fuel Air Handlers Fuel Types: Natural Gas Units<10000 cfm: 2 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: Appliances Vent Fans: Vent Systems: Total $1,921.89 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: 13 Other Desc: kitchen Duct Work: 100 Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law, All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1. . Issued By: ee Signature: 3-Z-C-2;1"ACall 503.639.4175 by 7:00 a.m.for the next available Inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the Job site at the time of each inspection. Mechanical Permit Application FOR OFFICE USE ONLI RECEIVE® Received ., '— '_ r �. _ , i City of Tigard s/i,'I P 13125 SW Hall Blvd.,Tigard,OR 97223171 Plan Review, f Phone: 503.718.2439 Fax: 503.598.1960 3- r r -yyy� Inspection Line: 503.639.4175 MAR 2 b �I Date By I �� CC> o a)r T 1 G A R'DDate Ready/By: Juris: See Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: r� ow Supplemental Information '�'HI DING DIVISION � A. TYPE OF WORK COMMERCIAL FEE* SCHEDULE- USE CHECKLIST Mechanical permit fees*are based on the value of the work ❑ New construction ❑ dition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition Other: mechanical materials,equipment,labor overhead and Value:$ rl .(7,)fi CATETRY OF CONSTRUCTION RESIDENTIAL EQUIPMENT(SYSTEMS FEES* ❑ 1-and 2-family dwelling liCommercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATIONC45eGJC Heating/cooling: Job site address: //t��C_ Air conditioning 46.75 Cl� ) -L9- '- Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: b C G,{ / 0(� 1 V i 3 Furnace 100,000+BTU(ducts/vents) 54.91 �?I' Heat pump 61.06 Suite/bldg./apt.no.: Project name: t/IJ/GGL,&,--- L_7.,.'47 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 p Gas fireplace/insert 33.39 �-U l '�<� C C���'J C. G 1 JAI / `6��y1 t )Q „_/ Flue vent for water heater or gas r ca tG fireplace 23.32 'h s Cr i/ ;k f_ e n„� Log lighter(gas) 23.32 f� C��Wk C/) / r Wood pellet stove 33.39 _0510 I(c gift f '({'�,( (� 60�/ J , 1 O,L 1 1.t^(� ) Wood fireplace/insert 23.32 t S J r �z) kl 17t"c.ry (-J_ _ Chimney/liner/flue/vent 23.32 '� C tJ=5 III �/ ❑ PROPERiY OWNER iiikANT Other: 23.32 Environmental exhaust and ventilation: Name: lice)r,'"/ Av Vye;r)/1 Range hood/other kitchen Address: ' V equipment 33.39 Clothes dryer exhaust 33.39 City/State/ZIP: W ilq ./ 1cz f1j 1 : 0 QMa I j -C-�� Single-duct exhaust(bathrooms, Phone: , (/-" y" Fax:f toilet compartments,utility rooms) 23.32 (c- ��yj<1.2, - ( (,yS ( ) Attic/crawlspace fans 23.32 LJ/APPLICANT 0 CONTACT PERSON Other: 23.32 Business name: Fuel piping: ��C L� !� ZS V C. '0 Cl S14.15 for first four;S4.03 for each additional Contact name: a v' , ��- l� c-v�jl Furnace,etc. Address: F® 6 Q� 3 6 Gas heat pump ` WaWsuspended/unit heater ' City/State/ZIP: \ k`s 10v Q OP- q-1 l 23 Water heater Phone:((3) c3 O -G i7 `-7 Fax::( ) Fireplace Range E-mail: Barbecue CONTRACTOR Clothes dryer(gas) Business name: �3,...) / r,.,& G-. d n Other: MECHANICAL PERMIT FEES* Address: f) ?O): /gJ6IA Subtotal City/State/ZIP: .$y(15 �O p, q'7( Minimum permit fee($90.00) Phone: �� Plan review(25%ofpermit fee) (�p3) 33 © �6`. ,7 Fax:( ) State surcharge(12%of permit fee) CCB lic.: 20 q 4'3 6 19�,v/� TOTAL PERMIT FEE d This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized sigma * Fee methodology set by Tri-County Building Industry Service Board Print name: V /v ` f/(-4t— Date: ' _ 2 6, _2 0 I:\Building\Permits\MEC_PermiIApp_040 113.doc 440-46 I Tr(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 conunercial buildings require 2 sets of plans. 1:\Building\Permits\MEC_PennitApp_040113.doc 2 City of Tigard IIIIICOMMUNITY DEVELOPMENT DEPARTMENT ■ TIGARD Building Permit Review — Commercial - No Land Use Building Permit #: /116 C d2-0.2-0 —OO/(oc? Site Address: l0-ig5 SW Casra&Le tkve, Suite/Bldg#: Project Name: W 1 ve uateld (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: Roof i ,vt I cal Existing Business Activity: .J1 A-- Proposed Business Activity: N I A- C% Verify site address/suite#exists and active in permit system. C River Terrace Neighborhood: ❑ Yes .e No Z Zoning: MLA C MZA-Permitted Use: ❑ Yes ❑ No ❑ Spec Space Confirm no land use required. NZ-Business License: Exists: ❑ Yes 0 No,applicant was provided a business license application Notes: Q091' +op PTVlph't r- 169 (o ( pfa ik f-.S- VTh'- S-L gta✓wrv{ ie Ilyvd pvIn-cc t j0PL "AO-5 4u 41lin) Approved by Planning: 7 ,0 Qer, Date: 411 120 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved 0 Not Approved Revision 3: D Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: 3/0/s7� -0 Site Plans: # �- Building Plans: # -.9' Building Permit#: (enter building permit#above. Workflow Routing: EVPlanning 0 Permit Coordinator F]-uilding Workflow Sign-off: CSI -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: ,0, t��%hC�,(/�Q-4--- Date: V/27 Zp I:\Building\Forms\BldgPennitRvw_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 ' se 'cant: Revision Notice 2: Date Sent s •pplicant: Revision Notice 3: Date S: to Applicant: ❑ SDC Fees Entered: ash Co Trans Dev Tax: ❑ Yes 0 N/A Tigard Trans SDC: ❑ Yes 0 N/A Parks SDC: ❑ Yes 0 N/A 0 OK to Issue 'ermit Approv• • .y Permit Coordinator: Date: I:\Building\Fonns\B IdgP emutRvw_COM_NolandUse_111819.docx