Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT
Permit#: MEC2020-00316
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/10/2020
T[G AR D Parcel: 2S113AB00300
Jurisdiction: Tigard
Site address: 16037 SW UPPER BOONES FERRY RD 300
Project: Oregon State Bar Subdivision: FANNO CREEK ACRE TRACTS Lot: 38
Project Description: Install(1)ductless mini-split system in the 1st floor elevator room to replace existing,and(1)2-ton exterior
condensing unit.
Contractor: MCDONALD MILLER FACILITY SOLUTIONS Owner: OREGON STATE BAR,THE
12801 NE AIRPORT WAY 16037 SW UPPER BOONES FERRY RD
PORTLAND, OR 97230 TIGARD,OR 97224
PHONE: 971-244-0901 PHONE:
FAX: 971-244-0902
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/10/2020 $373.11
Class of Work: ALT Type of Const: VB Plan Review 06/10/2020 $93.28
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 06/10/2020 $44.77
Stories: Info Process/Archiving-Lg$2.00(over 06/10/2020 $2.00
11x17)
Project Valuation: $11,000.00 Info Process/Archiving-Sm$0.50(up to 06/10/2020 $6.00
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: Vent Systems: Total $519.16
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
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 ar set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to O y calling 3.2 .1987 or 1. .332 .
Issued By: Permittee Signature: 4.4
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.
' e., _ ' f, ,- L `
Mechanical Permit Application, IT:
r 4 FOR OFFICE USE ONLY
City of Tigard `� .1....,„, vea Pem t
• 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By. �20-e A0 YV&r` '� 003 10
' s Phone: 503.718.2439 Fax: 503.598.1960 MAY 2 0 2�Z� Plan Reve a- N` Other Permit:
Date/By: f.7V
T I G A]t D Inspection Line: 503.639.4175 , _,, ,e Date Read tuns:"f�' i`l`:. 0 I(�,�t y y: el See Paget 2I for
Internet: www.tigard-or.gov , I'( -i Nori�eth Supplemental Information
,-,, ----7047r ce-C
TYPE OF WORK COMMERCIAL FEE* SCHEDULE -USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction e_}4ddition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition 0 Other: mechanical materials,equipment,labor overhead,and profit.
Value:S (I p7v , Q0
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT//SYSTEMS FEES*
❑ 1-and 2-family dwelling ' tommercialIindustrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
+ n/ ( j ,, Air conditioning 46.75
Job site address: (0 SU t� '!( JQ I/l Q�j / Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: /( .d 6!� �g�y Furnace 100,000+BTU(ducts/vents) 54.91
36 6 I !! r ivi ��G ®� S Heat pump 61.06
Suite/bldg./apt.no.: Project name: r ��y� �/ r
C r ) Duct work 23.32
Cross street/directions to job site: �i 1 � ✓�y� f4 I `�j)( Hydronic hot water system 23.32
(mil p �n /Y Residential boiler(radiator or
pi l 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
(5'0 0 tikh, AAA-'k 1 i C i ii,L I , 4 Y lk , 'S fireplace 23.32
f nn �l 1 t L (a /]p_ �l j �/ ,L �j1 Wood/pellet
Log lighte (eas) 23.32
0(/►�✓/���� l Jt(�/O 11v//,�JYYIIJ117t_/lrLf�11 i n�'''///��� �i/�l �S"! i( / stove 33.39
y u I� Y'-(y,/ l,46 —JX/0,h✓�,, , Wood fireplace/insert 23.32
�//�� /�' 1 1 Chimney/liner/flue/vent 23.32
414(IrrrcOPERTY OWNER I 0 BAN Other: 23.32
Environmental exhaust and ventilation:
Name: - G % ' /-7 64:y Range hood/other kitchen
Address: r • equipment 33.39
n�., Clothes dryer exhaust 33.39
City/State/ZIP: ) / A. C/// q 7 ? Single-duct exhaust(bathrooms,
Phone: / toilet compartments,utility rooms) 23.32
( ) Fax:( ) Attic/crawlspace fans 23.32
APPLICANT 13-CONTACT PERSON Other: 23.32
'LA 'n�1 Fuel piping:
Business name: c„.0.ol iAJ Z,(_Uvl✓V�.�i✓
al
S14.15 for first four;S4.03 for each additional
Contact name: V/1 t 6l 4 Furnace,etc.
Address: J d /^f Gas heat pump
! � ,„ Wall/suspended/unit heater
City/State/ZIP: K� /i�' a -) Water heater
Phone:( SO,p , 1— 7'L°3( S! Fax::( !�f) Ca L q V -(6,
v O Fireplace
E-mail: j Range
r ell!L G1 , S '1 l ,) /1/cA t i v�i,/l e✓- . C L2 P71 Barbecue
\.' CO 'ti TOR Clothes dryer(gas)
(��� , J1 , Other:
Business name: V"t"`ca,t4i�td 1�/W1(i�
�e i�f�� MECHANICAL PERMIT FEES*
Address: S. I4A.r- (N'OV / Subtotal
City/State/ZIP: Minimum permit fee(S90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( )
Fax
n State surcharge(12%of permit fee)
�CCB tic.: 1 5 6 if, TOTAL PERMIT FEE
t 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: c J /244.\ Date: 5113 / 2t)
I:\BuildineenaitAINEC_PermitApp 040113.doc 4404617T(I 1/02/COM/WEB)
111
City of Tigard
IIICOMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: t1 EC 49--0 a-0 -00 2 f!,
Site Address: 160 / V n' , avows rivi 4. Suite/Bldg#:
Project Name: D St-It R,y
(Nanklof commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Roato P waetriiced
Existing Business Activity: N/ r
Proposed Business Activity: N' A-
A. Verify site address/suite# exists and active in permit system.
DIRiver Terrace Neighborhood: ❑ Yes ❑ No
IX Zoning: hp
Permitted Use: ❑ Yes ❑ No ❑ Spec Space
K. Confirm no land use required.
usiness License:
Exists: 0 Yes 0 No, applicant was provided a business license application
Notes: No+ vto,04 n141M — %dam{ 191 child f G'—.
Approved by Planning: (/a4` Date: 5/2t /20
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: 0 Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: -S/Z0/Zd
Site Plans: #
Building Plans: # 62--
Building Permit#: E Enter building permit# above.
Workflow Routing: {Planning ❑ Permit Coordinator R uilding
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: 2"—Building. original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: 2'1 (9414 2,14—f___—/ Date: -j2,/20
I:\Building\Forms\BldgPennitRvw_COM_NotandUse_111819.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved, NOT Released: Date:
Notes:
\)l(
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
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_III 8 I9.docx