Permit CITY OF TIGARD MECHANICAL PERMIT
g 41
• COMMUNITY DEVELOPMENT Permit#: MEC2020-00424
T[GARL7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/07/2020
Parcel: 1 S136CA90491
Jurisdiction: Tigard
Site address: 10900 SW 76TH PL 49
Project: Shepherd Subdivision:GARD WOODS,A CONDO COMMUNI1 Lot: 49
Project Description: Replace existing A/C.
Contractor: PIONEER GAS FURNACE NORTHWEST Owner: SHEPHERD, JEAN E M
6446 NE SIMPSON ST 10900 SW 76TH PL#49
PORLAND, OR 97218 TIGARD, OR 97223
PHONE: 503-249-5000 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: MF Air Conditioning 07/07/2020 $46.75
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 07/07/2020 $10.80
Occupancy Grp: Occupancy Load: Minimum Fee Adjustment-Mechanical 07/07/2020 $43.25
Stories:
Project Valuation: $0.00
Fuel Air Handlers
Fuel Types: 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: 1
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $100.80
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
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 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 1.800.332.2344.
Issued By: 44. ,�j^v nx�tr � � l„_ �, Permittee Signature: C, 9--r7e.7 e 77on/
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.
lV1CCRR tll of Tigard RL'd tlUfl 1 Plan Review � � C Permit
rermu Au
City - 1 ' t)atW : 7 7 7 o *vft9E' e/--c e5C-1`lZ7.
.-- ® 13125 SW Hall Blvd.,Tigard,OR 97223
0 Phone: 503.718.2439 Fax: 503.598.1960 JUN la 2020 Other Permit
DatoR3y:
.f t t i 4 r2IY Inspection Line: 503.639.4175 Date Ready/By: Juris See Page 2 for
Internet: www.tigard-or.gov CITY OF'!j RONetified/Metbod: Supplemental Information
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Mechanical permit fees"arc based on the value of the work
❑New construction it Addition/alteration/replacement performed Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value $
3 a :0R F3 „ , o 4s + r , aj t.. e N�`IAL E PM T p0.0: , ,"..
❑ t-and 2-family dwelling If Commercial/industrial ❑Accessory building For special information use checklist.
❑ Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
1 x4-"- i �r ",t i3 uSh E x-'.!.5 ATIO t- .::.4 it,-4. '�.{ ! 1 6era'"s"'c 1; Heating/cooling: /
.:4h„r ail:.a,.,t d '^ Airconditioning 1 46.75
Job site address. d0e300 Seel 7t' 7' Op/ Furnace 100,000 BTU(ducts/vents) 46.75
City/Stale/ZIP: 1 k d' p R, `J7.2 333 f Furnace 100,000+BTU(ducts/vents) 54.91
0 / sT Heat pump 61.06
Suitelbldg./apt.no.: Project name:
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
f) ss s ,. txi- _ 1 , ° t(s`a: Gas fireplace/insert 33.39
�7 q-� Flue vent for water heater or gas
f t& £ i// ei 7 / c19AtOi s el10ti ,, fireplace 23.32
/ y� for ( It Log lighter(gas) 23.32
' f CCC r , Wood/pellet stove 33.39
• t L�iJNifJ& ! !2G'v4t /2€ b Wood fireplace/insert 23.32
c ! + .Se.'.- 5 IV 0.T- �E5 Chimney/liner/flue/vent 23.32
a-1..-7. I P T% ii't ,^,Es'�``� 7-, r ;: Nis)a +„g�I,'.¢; Other. 23.32
rail ,- i • ('�l� ial .r • "" ` *` Environmental exhaust and ventilation:
Nance: t/--Pa,) *ail�, pf CCC LLL---rd Range hood/other kitchen
s equipment 33.39
Address: Clothes dryer exhaust . 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 1 23.32
Phone 640 7O1 $ Fax ( ) Attic/crawlspace fans . 23.32
j :**fi qfi,,D:-5: s Other: 23.32
Fuel piping:
Business name:
514.15 for first four;S4.03 for each additional
Contact name: NI 0 L t.-Y Furnace etc.
Address:
Gas heat pump
--- Wallisuspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace
Range ,
E-mail: B l o c s 1 Q/1(t o 4S Ina.. . Ct FYI.- Barbecue
(.x .,x „v „ s.o ...' . l*P.0t ,'/ Clothes dryer(gas)
ri
Business name: (;� - ` Other 1
rj(f}'YI�PrPf 145 �Idl )
Address: �i ti lv 6' cil e Oil .51 Subtotal 90,rr7}ii
City/State/ZIP: dt.{liana,8.A� 9721 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(1 3)d.L.ffii a. J'0 c t') Fax:( ) State surcharge(12%of permit fee) ,,jai ,�0
CCB lic.: , J Lf 5 5 L TOTAL PERMIT FEE joe „ 0
This permit application expires if a permit is not obtained within ISO
� days after it has been accepted as complete.
Authorized signature:f r ID( ./E( t kt/tgf 'w.,.,__-..• / " Fee methodology set by Tri-County Building Industry Service Board
Print name�t/Ma Lt-tr( 8 • Lb oN, Date:116C r"""/Cf.
1 V3uiidieg\Permits\MEC PermitApp 040113.doe 440-017T(II JCOM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
Building11
Permit Review — Commercial - No Land Use
TIGARD
Building Permit #: g-C Zo zo -pp `/2-y
Site Address: 10900 SW 76th PI Suite/Bldg#: 49
Project Name: Shepherd AC Unit
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Replace existing ground AC unit, like for like —
Existing Business Activity: Residential
Proposed Business Activity: Residential
❑° Verify site address/suite#exists and active in permit sxstem.
QRiver Terrace Neighborhood: ❑ Yes L"I No
El Zoning: R-25
❑° Permitted Use: L'i Yes U No U Spec Space
❑. Confirm no land use required.
Business License: (N/A for residential)
Exists: ❑ Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: Date: 6/22/20
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: (fPJ
Site Plans: #
Building Plans: # ,)
Building Permit #: V E ter building ermit# above.
Workflow Routing. Planning 11 Permit Coordinator ❑ Building
Workflow Sign-off: Q Sign-off for Planning(include notes from planning review)
Route Application Documents: . Wdilding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: 7/7/
1:\Bu i ld i n g\F orm s\Bld g Perm i tRvw_C O M_N oLan d U se_111819.do cx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved, NOT Released: Date:
Notes:
r
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applican
Revision Notice 2: Date Sent to Appli ,nt:
Revision Notice 3: Date Sent to Ap, cant:
❑ SDC Fees Entered: Wash Co T-:ns Dev Tax: ❑ Yes ❑ N/A
Tigard ans SDC: ❑ Yes ❑ N/A
Park DC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coo dinator: Date:
C\Building\Forms\B1 dgPerm itRvw_COM_NoLandUse_111819.docx
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Dianna Ornelas
From: #Building Permit Technicians
Sent: Monday, June 22, 2020 11:34 AM
To: 'Pioneer Gas Furnace'
Cc: #Building Permit Technicians
Subject: RE: permit application, cut sheets and site plan - 10900 SW 76th PI, #49
Hello Molly,
Planning has approved of your permit application for A/C replacement. The permit has been placed in the que for
processing.
Due to the high volume of permit activity, and remote working conditions, please allow 1-2 weeks for processing and the
permit technicians will contact you as soon as the permit is ready to issue and with instructions to pay fees online.
Thank you.
Dianna L. Ornelas(Howse)
Building Division Services Supervisor
City of Tigard I Community Development
13125 SW Hall Blvd I Tigard, OR 97223
503-718-2430 Direct 1503-718-2439 Permits
From: Pioneer Gas Furnace<salesPpioneergasfurnace.com>
Sent:Thursday,June 18, 2020 1:22 PM
To: #Building Permit Technicians<TigardBuildingPermitsPtigard-or.gov>
Subject: permit application, cut sheets and site plan
Caution!This message was sent from outside your organization.
Good afternoon,
Attached are the cut sheets, site plan (already approved by planning) and the mechanical application for a like for like AC
replacement.
We are working from home and don't have someone to send to the city so we are authorizing the charge of copies
needed by the City of Tigard to print so that we can attain this permit.
Please let me know if there are any questions, and how to go about paying. We appreciate your help.
Kindly,
Molly Luba
t
SO4-A1
Dianna Ornelas
From: Samuel Copelan
Sent: Thursday, June 18, 2020 4:59 PM
To: #Building Permit Technicians; #CD PoD
Subject: RE: permit application, cut sheets and site plan - 10900 SW 76th PI, #49
Attachments: RE: mechanical permit and site plan
Hi Dianna,
I showed Molly how to meet Planning requirements for an exterior mechanical unit at an apartment. I directed her
to follow the submittal process with Building, see attached email. Please let me know if you have any questions.
Thanks,
Sam Copelan
Assistant Planner
City of Tigard; Community Development
13125 SW Hall Boulevard
Phone: (503)-718-2450
}'.mail: Samuelc@tigard-or.gov
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail
may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained
by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule."
From:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Sent:Thursday,June 18, 2020 4:50 PM
To: #CD PoD<CDPoD@tigard-or.gov>
Subject: FW: permit application, cut sheets and site plan - 10900 SW 76th PI,#49
Hello,
Did someone in planning review and approve of the attached mechanical application and site plan for A/C replacement
as the applicant says below?
Can you also please clarify if planning is required to review A/C placement for multi-family and condominiums?
Thank you.
Dianna
From: Pioneer Gas Furnace<sales@pioneergasfurnace.com>
Sent:Thursday, June 18, 2020 1:22 PM
1
To:#Building Permit Technicians <TigardBuildingPermits@tgard-or.gov>
Subject: permit application, cut sheets and site plan
Caution!This message was sent from outside your organization.
Good afternoon,
Attached are the cut sheets, site plan (already approved by planning) and the mechanical application for a like for like AC
replacement.
We are working from home and don't have someone to send to the city so we are authorizing the charge of copies
needed by the City of Tigard to print so that we can attain this permit.
Please let me know if there are any questions, and how to go about paying. We appreciate your help.
Kindly,
Molly Luba
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail
may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained
by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule."
2
Dianna Ornelas
From: Samuel Copelan
Sent: Thursday, June 11, 2020 10:44 AM
To: Pioneer Gas Furnace
Subject: RE: mechanical permit and site plan
Hi Molly,
Please disregard my phone message. You should be able to meet Planning standards if the unit is more than 20 feet
away from a street property line, but you need to submit the mechanical permit to the Building Division. I don't
know if they accept email submittals, so please contact them at (503) 718-2439 or by email at
TigardBuildingPermits@tigard-or.gov if you have any questions on how to submit.
Thanks,
Sam Copelan
Assistant Planner
City of Tigard; Community Development
13125 SW Hall Boulevard
Phone: (503)-718-2450
Email: Samuelc@tigard-or.gov
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail
may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained
by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule."
From: Pioneer Gas Furnace<sales@pioneergasfurnace.com>
Sent:Thursday, June 11, 2020 10:33 AM
To: Samuel Copelan <samuelc@tigard-or.gov>
Subject: Re: mechanical permit and site plan
Caution!This message was sent from outside your organization. Allow sender I Block sender
Okay so once I have my boss gets back to me with the site plan again then you mean I can email this and the permit
application to Tigard building permits?
Molly
On Thu,Jun 11, 2020 at 10:21 AM Samuel Copelan<Samuelc@tigard-or.gov>wrote:
Hi Molly,
i
Thank you for the site plan. On the site plan, please confirm if the new unit will be within 20 feet of the street
property line. Once you have that addition,you should be able to submit for the mechanical unit. Please contact
Building at (503) 718-2439 or by email at TigardBuildingPermits@tigard-or.gov if you have any questions on how
to submit.
Sincerely,
Sam Copelan
Assistant Planner
City of Tigard; Community Development
i 13125 SW Hall Boulevard
Phone: (503)-718-2450
Email: Samuelcna,tigard-or.gov
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-
mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are
retained by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention
Schedule."
, From: Pioneer Gas Furnace<salesPpioneergasfurnace.com>
Sent:Thursday,June 11, 2020 10:08 AM
To:Samuel Copelan <samuelc@tigard-or.gov>
Subject: Re: mechanical permit and site plan
2
•
Samuel,
I have attached your site plan. What do we need to do from here to issue the mechanical permit?
Sincerely,
Molly
On Thu, May 28, 2020 at 3:31 PM Samuel Copelan <samuelc@tiaard-or.gov>wrote:
Hi Molly,
Thank you for the email! On the attached map,please identify where the new unit(s) will be located and use this
as a site plan. It would be helpful to know the unit's distance from the nearby property lines. If you have
questions about how to submit or which form to submit,please contact the Building Division at
TigardBuildingPermitsCa)tigard-or.gov
Thanks,
Sam Copelan
Assistant Planner
City of Tigard;Community Development
! 13125 SW Hall Boulevard
Phone: (503)-718-2450
Email: Samuelc@tigard-or.gov
3
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-
mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are
retained by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention
Schedule."
From: Pioneer Gas Furnace<salesPpioneergasfurnace.com>
Sent: Thursday, May 28, 2020 9:47 AM
To:#CD PoD <CDPoD@tigard-or.gov>
Subject: mechanical permit and site plan
Good morning,
We would like to apply for a commercial mechanical permit for address:
10900 SW 76th pl#49
Tigard, OR 97233
I spoke with Sam in the planning department yesterday and he says to send an email with the site plan and
mechanical application.This a is ground unit. Not RTU.
We are replacing like for like.
I have attached a mechanical permit application and a site plan.
Please let me know how to pay for this permit and if anything else is needed to issue it.
Thank you for your time.
sincerely,
4
•
Molly Luba
Office Manager
Pioneer Gas Furnace NW
503-249-5000
5