Permit CITY OF TIGARD MECHANICAL PERMIT
IN ■ COMMUNITY DEVELOPMENT Permit#: MEC2013-00609
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/12/2014
T t c,A lz T� 9 Parcel: 1S 134BC00300
Jurisdiction: Tigard
Site address: 12220 SW SCHOLLS FERRY RD
Project: Greenway Town Center-Whole Foods Subdivision: GREENWOOD TERRACE CONDO Lot: 17
Project Description: HVAC mechanical work for TI. Refrigeration done under MEC2013-00610.
Contractor: JACOBS HEATING&AIR CONDITIONING Owner: FW OR-GREENWAY TOWN CENTER LLC
4474 SE MILWAUKIE PO BOX 790830
PORTLAND, OR 97202 SAN ANTONIO,TX 78279
PHONE: 503-234-7331 PHONE:
FAX: 503-808-9108
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/12/2014 $8,010.71
Class of Work: ALT Type of Const: VB Plan Review 02/12/2014 $2,002.68
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Mechanical 02/12/2014 $961.29
Stories: 1 Info Process/Archiving-Lg$2.00(over 02/12/2014 $32.00
11x17)
Project Valuation: $285,000.00 Info Process/Archiving-Sm$0.50(up to 02/12/2014 $46.00
11x17)
Fuel Air Handlers
Fuel Types: Units<10000 cfm: 5
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: 14 Vent Systems: Total $11,052.68
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: 3 Unit
Duct Work: 21 heaters, 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 503.232.1987 or 1.800.332.2344.
Issued By: rmittee Signature: Aa
Call 50 .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 o1.r1( 1: 1 S1•: U'\l.l
Received
City of Tigard Received Permit No.: — _
III
• R Ll . E1 Date/BY �� fI. �C i.� j
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: '44 I` Other Permit: j , `,i -CX 4.i
T I c .�It I) Inspection Line: 503.639.4175 ,� Date Ready/By: Jur s. See Page 2 for
Internet: www.tigard-or.gov - 1 0 2013 Notified/Method:#/ a-6, Supplemental Inform 'on
. • are i,f szrz J�iv n'TImiwc•�•ice iYL�l�
TYPE OF W• i a COMMERCIAL *'�t a1 l ULE— USE'~f
i Vi w • • • • • ' • Mechanical permit fees*are ,.sed on the value of th- wo •
® New construction ❑Addition/alteratio rep acement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$285,000
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ I-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 12220 SW SCHOLLS FERRY ROAD Furnace 100,000 BTU(duets/vents) 46.75
City/State/ZIP:TIGARD,OREGON 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: I Project name:WHOLE FOODS GREENWAY Duct work 23.32
Cross street/directions to job site:SW 121u Avenue,at the Greenway Town Hydronic hot water system 23.32
Residential boiler(radiator or
Center shopping center 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.: IS134BC00300 Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
Complete interior TI w/minor exterior work for new39,249sf grovcery store fireplace _ 23.32
in existing bldg(exterior,core&shell,work by other under separate permit) Log lighter(gas) 23.32
Wood/pellet stove 33.39
This permit covers the HVAC mechanical work Wood fireplace/insert 23.32
Chimney/liner/fue/vent 23.32
❑ PROPERTY OWNER I 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Whole Foods Market Range hood/other kitchen
equipment 33.39
Address:3535 NE 15th Avenue Clothes dryer exhaust 33.39
City/State/ZIP:Portland,Oregon 97212 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)729-8299 Fax:( ) Attic/crawlspace fans 23.32
0 APPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name:Cushing Terrell Architects Engineers
$14.15 for first four;$4.03 for each additional
Contact name:John Borer Furnace,etc.
Address:200 West Mercer Street,Suite 503 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Seattle,Washington 98119 Water heater
Phone:(206)282-6222 Fax: :(206)282-7350 Fireplace _
Range
E-mail:johnborer @ctagroup.com
Barbecue
Clothes dryer(gas) )
,& �,e:7 CZ,A 5 lout (I:4:a A/2 e_ox)a n
.-0031 Other:
MECHANICAL PERMIT FEES*
Addcess-eit q4/71/ a- M I[-to 4 IA k/ F Subtotal
CAy/S pd�-L N-� 0/2___ G7�� Minimum permit fee($90.00)
.. Z Plan review(25%of permit fee)
Pil'! - 3 ) ;3'4-7 331 I Fax:(5,3 gc.79 9/0T State surcharge(12%of permit fee)
CCB lie.: 1.1-11 / TOTAL PERMIT FEE On�OpD�+�
This permit application expires if a permit is not obtained t/v[hin 1t10
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name: -3'0t.04 1 'R Date: 10,09;
I:uBuildingTermits\MEC_PermitApp_040113.doc 440-4617T(I I/02/COM/WEB)
IL-
,4 'p
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.
$5.0(0.0 I 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.
t.•\Building\Permits\MEC_PermitApp_040I I 3.doc 2
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
= Transmittal to Letter
r 1 G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Dan Nelson, Senior Plans Examiner DATE RECEIVED:
DEPT: BUILDING DIVISION
FROM: John Borer
COMPANY: Cushing Terrell Architects Engineers
PHONE: 206.395.7602/johnborer @ctagroup.com By:
RE: 12220 SW Scholls Ferry Road BUP201300248
(Site Address) (Permit Number)
Whole Foods Market - Greenway
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: _ Description: I Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. 1 Engineer's calculations.
Other(explain):
REMARKS: 1 copy revised strucutural calculations.
FOR FFI E USE ONLY
Routed to Permit Technician: /Date: I/z( // Initia <
Fees Due: ❑ Yes E. o Fee Description: Amoun ue:
Special
Instructions:
Reprint Permit(per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: Date: Initials:
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012