Permit CITY OF TIGARD MECHANICAL PERMIT
. ' COMMUNITY DEVELOPMENT Permit#: MEC2019-00314
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/05/2019
Parcel: 1 S135BA00100
Jurisdiction: Tigard
Site address: 10125 SW WASHINGTON SQUARE RD
Project: Jaguar/Land Rover Subdivision: None Lot: None
Project Description: New mechanical equipment for new dealership,gas piping, and air distribution.
Contractor: HVAC INC Owner: PPR SQUARE TOO LLC
5188 SE INTERNATIONAL WAY PO BOX 847
MILWAUKIE, OR 97222 CARLSBAD, CA 92018
PHONE: 503-462-4822 PHONE:
FAX: 503-462-6555
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/05/2019 $16,420.31
Class of Work: ALT Type of Const: IIB Plan Review 06/05/2019 $4,105.08
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 06/05/2019 $1,970.44
Stories: 2 Info Process/Archiving-Lg$2.00(over 06/05/2019 $30.00
11x17)
Project Valuation: $573,000.00 Info Process/Archiving-Sm$0.50(up to 06/05/2019 $100.00
11x17)
Fuel Air Handlers
Fuel Types: Natural Gas 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: 7 15-30 HP:
Unit Heaters: 6 30-50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump: 8
Appliances
Vent Fans: 8 Vent Systems: Total $22,625.83
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1000
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow ;the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. YQu may obtain a copy of the rules
or direct questions to OUNC by calling 503.232. •• ' 344.
Issued By: Permittee Signature: f'
Call 503.639.4175 by 7:00 a.m.for the next available inspection4ite.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved pions are required on tho job site at tho timo of each inapoation.
Mechanical Permit Application FOR OFFI(I l SE Oy1.1
City of Tigard RECEIVED Received permit No.
Date/By: '0I�SI1� Ji'1 � ��7 "1' � —
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review J
Phone: 503.718.2439 Fax: 503.598.1960M AY 1 2019
1114 Date/By: 6-3 _a r 9 Other permrt' kCj_�-�
T 1 G A l:D Inspection Line: 503.639.4175 Date Ready/By: auris: ® See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD otified/Me f od:' `,i Supplemental Information
BUILDING DIVISION 4/1,f;:% ' T7-4
i s i i ' FEE* SCHEDULE—USE CHECKLIST
OF Wim._„ ,. . ,: 4: .
' Mechanical permit fees*are based on the value of the work
®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,andnprof t.
Value:$ rj13 tU) 1V
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYS•I MS FEES*
❑ 1-and 2-family dwelling ®Commercial/industrial 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:
Air conditioning 46.75
Job site address:10125 SW Washington Square Rd. Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: I Project name:Jaguar Land Rover 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
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
New mech equipment for new dealership,gas piping,air distribution fireplace 23.32
Log lighter(gas) 23.32 _
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
0 PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
ty toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
el APPLICANT ►a CONTACT PERSON Other: 23.32
Fuel piping:
Business name:HVAC,Inc. $14.15 for first four;$4.03 for each additional
Contact name:Jody DePew Furnace,etc.
Gas heat pump
Address:5188 SE International Way
Wall/suspended/unit heater
City/State/ZIP:Milwaukie,OR 97222 Water heater
Phone:(503)462-4822 I Fax::(503)462-6555 Fireplace
Range
E-mail:jodyd@hvacincorp.com Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name:HVAC,Inc. MECHANICAL pEiabtry FES*
Address:same as above Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee)
CCB lie.:50897 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Anthnri7ed signature: pi---\\
* Fee methodology set by Tri-County Building Industry Service Board
Print name:Jody DePew Date:5/15/19
I:\Building�Perrtuts\MEC_PemutApp_040113.doc 440-461TT(11102/C01WWEB)
City of Tigard
INCOMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D Building Permit Review — Commercial - With Land U s e
Building Permit #: kl\(1e c—C>‘0t oult 4
Site Address: /Q/. $— ` 10 71Dh E c cite/Bldg#:
Project Name: Lad 6 V-er—
(Name .r commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: (2-1Y!)1tfr-C1� inee LY1..,0, - in b.s ? �4) I/1
C -rify site address/suite# exists and active in permit systepe-
w
Il ''ver Terrace Neighborhood: El Yes IQ No
LM Land Use Case#: .%2_Q73--— 6060c'
❑ Plans atch Approved Land Use: p
a° Site Plan �� andscape Plan tether: llV-P hr�,�'_.�11►�11 C't yG'
In rban Forestry Plan W Wlevation Plan
1g t uilding Height: Myffmum Height Aa.1 Height
11 C ditions Met: Prior to Submittal �J Prior to Permit Issuance
Business Licen .
E 'sts: Yes ❑ No,applicant notified to obtain business license
Public Facilities rovement F Permit:
old
Required: Yes,applicant was notified ❑ No Applied For: iZes ❑ No, stop intake
Notes:
Approved by Planning: 7c-" — Date: 5//s59
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: Ij\1''' \ let
Site Plans: # Q
Building Plans: # _ ,�
Building Permit#: Ei Enter building permit#above.
Workflow Routing: Planning ❑ Permit Coordiiiatui Et/Building
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: R'Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: \---4/\,N.,4-- Date: :;, t \ 1�
I:\Building\Fonns\BldgPemutRvw_COM_W ithLandUse_060116.docx
Engineering Review
❑ Slope at building pad:
❑ PFI Permit#:
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat (not typical on SD t/CUP)
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ❑ No
Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No
LIDA Facility on lot: ❑ Yes ❑ No
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approv-.
Revision 3: ❑ Approved ❑ Not Ap. .ved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance • 'building permit
❑ Approved,NOT Released Date:
Notes:
Revisions (after Build' g Submittal only)
Revision Notice Date Sent to Applicant:
Revision Notic- 2: Date Sent to Applicant:
Revision No ce 3: Date Sent to Applicant:
❑ SDC F• s Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
• S K to Issue Permit
Approved by Permit Coordinator: Date:
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