Permit CITY OF TIGARD MECHANICAL PERMIT
14 ' COMMUNITY DEVELOPMENT Permit#: MEC2019-00494
T i(;AR I-, 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/17/2019
Parcel: 2S 101 AA02900
Jurisdiction: Tigard
Site address: 12123 SW 69TH AVE
Project: Compass Oncology Subdivision: WEST PORTLAND HEIGHTS Lot: B
Project Description: Providing and installing(4)ductless split fan coils,and(1)condensing unit,and installing chilled water pipe for
owner furnished chiller.
Contractor: AMERICAN HEATING INC Owner: SDC TIGARD CORPORATE CENTER INC
5035 SE 24TH AVE ATTN:ANDREW HARPER
PORTLAND, OR 97202-4765 101 CALIFORNIA ST, 26TH FLOOR
SAN FRANCISCO, CA 94111
PHONE: 503-239-4600 PHONE:
FAX: 503-239-7038
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/16/2019 $754.11
Class of Work: ALT Type of Const: IIIA Plan Review 07/16/2019 $188.53
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 07/16/2019 $90.49
Stories: Info Process/Archiving-Lg$2.00(over 07/16/2019 $8.00
11x17)
Project Valuation: $26,000.00 Info Process/Archiving-Sm$0.50(up to 07/16/2019 $12.50
11x17)
Fuel Air Handlers
Fuel Types: Electricity Units<10000 cfm: 4
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: 2 Vent Systems: Total $1,053.63
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units: 1 Special Inspection(see plans)
Gas Outlets: Other Desc:
Bud-Wode_ -4-
Fire/Smoke
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 503.2 2.1987 or 1.800 .32.2344.
Issued By: "eg 'Ajirermittee Signature: ; ' ��`
_,,,,Z°'
Call 503.639.4175 by7:00 a.m.for the next available inspection date.
P
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 y v FOR OFFICE USE ONE)
City of Tigard 1 ;I Date/By:Received 7 j(,)(/9 /,' gcL?-cz
13125 SW Hall Blvd.,Tigard,OR 97223 U L i;1� Plan Review
_ Phone: 503.718.2439 Fax: 503.598.1960 Date/By: .. J .- Other Permit:
TI G A R D Inspection Line: 503.639.4175i D Date Ready/By: Juris: la See Page 2 for
Internet: www.tigard-or.gov BULLING DiViSiON otified/Meth d: vF C' .' Supplemental Information
i`
_ Mechanical permit fees*are based on the value of the work
❑New construction El Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$$26,000.00
!.. N!: ..:; - 1, " #;welt ;.4/,iy,; ...� 3 2 oz .,,s,# 'l <1 2 1SYSST MS ,,
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
r 1 # itryerfirirA 1 ', # # 0 Heating/cooling:
. :n -.& ,,ri„ .;, _,,' a i ,,,< . *".,.,,< a
Air conditioning 46.75
Job site address:12123 SW 69th Ave Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.:BIdgA Heat pump 61.06 Project name:Compass Oncology LINAC 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: I Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
�j; ! Gas fire lace/insert 33.39
Flue vent for water heater or gas
provide and install 4 ductless split fan coils and 1 condensing unit fireplace 23.32
install chilled water pipe for owner furnished chiller Log lighter(gas) 23.32
- --------- Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
j,,. # .9® y yi:� / ' Other: 23.32
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,
toilet compartments,utility rooms) 23.32
, Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
F$ sir / 1%"cer CNNTAIPERSON Other: 23.32O "
Business name:American Heating Inc. Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Brad Manchester Furnace,etc.
Address:5035 SE 24th Ave Gas heat pump
Wall/suspended/unit heater
t City/State/ZIP:Portland,OR.,97202 Water bola
Phone:(503)239-4600 Fax::(503)239-7038 Fireplace
Range
E-mail:brad@americanheating.net Barbecue
i, 0 A, # `#li 7 ,-. . .1`_ Clothes dryer(gas)
Other:
Business name:American Heating Inc. /// lin ,71
Address:5035 SE 24th Ave Subtotal
City/State/ZIP:Portland,OR.,97202 Minimum permit fee($90.00) I
Plan review(25%of permit fee)
Phone:(503)239-4600 Fax:(503)239-7038 State surcharge(12%of permit fee)
CCB lic.:33135 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: �hC • Fee methodology set by Tri-County Building Industry Service Board
Print name:Brad Manchester Date:7-10-19
I:iBuilding\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
City of Tigard
1111 a COMMUNITY DEVELOPMENT DEPARTMENT
1
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: Mg.c„)...0( - 00 zi? t /
Site Address: /c=2/ 3 0 j CNA Suite/Bldg#:
Project Name: (At : �o� /fir Gne,—
(NanIof
commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review / �-
Proposal: (/V-et0 -0/ rL'fe/ ??LIQ C/Jtril d.� /r72C�'J or �R et `�X�PiieWs-
Existing Business Activity: 04.20
Pro.•sed Business Activity: //
II erify site address/suite# exists and active in permit syst
4�r 'ver Terrace Neighborhood: ❑ Yes No
!A/Zoning: —77nermitted Use: ❑ Yes ❑ No ❑ Spec Space
Id Confirm no land use required.
14!�
usiness License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by
Planning: Date: ' lD/I
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:
Site Plans: # _
Building Plans: #
Building Permit#: nter building permit#above.
Workflow Routing: Planning a...,- •. .,.-
',
Workflow Sign-off: Sign-off for lanning(include notes from planning review)
Route Application Documents: Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
4e'
By Permit Technician: / Date: 404"
I:\Building\Forms\B1dgPermitRvw_COM_NoLandUse 060 1 16.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: e:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applic.
Revision Notice 3: Date Sent to A. cant:
❑ SDC Fees Entered: Wash C. rans Dev Tax: ❑ Yes ❑ N/A
Tiy ' Trans SDC: ❑ Yes ❑ N/A
arks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permi
Approved by P,°"mit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
12123 SW 69TH AVE, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Mechanical MEC2019-00494
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor