Permit (140) CITY OF TIGARD MECHANICAL PERMIT
IN 'z Permit#: MEC2019 00635
111 .. COMMUNITY DEVELOPMENT
Date Issued: 09/18/2019
- fRD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S113AD01700
Jurisdiction: Tigard
Site address: 16940 SW 72ND AVE
Project: Mens Warehouse Subdivision: ROSEWOOD ACRE TRACTS Lot: 26-34, P
Project Description: Removing and replacing(2)rooftop package units like for like.
Contractor: LENNOX NATIONAL ACCOUNT SERVICES Owner: BRIDGEPORT LAND LLC
FORT LAUDERDALE, FL 33308 3939 NW ST HELENS RD
PORTLAND, OR 97210
PHONE: 954-745-3701 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Permit Fee 09/18/2019 $990.33
Type of Use: COM 09/18/2019 $247.58
Class of Work: ALT Type of Const: VB Plan Review
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 09/18/2019 $118.84
Info Process/Archiving-Sm$0.50(up to 09/18/2019 $20.50
Stories: 11x17)
Project Valuation: $35,227.31
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:
Heat Pump: 2
Appliances
Vent Fans: Vent Systems: Total $1,377.25
Hoods: Comm Incinerators: Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or1.8.0.0.332.2344. -4010
Issued By: -7-4 - Permittee Signatur
_arr...„,z4..
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application ECE i
V FOR OFF1("1 Isi. Oil.v
.47,1 Received of Tigard �/`�% i i Y�(,�.?5-
13125 SW Hall Blvd.,Tigard,OR 97223 AUG 2 8 2019 Date/Bply Revue
Phone: 503.718.2439 Fax: 503.598.1960 -Date/By: - 7^ )(A Other Permit:
Inspection Line: 503.639.4175 CITY OF TIGAR. a Ready/By:Q uric: ® See Page 2 for
1 i�aRt) g g BUILDING ' `w"-
Internet www.ti and or. ov DIV ��- j,;=t
: / ` Supplemental Information
_ s or mow( II, '�1 > FEIN* SI DILE-'DISE K IcLIST
-':....,4"'"""---.- -"1-----'---, `' Mechanical permit fees*are based on the value of the work
New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$,35-,Z027,31
CATEGORY OF CONSTRVCTION RESWENT1 LEQifWMEN t"ISYS`I`EMS flES*.
❑ 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
SOB'SITE IP FORM TION AND LOCATION" Heating/cooling:
Air conditioning 46.75
Job site address: /6 1 ,___510li) 7„?Plbn _
ve Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: --iiici er) a 97,.124/ Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: i Project name:/)Q.744 Cw L{/rlleJ/140St 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
C (IN OF4Y Gas fireplace/insert 33.39
4,01
/ AbA Flue vent for water heater or gas
' .. ,,,,v/45 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
PROPERTY OwNER 1 l'ALTENANT Environmental exhaust and ventilation:
Name: s
//ic�l 4 ,he E Range eood/other kitchen nt 33.39
Address: /6 9ve> ,..54) 7,20 Arae Clothes dryer exhaust 33.39
City/State/ZIP: r r)� 97.x/ Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
igt APPLICANT iii3L.CONTACT PERSON Other: 23.32
�� Fuel piping:
Business name/ �X /47,40/ d Iyf- f//¢S _ $14.15 for first four;$4.03 for each additional
��� /r I/ +.-./ Furnace,etc.
Contact name: / /Oh/7�C'^'
Address: ,,?/45- 70 6 sv� 36a Gas heat pump
i Wall/suspended/unit heater
spti �. �4laterJaaater _-_
/ / Fireplace
Phone:L?s3) . 0/31/ I Fax.:( ) Range
E-mail: , j/D. tdA/i ( aQ leAAtZk/VAAS. &art Barbecue
CONTRACTOR - Clothes dryer(gas)
Business name:/ ff4 / evA r �/�as : Other:
C71UkK AftcHANICALPERMIT FEW
Address: 0?16 3- .01i 4'.— I-z ),nr goo Subtotal
City/State/ZIP: �� 1/2,1 9841 Minimum permit fee($90.00)
e/ Plan review(25%of permit fee)
Phone:f,25-3)08 0/3y Fax:( ) State surcharge(12%of permit fee)
CCB lic.: 0702/6 76TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
,/� days after it has been accepted as complete.
Authorized signature,.:--L--- * Fee methodology set by Tri-County Building Industry Service Board
Print name: A)(17 ,9. OA/ Date: 0/43/44/9
I:\Building\Permictss'MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
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.
$5,000.01 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.
I:\Building\Permits\MEC_PermitApp_040113.doc 2
City of Tigard
liga COMMUNITY DEVELOPMENT DEPARTMENT
■
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: / (fc.o2,0/1I " 00Ce 35-
Site Address: Aeq ( ne f9a Suite/Bldg#:
Project Name: Alf '_c lOyerA6te
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: AMO igaio 79V,q e ( fl,/
Existing Business Activity: (i — QJ''P OC 1-..P i°/
Proposed Business Activity: // // 11
LJ V-rify site address/suite# exists and active in permit syste .
h1 ver Terrace Neighborhood: ❑ Yes 0 No
ri honing: t y
P tted Use: Yes ❑ No ❑ Spec Space
VC l irm no land use required.
Business License:
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
.)4k..._
Approved by Planning: \ Date: .2
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: f' /rir1
Site Ku= _#_
Building Plans: #
Building Permit#: nter building permit#above.
Workflow Routing: Planning ❑ P Coordinator ,uilding
Workflow Sign-off: J'ign-off for Planning(include notes from planning review)
Route Application Documents: (rtutlding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
AA
By Permit Technician: Date: e7,2.(377,-
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_060116.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
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 I'v Tax: ❑ Yes ❑ N/A
Tigard Trans : C: ❑ Yes ❑ N/A
Parks SD' ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coor 8• 'ator: Date:
I:\Building\Forms\B1dgPermitRvwCOM NoLandUse 070915.docx