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Permit
CITY OF TIGARD MECHANICAL PERMIT • COMMUNITY DEVELOPMENT Permit#: MEC2019-00731 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/15/2019 T[G A R D g Parcel: 2S112DC00701 Jurisdiction: Tigard Site address: 15983 SW 72ND AVE BLDG-A Project: Subway Subdivision: FANNO CREEK ACRE TRACTS Lot: 39 Project Description: Removing existing 5-ton rooftop unit and replacing and relocating with a new 5-ton rooftop unit. Extending existing gas pipe 4'and reconnecting ductwork. Contractor: EXCEL HVAC INC Owner: PACIFIC REALTY ASSOCIATES PO BOX 1188 ATTN: N PIVEN CANBY, OR 97013 15350 SE SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 971-930-7194 PHONE: FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 10/15/2019 $311.18 Class of Work: ALT Type of Const: VB Plan Review 10/15/2019 $77.80 Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 10/15/2019 $37.34 Stories: Info Process/Archiving-Sm$0.50(up to 10/15/2019 $6.00 11x17) Project Valuation: $8,700.00 Fuel Air Handlers Fuel Types: Natural Gas 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: Appliances Vent Fans: Vent Systems: Total $432.32 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) 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 folio the rules adopd by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090 Y may ob in) of of the rules or direct questions to OUNC calling 503.23 .1987 or 1.800 . 2.2344. Permittee Signature: Issued By: Call 503.639.4175 by 7:00 a.m.for the next available inspection d e. 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 OFFICE USE ONLY City of Tigard RECEI """ Date/By: f // /l.. r ,1 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 OCT 2019 Date/By: Q^ — , 'a NI Other Permit: ;\RD Inspection Line: 503.639.4175 Date Read/B 1 Juris2 www.ti and-or. ov CITY Of- IIGA 6 Ready/By: Supplemental See Page for P> g � Notified/Method: Information 3UILDINGfaIVIS4. TYPE OF WORK r COMMERCIAL FEE* SCHEDULE — USE CHECKLIST 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 ❑ Other: mechanical materials,equipment,labor,overhead,and profit. �; Value:$$8,700.00 CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑ Other: Description Qty. Ea. Total 'JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: 15983 sw 72"d Ave. Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name:Subway 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 fin;i '_� DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas Remove existing 5-ton rooftop unit.replace and relocate with new 5-ton rooftop fireplace 23.32 Extend existing gas pipe 4',reconnect ductwork Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 _ ® PROPERTY OWNER Other: 23.32 ❑ TENANTy Environmental exhaust and ventilation: Name:Pactrust Range hood/other kitchen Address: equipment 33.39 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 ❑ CONTACT PERSON Other: 23.32 Fuel piping: Business name: $14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. Gas heat pump Address: Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax::( ) Fireplace Range E-mail: Barbecue t ! ;4, Clothes dryer(gas) Business name:Excel HVAC Other: MECHANICAL PERMIT FEES* Address:P.O Box 1188 Subtotal City/State/ZIP:Cnnby,OR 97013 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(971)930-7194 Fax: ) State surcharge(12%of permit fee) CCB lie.:214345 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: * Fee methodology set by Tri-County Building Industry Service Board Print name:Jeremy Hunt Date:10/15/19 I:\Building\Permits\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 II 11" COMMUNITY DEVELOPMENT DEPARTMENT T1cARn Building Permit Review — Commercial - No Land Use Building Permit #: /k / - 00 7/ Site Address: 1 59 'S 3 .SV•/ '1 Di a C4 V-e. Suite/Bldg#: Project Name: Sub wci (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: ti-ei i©vse -ey i S hn2 �®1to p0tl it / rC.piC'ic.c c4Y)d reit)ccire- Vnoi-t-o lin ti- . Existing Business Activity: DO yr c. Proposed Business Activity: i I 1 1 11 0-C4E1&i 1 •e. 4 Verify site address/suite# exists and active in permit system. River Terrace Iei boyhood: ❑ Yes ❑ No Zoning: 7 Permitted Use: X Yes ❑ No ❑ Spec Space Confirm no land use required. /Business License: Exists: ❑ Yes ❑ No,applicant notified to obtain business license Notes: Approved by Planning: MI`r\/u•,_ 11U--- Date: 101 1 5 j ) C1 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: `0 ff .i 'If Site Plans: # Building Plans: # Building Permit#: ►: nter building permit#above. Workflow Routing: I Planning ❑,P.erm3rCoor nator ❑ Building Workflow Sign-off: 'Sign-off for Planning(include notes from planning review) Route Application Documents: uilding: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable, etc. Notes: / / L � ,/� By Permit Technician: '_ 4 f " Date: ,. /2 7 I:\Building\Forms\B1dgPermitRvw 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 Applic. t: Revision Notice 2: Date Sent to Ap.i cant: Revision Notice 3: Date Sent to ' pplicant: O SDC Fees Entered: Wash . rans Dev Tax: 0 Yes 0 N/A Tig . Trans SDC: 0 Yes 0 N/A ks SDC: 0 Yes 0 N/A ❑ OK to Issue Permit Approved by Permit oordinator: Date: I:\Building\Fonns\BldgPermitRvw_COM_NoLandUse_070915.docx City of Tigard • BUILDING DIVISION Fl ' Over-The-Counter (OTC) Mechanical Permit r<<< r D Appointment Checklist Permit Record#: ? � l,` c/U7c,I Contact Name: r/T" . ` h Phone #: 5-I'7/-. ?() • 7/ L/ Business Name: (Zc Z �% V/� Appointment Date: GO//5-7( lU lJU�4, Site Address: �� Sjv 7 n € Bldg/Suite #: --- Project Name: GtiQ Project Description: l�rj .�KL r„ ,p ��i7-- t / S G�G75.4 CgT-/ r Related Record#: GENERAL INFORMATION *Class of Work: A 1-7. Occupancy Group: Type of Construction: V- *Type of Use: Oregon Specialty Code: Number of Stories: FUEL FURNACES Type: Nw Furnace< 100K BTU Furnaces >= 100K BTU Gas Pressure: Z Roof Top Unit(RTU) J Tons Floor Furnaces Unit Heaters Vents without Appliances Air Conditioning Heat Pump AIR HANDLERS HOODS Units <= 10000 cfm Type 1 Hood Type 2 Hood Units > 10000 cfm Grease Duct 1 Hour Shaft Fire Wrap APPLIANCES Boiler(BTUs) Vent Fans Gas Line Solid Fuel Fireplace/ Clothes D ers Gas Outlets Woodstove Duct Work Gas Fireplace Fire/Smoke Dampers Other Mechanical Units—Describe: Total Project Valuation: $ "700 ;I, �1 . $3/ . J g Mechanical Permit Fee $ '7' 7, 7 9 Plan Review $ 7„..1c4 12%State Surcharge $ Info Proc/Arch,Lg(over 11x17 $2.00) $ 6— Info Proc/Arch,Sm(up to 11x17 $0.50) $ Hourly Rate Fee $ Hourly Rate State Surcharge $ Misc.Admin Fee $ Other: $ Other: Building Staff: Date/Time: $ y' 24. TOTAL FEES DUE I:\Building\Forms\OTC_MEC_021116.docx Julie Drinkwater From: Julie Drinkwater Sent: Tuesday, October 08, 2019 11:29 AM To: 'Jeremy Hunt' Cc: #Building Permit Technicians Subject: RE: OTC app. Good morning Jeremy Thank you for your OTC request. I have scheduled the OTC for Tuesday, October 15, at 10:00am. If you would like us to provide a permit fee estimate, please forward the valuation to us. If not, we will see you next Tuesday. Thank you Julie Drinkwater Permit Technician City of Tigard Building Department 13125 SW Hall Blvd Tigard, OR 97223 503-718-2804 From:Jeremy Hunt [mailto:jeremy@excelhvac.net] Sent:Tuesday, October 08, 2019 8:55 AM To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject: OTC app. Caution! This message was sent from outside your organization. Hello, I would like an OTC for a mechanical permit replacing a rooftop unit with structural engineering. Time: Tuesday 10/15/19 Address: 15983 SW 72nd Ave. Tenant: Subway Thanks, Jeremy Hunt 971-930-7194 r cel MAC, INC CCB#214345, WA# EXCELHI835MU P.O. Box 1188 Canby, OR 97013 1 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