Permit (6) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2019 00585
IN
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/05/2019
Parcel: 1 S 134BC00300
Jurisdiction: Tigard
Site address: 12264 SW SCHOLLS FERRY RD
Project: Restore Cryotherapy Tigard Subdivision: None Lot: None
Project Description: Reworking distribution, reusing RTU's, and adding exhaust.
Contractor: METALAIR LLC Owner: FW OR-GREENWAY TOWN CENTER LLC
7350 NEW HOPE RD PO BOX 790830
GRANTS PASS, OR 97527 SAN ANTONIO, TX 78279
PHONE: 702-768-0209 PHONE: 360-823-7223
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 12/03/2019 $728.71
Class of Work: ALT Type of Const: VB Plan Review 12/03/2019 $182.18
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 12/03/2019 $87.45
Stories: Info Process/Archiving-Lg$2.00(over 12/03/2019 $14.00
11x17)
Project Valuation: $25,000.00
Fuel Air Handlers
Fuel Types: Electricity 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: 1 Vent Systems: Total $1,012.34
Hoods: Comm Incinerators: -
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law, All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 7:77 '- ._- _7;_y____ ___''..." ,
''.." -"-Permittee Signature: c :
ri
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application - `
.ity of Tigard Received /G / P �
e 13125 SW Hall Blvd.,Tigard,OR 972 F, t Pate/By: ?l L �'�GC �
Phone: 503.718.2439 Fax: 503.598.1' 0 9 ,.",�` ' ""41,
lat Review Other Permit:
Date/ : •
TIGARD Inspection Line: 503.639.4175 DateReady/Bs. B1 See Page2 for
Internet: www.tigard-or.gov AUG 8 2019 Notified/Method: 7/i / I loris Supplemental Information
�. -'x af !/.ee7 p anicai pe mit fees* re based on the value of the work pertbrmcd.It
---
TYPE OF r e nearest dollar)of all Mechanical materials,equipment,labor.Osc:hear
., � ( @ � '¢` �€ Value:$ S GCYv `"
L_ New construction 11 Addition/alteration/repitteement
RESIDENTIAL EQUIPMENT/SYSTEMS FE I
LiDemolition ❑Other: For special information use checklist.
CAOGORY OF CONSTRUCTION Description Qty. Ea. _
Heating/cooling:
❑ I_and 2-fathily dwelling ®Commercial/industrial ❑1 Accessory building Air conditioning 46.75
ElMulti-family ❑Master builder 1I 1 Other: Furnace 100,000 BTU(ducts/vents) 46.75
JOB SITE INFORMATION AND LOCATION Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Job site address:12264 SW Scholls Ferry Road Duct work 23.32
City/State/ZIP:Tigard,Oregon 97223 Hydronic hot water system 23.32
Residential boiler(radiator or 23.32
Suite/bldg./apt.no.: Project name: Restore Cryotherapy Tigar hydropic)
Cross street/directions to job site: Unit heaters(fuel-type,not electric). 46.75
in-wall,in-duct,suspended.etc.
Flue/vent for any of above 23.32
Other: 23.32
Other fuel appliances:
Water heater 23.32
Subdivision: Lot no.: Gas fireplace/insert 33.39
Flue vent for water heater or gas 23.32
'lax map/parcel no.: 1S134BC00300 fireplace _
DESCRIPTION OF WORK Log lighter(gas) 23.32
Wood/pellet stove 33.39
Interior tenant improvement/construction to replace existing Verixon store. Wood fireplace/insert 23.32
r5 Chimney/liner/flue/vent 23.32
Other: 23.32
e / _ 1.),,K,,,'L5 D S i��i t2 xA_ Environmental exhaust and ventilation:
Ea b ,l Range hood/other kitchen 33.39
equipment
PROPERTY OWNER El TENANT Clothes dryer exhaust 33.39
Name' Nate Fennell Single-duct exhaust(bathrooms. 23.32
toilet compartments,utility rooms)
Address:4871 Meadow Road,Suite 173 Attic/crawlspace fans 23.32
City/State/'LIP: Lake Oswego,OR 97035 Other: 23.32
— Fuel piping:
Phone:(360)823-7223 Fax:( ) $14.15 for first four;$4.03 for each additiona
❑ APPLICANT P CONTACT PERSON Furnace,etc.
Rosiness name:Order Architecture Gas heat pump
Wall/suspended/unit heater
Contact name:Paul Nielsen Water heater
Address:541 W.6570 S. Fireplace
Range
C il)/State/'ZIP: Murray,UT 84123 Barbecue
dryer ryer(gas)
Phone:(801)597-7641 Fax: :( ) Clothes ----
Other:
l -mail; paulia?order-arch.com MECHANICAL PERMIT FEES*
CONTRACTOR Subtotal
Minimum permit fee($90.00) _
Business name: j Plan review(25%of permit fee)
Address: 7350 A,/, J Mp-e State surcharge(12%of permit fee)
City/State/ZIP &2j/ii' f ,4 5111 21 125?� TOTAL PERMIT FEE
w r ,� f This permit application expires if a permit is not obtained within 180 dads a
Phone: 16,17— oi.it_�— Fax:( ) complete.
� * Fee methodology set by Tri-County Building Industry Service Board
(CB lie.: /166,9r
vutiiorized signature: ,
1
tit name: 4 I -si res I Date: g(iti(
l e(
COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Bud& dm 440-46'7T 1 1 1'0 2/(05I'W'EB)
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.
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