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Permit CITY OF TIGARD MECHANICAL PERMIT I COMMUNITY DEVELOPMENT Permit#: MEC2021-00338 T I(3 A R ID13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 6/30/2021 Parcel: 1 S136CD02200 Jurisdiction: Tigard Site address: 7850 SW DARTMOUTH ST Project: Costco Subdivision: PALMER ACRES Lot: 3 Project Description: Replacing exhaust fan and restroom grilles. Contractor: SEATTLE MECHANICAL Owner: COSTCO WHOLESALE CORPORATION 899 WEST MAIN ST PROPERTY TAX DEPT 111 AUBURN, WA 98001 999 LAKE DR ISSAQUAH, WA 98027 PHONE: 253-939-9495 PHONE: FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 05/25/2021 $226.88 Class of Work: ALT Type of Const: VB Plan Review 06/24/2021 $56.72 Occupancy Grp: M Occupancy Load: 12%State Surcharge-Mechanical 05/25/2021 $27.23 Stories: 1 Info Process/Archiving-Lg$2.00(over 06/24/2021 $8.00 11x17) Project Valuation: $5,700.00 Info Process/Archiving-Sm$0.50 (up to 06/24/2021 $6.00 11x17) Fuel Air Handlers Fuel Types: Electricity Units< 10000 cfm: Gas Pressure: Units> 10000 cfm: Furnaces Boilers 8 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 $324.83 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: 1 Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, Stale of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503 32.1987 or 1.800.332.2344. Issued By: Permittee Signature: �2d Z12 r Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard RECEIVE Q eived r ateB Permit N o.: N . • 13125 SW Hall Blvd.,Tigard,OR 97223 y' (� /r� MGI'�.i Phone: 503.718.2439 Fax: 503.598.1960 q Plan Review Other Permit: // Inspection Line: 503.639.4175 MAY r0. 2Q2 p Dale Re 7'a' f(),lJ�ar cal (dam/ I i,/�K I) p Date Ready/By: •Judy_ ®,/See O Internet www.tigard-or.gov y y' See Page 2 for CITY OF TIGARDNo' /Methb t� /, ; , Supplemental Information l. y '- ,.,r._' TYP$OF WORKBUILUINU U C•MMERCIAL "E* SCHEDULE - USE CHECKLIST Mechanical permit fee ' are based on the value of the work 0 New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all mechanical materials,equipment,labor,overhead,and profit. El Demolition ❑Other: Value:$ 5 r 0 CATEGORY OF CONSTRUCTION ` / w +' 0 ° RESIDENTIAL EQUIPMENT!SYSTEMS FEES* ' ❑ 1-and 2-family dwelling Commercial/industrial ❑Accessory building For.special information use checklist. ❑Multi-family ❑ Master builder ❑Other: Description p Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: AJob site address: 7g50 31A) Dart mo��. 44' Furnaceir conditioning i0g 46.75 � t IOQ000 BTU(ducts/vents) 46.75 City/State/ZIP: ' j rd 1 DR q 724'6 Furnace 100,000+BTU(ducts/vents) 54.91 Ca +i�-�I t w l y� Heat pump 61.06 Suite/bldg./apt.no.: Project name: 54,r IWI( e i'llaa Duct work 23,32 Cross street/directions to job site: . Hydronic hot water system 23.32 ryResidential boiler(radiator or �1- 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: Subdivision: I Lot no.: 23.32 f / Other fuel appliances: Tax map/parcel no.: 15,1 3c L,I)^^ b f , 0}�j, Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 1 ,� Flue vent for water heater or gas `ores. P5 0GY (D p C.x`u1JA t ��%14'\ / t fireplace 23.32 ) Log lighter(gas) 23.32 VAR 4t a re. Rom- w l DQ"rn &j Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ig PROPERTY OWNER TENANT Other: 23.32 Environmental exhaust and ventilation: Name: C 05-frO j!I 1 c, - k 1� Range hood/other kitchen �1 k equipment 33.39 Address: clq Q L Gt.KQ, {-Jr+ Clothes dryer exhaust 33.39 City/State/ZIP: 1 a IN 1 )W'`I ri Qf?V/��1-7 Single-duct exhaust(bathrooms, 1J pl toilet compartments,utility rooms) 23.32 Phone:(qA4- 13 - O j !-��, Fax:( ) Attic/crawlspace fans 23.32 W.APPLICANT l ' 0 CONTACT PERSON Other: 23.32 Business name. u ,, •' '} y; Fuel piping: s�(� TIX r l�'�('�i-1.��ti l�l �1.i1 c/ $14.15 for first four;$4.03 for each additional Contact name: lJ[Irtzeo, ,_i_ Furnace,etc. Address: Sqq W+ JAn 5 + Gas heat pump _I n,' J �ry Wall/suspended/unit heater City/State/ZIP: I"fu bay n j l I\ J - 9 p O O 1 Water heater Phone:(O17 2) q 141 51w/� Fax::( 5-3 „q •11j- 16'] g Fireplace E-mail:orJtCifvl 1 a 5-r'flT'k-lei O[ (id (1 I 1�D1 Barge 1 �.L�(�iL'uC(,Ll' + teY1l Barbecue CONTRACTOR Clothes dryer(gas) Business name:_ eQ 44-1 n...V/„I11 q� TyLc, Other: MECHANICAL PERMIT Address: 'Ng /f iflai r Subtotal City/State/ZIP: Al a rn M A (,( SO0`! Minimum permit fee permit fee) �'�e�� / 1 ID Plan review(25%of fee) Phone: q�j Fax: q 3�a (y q pa?f 3( _q � Q6,4 `L i J7-7 4pt 6 State surcharge(12%of permit fee) CCB lie.: a 3 a� 9 r/ TOTAL PERMIT FEE -q/ rq�.����+ l- This permit application expires if a permit is not obtained within ISa ( l(,�` 'V days after it has been accepted as complete. Authorized sign`ahlr`: 1 A "t' p ' Fee methodology set by Tri-County Building Industry Service Board'Q Print name: y�, �` A� -D � Y �lJ Date: l3.. '�.J 'f1 '5 I.JO n yy+ n„�- i S n S5©dri Y�-kk- C\Baitding\Purmits\\M-EEC_PermitApp_040113.doc` 440-4610T(I IIOLCOM/WEB) • •1,��J 1b.Ndvgt'r w+ (,(,