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Permit
CITY OF TIGARD MECHANICAL PERMIT • COMMUNITY DEVELOPMENT Permit#: MEC2021-00686 T f G ARID 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 9/21/2021 Parcel: 2S112DC01400 Jurisdiction: Tigard Site address: 15875 SW 74TH AVE Project: NW Mothers Milk Bank Subdivision: FANNO CREEK ACRE TRACTS Lot: 4 Project Description: Installation of(2)8'x 12'self-contained walk-in freezers. Contractor: ARCTIC HEATING&REFRIGERATION Owner: JOS LLC 5809 SE JOHNSON CREEK BLVD CRITERION CREEKVIEW LLC MILWAUKIE, OR 97222 BY SPECTRUM REAL ESTATE ADVISORS 1125 SE DIVISION ST#209 PORTLAND, OR 97202 PHONE: 503-735-2808 PHONE: FAX: FEES Specifics: Description Date Amount Type of Use: COM Info Process/Archiving-Sm 50.50(up to 09/17/2021 $6.00 Class of Work: ALT Type of Const: Other 11x17) Occupancy Grp: B Occupancy Load: Permit Fee 09I17/2021 $319.61 Plan Review 09/17/2021 $79.90 Stories: 12%State Surcharge-Mechanical 09/17/2021 $38.35 Project Valuation: $8,968.00 Fuel Air Handlers Fuel Types: Electricity Units< 10000 cfm: Gas Pressure: Units> 10000 cfm: Furnaces Boilers 8 Comoressors 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 $443.86 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: walk in Duct Work: freezer Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, Slate of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules Issued By: Holly Vrzr.Pe/Wec-e Permittee Signature: ttiAl'kbl,f' ;a t..0-Vt Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. E q 21 Mechanical Permit AnDlicatla>f.=:CEIVED City of Tigard Received r 7�E%2� 4o PermltNoh( 2f "LI/,074 Pe, IN • 13125 sw Hall Blvd.,Tigard,OR 97223 ?EP 02 2 0 21 ' I �+ Pow Boyle Phone: 503.718.2439 IDate/By: 9 1 ( J Other Permit 1.1Gt1:n Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: • 4 Juris- ® See Page for Internet: www.tigard-orgov �3UILDING DIVISION ! Not[Qed Method: � jy j/ I Supplemental lufornalWa l4/ wv .�jl .TYP1 OF*btu(' I,. CO 11. •CIAL FEE*SCHEDULE-USE CHECKLIST I ❑New construction Addition(alteration/replacetnent Mechanical permit fees*are based on the value of the work perfumed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑ Other mechanical materials,attuipment,labor.overheal and �vfit CATEGORY OF CONSTRUCTION I Value:$f41.16 on, ' RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ 1-and 2-family dwelling -Commercial/industrial 0 Accessory building For special lMJOnow4foaass checklist. ❑Multi-family 0 Master builder ❑Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION , I Heattna/coollna: 5(35 ,�,, ?yT�N 4 Air conditioning 46.75 Job site address: / City/SWtelZ1P: Furnace 100,000 BTU Noma/Vents) 46.75 5'ee/C-� © )Q / TeZ72J Furnace 100,000+BTU(ducts/vents) 54.91 Suite bldgJapt no.: 1 Project name: ,//) ej W.,,/,/ Heat pump 161.06 Duct work I 23.32 Cross streat/directioynJstojob J7site: ��i�A� !j` es nn'al tq sl(stem 23.32 Nr/.� " " " ` ` "" /'` ") • ,Ar-i-).6. hrdronic)(boiler(radiator or 2332 I if 1 5 Acit 4 fi7/1/z /Pt (f-7->171.6• I Link heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 I I Flue/vcnr for any of above 23.32 Subdivision: I Lot no.: I Other: 123.32 Tax map/parcel I Other fuel aonilancea: Water heater 23.32 DESCRIPTION OF WORK I Gas fireplace/insert 3339 for water heater or gas _ •gPl x A� `'T S�`/' Flue vein�rtS> a ��+.1ri an m a !' I fireplace 23.32 Coei74c,.r`.i_l ,f+aLLfk-i f r.G.Gp...L. 's Luzlightcr(pas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent I 23.32 I 0 PROPERTY OWNER I {TENANT Other: I 23.32 I e,- /dx/% Rangehood/other Environmental exhaust kitchen and rentlladon: Name: //k- Range hood/othm kitchen IAddress: -- 1, del/ 7�,errt</Loaf ye , I equipment 33.39 r // I Clothes dryer exhaust 33.39 City/State/ZIP: 4e�S/e..V @ I1 r.7.0+7,17 O. c,r? I I Single-duct exhaust(bathrooms, I P1O°e:( toilet compartments,utility moms) 23.32 ry (Sb3 t{6 9 - p 9 G 2 Attidcrawlsoace fans I 23.32 I 61 APPLICANT 0 CONTACT PERSON Other: I 23.32 Business name: /`Yr,e.-,,� 7/47C-i,&. I Fuel oinIne: $14.15 far first four:$4.03 fir each additional Contact name: -.-. �L' C" i Furnace,etc. Address: 09 SC 4 fin.S a n C�r-e-x k 67/4"4411 I Gas heat flume, City/State/ZIP: id�-Zi./Q� X74 ? 020 I Watndcdtunitheater I Water heater Phone:(56S) 9? S-280 8 I Fax::( ) Fireplace E-mail: GnIJ an .AL - 'b e 9,,t.,,,‘/e o.4'7 Rance CM.TRACTOR ll Barbecue 49 Clothes dryer(gas) Business name: ..,..49,...c.:71,-e. A� ,d / Other: MECHANICAL PERMIT FEES•Address: sE309? S� _ii5d71 611:4-P 1� ✓d Subtotal City/State/ZIP:/HaP nrj 9 720 Minimum permit fee(590.00) Phone:(5-t3) 7735-?ti D R Fa . ) Plan review(25%of permit fee) CCB lic.: ,2O'4.l../5-;2I ___ State surcharge(12%of permit fee) TOTAL PERMIT FEE r-1 Ibis permit application expires If a permit is not obtained within 180 Authorized signature: �- days after it has been accepted as complete. rr // • Fee methodology set by Tri-County Building Industry Service Board Print name:,../...74_;:s JC1S em I Date: 9./2 /Z i 1:1BuiMlmgPmnteMEC_PcmntApp_082520.doe 440-46171 II1NLCOW W B)