Permit CITY OF TIGARD MECHANICAL PERMIT
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"1"1 It • COMMUNITY DEVELOPMENT Permit#: MEC2018-00868
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 502.718.2439 Date Issued: 2/10/2022
Parcel: 25110AC01101
Jurisdiction: Tigard
Site address: 11290 SW BULL MOUNTAIN RD
Project: Jacksons Food Stores 530 Subdivision: None Lot: None
Project Description: Installing new HVAC system for new convenience store.
Contractor: POLAR REFRIGERATION INC Owner: PACWEST ENERGY LLC
8819 NE 117TH AVE 3450 COMMERCIAL CT
VANCOUVER,WA 98682 MERIDIAN, ID 83642
PHONE: 360-852-3939 PHONE: 208-888-6061
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 01/18/2022 $982.71
Class of Work: NEW Type of Const: VB Plan Review 01/18/2022 $245.68
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 01/18/2022 $117.93
Stories: 1 Info Process/Archiving-Lg$2.00(over 01/18/2022 $110.00
11x17)
Project Valuation: $35,000.00 Info Process/Archiving-Sm$0.50(up to 01/18/2022 $5.00
Fuel Air Handlers 11x17)
Additional Plan Review 02/09/2022 $90.00
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: 2 Vent Systems: Total $1.551.32
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 100
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
Issued By: Permittee Signature:
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.