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Permit CITY OF TIGARD MECHANICAL PERMIT _ ' COMMUNITY DEVELOPMENT Permit#: MEC2021-00979 TIGARL) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 1/20/2022 Parcel: 2S110DCO2200 Jurisdiction: Tigard Site address: 15570 SW PACIFIC HWY Project: Safeway Subdivision: 1997-016 PARTITION PLAT Lot: 2 Project Description: Install a mini split HVAC unit in cash and manager office. Contractor: REFRIGERATION UNLIMITED LLC Owner: ROIC OREGON LLC 5102 20TH ST E 102 BY PROPERTY TAX RESOURCES LLC FIFE,WA 98424 PO BOX 130339 CARLSBAD, CA 92013 PHONE: 253-474-3100 PHONE: FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 01/19/2022 $843.01 Class of Work: ALT Type of Const: VB Plan Review 01/19/2022 $210.75 Occupancy Grp: M Occupancy Load: 12%State Surcharge-Mechanical 01/19/2022 $101.16 Stories: Info Process/Archiving-Sm$0.50(up to 01/19/2022 $3.00 11x17) Project Valuation: $29,449.00 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: Vent Systems: Total $1,157.92 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: 1 Gas Outlets: Other Desc: Duct Work: Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules Issued By: Ha ,, va-,Dr,were_ Permittee Signature: Ot&. A Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. _.. . VE® 8- 121 2 Mechanical Permit A h `° .�m, E� r(}Iz Oil l ,�1• tl\l ti City of Tigard Received.I114 H DateBy: /.2 7 < z -J- - Permit No.:f4ECZO2 f-00,E l 9 13125 SW Hall Blvd.,Tigard,OR 97223DEC 1 2021 ID Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Date/By: )a—0Z I _a) r I Other Permit. TIGARDInspection Line: 503.639.4175 CITY OF TIGARD Internet: www.tigard-or.gov Date ady/By- kris: See Page 2 for 1UILUING DIVISION d/Method: //( ( Supplemental upplemental Information TYPE OF WORK COMMER •L FEE*'SCJIEDULE — USE CHECKLIST Mechanical permit fees*are based on the value of the work ❑New construction Q Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ $29,449.00 CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ 1-and 2-family dwelling ©Commercial/industrial 0 Accessory building For special information use checklist 0 Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION heating/cooling: Air conditioning 46.75 Job site address:15570 SW Pacific Hwy Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name:Safeway 1478 Mini Split HVAC Heat pump 61.06 Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 This is the Safeway supermarket on Pacific HwyW and SW Royalty Pkwy boiler(radiator or Y tY �y 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 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue Install a mini split HVAC unit in cash and managers office fireplace for water heater or gas 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 0 PROPERTY OWNER 0 TENANT Other: 23.32 Environmental exhaust and ventilation: Name:Safeway 1478 Range hood/other kitchen Address:15570 SW Pacific Hwy equipment 33.39 Clothes dryer exhaust 33.39 City/State/ZIP:Tigard OR, 97224 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( )503-598-6001 Fax:( ) Attic/crawlspace fans 23.32 © APPLICANT lJ CONTACT PERSON Other: 23.32 Business name:Refrigeration Unlimited Fuel piping: S14.15 for first four;$4.03 for each additional Contact name:Benjamin Boyer Furnace,etc. Address:101 59 SW Commerce Cir. Suite I Gas heat pump Wall/suspended/unit heater City/State/ZIP:Wilsonville, OR 97070 Water heater Phone:( )971-271-0377 Fax::( ) Fireplace E-mail:bboyer@ru-inc.com Range Barbecue CONTRACTOR Clothes dryer(gas) Business name:Refrigeration Unlimited Other: MECHANICAL PERMIT FEES* Address:10159 SW Commerce Cir. Suite I Subtotal City/State/ZIP:Wilsonville, OR 97070 Minimum permit fee($90.00) Phone:( )971-271-0377 Fax:( ) Plan review(25%of permit fee) State surcharge(12%of permit fee) CCB lie.: 222543 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 g��� days after it has been accepted as complete. Authorized signature: a!'///7is� . = Fee methodology set by Tn-County Building Industry Service Board Print name:Benjamin Boyer Date:11/22/21 I:\Boding\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB) City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T I c R n Building Permit Review — Commercial - No Land Use Building Permit #: M SC2021-Q 0 q79 Site Address: ISS-10 co..) <pActric Suite/Bldg#: Project Name: yea'/ (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: pex)Pn9 PAC inj i,t Existing Business Activity: /^ Proposed Business Activity: Zr-Verify site address/suite#exists and active in permit system. ❑ River Terrace Neighborhood: ❑ Yes 1 No ld "Go g: � P rmitted Use: 'es ❑ No ❑ Spec Space Ld Confirm no land use required. ` L�7 Business License: Exists: ❑ Yes ❑ No,applicant was provided a business license application Notes: Approved by Planning: Date: /2/74 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� 262I Site Plans: # Z— Building Plans: # 2.- Building Permit#: L" Enter building permit#above. Workflow Routing: ["Planning ❑ Permit Coordinator Hi--"Building Workflow Sign-off: kr Sign-off for Planning(include notes from planning review) Route Application Documents: Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: / 07 2 1:\Building\Forms\BldgPerm itRvwCOM_NoLandU se_11 1819.docx Pe Coordinator Review ❑ Condition "Met"prior to issuance of building permit., ❑ Approved,NO 'eleased: Date: Notes: 9 Revisions(after Building Submittal on Revision Notice 1: Date Sent to • .plicant: Revision Notice 2: Date Sent to Ap. cant: Revision Notice 3: Date Sent to Applic, •t: ❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A Tigard Trans SDC: ■ Yes ❑ N/A Parks SDC: ❑ •s ❑ N/A ❑ OK to Issue Permit Approved by Permit Coordinator: Date: • I:\Building\Fonns\BldgPermitRvw_COM NoLandUse_111819.docx