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Permit (14) CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit#: MEC2022-00603 Date issued: 8/3/2022 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S115BA00100 Jurisdiction: Tigard Site address: 16200 SW PACIFIC HWY M Project: Trader Joe's Subdivision: None Lot: None Project Description: Mechanical for TI: New refrigeration cases,compressor rack,and condenser. Contractor: REFRIGERATION CONTRACTORS, INC Owner: TECOLOTE RESOURCES INC P.O. BOX 661 KELLY'S LEGACY LLC ET AL GRESHAM, OR 97030 BY HESLIN HOLDINGS INC 23421 SOUTH POINTE DR STE 270 LAGUNA HILLS, CA 92653 PHONE: PHONE: FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 08/03/2022 $6,906.95 Class of Work: ALT Type of Const: VB Plan Review 08/03/2022 $1,726.74 Occupancy Grp: M Occupancy Load: 12%State Surcharge-Mechanical 08/03/2022 $828.83 Stories: 1 Info Process/Archiving-Lg$2.00(over 08/03/2022 $16.00 Project Valuation: $247,105.00 11x17) 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 $9,478.52 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: compressor Duct Work: and 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. Mechanical Permit Application FOR OFFICE USE ONLY CI of Tigard Received `J g _ x t., Date/By: Permit No.: M 7 13125 SW Hall Blvd.,Tigard,OR 97 ,.," Plan Review ^ Phone: 503.718.2439 Fax: 503.598 Other Permit: Date/By: Inspection Line: 503.639.4175 Date Ready/By: Jur ® See Page 2 for 99Fl.Internet: www.tigard-or.gov Notified/Method: Supplemental Information TYPE OF C D1V1,,s' AT scmumLE-USE cm Mechanical permit fees*are based on the value of the work ❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$24 IOS.60 CATEGORY OF CONSTRUCTION RUMVITIAL EK2WM6NT f SigrM FFA ❑ I-and 2-family dwelling A Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Hearin coolin : '-` Air conditioning46.75 Job site address: 16 2 00 $w G C► 1 G Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: q`d O1 91 ZZL4 Furnace 100,000+BTU(ducts/vents) 54.91 Heat um 61.06 Suite/bldg./apt.no.: Project name: T e r Jde' (61 Duct work 23.32 Cross street/directions to job site: H dronic hot waters stem 23.32 l \ Residential boiler(radiator or C. F to C ct<1 L s W h dronic) 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 vent for water heater or gas I,s1 ' $ I,` �w>>\1e c- SU �' fir lace 23.32Log lighter as 23.32 NOt Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 rAddress,.: Other: 23.32 PROPERTY OWNER TT Environmental exhaust and ventilation: -TOe Range hood/other kitchen Ce ui ment 33.39 8o 5. S kAvn CAveClothes dryer exhaust 33.39 City/State/ZIP: f 1f 1 Q A q t 0I 6 Single-duct exhaust(bathrooms, Momtoilet compartments,utility rooms) 23.32 Phone:(&'u>) S-1 1'3 TC)0 Fax:( ) Attic/crawls ace fans 23.32 APPLICANT 0 CONTACT PZRWN Other: 23.32 Business name: Re T r M Vw O P4 = Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: r1'l,�fv K.) Furnace,etc. Address: ( �Z4 6 K� SQ a i,� Gas heat um Wall/suspended/unit heater City/State/ZIP: rvan>ok or q t 2 6 Water heater 3 l I , L4,q I► Fireplace Phone:(503)25 Fax::(SO ) 1 '1 I Range E-mail: C %4 V( r` 3 WU t Barbecue CONTRACTOR ++ Clothes dryer as Businessname: e , C - A) CO AGTOTC , Other: MECHANICAL PERMIT FUS Address: ( '_42y Q ,t Subtotal City/State/ZIP: 'HQ O q /o Minimum permit fee($90.00) Plan review(25 of permit fee) Phone:(,%3) z s ,86(,$ Fax:($03) W45- L414!) State surcharge(12%of permit fee) CCB lic.: 4 T CIrT I TOTAL PERMIT FEE " 7 This permit application expires if a permit is not obtai d hin 1 0 days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board Print name: C Date: 6 1ABuilding\Permits\MEC_PennitApp_040113.doc 440-4617T(11/02/COM/WEB) City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT C Building Permit Review — Commercial - No Land Use Building Permit #: j ����—t�) ,� Site Address: �(�� ��� t- C��; Suite/Bldg#: Project Name: Cycj16(R( (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review 1 Proposal: �rk Existing Business Activity: J� Proposed Business Activity: Verify site site address/suite# exists and active in permit system. ❑ River Terrace Neighborhood: ElYes :K1 No oning: I� Business ermitted Use: El Yes El No El Spec Space onfirm no land use required. License: Exists: ❑ Yes ❑ No, applicant was provided a business license application Notes: Approved by Planning: Date: J Z 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: Site Plans: # Building Plans: # A Building Permit#: g2-75n��@'rrbuilding permit#above. Workflow Routing: Planing ❑ Permit Coordinator k;-Bi ding Workflow Sign-off: E4-51g-n-off for Planning(include notes from planning review) Route Application Documents: ©-fig: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: 1:\Building\Fonns\B 1dgPenn itRvw_COM_NoLandU se_l 11819.docx rmit Coordinator Review ❑ Co itions "Met"prior to issuance of building permit ❑ Appro d,NOT Released: Date: Notes: Revisions (after Buildin Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: ate Sent to Applicant: Revision Notice 3: Die Sent to Applicant: ❑ SDC Fees Entered: Wash Cao Trans Dev Tax: ❑ Yes ❑ N/A Tigard hs SDC: ❑ Yes ❑ N/A Parks SDC: ❑ Yes ❑ N/A ❑ OK to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Fonns\B1dgPermitRvw COM_NoLandUse_II1819.docx