Permit 1111 CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: M EC2021-00830
T f CA A litT3 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8l15l2022
Parcel: 1S136CD02200
Jurisdiction: Tigard
Site address: 7850 SW DARTMOUTH ST
Project: Costco Wholesale Subdivision: PALMER ACRES Lot: 3
Project Description: New split system for hearing booths.
Contractor: KEY MECHANICAL CO OF WASHINGTON Owner: COSTCO WHOLESALE CORPORATION
19430 68TH AVE SO PROPERTY TAX DEPT 111
KENT,WA 98032 999 LAKE DR
ISSAQUAH,WA 98027
PHONE: 503-231-0731 PHONE:
FAX: 503-236-5848
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 11/15/2021 $439.15
Class of Work: ALT Type of Const: VA Plan Review 11l15/2021 $109.79
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Mechanical 11/15/2021 $52.70
Stories: Info Process/Archiving-Lg$2.00(over 11/15/2021 $4.00
11x17)
Project Valuation: $13,513.00
Info Process/Archiving-Sm$0.50(up to 11/15/2021 $0.50
11x17)
Fuel Air Handlers
Fuel Types: Electricity Units<10000 cfm: 3
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: 1
Appliances
Vent Fans: Vent Systems: Total $606.14
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires y u to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. o obtain a c o rules
Issued By: A...0:J Permlttee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
�a c .
Mechanical Permit Applica>I�Q
ECEIVED FOR OFFICE USE ONlX
City of Tigard Received '�y
IN l• 13125 SW Hall Blvd.,Tigard,OR 97223 OCT 1 1 2021 DateBy:�O� GL2 Permit No. � t t) 3o
Plan Review
Phone: 503.718.2439 CITY OF TIGARD DateBy I 0 .a,7 - -V/ Other Permit:
1 1 U �.r i, Inspection Line: 503.639.4175 Date Ready/By: ��t�/7�j 7 ® See Page 2 for
Internet: www.tigard-or.gov 3UILDING DIVISION.„--Notified/Method,/ vK/ / • 1 Supplemental Information
TYPE OF WORK MM
COMMERCIAL FEE*SCHEDULE-USE CHECKLIST
❑New construction ®Addition/alteration/replacement Mechanical permit fees*are based on the value of the work
performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF COXSTRUCTION Value:$ 13,5/3.a5
❑ I-and 2-family dwelling g Commercial/industrial 0 Accessory building RESIDENTIAL EQUIPMENT I SYSTEMS FEES*
El Multi-family0 Master builder El Other:
For specia(inJnrmaHnnu.cechecklist.
Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Job site address: 7850 SW Dartmouth St Air conditioning 0 46.75 0
Furnace 100,000 BTU(ducts/vents) 0 46.75 0
city/State/ZIP: Tigard, OR 97223
Furnace 100,000+BTU(ducts/vents) 0 54.91 0
Suite/bldg/aptno.: Projectname:COStCO Wholesale Heat pump 1 61.06 61.06
Ductwork 0 23.32 0
Cross street/directions to job site:
Hydronic hot water system 0 23.32 0
SW Darmouth St, Beaverton Tigard Hwy, 99W Residential boiler(radiatoror
hydronic) 0 23.32 0
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 0 46.75 0
Flue/vent for any of above 0 23.32 0
Subdivision: Tigard 97223 Lotno.: Other: 0 23.32 0
Tax map/parcel no.: 1 S 13 6 CD 0 2 2 0 0
Other fuel appliances:
Water heater 0 23.32 0
DESCRIPTION OF WORK Gas fireplace/insert 0 33.39 0
Interior reIII[[[1!l000del c}}} th pt al ���al` and Flue vent for water heater or gas 0 0
Logfireplace
igh 23.32
h tail ai ent S in ud b n t Lnghghter(gas) 0 23.32 0
lira. St uct. , elec. , plumb and fire p>sot. Wood/pelletstove 0 33.39 0
.`CN l L, 1-ems Wood fireplace/insert 0 23.32 0
'�RA)�{ell i S I T C r e..$1I i'lG b 3$ Chimney/liner/flue/vent 0 23.32 0
® PROPERTY OWNER J 0 TENANT Other: 0 23.32 0
Name: ' nmental exhaust and ventilation:
Costco Wholesale Range h er kitchen
Address: 999 Lake Drive equipment 3.39
City/State/ZIP: Issaquah, WA 98027 Clothes dryer exhaust 33.39
Single-duct exhaust(bath s,
Phone:(2 0 6) 9 6 2 6 6 51 I Fax:( ) toilet compartme t ity rooms) 23.32
Attic/c ace fans 23.
iiii APPLICANT ❑ CONTACT PERSON er 23.32
Business name: MG2 Fuel piping:
S14.15 for first four;$4.03 for each additional
Contact name: Levi Schmitt Furnace,etc. 0 0 0
Address: 1101 2nd St, Ste 100 Gas heat pump 0 0 0
City/State/ZIP: Seattle, WA 98101 Walllsuspended/unitheater 0 0 0
Water heater 0 0 0
Phone:(2 0 6) 9 6 2-6 6 51 Fax::( ) Fireplace 0 0 0
E-mail: levi .schmitt@mg2 .com Range 0 0 0
Barbecue 0 0 0
CONTRACTOR Clothes dryer(gas) 0 0 0
Business name: fit. is n i'cw ) Other: 0 0 0
p MECHANICAL PERMIT FEES*
Address: Ip G� �C (N
C Subtotal 61 . 06
City/State/ZIP: „A�- WA 1�U�Q. Minimum permit fee($90.00)
Phone:` 3 I a- '7' c Fax:( ) Plan review(25%of permit fee) 22 . 50
' State surcharge(12%of permit fee) 10 .80
CCB lic.: Cla5(,� TOTAL PERMIT FEE 123.30
This permit application expires ifs permit is not obtained within 180
\ /Z t y-_ ���` 1 days after it has been accepted as complete.
Authorized signature: ����1 "-"` {
Fee methodology set by Tri-County Building Industry Service Board
Print name: Mostafa Ahan hi Date:, /$1�1
I:\Building\Permits\MEC PermitApp 0g2520 doc 440-461177T(11/2/CO I
M/WEB)
Authorized Agent for Costco Wholesale