Permit CITY OF TIGARD MECHANICAL PERMIT
; NCOMMUNITY DEVELOPMENT Permit#: MEC2022-00827
r Date Issued: 9/22/2022
TIGARD 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: Installing new gas lines to(4)RTUs,going to suite M,and to(1)air handler going to suite L.
Contractor: KRUSE PLUMBING Owner: TECOLOTE RESOURCES INC
5802 NE 88TH ST KELLY'S LEGACY LLC ET AL
VANCOUVER, WA 98665 BY HESLIN HOLDINGS INC
23421 SOUTH POINTE DR STE 270
LAGUNA HILLS, CA 92653
PHONE: 360-573-4337 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 09/22/2022 $342.09
Class of Work: ALT Type of Const: VB Plan Review 09/22/2022 $85.52
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Mechanical 09/22/2022 $41.05
Stories: 1 Info Process/Archiving-Lg$2.00(over 09/22/2022 $4.00
11x17)
Project Valuation: $9,800.00 Info Process/Archiving-Sm$0.50(up to 09/22/2022 $3.00
11x17)
Fuel Air Handlers
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: Vent Systems: Total $475.66
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: 4 Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: Permittee Signature: c---r_r-- ... _ ,„,_
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
" City of Tigard Received
1) ' �2-2— 9kc)7
13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: /'
ECEIV Plan Date/Bvie
Phone: 503.718.2439 Fax: 503.598.196 E® DateBy J Other Permit.
T I G A R D Inspection Line: 503.639.4175 Date Ready/By' p Juris: gi See Page 2 for
Internet: www.tigard-or.gov SEP ®8 2022 ,,tom r '- -7/ , // Supplemental Information
vl rY U1 1 IGAR - e)MMI CIAL FEE* SCHEDULE — USE CHECKLISTS
TYPE OF W
DING DI1/1SVON Mechanical permit fees*are based on the value of the work
❑New construction 'Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:$ /SYSTEMS EQUIPMENT
FEES/
❑ 1-and 2-family dwelling commercial/industrial 0 Accessory building For special information use checklist.
El Multi-family0 Master builder 0 Other: Description Qty. Ea. / Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46 5
Job site address: \ l/9 a-C 0 5.t• etc,, ±L t,1 W is. Furnace 100,000 BTU(ducts/vents) .75
City/State/ZIP: V �l Furnace 100,000+BTU(ducts/vents) 54.91
,� Heat pump 61.06
Suite/bldg./apt.no.: /�/l Project name: 1,�. , ,v�5 Duct work 23.32
Cross street/directions/to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
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 vent for water heater or gas
s !7--41, ,` JVAAJW.,..9 \ �t- j14 fireplace 23.32
n � 'S `, f� G L \��` Log lighter(gas) 23.32
Vic- Pi 7 L ` �, ! Wood/pellet stove 33.39
- Elk f� G�01Li \\�`Q iU 7 IA\''etc_ .- Wood fireplace/insert 23.32
u Chimney/liner/flue/vent 23.32
ElPROPERTY OWNER 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
i'APPLICANT 0 CONTACT PERSON Other: 23.32
Fuel piping:
Business name: r +�
��� ���W\ vJ�kA 4-6 $14.15 for first four;$4.03 for each additional
Contact name: __v- cit.., Furnace,etc.
Address: S ^ -r\. Gas heat pump
" G 2 o Wall/suspended/unit heater..(/
a 1 City/State/ZIP: `�f tA VCR 1 �J h., cAc6( L Water heater
Phone:(4 6,0 c-----7 3 LA--;3-7 Fax::CIO A ) i- Fireplace
` Range
E-mail: v/A Q . A `Gl N \e\,(A,�„\.0 A,(e G(ip/h. Barbecue
CONTRACT R ``,1 Clothes dryer(gas)
Business name: Other:
MECHANICAL PERMIT FEES*
Address: 5 (l) 6,1.4 li t,,,L, Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) . Fax:( ) State surcharge(12%of permit fee)
CCB lic.: 2 ✓'5 0 c TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: 6/2" * Fee methodology set by Tri-County Building Industry Service Board
Print name: `s tn.. 1(.-" •N....- Date: ak' /5' .,.... .--
I.\BuildingWermits\MEC tApp_040113.doc 440-46I7T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 -Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total Valuation: Permit Feet
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
1:\Building\Permits\MEC PermitApp_040113.doc 2