Permit (18) 114 CITY OF TIGARD MECHANICAL PERMIT
'' COMMUNITY DEVELOPMENT Pe
COMMUNITY MEC2023-00420
Date Issued: 6/5/2023
T[G A R.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S136CD02200
Jurisdiction: Tigard
Site address: 7850 SW DARTMOUTH ST
Project: Costco Subdivision: PALMER ACRES Lot: 3
Project Description: New 1187 sq.ft.breakroom mezzanine over existing locker room.
Contractor: ENTEK CORPORATION Owner: COSTCO WHOLESALE CORPORATION
1021 COLUMBIA BLVD PROPERTY TAX DEPT 111
LONGVIEW,WA 98632 999 LAKE DR
ISSAQUAH,WA 98027
PHONE: 360-423-3010 PHONE:
FAX: 360-423-2091
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/01/2023 $1,906.53
Class of Work: ALT Type of Const: IIIA Plan Review 06/01/2023 $476.63
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 06/01/2023 $228.78
Stories: 1 Info Process/Archiving-Lg$2.00(over 06/01/2023 $8.00
Project Valuation: $71,800.00 11x17)
Info Process/Archiving-Sm$0.50(up to 06/01/2023 $7.00
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: 2
Appliances
Vent Fans: Vent Systems: Total $2,626.94
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
Cityof Tigard j i Received
. 11 b _ a . } .:.. Permit No.: ,y t}.�']l y, A
,. Date/By: JJJ - / /OTJ ay,/
13125 SW Hall Blvd.,Tigard,OR 97223( '- fl��/
� Plan Review3f�
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: . ' Other Permit: � —0!zJul/
I 1 G A RD Inspection Line: 503.639.4175 Date Ready/By: Iu is: �" l 7
t _
Internet: www.ti and-or. ov Y Y �k+ / ® S Page 2 fnr
g g Notified/Method: j ,�. /' I 7� Supplemental Information
"`'l ) 115 (�J
x 0;:1 '' p '�� ...:' C 1S,M1 1 1!EE HDUL�1 SS'x`HEy .IST
Mechanical permit fees*are based on the value of the work
❑New construction tg Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
mechanical materials,equipment,labor,overhead,and Rrofit.
❑Demolition CI Other:
d GORE' UC O ' s Value:$
._� ,,... ..,.:, " zESID QUIPME /S '
0 1-and 2-familydwelling ®Commercial/industrial ❑Accessory building For special information use checklist
El Multi-family ❑Master builder ❑Other: Description Qty. I Ea. I Total
_ , : a c - 1 Heating/cooling:
. Oe _" ".'" ..41.
k, Air conditioning 46.75
Job site address:-7150 5 of aU r+MQt,ri-h Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: I-, Qi('d/ 09, oil i23 Furnace 100,000+BTU(ducts/vents) 54.91
J Heat pump 61.06 iNfiNf 122'
Suite/bldg./apt.no.: Project name:6'a, O „rt 9 m rck 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: Z 23.32 4 6.6 m
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
�E E,,Dm- O p;"^#�� ,, Gas fireplace/insert 33.39
``'"`'0 '' '' ' +' ' '" Flue vent for water heater or gas
C5/A b- C�oto--( A-oc ill I Get, Y F.W F ptol rh p 3 jJ(t�' 3fr 5 fireplace 23.32
Cy� ✓ Log lighter(gas) 23.32
c l�m6n1- f r6 via f,4 of GG, Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
." OI 1 Tt o°,_ `.4,. 71i,, ,- Environmental exhaust and ventilation:
Name: co 5#—co,0 Range hood/other kitchen
equipment 33.39
Address: /' '- ; ee,i%;.),, (.- /. 1q2 1, 11;t, 1),6ye. Clothes dryer exhaust 33.39
City/State/ZIP: ' '/ ,1, `f'Yl IS SEy i.t , Wit} Vot-fgl Single-duct exhaust(bathrooms, 2
' / toilet compartments,utility rooms) 7 23.32 0.'b
Phone:(�2$) 1 3 '(D� Fax:( ) Attic/crawlspace fans 23.32
'' ....: �`„ ,.,,.... T ..... . . .. U'(}1NpcT Js )lb ` Other: 23.32
Business name: G 6.44,tG �Er)0reprrt 04
Fuel piping:
1 $14.15 for first four;$4.03 for each additional
Contact name: d,- yl 3/c Furnace,etc.
Address: 1316 NC.- ti 7}k A yL Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: ,Vai n ca.-ire-6 WA 9?CI,6 J Water heater
Phone:(St J 3) a 3 -5 441, Fax: :( ) Fireplace
1 Range
E-mail:
Lh q sl e-t 6 en tk h G.GSM Barbecue
,�.. : <.`.. 7� v :�.;' .�' .� �,, „:1
Clothes dryer(gas)
Business name: C,,-)kk Other
Address: 7/3 16 NE 1174h/1-V. Subtotal V71,'77-
City/State/ZIP: v A yl�H r.C,(2 Wf4 q I bU( Minimum permit fee($90.00) °(�JO
Phone:(3 G 0) O U/ G 2 ( ) Plan review(25%of permit fee) 2 2.5t>
Fes' State surcharge(12%of permit fee) ID,/'O
CCB lic.: H Gi2(22.. if / TOTAL PERMIT FEE ;61,J2
t This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signatur ' * Fee methodology set by Tri-County Building Industry Service Board
Print name: C° ,y 1460 3 f Er- Date: 5/22-/247 Z3
I:\BuildingiPermits\MEC PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
01� cl�UratTh ... rp it Fe�
$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.
I:\Building\Permits\MEC PermitApp_040113.doc 2
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
1
TICARD Building Permit Review — Commercial - No Land Use
Building Permit #: z-,.Z(),03 3
Site Address: 1BSo S1X / t'\ Suite/Bldg#:
Project Name: CoWo KJAC
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: l./Nsuovk SQ111 sisteiw\ AiVAL systowl br>?a� ,roov►�
4- v LW re icoGP? kouns
Existing Business Activity: O,n€ed Ve'c&A
Proposed Business Activity:
Verify site address/suite# exists and active in permit system.
J2TrRiver Terrace Neighborhood: ❑ Yes /in No
dgi Zoning: ('-(u
- Permitted Use: Yes ❑ No ❑ Spec Space
Confirm no land use required.
Business License:
Exists: iYes ❑ No,applicant was provided a business license application
Notes: > trr161te"e 11-iGKAAA"
Approved by Planning: Date: S I 3°123
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: 5/3 U/2_s'
Site Plans: #
Building Plans: # 2,
Building Permit#: IJ Enter building permit#above.
Workflow Routing: IL--Planning ❑ oor 'nator .' Building
Workflow Sign-off: 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: A i ii b. let_ Date: c/J I/zJ
I:\Building\Fonns\BldgPermitRvw_COM NoLandUse_09072022.docx
Engineering Review
❑ Slope at building pad:
❑ PFI Permit#:
❑ Conditions `h. et"prior to issuance of permit
❑ Easements (encroa ents)per engineering conditions of appro . and plat(not typical on SDR/CUP)
❑ Water Quality/Quantity 'ty:
Assess Water Quality Fee in -u: ❑ Yes ■ No
Assess Water Quantity Fee in-lieu: ■ 'es El No
LIDA Facility on lot: • Yes El No Add Fee: El Yes ❑ No
0 NOT Approved by Engi -ering: Date
Notes:
Approved b ngineering: Date:
Revisio s (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved El Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved Cl Not Approved
Permit Coordinator Review
❑ Con.i:ons "Met"prior to issuance of permit
El Approved,NO = -ased: Date:
❑ ENG Revisions Required: Date:
Notes:
El SDC Exemption ■ 'pplied for El Received El Does not apply
❑ Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A ❑ Deferred
Tigard Trans SDC: ❑ Yes ■ A ❑ Deferred
Parks SDC: ❑ Yes El N/A El Deferred
LIDA Fee: El Yes ❑ N/A
❑ OK to Issue/Approved by Permit Coordinator: Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved El Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
I:\Building\Forms\BIdgPermitRvw_COM_NoLandUse 08162022.docx