Permit n CITY OF TIGAR® MECHANICAL PERMIT
a COMMUNITY DEVELOPMENT Permit #: MEC2010 -00176
.5 Date Issued: 04/27/2010
.ti 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S104BB07900
Jurisdiction: Tigard
Site address: 14300 SW BARROWS RD
Subdivision: RUSSELL'S SCHOLLS FERRY SUB Lot: 2
Project: Albertsons
Project Description: New roof top condensing unit (10 hp)
Owner: FEES
NEW ALBERTSON'S INC Description Date Amount
ATTN: 70428 - CORPORATE TAX, PO BOX 20, Permit Fee 04/27/2010 $1,986.21
250 PARKCENTER BLVD
Plan Review 04/27/2010 $496.55
PHONE: 12% State Surcharge - Mechanical 04/27/2010 $238.35
Contractor:
DEPENDABLE REFRIGERATION INC.
325 TECH WAY
GRANTS PASS, OR 97526
PHONE: 541 - 479 -6535
FAX: 541 - 479 -6541
Type of Use: COM
Class of Work: ALT Type of Const: IIB
Occupancy Grp: M Occupancy Load:
Stories: 1
Fuel Air Handlers
Fuel Types: Other Units < 10000 cfm:
Gas Pressue: 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 $2,721.11
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Condensing
Duct Work: Units,
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
issua • -, or i • . is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utif Notification Cen :. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or • irect questions to OU •y . li • • 503.246.6699 or 1.800.332.2344.
Is- ed By: • / i j j t / , Permittee Si nature: 4 01! �... �,4i' ( �_ J
Call 503.639.4175 by 7:00 a.m. for an inspection that busines day.
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.
APR -22 -2010 13:53 F r om: DEPENDABLE REFRIG 541 479 6541 T o : 5035981960 P.2'2
04/22/2010 11:29 5035981960 CITY OF TIGARD PAGE 02/03
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� Phone: 503.63/A1W > 5 / �., + At�C, q f1i Plan Rohm .,
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New construction 0 Addition /alteration /replacement Mechanical permit fees" are based on the value of the work
perrormed_ Indicate the value (rounded to the nearest dollar) of an
❑ Demolition 0 Other: mechanical materials, equipment, labor overhead, and profit.
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1- 2-family dwelling �'A' . ''' ;
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d y g ® Commercial /industrial 0 Accessory building
ass,
For rA
0 Multr family ❑ Master builder 0 Other, K +r Wormer/on hccktlsr.
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Description SR. Total
, u er �g � , �, A Ne N•.'1 , r ,, 71 „', a�'. rtw S .,
',. , di i x„ t .. r � �'1aA3nM flmnl�.�•I,+hArd � �+;
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lob site address: 14300 Borrows Rd. Air condition i ng
(reclaim slte plan xhowin Iaccrn 46.75
City /State/ZIP: Tigard, Q. 97223 Furnace 100 0000 Ttl (ducu/vamx) 46.75
Suite/bldg./int. no.: Pluaace 1O1000t•WTU ductWJ•enrs _ 54311
6l.d(i
Crass street/directions to job site: S.E.C. Scholls Ferry rd. and Walnut a 23,32
1-1 tonic hot water s Mom 23 -32
Residential better (radiator or
h dmnic 23.32
Unit heaters (fuel -typo, net electric), -
in-aa11, 414 a, sus. ended, etc
5ubdlvlslon: Eat ao ; 11m/vent for any of above 23.32
Other: 2332
Tax map /parcel no.: r � ^ Other fuel apptiinecn
iV),lf)i AJ ". rir ,Ii rti 7 , , ii: +' , tailig Water heater 21.12
New roof top condensing unit (10 hp) Cm fireplace = 33.39
Flue vent for water heater or as
New 4' Rev, case Pi • •Ince _ 23.32
Loa. 11 ;titer As 23.32
Now Floral case Wood /pellet stove 33.39
New frorea fond glary doors Wood fireplace /insert 23.32
i•
t t , ,� n u ,rygrc I A "t i amigo • r •; ,, f t� Chimne /liner /flue/vent 23.
: 1t w >E , ft , :. k ti, ! h 11� 1if tiJ aas� i i i 23.32 32 mu
e
Name: New Albertson's Inc, Enviroruncntal exhaust end veaulatlon
Address: 250 Parkc¢ntor Dr. Range handlo:hcr kitchen
- equipment 33.39
City /Siam /ZIP: Bosie, Id, 83706 Cloches dryer Dxhaull 33,39
Singlo -duet exhaust (bathrooms.
Phone: (208)395 -4711 Pax: (268)395 -4103 toilet rata, nmen udtit r ms 23.32
a, :"...".'44 ih11a 1 N1 ` l Attic/crAw171p4c4 fans 1111 23.32
Business name:
Other: 2
Fns! . , in:
Contact name:
514.15 ,a:t our x4.031breach additional
Address Furnace, etc. MIM�
Gas heat pump
W1111/suPcndod(unh heater
Phone_ ( ) Water heater
Fireplace
'i , .:.:41-!'P . + t °'paw,at, u Range
,. la r�, w.. ,��, i '1�,dt r �i�� , , ��'u1o�j � � 8A'be{:LLC II
Business name: Dependable Refrigeration Inc. Clothes dryer(Ras)
� {ffiVl l t +2K,illi,
Other
Address: 325 Tech Way
y �
y 07Irt 7x ITr".."`'.t717 i y koi ,”'t i r.. . .,.
city/State/ZiP: Grunts Pass, Or. 97526 Subtotal
Phone: (541) 479 -6535 _ Mintmumpermit fee ($90,00)
Plan review (25% Of permit fee)
f,'CR tic.: IOS507 State aurchargc (12% of permit fee)
TOTAL PERMfl FEE
A.utherized signetur .,' puma applies/lion expire* it permit is net nhtm,xd within tall
daps after It has bona occupied an complete.
Print name: Gary r Date! d, .3A • Feu VIII dnlARy .cl by Tri. County Building tndtuaTy Servios pn;,nl