Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2010 -00006
T [C ,A K O 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 01/14/2010
Parcel: 1S134BC00300
Jurisdiction: Tigard
Site address: 12240 SW SCHOLLS FERRY RD
Subdivision: Lot: 0
Project: Rite Aid
Project Description: Replace existing rooftop units.
Owner: FEES
FW OR- GREENWAY TOWN CENTER LLC Description Date Amount
PO BOX 790830 Permit Fee 01/14/2010 $2,036.01
SAN ANTONIO, TX 78279 Plan Review 01/14/2010 $509.00
PHONE: 12% State Surcharge - Mechanical 01/14/2010 $244.32
Contractor:
MCKINSTRY COMPANY
12021 NE AIRPORT WAY SUITE G
PORTLAND, OR 97220
PHONE: 503 - 331 -2461
FAX: 503 - 331 -6906
Type of Use: COM
Class of Work: ALT Type of Const: IIIB
Occupancy Grp: M Occupancy Load:
Stories: 1
Fuel Air Handlers
Fuel Types: Natural Gas Units < 10000 cfm:
Gas Pressue: Units > 10000 cfm:
Furnaces Boilers & Compressors
Fumaces < 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 $2,789.33
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
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 - s : rted within 180 days of
issuance . ' spended for more the 180 days. ATTENTION: Oregon law requires you to folio the ru s adopted by the • egon
Utility ■otification Center. ose rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -01011. You m• y obtain a copy of = rules
or di,ect questions to OUNC = 'ng 113.246.6699 or 1.800.332.2344.
Issue tf / PermitteeSignature fi gAmiA
Call 503.639.4175 by 7:00 a.m. for an inspection that b ess 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.
EVED Mechanical Permit Appli(.,.� 1 FOR OFFICE USE ONLY
City of Tigard �2Q 0 6 2010 Received
Plan Review Date /By: l A/ � M Permit No.: nee Aye, — /1n
Z
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II
° 13125 SW Hall Blvd., Tigard, OR 97 N IV li(�C.V
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Phone: 503.639.4171 Fax: 503.598.1960 Date /By: jI rAi Other Permit:
TIGARD
Inspection Line: 503.639 CITY OF TIGARD Date Ready /By. Juris: ® See Page 2 for
Internet: www.tigard- or.gov BUILDING DIVISION Notifie. Method: / /3 /•
Supplemental lnformation
TYPE OF WORK • • MMERC • L FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
N ew construction
❑ ®Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment. labor, overhead, and profit.
CATEGORY OF CONSTRUCTION
Value: $ sanpnn 00 `T7
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description _ Qty. I Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 12240 SW Scholls Ferry Road Air conditioning
(requires site plan showing placement) 46.75
•
City/State /ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts /vents) 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: I Project name: Rite Aid Store #5353 Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
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
Subdivision: l Lot no.: 00300 Flue/vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: 1 S134BC Other fuel appliances
DESCRIPTION OF WORK Water heater 23.32
Gas fireplace 33.39
Replace existing (5) roof top units with new RTU with owner provided equipment Flue vent for water heater or gas
and curb adapters. fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
McKinstry Project #9289 Wood fireplace /insert 23.32
❑ PROPERTY OWNER I 0 TENANT Chimney /liner /flue /vent 23.32
Other: 23.32
Name: Rite Aid Retail Facilities Environmental exhaust and ventilation
Address: P.O. Box 1169 Range hood/other kitchen
equipment 33.39
City/State /ZIP: Camp Hill, PA 17001 Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
0 APPLICANT 0 CONTACT PERSON Attic /crawlspace fans 23.32
Other: 23.32
Business name: McKinstry Company, LLC Fuel r m
P g
Contact name: Mike Nichols PM or Diane Parke, Project Coord. $14.15 for first four; $4.03 for each additional
Address: 16790 NE Mason Street, Suite 100 Furnace, etc.
Gas heat pump
City/State /ZIP: Portland, OR 97230 Wall /suspended/unit heater
Phone: (503) 262.2305 Mike Fax: : (503) 331.6907 Water heater
Fireplace
E -mail: dianep @mckinstry.com Range
CONTRACTOR Barbecue
Business name: McKinstry Company, LLC
Clothes dryer (gas)
Other:
Address: same as applicant MECHANICAL PERMIT FEES*
City/State /ZIP: . Subtotal
Minimum permit fee ($90.00),/Q3 j
of
Phone: ( ) Fax: ( ) Plan review (25% of permit fee) go?, vo
CCB lic.: 172811 AI surcharge (12% of permit fee) . 32,
arfir TOTAL PERMIT FEE ' 3
Authorized signat
ro,,,, / This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Diane ! : r e Date: 1/5/09 * Fee methodology set by Tri -County Building Industry Service Board
1:\ Building \ Permits \MEC- PermitApp.doc 10 /01 /09 440-4617T (11 /02 /COM' EB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi -Family Fee Schedule:
Total Valuation: ..i ` Permit Fee:
$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.
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