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Permit
CITY OF TIGARD MECHANICAL PERMIT ` 1 ' COMMUNITY DEVELOPMENT Permit #: MEC2011 -00377 TIGAR 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/17/2011 Parcel: 1 S 136CD01000 Jurisdiction: Tigard Site address: 11745 SW PACIFIC HWY Project: Cash and Carry Subdivision: Lot: Project Description: Walk -in cooler. Contractor: KEY MECHANICAL CO OF WASHINGTON Owner: MONAGHAN FARMS, INC 19430 68TH AVE SO 14120 EAST EVANS AVE KENT, WA 98032 AURORA, CO 80014 PHONE: 503 - 231 -0731 PHONE: FAX: 503 - 236 -5848 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 08/17/2011 $1,201.15 Class of Work: ALT Type of Const: Plan Review 08/17/2011 $300.29 Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 08/17/2011 $144.14 Stories: Info Process /Archiving - Sm Sheet (up to 08/17/2011 $1.00 11x17) Project Valuation: $43,550.00 Fuel Air Handlers Fuel Types: 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 $1,646.58 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 952- 001 -0010 through OAR 952 -0 -0110. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or . 0.332.234 . Issued By: 'ermittee Sig an ture: I� Call .�K ; %T7 :00 a.m. for the next available inspection . • This permit card shall be kept in a conspicuous place on the job site until completion of the , •roje . Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard D ate DateBea_ 8 N y Permit No.: -0c �, 13125 SW Hall Blvd., Tigard, OR 9722., y / r'w v III g R Plan Review /m C ' Phone: 503.639.4171 Fax: 503.598.19: i. �� Date /By: 4 - lla Other Permit: o Ins ecti n Line: 503.639.4175 T I GA R D U Inspection r (! 011 Ready y: See Page 2 for Internet: www.tigard - or.gov n11 V Notified/Method: r� Juris: ® Supplemental Information 0 SG TYPE OF WOIK'! -' t S , - COMMERCIAL FEE* SCHEDULE - USE CHECKLIST El New construction ,E2 Addition/alterat 1) em end " 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 CONSTRUCTION Value: $ ( 3 r 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. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling / f Air conditioning Job site address: 1 P� F.c. //ivy (requires site plan showing placement) 46.75 City /State /ZIP: 726,40) ` d12 9 7 Z33 Furnace 100,000 BTU (ducts /vents) 46.75 � Furnace 100,000+ BTU (ducts /vents) 54.91 Suite/bldg. /apt. no.: Project name: i seei / d r, �'7 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 Flue /vent for any of above 23.32 Subdivision: Lot no.: Other: 23.32 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 23.32 Gas fireplace 33.39 N ff lei/ 44/4-1.2z ° /4) C'.a2- Flue vent for water heater or gas fireplace 23.32 Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace /insert 23.32 Chimney /liner /flue /vent 23.32 ❑ PROPERTY OWNER ❑ TENANT ' Other: 23.32 Name: Environmental exhaust and ventilation Range hood /other kitchen Address: equipment 33.39 City /State /ZIP: Clothes dryer exhaust 33.39 Single- ductexhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32 ❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 Other: 23.32 Business name: Fuel piping Contact name: $14.15 for first four; $4.03 for each additional Address: Furnace, etc. Gas heat pump City /State /ZIP: Wall /suspended/unit heater Phone: ( ) Fax:: ( ) Water heater Fireplace E -mail: Range CONTRACTOR Barbecue Business name: /4 11G 00 & Clothes dryer (gas) Other: Address: Orr / fell L,44,6-- MECHANICAL PERMIT FEES* City /State /ZIP: / - t 4 &L.- 97t,0 Subtotal // e / I S Phone: ( 5 /� - s P c 3 i Fax: (. Z 36 . if Minimum permit fee ($90.00) f) Z. as Plan review (25% of permit fee) - 34V AA CCB lic.: 00 q. 9 - 04 State surcharge (12% of permit fee) (L/ y,1 L-% - TOTAL PERMIT FEE /f 6%57 Authorized signature: - This permit application expires if a permit is not obtai ed within 180 days after it has been accepted as complete. Print name: R (. 01 gf y f� ' Date: s- _ / �, -if * Fee methodology set by Tri- County Building Industry Service Board I: \ BuildingWermits \MEC- PermitApp.doc 10/01/09 440 -4617T (11 /02 /COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi- Family Fee Schedule: Total Valuation: 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. I: \Building \Permits \MEC- PermitApp.doc 10/01/09 2 Building Division Over- The - Counter (OTC) Mechanical Permit TIGARD Check List Project Description: APPLICATION SPECIFIC INFORMATION GENERAL INFORMATION *Class of Work: l T Occupancy Group: Type of Construction: 1 j *Type of Use: Oregon Specialty Code: 'Ze, (� Number of Stories: 1 FUEL FURNACES Type: Furnace < 100K BTU Furnaces >= 100K BTU Gas Pressure: Roof Top Unit (RTU) Tons Floor Furnaces Unit Heaters Vents without Appliances Air Conditioning Heat Pump AIR HANDLERS HOODS Units <= 10000 cfm Type 1 Hood Type 2 Hood Units > 10000 cfm Grease Duct 1 Hour Shaft _ Fire Wrap APPLIANCES Boiler (BTUs) Vent Fans Gas Line Solid Fuel Fireplace/ Clothes Dryers Gas Outlets W Duct Work s ace Fire/Smoke Dampers Other Mechanical Units — Describe: Total Project Valuation: $ 0 FEES DUE $ 12.0 , (5 Mechanical Permit Fee $ ,' Plan Review $ 14._ 12% State Surcharge $ Info Proc /Arch, Lg (over 11x17 $2.00) $ l i Info Proc /Arch, Sm (up to 11x17 $0.50) $ Misc. Admin Fee $ Hourly Rate Fee $ Hourly Rate State Surcharge $ Other: $ Other: Building Staff: Date /Time: $ TOTAL FEES DUE • *OPTIONS: TYPE OF USE: COM = commercial; CMS = commercial manufactured structure. CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; FND = .foundation; DEM = demo; FND = foundation; FPS = fire protection system; NEW = new; OTR = other (use for fences, decks, retaining walls, signs, awning s or canopies); REP = repair. I: \Building \Forms \OTC - MEC.docx 01/13/2011 i IXTIP OR ! \JIR OR 3/4" X 3/4" X 16GA. WALL PA \EL GALV. STEEL A \GLE #14 X 2 TE< SCREWS CITY OF TIGARD / \ Approved Conditionally Approved [ ] HILTI ]RIVE PI \S See Letter to: Follow [ ] WITH M I \ . 1 1 /2" A permit Number: ttached [ ] EvB. @ 23" O.C. Add - • V;r jIM (ESP 2269) By: -�' * Y�J ` Date: IFill (LARK 25575) O -T -C Occupancy TYPe WALL TO ',0\ CI \ - E BOOR Occupancy n"� Rated Corridor ...—„ Energy Code Accessibility OFFICE COPY RECEIVED AUG 162011 CITY OF TIGARD 18' -14" [2174] D.D. I BUILDING DIVISION CAM ADAPTER (2X) - ,I, SPECIFICATIONS \ DAIRY COOLER 1 CONSTRUCTION: r \ WALL: 3ci" WOOD- FRAME, POLYURETHANE, F -I -P CEILING: 334" WOOD- FRAME, POLYURETHANE, F -I -P FINISH: RECEIVED WALL: ST /GALV. INTERIOR CEILING: ST / GALV. INTERIOR AUG 1 2011 ST /GALV. EXTERIOR ATV O z ACCESSORIES: Cl i a OF TIGAI�D � � N TE E 1 EA. - 84" X 84 CHASE DURUS D /A, D/L PROLINE COOLER DOOR BUILDING DIVISION 16GA. SST. JAMB z 2 EA. - 37 3/4" X 48 3/8" ANTHONY #1960 VIEW WINDOW c0 1 EA. - LIGHT SWITCH WITH PILOT LIGHT 1 EA. - 4" DIAL THERMOMETER - SHIP LOOSE 1 LOT - 3" BATT STIRP, (ST /GALV.) 1 LOT - 134' X 1 INSIDE ANGLE, (ST /GALV.) NOTE: LAG DOWN CEILING THE CEILING IS DESIGNED FOR "NO STORAGE" REUSE EXISTING COMMON WALL ON END OF BOX '► 0§ \ OREGON STICKER CAM ADAPTER 1-4' 3' -14 "1 2$ 1 33'' -14 1 -2 5' -7" [67] 7 ' 5'-0" [ ] 18' -1 [217 ' / PLAN VIEW 1{4" x 134" INSIDE ANGLE SUBMITTAL DRAWING 3" BATT STRIP 1 - ANTHONY #1960 VIEW WINDOW MUST BE SIGNED & RETURNED BY _••• ST /GALV. 37 3/4" x as 3 /8" TO BE SHIPPED ON____•• NOT APPROVED - REVISE AND RESUBMIT '� '� \ h— r 111 ❑ APPROVED AS NOTED - MANUFACTURE AS NOTED _ 111 APPROVED AS IS - MANUFACTURE AS DRAWN I r- "' CC IU\LTLULTT' DnTG€ \ d J L 4j_c.., , 0 5:;. T w EL x Q H J , z ® \ - a I N 1 " 1 'IL - 2 2X4 A \ REV. DATE R3RPOON REV. BY FRONT ELEVATION FEDERAL LAW EFFECTIVE 1/1/2009 OU070OD1JU ©OOI . 000 SECTION 340 pr THE ENERGY POLICY AND CONSERVATION ACT (42 U.S.C. 6311) WALLS, CEILINGS, FLOORS AND DOORS 420 E. ARROW HWY. SAN DIMAS, CA 91773 Means Temp 3J/ 4" 5" 5Z" Federal Law mh. R= J. CUSI.ER TEL: (909) 592 -1111 FAX: (909) 599 -6225 Coolers 55 . R =25.4 R =29.1 R=36.4 R=40 R=25 CASH & CARRY - SMART & FINAL Freezer's 20 _ R =32.4 R=40.6 R.44.7 R=32 11745 SW PACIFIC HWY. o'"'"" BY REKEMA DR"r"NC "O. Floor's 20 R=28.4 R =32.4 R=40.6 R=44.7 R =28 TIGARD, OR anE 08/05/11 110992 ASTM method C -518 MODIFIED DAIRY COOLER sir 1/4 " =1' -0" 1