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Permit `71 u CITY OF TIGARD MECHANICAL PERMIT � ' COMMUNITY DEVELOPMENT PERMIT #: MEC2009 -00048 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/6/2009 PARCEL: 1 S136DB -00201 SITE ADDRESS: 11565 SW PACIFIC HWY ZONING: C -G SUBDIVISION: FRED MEYER LOT: JURISDICTION: TIG PROJECT: FRED MEYER Project Description: Replacing refrigerated cases. Project Valuation: $42,500.00. CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: M VENTS W/O APPL: VENT SYSTEMS: STORIES: 1 BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: ELE 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 12 FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Owner: FEES WILMINGTON TRUST CO, TRUSTEE Description Date Amount BY FRED MEYER, INC 3800 SE 22ND AVE [MEt3H] Permit Fee 2/6/2009 $664.85 PORTLAND, OR 97242 [MECPLN] Plan Rev 2/6/2009 $166.21 [TAX] 12% State Surch 2/6/2009 $79.78 Phone: Total $910.84 Contractor: NORTHWEST MECHANICAL GROUP 4243 SE INTERNATIONAL WAY STE MILWAUKIE, OR 97222 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 652 -4444 FAX 503- 652 -4445 Reg #: LIC 182884 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. \ 1 Issued By: aisasiiial_azias6 Permittee Signature: f , )40 ( i ((�Y) Call 503.639.4175 by 7:00 a.m. for inspections that business 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. I $ l W I ( C - 4 ■ Jarr._29 2009 2:08PM NW MECHANICAL GROUP 503 -652 -4445 p.4 '. '� - h: ni a! Permit A . alicatio IECEIV E I rr,tt iu•I u•r. 1 , ;t: 1►Na., City of Tigard Received t n A �' . 13125 SW Hell Blvd., Tigard, OR 97223 JAN 2 8 2009 PI�R (7 • '' u _ Q•_ •.11 Phone: 503,639.4171 Fax: 303.598.1960 D B . , � © 1 °rime'Pe mit: L l> ad r. . • 41 (Q 1 I 1 : ;, r 1 , Inspection Lind,; 503.639.4175 CITY OF TIGARD Date ReadylBy: sea Palls z roe Internet womtigerd- or.gov BUILDING DIVISION N. .�!_,,�;; nd Z Supplemental tuferroadOn laig I�. � c , 4r ni. i , l l l lwl�C,, � ujp'�ry�- . �IU� ' ��7 , �'� ; ;�•� I 1Mp1� � ■f�1.1 ■ry�!II �f1i fir {iI,`1Iy'l �,�,{`:}�1• � h � ` f �y ' f � 1 u I,�nv�u ulNa• �! �{ ( + { nm'd�le�� ,ilia c� r i ll 11�L U �21ii1�11�1�1�.� • 11.ti1r1111N M �ibP Enig a • � YI��I I.H Anr•T r� ❑ New construction u Addition/alteration/roplecement Mechanical permit fEea• are bed, on the value of the wvrk performed. Indicate the value (rounded to the nearest dollar) of all Demolition Other: mechanical materials, equipmtall, tabor overbold, andpratit. a t f I r 1 l;ta � p l 1 .+ X r � 1' n ni rpnml cIP' Y' Iw "i wl t 1 ! °`l1 Valu;: S � �■ UO rr I ff I 3§u7 Y b ! �,' , e i �; a nn ' 1� ,y K �� G .. �, ` I�III�III_ � 1L'aWlii l l�lrl'I� . �n,ilfl in :IxW , Zrtiliid; . .I , a�B i' I Iii. ;I t: HyoPg , gdlnnt , 1 lamp �V�i.4el. t;�,bry:smrttnailiI It a Illa�ni.'!E-.,r+lli;TOM ; - -� ❑ 1- end 2- family dwelling 6:: Commerciel/industrial ❑ Accessory building 5il1 r�i.� c411n n a. !" i .�rdiit 1111:0Iniaib t€ ),� e'.11cn;111i1�1 ;11 II 111 ❑ Multi-family ❑ Master builder ❑Other: For special Wont:mon use checklist. 1 1 INI 1 !F 1i! I.. ' >,� ro 4 I�,' +,•Ct; u{�fypa:�nnat#y I''y ?+�{r.Ip,,,�Iexs; ^Z' t'11^+. f l A;r 1 h Description ( I P71 �OrBI l i + n} e ' ''�1' n INt•i�l', l�l rll�-lii'•' ;I r� dmJ.'t �;'�•1 t� r E.Bit: Cl ,. • fi.' �'i f i. I Ii�I��I�I:�r�>i.•�51� �: �,• �. �::, �; �e:, ;i�lel,li�Idl�fn�J�lli,lc,.•��: ,, , r.: �, `�I�;'tt�w�9?'�IS•��_'r�fl�ll� Heatln>ticoollati ddress: Air conditioning or beat pump lob site a / /5 - e ll t� P t / -/C / (requires site plan Amine Placement) 14.00 City/StatelZWP: 77 r74 ,.•,,, ,, Furnace 100,000 BTU (duets/vents) 14.00 Furnace 100.000+ BTU (ducts/vents) 17.90 Sulte/bldgJapt. no.: Project name: AWL, A ?4 /C Resm / Gas heatpump 14.00 Cross street/directions to Job site: Duct work 10.00 Hydronic hot water system 14.00 Residential boiler (radiator or hydronio) 14.00 Unit heaters (fuel -type. not electric). In•wall, in-duct, suspended, etc. 14.00 Subdivision: I Lot no.: Fluclvent for any of above 6.80 Other: 10.00 Tax map/paacel no.: Other fuel appliances -- e ; . :v .., l .,., a M lQg r ,. n : u0•gu.i: ' ail a 1 1P f f I, • I 11,: , I n s a' �l, a r v' irl. 't '[t`:I E Water luster 10.00 ��!)'�u��l�.i!�I�1�:4r1y�i,1 . � �..�i�.,•1��, ��il�; �, ��ti�al�.,ll..n:�i,llvPJ !�:�I�I ;l ;,'� � +�1ion Gas fireplace 10.00 PsbistegUS P (s-n R r &ri Al Flue vont for water heater or gas fire . lace 10.00 Y. • :t.`.cr. u - i La li• tar - Y. 10.00 t(L r a:r C• ►' i 3. Wood pellet stove 10.00 Wood Wood 1 .lacelmsert 10.00 ' V �4 j��t 10.00 r I" ',:':'•cnpq ^Ip,�r� ylr,cpf ^i �q+�a (I I I u "n�IrM•lull'Iry[','1 k�N lY'IY� I 1I Chlm11= /hner/fhlelvent l i;. , .x 1 I }, 110 Rh P 0.1 ,I sn n iY a il illani� I� '! isall, lallclwnRn .fl,M!I,:I,I „molii!?ii0! krwlun' lid!..JJIII.a1ur.,l.ff�`!I' f Other: 10.00 Name: f Qe fib. l�l Environmental exhaust and ventilation V Rang; hood/other kitchen Address: +r 8 _ v*� AVM e.ul. ant 10.00 CIty/StatefZlP: Q c e - n je• 0Q- 9 ZOZ- 2 9 9 q Clothes dryer exhaust 10.00 Single - duct =bust (bathrooms, Phone: (503)7 • Fax: ( ) toilet com.artmen : utili% rooms 6.80 1 t0 ntdln Ir u� °q' M. u f1 ' a II rth;} unr a ;re 1, y xte , �fc �(Irlfl t i` u r � ;�ti 4 1. lJ f W: 'L':V.M.1n 701 l�'II 1 -o l� fa; }�� ( 4� ' ace fa" MOO 1 ri IIi �1111i.N 11 1� �P�i!I :�rtlull 1YA.;,I S I 7 1'J :11�A i�4i��KL'�,f.1: (i�Y�:f:'�JI�� Attic%raw L7f Business name: W002 -rtHwr sr Mrei laNw. yi p , � +` other. 10.00 Fuel piping Contact name: c,t..L.cx c r iCS £5.40 for first four 51.001br each additional s: �7 Furnace etc. Addres ' 1 2 - 4 3 SE i k 1 7 • t f - A J e t r I o , J e o .,. l+-) &u.l iv E Gas heat pump City /State/ZIP: M U... u e ' OR 4 g 7 222- Wall/sus. endcd/unit heater Phone: (5c3) ) 6-2 • -'4444 [ac: : (5 ) (05Z- 444S- Water heater 111111111111111 q Fireplace E -mail: • • A ■ IN.71MP_�+tu�Nt cal rt. - Gbi•v. I ! 111N 'lI1INlr al "IIII I a I ft v fIN,W,V• +liE`tL• 1 ri IL'.a l• N 1ti(• Ip I ` ' , 1 '. P. �' '! :�' I ��'I�(�f�il1':�'tt, {s1 � , , �J� ,f`�Ei- ,.�, Barbecue t sir .Tier Tim, :., , xn f sl -I i1,71�1�c15di•L).il.., a. 4•,,, f54:tiw. *�':1�1�1t:�f!�i,'II;L'�iM3 f_�r it n.� II Business nlmne: As Clothes drew (ass) ■. Other: Address: R71.I1L IW GI i' 1 , it rs I ;df ,r�, r : ; e 'rc �,_ i � a�l�ll�� 1.1�.,11,� I 4�.��z,r1.i�I,� faller. I� City /State/LIP: Subtotal Minimum permit fee ($7230) Phone: ( ) Fox: ( ) Plan review 25% of . malt the CCB lie.: I SZ i'W 4 () ( Stag surcharge (12%of permit fee) TOTAL PERMIT FEE Authorized signature: L This permit applieatloa expiate If a permit is not obtained within 180 days after It ban turn accepted as complete. Print !UMW : r 4 a il, 45 Date: /% I • Feo methodology set by TrI lnd ntY Bulleting Servtas Board I 1: 1B1dIdtnalPannlU ■AEC- PamttApp.doe 011191107 4404617T(11171 I