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Permit r- u _ q CITY OF TIGARD MECHANICAL PERMIT ''1 3 COMMUNITY DEVELOPMENT Permit #: MEC2012 -00566 TI G ARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/06/2012 Parcel: 1 S135DD03301 Jurisdiction: Tigard Site address: 11945 SW PACIFIC HWY 246 Project: El Porvenir Subdivision: METZGER ACRE TRACTS Lot: 9 Project Description: Install walk -in cooler Contractor: CENTURY REFRIGERATION Owner: COMMERCIAL ENTERPRISES LLC 15690 SE HWY. 212 8320 NW HWY 99 CLACKAMAS, OR 97015 VANCOUVER, WA 98665 • PHONE: 503 - 654 -8623 PHONE: FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 11/06/2012 $130.46 Class of Work: ALT Type of Const: VB Plan Review 10/29/2012 $32.62 Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 11/06/2012 $15.66 Stories: 1 Info Process /Archiving - Sm $0.50 (up to 11/06/2012 $0.50 11x17) Project Valuation: $2,500.00 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 $179.24 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Walk in Duct Work: coolers 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 or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. • 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 Applicati `` / FOR OFFICE USE ONLY City of Tigard LU "l � Date/By: Lb ONLY , - y5% Permit No.: Cj� /01.—OGsli lig ° 13125 SW Hall Blvd., Tigard,OR 97223 0 2 Plan R ill &J. ©� ri a 2 001.i. (I Phone: 503.718.2439 Fax: 503.598.1960 OCT' 9 20 2 Other Permit: CiG.G: Date/By: TI G A R U Inspection Line: 503.639 Date Ready t luris: ® See Page 2 for Internet: www.tigard - or.gov c r/ �T Notified/Method: �� Supplemental Information BMW DIVISION TYPE OF WORK �� COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees' are based on the value of the work ❑ New construction A Addition /alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. Value: $ a J s 6 0 CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ 1 - and 2- family dwelling Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning Job site address: 1 1 9 45 s 'PUC- C. w 1 (requires site plan showing placement) 46.75 City /State /ZIP: T C� f 0 2 2 3 Furnace 100,000 BTU Furnace 100,000+ BTU (ducts/vents) 46.75 t / `7 l ts/vents) 54.91 Suite/bldg. /apt. no.: 'a b Project name: Heat pump (requires site plan showing placement) 61.06 Cross street/directions to job site: Cam- ho�l r� C� or }vle, Duct work 23.32 COf Ile— ( bit tilU'\ D•f�G 1 Q0� . R d nt hot water (radiator or 23.32 t �G l�Wy Residential boiler ra .J hydronic) 23.32 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 46.75 Subdivision: Lot no.: Flue /vent for any of above 23.32 Other: 23.32 Tax map /parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater 23.32 Tr, Gas fireplace/insert 33.39 Sltc.It \\ wo l lc II\ cool tc 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 X TENANT Other: 23.32 Name: R 0 , c -, , A.v Environmental exhaust and ventilation: \ Range hood/other kitchen Address: ‘C:1 u W S _ 1 C&LL c -4._ Il l l s u, l - aLtI equipment 33.39 City /State /ZIP: Ti � 0Z. 97 2. 3 J Clothes dryer exhaust 33.39 y Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32 p i APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 _ \ ,�, jp Other: 23.32 Business name: CQY YtVN Re..- ‘l3t Cfk4\ OVA Fuel piping: Contact name: Yr) Rol k,�` $14.15 for first four; $4.03 for each additional Address: \ S 69 3 '' ,..),,.,, Z Furnace, etc. Gas heat pump City /State /ZIP: - pl,,.c.►44cr� 1 O Cr/ 0 S 9 Wall /suspended/unit heater Phone: 6 63) 6 5r - _cg 6 t..3 Fax: : (605 ) 6515 - 530 3 Water heater Fireplace E -mail: Range CONTRACTOR Barbecue Business name: Cenk 1Z t...31-1 1 ytt' �� Clothes dryer (gas) ` Other: �JAj Address: MECHANICAL PERMIT FEES" City /State /ZIP: , / l\ Subtotal Phone: ( ) 5 / PI Fax: ( ) 5 / � Minimum permit fee ($90.00) ✓ Plan review (25% of permit fee) CCB lic.: (L 1 L 3 7 0 to( (Q 113 State surcharge (12% of permit fee) TOTAL PERMIT FEE r This permit application expires if a permit is not obtained within 180 Authorized signature. � days after it has been accepted as complete. Print name: s{ 71 v\ p ,I�1 \ \\ ��_ Date: J Op9 I L L _ ' Fee methodology set by Tri- County Building Industry Service Board I:\ Building \Permits\MEC- PermitApp.doc 09/09/10 440- 17T (I 1/ 2/COM/WEB) Mechanical Permit Application - City of Tigard t 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. 1:\Building\Permits\MEC- PermitApp.doc 09/09/10 2 RECEIVED OCT '29 2012 CITYOFTIGARD BUILDING DIVISION , ,, ,-t I o' CITY OF TIGARD Approved 4 <Kc- ... [1-1" N Conditionally Approved..„....„.... [ ] See Letter to: Follow [ Attached ` [ I PematNumb . — �] By: %A Date: Approved plans shall be on job site. OFFICE COPY a IZeZ ke O ' cy;ro,"e Pe.r 6Cre -`vs Qr'\ u \\ pec s+ cc. e x �