Permit CITY OF TIGARD MECHANICAL PERMIT
$.: COMMUNITY DEVELOPMENT Permit#: MEC2013-00612
T t GARE) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/19/2013
Parcel: 1 S 135AB01003
Jurisdiction: Tigard
Site address: 10330 SW GREENBURG RD
Project: Red Lobster Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Refrigeration piping for walk-in cooler,freezer and(2)ice machines to rooftop units.
Contractor: ARCTIC COMMERCIAL REFRIGERATION Owner: LINCOLN CENTER LLC
4768 N PRINCETON ST BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97203 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE: 503-307-6432 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 11/19/2013 $291.51
Class of Work: ALT Type of Const: VB Plan Review 11/19/2013 $72.88
Occupancy Grp: A-2 Occupancy Load: 12%State Surcharge-Mechanical 11/19/2013 $34.98
Stories: Info Process/Archiving-Sm$0.50(up to 11/19/2013 $3.50
Project Valuation: $8,000.00 11x17)
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: I Total $402.87
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: refrigeration
Duct Work: lines
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: • / :rmittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applicati it FOR OFFICE USE ONLY
rf � A.
City of Tigard S Received /���/1 Q �y/�/�
`J g �9 °• Date/By: .�6� Permit No.:' (C L, / 5 ,i
13125 SW Hall Blvd.,Tigard,OR 97223�� '�
0 Uf T 1 5 2 013 Plan Review ► , \ Other Permit: AU��jj.,oe f 9
Phone: 503.718.2439 Fax: 503.598.1 �, !U ICS ((o `1
DateBy:
Inspection Line: 503.639.4175 Date Ready/By: Juris:
61 See Page 2 for
Internet: www.tigard-or.gov CIS,f OF T IG`h RD Notified/Method: /0/43 Op, Supplemental Information
c"•I UP ..14. tr'+r\IS/IrtIC1hI 6�.,�p /1•/ ,
• TYPE OF'WORK°'"'"di v IeJt t ' I r COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction Et Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ a 0,0 —
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 46.75
Job site address: 'O 33 ' S (,.> (c( c2A j 0,9._ �c4 Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: \t- Oe °j 72�3�J Furnace 100,000+BTU(ducts/vents) 54.91
n L L S Heat pump 61.06
Suite/bldg./apt.no.: Project name: K l�y Duct work 23.32
Cross street/directions to job site: Cy0Q04,ov- 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: I Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION'OF WORK .. Gas fireplace/insert 33.39
Flue vent for water heater or gas
��C�� ,e., ,. �� �� -�y� fireplace _ 23.32
1 1 Log lighter(gas) 23.32
Cp1.`e-r/ _ F(ec--)P—Ir a sAA 6 Le-_ Wood/pellet stove 33.39
r ( [/L VI 4-7j ( k7 t/yt'. (--c- Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
. ❑ PROPERTY OWNER I ❑ TENANT Other: 23.32
Environmental exhaust and ventilation: •
Name: Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
❑ APPLICANT ■ CONTACT PERSON Other: 23.32
Business name: //' � r ` Fuel piping:
(� \� �/V�I/`�C r t-lit\ �[ I�CC�\c� _ $14.15 for first four;$4.03 for each additional
Contact name: t N.c OCA/LIA) Fumace,etc.
Gas heat pump U n bg k.s` _ cf lAt_� �,, Wall/suspended/unit/unit heater
City/State/ZIP: v( f k0,
G t cr ac)3 Water heater
Phone:(5-0 -3 Cj"7_coh..i 3 _ I Fax: :( ) Fireplace
Range
E-mail: t Q_ cal- <O IA/\.. Barbecue
CONTRACTOR Clothes dryer(gas)
Other: •
Business name: MECHANICAL PERMIT FEES* '
vi� S o (
Address: (A—
Subtotal
City/State/ZIP:
Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee)
CCB lie.: ``)14 a57 4,j- /s TOTAL PERMIT FEE
V7 This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: • Fee methodology set by Tri-County Building Industry Service Board
Print name: 1'&,IC.__ MG16 dal) Date: `t-°f—.269
1:\Building\Permits\MEC_PermitApp_0401 I3.doc 440-4617T(I 1/02/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 040I13.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10330 SW GREENBURG RD, TIGARD, OR, 2013 -11 -26 00:00:00
97223
Record Type: Record ID:
Commercial - Mechanical MEC2013 - 00612
Inspection Type: Result:
699 Mechanical final PASS - No C of 0
Comments:
Violation Summary:
Inspector Contractor