Permit CITY OF TIGARD MECHANICAL PERMIT
111111- COMMUNITY DEVELOPMENT Permit#: MEC2013 00682
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/19/2013
Parcel: 1 S136CD02200
Jurisdiction: Tigard
Site address: 7850 SW DARTMOUTH ST
Project: Costco Subdivision: PALMER ACRES Lot: 3
Project Description: Replace existing 48'island deli case.
Contractor: KEY MECHANICAL CO OF WASHINGTON Owner: COSTCO WHOLESALE CORPORATION
19430 68TH AVE SO PROPERTY TAX DEPT 111
KENT,WA 98032 999 LAKE DR
ISSAQUAH,WA 98027
PHONE: 503-231-0731 PHONE:
FAX: 503-236-5848
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 11/19/2013 $728.71
Class of Work: ALT Type of Const: IIB Plan Review 11/19/2013 $182.18
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Mechanical 11/19/2013 $87.45
Stories: 1 Info Process/Archiving-Sm$0.50(up to 11/19/2013 $2.50
11x17)
Project Valuation: $25,000.00
Fuel Air Handlers
Fuel Types: Units<10000 cfm:
Gas Pressure: Units> 10000 cfm:
Furnaces Boilers 8 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 $1,000.84
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Refer case
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, • ' ork is suspended for more the 180 days. ATTENTION: Oregon law requir-. •.r • follow the rules adopted by the Oregon
Utili 1 otification - er. Those rules are set forth in OAR 952-001-0010 through O•r 952-001-0' '. You may obtain a copy of the rules
• direct questions to OU % c-•li • 503.232.1987 or 1.800.332.2344. .
Issued By: 444j Permittee Signat e: � `y J
Call 503.639.4175 by 7:00 a.m.for the next available inspe•tion date.
This permit card shall be kept in a conspicuous place on the job site until c• 1•letion •f th; p •
Approved plans are required on the job site at the time of each inspe .
Mechanical Permit Application CEIVED \
\. Folz OFFICE USE ONLY
Received �� permit No.:
City of Tigard Date/By: ///AZ,/3 i► , /`1C�,zp/3 DOl42.
° 13125 SW Hall Blvd,Tigard,OR 97223 Plan Rev Q
C Phone: 503.718.2439 Fax: 503.598.1960 NOV 1 2 2013 Date/By: 111/0 t-..7 Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready/ y: funs: a See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified Method: fl t 8' l3 6 Supplemental Information
T //6.--
�3 O ILDINC DIVISION 1 - Y`� v C�COMMERCIAL TYPE OF FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑ New construction ® Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit.
. -- Value:$25,000.
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES*
❑ 1-and 2-family dwelling ® Commercial/industrial ❑ Accessory building For special information use checklist.
❑ Multi-family ❑ Master builder ❑ Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/coolinR:
Air conditioning 46.75
Job site address:7850 SW DARTHMOUTH ST Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:TIGARD,OR Furnace 100,000+BTU(ducts/vents) 54.91 .
Heat pump 61.06
Suite/bldg./apt.no.: Project name:COSTCO#111
Duct work 23.32
Cross street/directions to job site: 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 _
Other: 23.32
Subdivision: Lot no.: -
_Other fuel appliances:
Tax map/parcel no.: 1S136CD02200 Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
REPLACE EXISTING 48' ISLAND DELI CASE fireplace 23.32
Log lighter(gas) - 23.32
Word/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY OWNER ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:COSTCO WHOLESALE Range hood/other kitchen
equipment _ 33.39
Address:999 LAKE DR _Clothes dryer exhaust 33.39
City/State/ZIP:ISSAQUAH,WA 98027 Single-duct exhaust(bathrooms,
toilet corn.artments,utility rooms) _ 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
❑ APPLICANT ® CONTACT PERSON • Other: -23.32
Business name: KEY MECHANICAL Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:RAY MERRYMAN Furnace,etc.
Address:4655 NE 190TH LANE Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:PORTLAND,OREGON 97230 Water heater
Phone:(503)231-0731 Fax: :(503)236-5848 Fireplace
Range
E-mail: RMERRYMAN @KEYMECHANICAL.COM Barbecue
CONTRACTOR Clothes dryer(gas) ,
Business name: KEY MECHANICAL Other: I
MECHANICAL PERMIT FEES*
Address:4655 NE 190TH LANE Subtotal _
City/State/ZIP:PORTLAND,OREGON 97230 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)231-0731 Fax:(503)236-5848 State surcharge(12%of permit fee)
CCB lic.:9347 oi //y TOTAL PERMIT FEE OVA
This permit application expires if a permit is not obtain within 180
days after it has been accepted as complete.
Authorized signature i µ' d— • Fee methodology set by Tri-County Building Industry Service Board
Print name: RAY MERRY AO Date:11-5-13
1:\Building\Perm its\MEC_PennitApp_040113.doc 440-4617T(11/ODCOMAWEB)
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
7850 SW DARTMOUTH ST, TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
2014-01-10 00:00:00
MEC2013-00682
PASS - No C of O
Violation Summary:
Inspector Contractor