Permit n CITY OF TIGARD MECHANICAL PERMIT
I COMMUNITY DEVELOPMENT Permit#: MEC2014-00077
T f G A R O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/06/2014
Parcel: 2S102CB00302
Jurisdiction: Tigard
Site address: 13285 SW PACIFIC HWY
Project: 7-Eleven Subdivision: NORTH TIGARDVILLE ADDITION Lot: 33
Project Description: Push-pull walk-in cooler and fan coils.
Contractor: SOURCE REFRIGERATION Owner: CJ GLOBAL LLC
5506 SE INTERNATIONAL WAY PO BOX 5668
MILWAUKIE,OR 97222 ALOHA,OR 97006
PHONE: 800-677-2688 PHONE:
FAX: 503-652-0449
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/06/2014 $319.61
Class of Work: ALT Type of Const: VB Plan Review 03/06/2014 $79.90
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Mechanical 03/06/2014 $38.35
Stories: Info Process/Archiving-Sm$0.50(up to 03/06/2014 $2.50
Project Valuation: $8,998.00 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: 1
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $440.36
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
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 Notifi - ••• enter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or dire .uestions to 0. C • :llin. 503.232.1987 or/11.800.332.2344.
Issu=d By: / �/ /1�,���J'� /� ,� Permittee Signature:
"L/Call 5L03.66339+..44_1775/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 Application FOR OFFICE USE ONLY
Received
City of Tigard Date/By: , Permit No.: ` _
13125 SW Hall Blvd.,Tigard,OR 97223 LLiiY[77
Plan Review��
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: ���, �� Other Permit:
Date/B
T I G A R n Inspection Line: 503.639.4175 �� Date Read °'.'r. Juris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: supplemental Information
ti
.
Asti 3/s1i�- -�-
or waitaic -,.tiltaWcOaari
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/1J` 41 performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: .101\\O mechanical materials,equipment,labor,overhead,and profit.
Value:$$8,997.75
CAT$s Y #1 COIiP it R flM- RENDENTIAL EQUIPMENT/STIFFENS *
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use check list.
❑ Multi-family ❑Master builder ❑Other: Description Qty. I Ea. I Total
JOB 81= INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 13285 Sw Pacific Hwy Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:7-11#25653 Duct work 23.32
Cross street/directions to job site:HWY 99 and SW Park 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
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
push/pull walk in cooler compressor and fan coils fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
0 PROPERTY OWNER I Ca TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:7-11#25653 Range hood/other kitchen
equipment 33.39
Address: 13285 Sw Pacific Hwy Clothes dryer exhaust 33.39
City/State/ZIP:Tigard,OR 97223 Single-duct exhaust(bathrooms,
toilet compartments,utility moms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT ® CONTACT PERSON Other: 23.32
Business name:Source Refrigeration Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: Ben Boyer Furnace,etc.
Address:5506 Se International Way Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Milwaukle OR 97222 Water heater
Phone:(503)209-4634 Fax::( ) Fireplace
Range
E-mail:bboyer @sourcerefrigeration.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Source Refrigeration Other:
MECHANICAL PERMITFEES
Address:5506 Se International Way Subtotal
City/State/ZIP:Milwaulkie OR 97222 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)209-4634 Fax:( ) State surcharge(12%of permit fee)
CCB lie.: 149200 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: ``ff * Fee methodology set by Tri-County Building Industry Service Board
V
Print name: p� G / Date: a 41/41)(
I:Building Permits MEC_`P`enneApp_040113.h1oc 440-4617T(I I CO 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.
1:\Buil ding\Permits\MEC_PermitApp_040113.doc 2