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Permit CITY OF TIGARD MECHANICAL PERMIT I COMMUNITY DEVELOPMENT Permit#: MEC2015-00529 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/06/2015 Parcel: 25111 DD00201 Jurisdiction: Tigard Site address: 15995 SW HALL BLVD Project: Plaid Pantry Subdivision: SUMMERFIELD NO.7 Lot: N Project Description: Replace existing RTU with(2)gas a/c 3 ton package units on roof Contractor: POLAR REFRIGERATION INC Owner: ROSEHILL INVESTMENTS LLC 8819 NE 117TH AVE 2001 SIXTH AVE STE 2300 VANCOUVER,WA 98682 SEATTLE,WA 98121 PHONE: 360-852-3939 PHONE: FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 08/06/2015 $347.71 Class of Work: ALT Type of Const: VB Plan Review 08/06/2015 $86.93 Occupancy Grp: M Occupancy Load: 12%State Surcharge-Mechanical 08/06/2015 $41.73 Stories: 1 Info Process/Archiving-Sm$0.50(up to 08/06/2015 $12.50 11x17) Project Valuation: $10,000.00 Fuel Air Handlers Fuel Types: Natural Gas 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 $488.87 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 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 • :10.332.2344. / Issued By: Permittee Signature: � C/l�f/ Ca I 83.639.4175 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 ApplicatioAECEIVED FOR OFFICE USE ONLY Received / �' `� City of Tigard Date/By: !� Permit No.:M15Ja • 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ©� Phone: 503.718.2439 Fax: 503.598.1960 AUG 4 2015 Date/By: .,, CJ Ai l_1 a her Permit: Inspection Line: 503.639.4175 y T I G A R D p Date ed/ et o: / / ru�s Supplemental See Page l Information Internet: www.tigard-or.gov CITY UFTiGARD Notified/Method: �`(//�/// Supplemental lnformadoo ! I ■ I 6I. i / .... -.7.- 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 $ 10,000 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 Tk '-'t', w ' - ` s r ,: Heating/cooling: -.' `, °^ 1. . " Air conditioning 2 46.75 Job site address:15995 SW Hall Blvd. Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: I Project name:Plaid Pantry 19 Duct work 23.32 Cross street/directions to job site:SW DurhamRd and Hall Hydronic hot water system 23.32 Residential boiler(radiator or Carman Exit of I 5 head west t ^__ I Durham Rd.store is at the-corn hydronic) 23.32 Hall and Durham t( ,R.1 Unit heaters(fuel-type,not electric), ( -1 in-wall,in-duct,suspended,etc. 46.75 �� Flue/vent for any of above 23.32 Subdivision: �! Lot no.: _Jther: 23.32 Other fuel appliances: Tax map/parcel no. Water heater 23.32 ''°-.QESCRIPTION OF WORK Gas fireplace/insert 33.39 ---- Flue vent for water heater or gas Replacing one 4 ton split system with 2 gas A/C 3 ton package units on roof 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 n Other: 23.32 L_ . .,...___ � ," ', �:�u�) ..._ � �,. '' '- Environmental exhaust and ventilation: Name:Plaid Pantry Range hood/other kitchen equipment 33.39 Address:10025 SW Allen Blvd. Clothes dryer exhaust 33.39 City/State/ZIP:Beaverton Or.97005 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(503)646 4246 Fax:( ) Attic/crawlspace fans 23.32 ,. a l Other: 23.32 Fuel piping: Business name:Polar Refrigeration Inc. $14.15 for first four;$4.03 for each additional Contact name:Bill Willson Furnace,etc. 2 Address:8819 NE 117th Av. Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver Wa.98682 Water heater Phone:(360)852 3939 I Fax::( ) Fireplace Range E-mail:BillW @polar-refrigeration.net Barbecue e �`� k : Ir Clothes dryer(gas) ., ti Business name:Same as applicant Other: MECHANICAL PERMIT FEES* Address: Subtotal Minimum permit fee($90.00) City/State/ZIP: Plan review(25%of permit fee) Phone:( ) / Fax:( ) State surcharge(12%of permit fee) �i CCB lic.:170015 51#//!4' TOTAL PERMIT FEE #v 9g / This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: .i1 * Fee methodology set by Tri-County Building Industry Service Board Print name:Bill Willson Date:7/30t2015 I:\Building\Penults\MEC_PermitApp_040113.doe 440-4617T(I 1/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Famil Fee Schedule: s $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_040113.doc 2 Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 15995 SW HALL BLVD, TIGARD, OR, 97224 Commercial - Mechanical 699 Mechanical ﬁnal PASS - No C of O MEC2015-00529 Chip Barnett Violation Summary: Inspector Contractor