Permit (27) CITY OF TIGARD MECHANICAL PERMIT
11 COMMUNITY DEVELOPMENT Permit#: MEC2016-00090
T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/11/2016
Parcel: 25101 BA00101
Jurisdiction: TIGARD
Site address: 7500 SW DARTMOUTH ST 190
Project: Which Wich Subdivision: WEST PORTLAND HEIGHTS Lot:
Project Description: Installation of(2 remote refrigeration systems.
Contractor: ROYAL COMMERCIAL EQUIPMENT LTD Owner: WAL-MART REAL ESTATE BUSINESS TR
9525 NE COLFAX ST BY PROPERTY TAX DEPT STORE 5935-00
PORTLAND, OR 97220 PO BOX 8050
ATTN MS 0555
BENTONVILLE,AR 72716
PHONE: 503-236-1370 PHONE:
FAX: 503-236-0977
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/11/2016 $627.11
Class of Work: ALT Type of Const: VB Plan Review 02/11/2016 $156.78
Occupancy Grp: A-2 Occupancy Load: 12%State Surcharge-Mechanical 02/11/2016 $75.25
Stories: 1 Info Process/Archiving-Sm$0.50(up to 02/11/2016 $5.00
Project Valuation: 11x17)
$21,000.00
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 $864.14
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: 2 walkin
Duct Work: coolers
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuan -, •r i is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow e rules adopted by the Oregon
Utif Notification Cen . . To• e rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. o lj obtain a copy of the rules
o direct questions to OU •y catlins 03.232.1987 or 1.800.332.2344. /
I ued By: / /• /
Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection dat=
This permit card shall be kept in a conspicuous place on the job site until completi. of he project.
Approved plans are required on the job site at the time of each inspecti•n.
Mechanical Permit Appl' o / roR orrlcl', tsi;Oyl,v
Cl
g E I B i/p ED Received 2 n/of Ti and Date/By: �� PermitNo.: M �1�•---060 W:,
13125 SW Hall Blvd.,Tigard,OR 97223 _
Plan Revi:
lit s Phone: 503.718.2439 Fax: 503.591 1E
8 2 016 Date/By: i, f lifi Q i„ Other Permit: pap15.1100 °
Inspection Line: 503.639.4175I It,,\ :I
Date Ready/By: iuris: ® See Page 2 for
Internet: www.tigard-or.gov
CITY ,I ARQ Notified/Method: ,//q' / Supplemental Information
BUI !`krv
t
v. yrs r : 1-,,,,-:'' '':,;:!,;',,; �+ as e t r €� i� 1 a 4'_
construction ►'� / ' L r ' . _Y ' Mechanical permit fees*are based on he al
.u...,� ` 3t-'-a''''.5 -Afi:-* .' ...r:-.-'WAV''' ue of he work
0 New .11•ddition/alteration/replacement I performed.Indicate the value(rounded to the nearest dollar)of all
mechanical materials,equipment,labor,overhead,and tr.it.❑ Demolition • Other
Fr � Value:$/ .ez ♦ i
b-V„,• f i f �,fl i ;• .a --ww s m--r ryay „ • #ti �t f. t44.`: ?/'''":"'":''''?
;
0 1-and 2-family dwelling e Commercial/industrial 0 Accessory building For special information use checklist.
❑ Multi-family ■ Master builder 0 Other: Description I Qty. I Ea. I Total
t-A'W,77.,-..1q:::r,41-. 1',..,,T.,,Vriiii,itit i t^SGS ,�, f17F" I h p, �s se: Heating/cooling:
( i ... 4,..419,1•.:]1•'..6
" ss ,. „h,d.•.a .. c
+ .•.. ,^4,4:•Z• ..
, .•a.d `� *n wpm..r.,.,w,.,..'••n k.•,,,A.:4•••• .'•:.', Air conditioning 46.75
Job site address: S. ({f Pt —r - i D' grr Furnace 100,000 BTU(ducts vents) 46.75
City/State/ZIP: cA Q 3 Furnace 100,000+BTU(ducts vents) 54.91
I
7 ' Heat pump 61.06
Suite/bldg./apt.no.: ,4110/1( Project name: Lj>;,“CH. 1,44C tN 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
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
Ie5 17 Cel tyr Moo J 4 fertc e. REere fireplace 23.32
G Y6 7r
/5oet ox c z) Log lighter(gas) 23.32
V l (� Wood/pellet stove 33.39
_ Wood fireplace/insert 23.32
,
Chimney/liner/flue/vent 23.32 '
I
.PROPERTY OWNER " I s Other: 23.32
1
� Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
N\
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
r } 4f Fa rittONrAt '1E 11 Other: 23.32
Fuel piping:
Business name:
$14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) I Fax::( )
Fireplace
Range
E-mail:
Barbecue
i ` rI " : = xWiql- x + / .'S. r ,- _ s " T
Clothes
s dryer(gas)
�, '5...11-,..,..44 s1e� a � nrn ,,.oa aa,.&�.�w .•, -�,a.3�s�., i .
Business name: Dy0A, Corr fu. irrocr � Other:
t }
i 4J` , Ma.� '
r e . 4i,li..,
Address: .r/.E. GI1,0 Sr Y:.
Subtotal
City/State/ZIP: p(t714111,Qt 9 = Minimum permit fee($90.00)
Phone: ) 2a - 1 3?0 Fax:(5 �) v — State surcharge— Plan w((112%%of permit fee)
2/o of permit fee)
CCB lie.: i 3'7-5 �/,, TOTAL PERMIT FEE
l // This permit application expires if a permit is not obtained within 180
/ / days after it has been accepted as complete.
Authorized signature: ;','1/i,.4 * Fee methodology set by Tri-County Building Industry Service Board
Print name: 41. f il Date: Fko Pp�i.Building Permits.MEC_PermitApp_040113.doc 440-4617T(11 02 COM WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Famil Fee Schedule:
Vat +Fy # p�r ., .d,. ''�r
" ��., r
a.
$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 Pennits MEC PennitApp040113.doc 2