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Permit (154) CITY OF TIGARD MECHANICAL PERMIT 2 '- COMMUNITY DEVELOPMENT Permit#: MEC2017-00189 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/20/2017 T[t'� g Parcel: 1S136CD02200 Jurisdiction: Tigard Site address: 7850 SW DARTMOUTH ST Project: Costco Subdivision: PALMER ACRES Lot: 3 Project Description: Removing(1) multi-deck deli refrigeration island and replacing it with a single-deck deli island. Contractor: REFRIGERATION UNLIMITED INC Owner: COSTCO WHOLESALE CORPORATION 5102 20TH STREET EAST 102 PROPERTY TAX DEPT 111 FIFE,WA 98424 999 LAKE DR ISSAQUAH,WA 98027 PHONE: 253-448-6111 PHONE: FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 04/20/2017 $474.71 Class of Work: ALT Type of Const: IIB Plan Review 04/20/2017 $118.68 Occupancy Grp: M Occupancy Load: 12%State Surcharge-Mechanical 04/20/2017 $56.97 Stories: 1 Info Process/Archiving-Lg$2.00(over 04/20/2017 $2.00 11x17) Project Valuation: $15,000.00 Info Process/Archiving-Sm$0.50(up to 04/20/2017 $5.00 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: Total $657.36 Hoods: Comm Incinerators: -- Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Refridgerate Duct Work: d island Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by t --Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: le Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application I OR OFAI(F CSF ON IA City of Tigard Date/By:Received Permit No.: ,-+ , j)._,.....p. �jr III U 13125 SW Hall Blvd.,Tigard,OR 97 „� ����7 tvL✓ W v Phone: 503.718.2439 Fax: 503 598 Ivl Plan Re •` 1 I G n K I) Inspection Line: 503.639.4175 It}1; Date/By: % Other Permit: T} 1,. Date Ready/,'y: Awls: 0 See Page 2 for Internet: www.tigard-or.gov Notified/Me .. 5Ay//' ()c� Supplemental Information ta it -, a @ 't fir.. 7 .1-:. � ;tl. I1at6° �' fi "i - Mechanical permit fees*are based on the value of the work ❑New construction 'Addition/alteraVip . - ent performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. a a: s . , r �, 'w ,_. .. „, Atic = _.pf + - .n,a. ' v � ;: ' tel c,tt - ' 1'=$ r -i:117PVAi'WWII n1 ❑ 1 and 2-family dwelling $Commercial/industrial 0 Accessory building For special information use checklist.N ❑Multi-family 0 Master builder 0 Other: Description I QtY. IEa. ITotal s ' F ,<„, , e ii".: t i, , Cr,. ; Heating/cooling: .„ ':,,:q,-;.',.- . t r ''` "`" Air conditioning 46.75 Job site address: 75O nom`,-,/4 S�- Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: '�,�,.,d O� l–,, .2073, v Furnace 100,000+BTU(ducts/vents) 54.91 �/�' / Heat pump 61.06 Suite/bldg./apt.no.: 1 Project name: ��/,© 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: Lot no.: Other e.6"107,440.1 (: ; c 4) 23.32 Other fuel a pliances: Tax map/parcel no.: Water heater 23.32 te„ x, '' r`s„ a 1'r o- t .. , Gas frreplace/insert 33.39 ��,,�� •"" Flue vent for water heater or gas feet /z_ ei '.(7/' le iI,,/, 4, / / f 7 ,( �j j io, .` place 23.32 f Lee W1 /yr- ( 1ia� �' �, >. .,P. /. Log lighter(gas) 23.32 �' Wood/pellet stove 33.39 v,24,7 "49� Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 ---,4---" Environmental exhaust and ventilation: Name: ( , . Range hood/other kitchen Address: 9 pz.– 9if . — equipment 33.39 Clothes dryer exhaust 33.39 City/State/ZIP: .r4% � }//� a7 Single-duct exhaust(bathrooms, y�`7 toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 ,:T ,-, - A. t m f r t 'tt Other: 23.32 Business name: / Fuel piping: "�/ $14.15 for first four;$4.03 for each additional Contact name: �,.",esi'!r"./7 Furnace,etc. Address: i,--yaw . Gas heat pump W� ',� y/ Water heater d/unitheater City/State/ZIP: � �" Water heater Phone:1 5„,„,„, /LY t�/f/ Fax::( ) Fireplace E-mail: �t, ,j _ ✓ Range tJ e i ,a7/92 Barbecue " r e ,.. 8.:4;;;;; a :' , i: ` z Clothes s dryer(gas) eOther:name: % ! moo j�!'< - >. . t ". . i , x, Iii t Address: f 74 Subtotal City/State/ZIP: Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) CCB lic.: )263,1 ifW/ TOTAL PERMIT FEE 1 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signa 4 re: * Fee methodology set by Tri-County Building Industry Service Board Print name: Date: I:\Building\Permits\MEC_P tApp_040113.doc 440-46f(11/02�B) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 7850 SW DARTMOUTH ST, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Mechanical MEC2017-00189 Inspection Type: Inspector: 699 Mechanical final Chip Barnett Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor