Permit (30) CITY OF TIGARDMEL PERMIT
a . .,llCOMMUNITY DEVELOPMENT Permit#CHANICA: MEC2017-00437
T[ x' R 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/05/2017
Parcel: 2S 101 BA00600
Jurisdiction: Tigard
Site address: 7700 SW DARTMOUTH ST 110
Project: Fido's Tap House Subdivision: 1995-013 PARTITION PLAT Lot: 1
Project Description: Refrigeration equipment for walk-in cooler.
Contractor: ARCTIC COMMERCIAL REFRIGERATION Owner: WAL-MART REAL ESTATE BUSINESS TR
4768 N PRINCETON ST BY PROPERTY TAX DEPT STORE 5935-00
PORTLAND, OR 97203 PO BOX 8050
ATTN MS 0555
BENTONVILLE,AR 72716
PHONE: 503-307-6432 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/30/2017 $47471
Class of Work: ALT Type of Const: VB Plan Review 06/30/2017 $118..68
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 06/30/2017 $56.97
Stories: Info Process/Archiving-Sm$0.50(up to 06/30/2017 $7.50
Project Valuation: $15,000.0011x17)
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 $657.86
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other MechUnits:
Gas Outlets: Other Desc: Walk in
Duct Work: cooler
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 ifwork 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 questi.ns to OUNC by calling 503.232.1987 or 1.800.332.2344. �'
Issued :.y: i0 , Permittee Signature: /ice !�'�
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 • 101 Ol f►( F 1 SF tlyLl
City of Tigard Received
Date/By: f Permit No.:
III "i 13125 SW Hall Blvd.,Tigard,OR 97223 " i /'� C,�vt 7....10,:f3
Phone: 503.718.2439 Fax: 503.598.1960 RECEIVED' Plan Review �' 7 /� /� '��q y 6
Date/By: t 9 L 1 (l . Other Permit: /iii ,lo 7"001i
Flu A R D Inspection Line: 503.639.4175 Date ReadyBy: J, :
Internet: www.tigazd or.gov ,,/� ® See Page Z for
JUN 2017 gueNo e • /, /� Supplemental Information
_tea
TYPE OF WORI�r+,-ty OF 1'1G/�tAQ COMMERCIAL FEE* SCHEDULE USE CHECKLIST
❑New construction !!✓✓ 1 I �fMechanical permit fees*are based on the value of the work
®Addition/alterati a i,.:u FVISIONperformed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:$$15,000.00
❑ 1-and 2-famil RESIDENTIAL EQUIPMENT I SYSTEMS FEES*
y dwellin g ®Commercial/industrial ❑Accessory building For special information use checklist
❑Multi-family 0 Master builder
0 Other: Description
Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Job site address:7700 SW Dartmouth Air conditioning 46.75
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.:110 I Project name:Walk-in Refrigeration F Heat pump 61.06
g l r kin �4� H' .Dict 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
Install Refrigeration Flue vent for water heater or gas
rig equipment for walk-in cooler 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 ® TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Scott Porter Range hood/other kitchen
Address:7700 SW Dartmouth equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP:Tigard,OR 97223 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
0 APPLICANT 0 CONTACT PERSON Other:
23.32
Business name:Arctic Commercial Refrigeration LLC Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Rick McDonald Furnace,etc.
Address:4768 N Princeton st Gas heat pump
City/State/ZIP:Portland,OR 97203 Wall/suspended/unit heater
Water heater
Phone:(503)307-64332 Fax::( ) Fireplace
E-mail:coldone.rms@gmail.com Range
Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Arctic Commercial Refrigeration LLC Other:
Address:4758 N Princeton St MECHANICAL PERMIT FEES*
Subtotal
City/State/ZIP:Portland,OR 97203 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)307-6432 Fax:( )
���/ State surcharge(12%of permit fee)
CCB lic.:174257 / TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Cdays after it has been accepted as complete.
Authorized signature: C%{�" ; * Fee methodology set by Tri-County Building Industry Service Board
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