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Permit ill CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit#: MEC2017-00694 Date Issued: 09/21/2017 T[ a. R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S103DD01100 Jurisdiction: Tigard Site address: 13939 SW PACIFIC HWY Project: Walgreens Subdivision: None Lot: None Project Description: Replace(6)RTU's with lower tonnage units;(4)being much lighter and(2)being slightly heavier. Contractor: TOTAL SYSTEM SERVICES Owner: WALGREEN CO#5780 1220 SW THIRD AVE B78 PO BOX 901 PORTLAND, OR 97204 DEERFIELD, IL 60015 PHONE: 503-227-5955 PHONE: FAX: 503-232-4026 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 09/21/2017 $2,235.21 Class of Work: ALT Type of Const: VB Plan Review 09/21/2017 $558.80 Occupancy Grp: M Occupancy Load: 12%State Surcharge-Mechanical 09/21/2017 $268.23 Stories: 1 Info Process/Archiving-Sm$0.50(up to 09/21/2017 $12.50 11x17) Project Valuation: $85,000.00 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 $3,074.74 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503. 2.1987 r 1. 00.332.2344. Issued By: Permittee Signature: i L Call 503.639.4175 by 7:00 a.m.for the next available inspection date. / This permit card shall be kept in a conspicuous place on the job site until completion of the proje t. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Applicationw FOR OFFICE USE ONLY H EtReceived /f7 � q City Of Tigard srt� ^ `'�" Date/By:: 9 �r .� Permit No.:/�r�� j/7_©(Jl®/ 111 13125111SW Hall Blvd.,Tigard,OR 97223 Plan Revt:wq� i Phone: 503.718.2439 Fax: 503.598.1960 SEP 1 1 2017 �:� film Other Permit: Date/By: • . T i GA K D Inspection Line: 503.639.4175 y� 1, Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov CITY Notified/Method: Supplemental Information CITY BIN 11111‘10 _I S t TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work ❑New construction El Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ `63-,GCC CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* 0 1-and 2-family dwelling El 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: Air conditioning 46.75 Job site address: i. 21`1 `>'Li 'k p0;,tit_. H\--1\ Furnace 100,000 BTU(ducts/vents) 46.75 City/state/zIP: --t-, ,/(;�� 1 /NtitaN 1 ZZ 3 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: C (-j-1-60 j\�/ � y 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 Other: 23.32 Subdivision: Lot no.: Other fuel appliances: Tax map/parcel no.: Water heater 23.32 9 ' ` DESCII'. PT...ION F WORK :- �; _o`i Gas fireplace/insert 33.39 (y Flue vent for water heater or gas ReI�ICXL€ L -r�, i...)S'��., \oWxc -'{- nv,c,t,C%+\� L)n,' fireplace 23.32 14 i en�� 'tiluCVo IiuJJittc 1 Z --,t....,,,-“,\ G' - \ � Lt(L`-I f iV\ "1 Log lighter(gas) 23.32 Wood/pelletstove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 . Other: 23.32 a PROPERTY� * 0 TENANT #ra ;---i,- , -, - , , R . Environmental exhaust and ventilation: Name: W ih(to,f^ y)j Range hood/other kitchen equipment 33.39 Address: I?)C)Cj S,,) ':t tL k i.,,) Clothes dryer exhaust 33.39 City/State/ZIP: 1� � 3,./1 /61 7ZZ3 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(66,3) L1(ii'-61 9,(Z Fax:( ) Attic/crawlspace fans 23.32 ,, * APPLIANT . -= ?1.,-- 0 ,6 CTAPE l*SON`' Other: 23.32 Fuel piping: Business name: ' j tr/vy.1 iii tf 5 $14.15 for first four;$4.03 for each additional Contact name: AO.c., V t cY C Furnace,etc. Address: (.177i NE ..;n,, C2 -e4-c-C-�1`, Gas beat pump Wptsuspended/unit heater tty/State/ZIP: �f'4Ci: 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. I:\Building\Permits\MEC_PermitApp_040113.doc 2 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13939 SW PACIFIC HWY, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Mechanical MEC2017-00694 Inspection Type: Inspector: 699 Mechanical final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor ~'x CICITY OF TIGARD MECHANICAL PERMIT TY Permit#: MEC2017-00694 a :- COMMUNITY DEVELOPMENT Date Issued: 09/21/2017 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S103DD01100 Jurisdiction: Tigard Site address: 13939 SW PACIFIC HWY Project: Walgreens Subdivision: None Lot: None Project Description: Replace(6)RTU's with lower tonnage units;(4)being much lighter and(2)being slightly heavier. Contractor: TOTAL SYSTEM SERVICES Owner: WALGREEN CO#5780 1220 SW THIRD AVE B78 PO BOX 901 PORTLAND, OR 97204 DEERFIELD, IL 60015 PHONE: 503-227-5955 PHONE: FAX: 503-232-4026 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 09/21/2017 $2,235.21 Class of Work: ALT Type of Const: VB Plan Review 09/21/2017 $558.80 Occupancy Grp: M Occupancy Load: 12%State Surcharge-Mechanical 09/21/2017 $268.23 Stories: 1 Info Process/Archiving-Sm$0.50(up to 09/21/2017 $12.50 11x17) Project Valuation: $85,000.00 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 $3,074.74 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503. 2.1987 r 1. 00.332.2344. �� l �'� Issued By: / L, �' �j Permittee Signature: (1/t ./7 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the proje t. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard r -, Dat By Cep 1i 4 j'�' Permit No.:/ //_©l�l � 13125 SW Hall Blvd.,Tigard,OR 97223 �s Plan Revt:w q� C Phone: 503.718.2439 Fax: 503.598.1960 S E p 1 2017 ' 4 �' Other Permit: Inspection Line: 503.639.4175 Date/By: y/ T I G A R D Date Ready/By: Juns: ® See Page 2 for Internet: www.tigard-or.gov Ht. d-°i"�'y ��°f- ����(..AHO Notified/Me[hod: Supplemental Information BVI9 i` es C.i D1V t O ,, TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work ❑New construction IN Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ 's 5",600 CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ 1-and 2-family dwelling fg Commercial/industrial ❑Accessory building For special information use checklist ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: 1)11 J rj Li p C(L.ti, 14,...,1, Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: r ;�0 R/COM 1/COZ 23 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name: \r..)0,\ C'-2L'vn,.� "1150 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: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater _ 23.32 ' ` ` ; E,*4 ' ;'. O OF WORK Gas fireplace/insert 33.39 �"`x � ' �`� ��`�" � " ' � '" � � Flue vent for water heater or gas rie-O ace Iti-1"t"'s i.. ,ci"k.. `kok,i c --iLv\v' &p '. 0(1.t') fireplace 23.32 t_ Log lighter(gas) 23.32 W 1'`lv<.vi 1\uSk i rtc '2. �.r-]L I11�I•rl..� Haw. er' i Wood/pellet stove 33.39 _ Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 r Other: 23.32 0 PROPERTY OWNER .., 0," _ ,' , y � - Environmental exhaust and ventilation: Name: W Crt(ra i7.6C y6 Range hood/other kitchen equipment 33.39 Address: 1.-F t cwt 1 k :y L 1-6,-:,•f Clothes dryer exhaust 33.39 G1 Z,Z Single-duct exhaust(bathrooms, City/State/ZIP: j�c�{ (d/(j toilet compartments,utility rooms) 23.32 Phone:(r>u j) (_-7(J-Ci .t 2 Fax:( ) Attic/crawlspace fans 23.32 _ i'?. a � '''F PERSON Other: 23.32 -4,,r4,17-1:'1,r,..' . .. �• Fuel piping: Business name: 0.1 ,,,-rfW1 C.\.1 lid $14.15 for first four;$4.03 for each additional n name: i t? Co tact Mai. ,Ck. � (- Furnace,etc. Address: 1175 N -,-. -, c-ti;(,(- t---s1`1 Gas eat pump W suspended/unit heater tty/State/ZIP: UrtkA,.--) / (,'�' /`.f1 ZjC Water heater Phone:('c ) `%1,�'`) ( ) Fireplace ��� �Z�_ Fax: Range E-mail: /U},c i f (CT% ` r Ji:Iv. t1✓V't/1 Barbecue ,, $$,,t.4.< r : ,,,,,,,,„9,..%-, ,. 4 e Clothes dryer(gas) ' Other:name: T 1 3t.6 t e,`J;c4S " „" ," l&CHANICAI PEIIMIT ES* 7 7 '*- Address: 1113 z. ti t= (-tart S-t- Subtotal City/State/ZIP: 4-(,C,t, -13 /C(( / 7 7 Z;C.- Minimum permit fee($90.00) ? Plan review(25%of permit fee) Phone:( )hu 7) 1.14.. .(7t-Y��1 Fax:( ) State surcharge(12%of permit fee) CCB lic.: (53 1Z6 1 TOTAL PERMIT FEE 7 This permit application expires if a permit is not obtained within 180 Aic),,,,,,, *(z.,.//---, days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board Print name:/11clt::�.e i"i . G{". Date: Ci/I t/ 17 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-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. I:\Building\Permits\MEC_PemritApp_040113.doc 2