Permit (38) CITY OF TIGARD MECHANICAL PERMIT
1111 COMMUNITY DEVELOPMENT Permit#: MEC2017-00620
Date Issued: 09/11/2017
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S101 BA00600
Jurisdiction: Tigard
Site address: 7700 SW DARTMOUTH ST 110
Project: Fido's Tap House Subdivision: 1995-013 PARTITION PLAT Lot: 1
Project Description: Install gas line.
Contractor: PMSI LLC Owner: WAL-MART REAL ESTATE BUSINESS TR
21195 NW EVERGREEN PKWY#204 BY PROPERTY TAX DEPT STORE 5935-00
HILLSBORO, OR 97124 PO BOX 8050
ATTN MS 0555
BENTONVILLE,AR 72716
PHONE: 503-466-2222 PHONE:
FAX: 503-466-2211
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 08/30/2017 $78.27
Class of Work: ALT Type of Const: VB Plan Review 08/30/2017 $19.57
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 08/30/2017 $9.39
Stories: 1 Info Process/Archiving-Lg$2.00(over 08/30/2017 $4.00
11x17)
Project Valuation: $800.00
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 $111.23
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 503.232.1987 or 1.800.332.2344.
Issued By: 4 �� - Permittee Signature: Dw `/7'/3G-!(''¢/70
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 Applica �-- -� FOR OFFICE 1 SE ON�L\
City of Tigard ttEG- ll�:.-i �rDa e/Bee %' Permit No.
114 13125 SW Hall Blvd.,Tigard,OR 97223 ry Plan Revie /t, 7 /42617,200--0/47. 0
Phone: 503.718.2439 Fax: 503.598.196Qq UG 1 I 2017 DateBy: r / /Other Permit:�j/[�/�/7/,- /
T I G A R D Inspection Line: 503.639.4175 Date Read is, - Juris: rEa SeeeYage/2 for
Internet: www.tigard-or.gov CITY OF I K AliD Notified/Method:k/ /{7 fr Supplemental Information
G.
BUILDING DIVISION l�-r�%--- --,". / "-/r
""a' 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
0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$$800.00
OF CONS':'17tn•cm
o 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
;ii''-. "Pk .IUI I1 0)BMATION ANIN '� ...•T10N i
,,', a Heating/cooling:
Air conditioning 46.75
Job site address:7700 SW Dartmouth Street Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.:110 Project name:Fido's Taphouse 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
r f'''.; Gas fireplace/insert 33.39
%/s l 9 SON OF" I ' Flue vent for water heater or gas
Install gas line fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
„ r, Other: 23.32
�v Itat RT f ;: .,,,, and ventilation:
► •.,,,, t Environmental exhaust
Name:Wal-Mart Stores,Inc. Range hood/other kitchen
equipment 33.39
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
; F ,,,4,7?,.):4,,,,r:A';i;iliiiNV: Other: 23.32
M Fuel piping:
Business name:PMSI LLC
$14.15 for first four;$4.03 for each additional
Contact name:Brandy Solano Furnace,etc.
Address:21195 NW Evergreen Pkwy.,Ste.204 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Hillsoboro,OR 97124 Water heater
Phone:(503)466-2222 Fax: :(503)466-2211 Fireplace
Range
E-mail:bsolano@msi-systems.com Barbecue
7 J CONTRACTOR ` Clothes dryer(gas)
Other:
Business name:PMSI LLC r . \
.144,:',i-,.=;i:(-.),1,1% 14Y7 ;
Address:21195 NW Evergreen Pkwy.,Ste.204 Subtotal 78.27
City/State/ZIP:Hillsboro,OR 97124 Minimum permit fee($90.00) 90.00
Plan review(25%of permit fee)
Phone:(503)466-2222 Fax:(503)466-2211 State surcharge(12%of permit fee) 10.80
CCB lie.:158286 TOTAL PERMIT FEE 100.80
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: s * Fee methodology set by Tri-County Building Industry Service Board
,&,,,,(1.,....,_t
Print name:Brandy Solano Date:8/16/17
I:\BuildingU'ermits\MEC_PermitApp_040113.doc 440-46I7T(11/02/COM/WEB)