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Permit (35) CITY OF TIGARD MECHANICAL PERMIT iki, `114 11: COMMUNITY DEVELOPMENT Permit#: MEC2017 00541 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/12/2017 TIGARD 9 Parcel: 1S136CD02200 Jurisdiction: Tigard Site address: 7850 SW DARTMOUTH ST Project: Costco Subdivision: PALMER ACRES Lot: 3 Project Description: Mechanical work for remodel of the deli prep,chicken rotisserie,and meat prep rooms including the installation of (10)unit coolers and(11)refrigerator cases. Contractor: KEY MECHANICAL CO OF WASHINGTON Owner: COSTCO WHOLESALE CORPORATION 19430 68TH AVE SO PROPERTY TAX DEPT 111 KENT,WA 98032 999 LAKE DR ISSAQUAH,WA 98027 PHONE: 503-231-0731 PHONE: FAX: 503-236-5848 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 09/12/2017 $5,382.71 Class of Work: ALT Type of Const: VB Plan Review 09/12/2017 $1,345.68 Occupancy Grp: M Occupancy Load: 12%State Surcharge-Mechanical 09/12/2017 $645.93 Stories: 1 Info Process/Archiving-Lg$2.00(over 09/12/2017 $30.00 11x17) Project Valuation: $195,000.00 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 $7,404.32 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: 10 unit Duct Work: coolers, 11 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.$04.332.2344. Issued By: e...---------y .7 i nature: / ._'-- Call 503.639.4175 by 7:00 a.m.for the next available inspe. ion ••te. This permit card shall be kept in a conspicuous place on the job site un c. pletion o h- .roject. Approved plans are required on the job site at the time of inspection. 7 i9 / Mechanical Permit Applicati0 FOR OFFICE USE ONLY 11111 City of Tigardill Received , Date/By: 0/24/1/7 ,l_ Permit N%.�' `( /t 7 Zig. �/ 13125 SW Hall Blvd.,Tigard,OR 97223 JUL 1 2017 Plan Re Phone: 503.718.2439 Fax: 503.598.1960 Date/By: ( Other Pelle 0.0,/67/7 ,-6o/If T I G A R D Inspection Line: 503.639.4175 CITY r F IGARDi Date ReJuris: ® See Page 2 for Internet: www.tigard-or.gov Jt I 1 OF Notified/Method. // Supplemental Information BUILDING DIV►S4G PE F ti> iMMEk AL F*$Cl Et VI.Fv C ECII KLfST • � Mechanical permit fees*are based on the value of the work ❑ New construction ❑X Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,ove}head,and profit. CO,...,..„,.i,„..„.„.:,..„,,ONSTRUC'TT 3+I Value:$ / n o 17rEN 'fAL QiJiP1Y N?/$YS'PFMS FES* ❑ 1-and 2-family dwelling ❑x Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total s..' 40131$1 li 1NFORiiitiN'AND LOf rATION> ..:"` Icon 1 I Heating/cooling: Air dit oning 46.75 Job site address: 7850 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.: N/A Project name: Costco Food Prep. Area Duct work 23.32 Cross street/directions to job site: Pacific Highway and Dartmouth Street 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: Other: 23.32 1 Lot no.: Other fuel appliances: Tax map/parcel no.: 1S136CD02200 Water heater 23.32 -; Gas fireplace/insert 33.39 �= Flue vent for water heater or gas Demolition and reconstruction of the deli prep, chickenn�of sserie, and the fireplace 23.32 1 a�ZN%T Log lighter(gas) 23.32 meat prep rooms "i_577,-1(.44-770A/ 8,— e©d4672--J Wood/pellet stove 33.39 0 i) /25t/C ,+7e4 6yf Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 t AiVx AWAltOther: 23.32 p on• e ,- ,. 1. �. - >• Y43 - •*{- " •_ «" Environmental exhaust and ventilation: Name: Costco Wholesale Corporation Range hood/other kitchen equipment 33.39 Address:999 Lake Drive Clothes dryer exhaust 33.39 City/State/ZIP: Issaquah, WA 98027 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 1/4.,2 Phone:( 425)313-8100 Fax ( ) Attic/crawlspace fans 23.32 f 0s - �1 t o Q TT PE)k ` . Other: y 1 , ,t4 :F. i r✓,„ ...f, i ,. . , X:Y. .. f°:iFael piping: 23.32 Business name: MG2 $14.15 for first four;$4.03 for each additional CLContact name: Ken Wong Furnace,etc. Address: 1101 Second Ave, Suite 100 Gas heat pump Wall/suspended/unit heater City/State/ZIP: Seattle,WA 98101 Water heater Phone:( 206)962-6646 Fax: :( ) Fireplace Range E-mail:ken.wong@mg2.com Barbecue ,A, ` , ' ;x *OM "il r , z t ��x �`r I Clothes dryer(gas) Other: Business name: Key Mechanical Address: 19430 68th Ave S Subtotal City/State/ZIP: Kent,WA 98032 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( 253)962-6646 Fax:( ) State surcharge(12%of permit fee) / CCB lic.: 9.3y 7 j TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 _ days after it has been accepted as complete. Authorized signature: ``�_ ......\ .1,„.........9 V�'�'� * Fee methodology set by Tri-County Building Industry Service Board Print name: Mostafa Ahanchi, Cost Authorized Agent Date:7/(7x1 �7 I:\Building\Permits\MEC_PermitApp_040113.doc 440-46177 11/02/CO'M/WIEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information ' Commercial & Multi Family Fee Schedule: $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_0401 I3.doc 2 CosTco Magin..31VHOIL MALE January 2017 Re: Authorized Agent of Costco Wholesale To Whom It May Concern: This letter hereby authorizes Mostafa Ahanchi to act on behalf of the Construction Department of Costco Wholesale as Authorized Agent in regard to any Costco construction project in North America. He is authorized to sign all jurisdictional, service and utility related documents having to do with any Costco building or site under construction. Should you need any further information, please contact me at 425.313.8100. Sincerely, 401 Ali M• Sen./I Vice President of Construction 999 Lake Drive • Issaquah, WA 98027 • 425/313-8100 • www.costco.com MG2 Corporation RECEIVED 1101 Second Ave,Ste 100 206 962 6500 Seattle,WA 98101 JUL 19 2017 MG2.com CITY OF TIGARD BUILDING DIVISION TRANSMITTAL To City of Tigard 13125 SW Hall Blvd Tigard, OR 97223 Attn Community Development Department Date 07.18.17 Phone 503.718.2439 Project Tigard Fax 503.598.1960 Project Number 95-1840-21 25 From Ken Wong, Jamie Elderkin Number Of Pages 50+ Incl. Cover Page Cc Todd Philabaum Send Via FedEx Priority Overnight - By 10:30am Re Costco Wholesale Tigard Food Prep Area — Mechanical Permit/Plan Review Application d ; .. in v •; in 7 L y _ 40 ad r, IA C IO C W o6, O C >y ac ,. c_ a E E w O Q L 7 Y d w E Q Qty Description o u i S U IX a 2 MG2 Permit & Reference Drawings (TS101, A101, x M-1 thru M-5) 2 Arneg Permit Drawings (R1.0 thru R7.1) x 1 City of Tigard Mechanical Permit Application x Notes Please find the submittal for mechanical plan review attached for the alteration of the Food Preparation Area of Costco Wholesale. This project has already been submitted for building plan review on 6/28/17. If you have any questions or require further information, please contact Jamie Elderkin (206.962.6808; Jamie.elderkiramg2.com) or Ken Wong (206.962.6646; ken.wong(almg2.com). Thank you! Privileged and confidential information: the information in this document is intended only for the use of the above named recipient. Any wrongful review, dissemination, distribution or copying of this communication is strictly prohibited. If errors occur in transmission, or enclosures are not as noted, please notify us at once.