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Permit (109) CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit#: MEC2017-00628 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/14/2017 Parcel: 1 S136DB00201 Jurisdiction: Tigard Site address: 11565 SW PACIFIC HWY Project: Fred Meyer Subdivision: None Lot: None Project Description: (2)new RTU's. Contractor: PROTEMP ASSOCIATES INC Owner: FRED MEYER STORES INC 9788 SE 17TH AVE STORE#375 PORTLAND, OR 97222 1014 VINE ST PROPERTY TAX 7TH FLOOR CINCINNATI, OH 45202 PHONE: 503-233-6911 PHONE: FAX: 503-238-9767 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 11/14/2017 $728.71 12%State Surcharge-Mechanical 11/14/2017 $87.45 Class of Work: ALT Type of Const: VB Occupancy Grp: M Occupancy Load: Plan Review 11/14/2017 $182.18 Stories: 1 Info Process/Archiving-Lg$2.00(over 11/14/2017 $2.00 Project Valuation: 11x17) $25,000.00 Info Process/Archiving-Sm$0.50(up to 11/14/2017 $0.50 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 $1,000.84 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: 2 split Duct Work: systems Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987• .•e! .2344. Issued By: Permittee Signature: �2? r Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application City of Tigard I Reeeivea ,,. Date By: ijith h7 Permit No.: M��.('i�it / 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2439 Fax: 503.598.1960 Plan Rev • t AUG 2 1y. , t% 40 Other Permit: 7_ ]y��DateB ► (/ �-1 IGAFD Inspection Line: 503.639.4175 Date Re. ��Itttigard-orgovy: d - Juris: 014;11204U- ee Page 2 for Notified Method G—//, Supplemental InformationlITY F -{G9RL - • DIVISI . n : , . u °. m EI? f1E 1511H —T.:. ❑New construction ®Addition/alteration/replacement Mechanical permit fees*are based on the value of the work performed.Indicate the value(rounded to the nearest dollar)of all mechanical materials,equipment,labor,overhead,and profit. ❑Demolition El Other: t T A +,�it F ,Q T1C I C'f'IOI$ `" x �, Value $25000 _'� .i'j i,, ,. ❑ 1-and 2-family dwelling Z Commercial/industrialm� �al i m NT ISYheckl t 0 Accessory building For special information use checklist � ❑Multi-family 0 Master builder 0 Other: DescriptionEa „� I Qty. � I Total *,TO " i„ 'p f� k4fio* 3 g'f 5�;- Heating/cooling: rl v�. + — Job site address:11565 SW Pacific Highway Air conditioning 46.75 Fumace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97223 Fumace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: I Project name:FM Tigard Clicklist Heat pump 2 61.06 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: I Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 s , v . -. DECR1f".1'fttJ-TV fi WxOR " T. t..-.3*,, = Gas fireplace/insert 33.39 "*' Flue vent for water heater or gas Adding two new units on the roof fireplace 23 32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 f'EOther: 23.32''94ROkf17 R $:' J : ©Ti+t' : .' Environmental exhaust and ventilation: Name.Fred Meyer Range hood/other kitchen - Address:3800 SE 22"d Ave. equipment 33.39 Clothes dryer exhaust 33.39 City/State/ZIP:Portland,OR 97219 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(503)797-3885 Fax:( ) Attic/crawlspace fans 23.32 .lak::: ; e:."Ai' 1 cANtU cO r cf f *Ort1 `' 2 Other: 23.32 Business name:Western Construction Services Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Kevin Kincaid Furnace,etc. Address:2300 E 3rd Loop#110 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98661 Water heater Phone:(360)737-0990 Fax::(360)694-7818 Fireplace E-mail:kkincaid@westernconstruction.com Range Barbecue arm 4,,::::,. .. ' : . . '- x N 1.ACTf , 1:7' ".. ',:3114. • Clothes dryer(gas) Other. Business name:TBD L t,'c:u�.E=V1;t (-2,__,,....,i,,,2,.±...,,,,,, Address: mss-, . 0:0**4�' '._.l > -`., d 781' , t^L Subtotal City/State/ZIP: ,�y�"L „� �'F% j?7L). . Minimum permit fee($90.00) Phone: 'T 1� ds Plan review(25%of permit fee) (53) �"� _ 91 i Fax:(c ) .)g-,C ' (,) State surcharge(12%of permit fee) CCB lic.:' 1 TOTAL PERMIT FEE Dfi ',e&.--___. - This permit application expires if a permit is not obtained within 180 �u� CV/V/1 days after it has been accepted as complete.S Authorized Signature: /V%1 7 * Fee methodology set by Tri-County Building Industry Service Board Print name:Tim Dolan Date:08/18/17/ IaBuilding\Permits\MEC_PennitApp_040113.doc 440-4617T(11/02/COM/WEB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 11565 SW PACIFIC HWY, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Mechanical MEC2017-00628 Inspection Type: Inspector: 699 Mechanical final Chip Barnett Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor