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Permit (183) CITY OF TIGARD MECHANICAL PERMIT 11/111 II.' COMMUNITY DEVELOPMENT Permit#: MEC2018-00010 Date Issued: 01/24/2018 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1/2 46C00100 Jurisdiction: Tigard Site address: 12100 SW SCHOLLS FERRY RD Project: 7-11 Subdivision: None Lot: None Project Description: (2)new refrigeration cases. Contractor: SOURCE REFRIGERATION Owner: ATLAS GREENWAY LLC 5506 SE INTERNATIONAL WAY 333 NW NINTH AVE, STE 1009 MILWAUKIE, OR 97222 PORTLAND, OR 97209 PHONE: 800-677-2688 PHONE: FAX: 503-652-0449 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 01/17/2018 $333.66 Class of Work: ALT Type of Const: VB Plan Review 01/17/2018 $83.42 Occupancy Grp: M Occupancy Load: 12%State Surcharge-Mechanical 01/17/2018 $40.04 Info Process/Archiving-Sm$0.50(up to 01/17/2018 $2.00 Stories: 1 11x17) Project Valuation: $9,500.00 Fuel Air Handlers Fuel Types: Units< 10000 cfm: Gas Pressure: Units>10000 cfm: Furnaces Boilers&Compressors Fumaces<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 $459.12 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Open refer Duct Work: case Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: "C(.:,2-. 747,2-� � Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE USE ONL\ I-; 4 City of Tigard 1 ': I _ Permit No.: �l1 let-auto NI w 13125 SW Hall Blvd.,Tigard,OR 97223 ` r �. • f`�C1 fT� II Pia a c,,,.... Phone: 503.718.2439 Fax: 503.598.1960Date/By I i( ( Other Permit: T 1 G A R D Inspection Line: 503.639.4175 Date Ready : Juris: I ® See Page 2 for Internet: www.tigard-or.gov '�` ,?111( Notified Method: // /, t 77:pc. Supplemental Information v TYPE OF woRif.y,yinliikl-(214 COMMERCIAL FEF* SCHEDULE -�JSE CHECKLIST tp�r 1_;ycgµ a a Mechanical permit fees*are based on the value of the work 0 New construction ? Addition/alteration/replacementx a 1,,, 4 performed.Indicate the value(rounded to the nearest dollar)of all mechanical materials,equipment,labor,overhead,and profit. CI Demolition ❑Other: Value:$ (11-5- n CATEGORY OF CONSTRUCTION„ RESIDENTIALF:Q� INTJSYSTEMSFEES*. 0 1-and 2-family dwelling g Commercial/industrial 0 Accessory building For special information use checklist 0 Multi-family 0 Master builder 0 Other: Description I Qty. .1 Ea. I Total JOB SITE INFORMATION'AND LOCATION %-:";:f:7;^; Heating/cooling: r Air conditioning 46.75 Job site address: t 9.1 00 SL,ti S�Veki5 =•_t1•7 e()• Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: i r,S 0 Cl'7 a '- / Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: 1 Project name: `7 $ c` l. Aac5 Heat pump 61.06 Duct work 23.32 Cross street/directions toj ob site: SGc,kr;l\S -p>. Qs) (Ili Hydronic hot water system 23.32 1 Residential boiler(radiator or 1�t A 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: j Lot no.: Other fuel appliances: Tax map/parcel no.: Water heater 23.32 1 ''` DES QFC RK * " ..� Gas fireplace/insert 33.39 .. t.'41 " `" - " ' `'°'" Flue vent for water heater or gas i f\44Ck.k V\4I--Cr3 6 `.--- CN&-r-- _ fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 �; �N _ Other: 23.32 0 PROPERTY OWNER ,- .., '' TENANT' Environmental exhaust and ventilation: Name: -7_''( .0c le;-1 Range hood/other kitchen equipment 33.39 Address: r2-\CC 5 V J CC.k;,k\5 \--'e' / 2-0 Clothes dryer exhaust 33.39 City/State/ZIP: ''� r c\ (,-(� Cf-1,;z02.:2. Single-duct exhaust(bathrooms, Itoilet compartments,utility rooms) 23.32 Phone:(563) C; ,_ cc Fax:( ) Attic/crawlspace fans 23.32 APPLICANT m Vis ` �; ©:cQNTAiC'T'PARSON ;:,,,,,,,,,,L Other: 23.32 Business name: C Fuel piping: ✓Ci' � ��%�` iCo^- $14.15 for first four;$4.03 for each additional Contact name: V..:.0.A, .eah`I Furnace,etc. Address: 6c--,(5c.. (! �i c "� t./3r Gas heat pump Wall/suspended/unit heater City/State/ZIP: A,� ti, C Q ��)a;� / Water heater Phone:(jtw3 ) c707...._ - -7-.2,;2.. l Fax::( ) Fireplace ,'r ] Range E-mail: 1c--�j�'l j lc+,+t:a-.. cc'.,... Barbecue CONTRACTOR + ig`1:1 ' - Clothes dryer(gas) Other: Business name: S'C 1nY,cu"_ ta1,,,a,.,,-otc ,PERMIT FEES* 0 MECBAA,,r:. _ . , Address: SJvt� - CP Ste- J &L - 3ylo KG,. C./-1C7 Subtotal City/State/ZIP: � � / r. Minimum permit fee($90.00) - * / ut� ,� 7 __ Plan review(25%of permit fee) Phone:(569) L?CD- -73cfg Fax:( ) State surcharge(12%of permit fee) CCB lit.: //141 ` /0.......„....---"717(9- TOTAL PERMIT FEE /i 77 [ i -gm. This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: P �- * Fee methodology set by Tri-County Building Industry Service Board Print name: "&.-4.)/vA '/. / n/ •ate: /-3--/7 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: Erv,; Permit ' e $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: 12100 SW SCHOLLS FERRY RD, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Mechanical MEC2018-00010 Inspection Type: Inspector: 699 Mechanical final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor