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Permit (41) CITY OF TIGARD MECHANICAL PERMIT ' I COMMUNITY DEVELOPMENT Permit#: MEC2018-00288 and OR 97223 503.718.2439 13125 SW Hall Blvd.,Ti Date Issued: 04/26/2018 T1( AR ng Parcel: 1 S 136DB00201 Jurisdiction: Tigard Site address: 11565 SW PACIFIC HWY Project: FRED MEYER Subdivision: None Lot: None Project Description: Replacing duct work and grills for TI. Contractor: ARJAE SHEET METAL CO, INC. Owner: FRED MEYER STORES INC 8545 SE MCLOUGHLIN BLVD. STORE#375 PORTLAND, OR 97222 1014 VINE ST PROPERTY TAX 7TH FLOOR CINCINNATI, OH 45202 PHONE: 503-231-7717 PHONE: FAX: 503-230-4888 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 04/26/2018 $2,110.71 Class of Work: ALT Type of Const: Plan Review 04/26/2018 $527.68 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 04/26/2018 $253.29 Stories: Info Process/Archiving-Lg$2.00(over 04/26/2018 $4.00 11x17) Project Valuation: $80,000.00 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 $2,895.68 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: 1 Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. f Issued By: • 4rdifze,...r/K — Permittee Signature: /,‘,.4"- , 47_ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Applicati0 FOR OFFICE USE ONLY City of Tigard RECEIVE eceived Date/By: _ /� Permit No. 13125 SW Hall Blvd.,Tigard,5003R599872129360 Lj Z O ( ted Phone: 503.718.2439 Fax: . . Plan Review t �! 1 1 h I DateB : Other Permit: Inspection Line: 503.639.4175 APR 2 6 2 01$ Internet: www.tigard-or.gov Date Reyady/By: Juris: ® See Page 2 for Notified/Method: Supplemental Information +CITY OF TIGAR✓� :7 7.> :21i112114 ,. 14 .. l'''' '` `",t 'w t ...1 ' 4P " :4 '"�`O.IF t Mechanical permit fees*are based on the value of the work ❑New construction RI Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all . .,u mechanical materials,eqoverhead,lao r, d pr oft.❑Demolition ❑Other: Value:$ If r .'''!'..'!•'':::.'.7*.:' 8 t r . � ipiP • �: •�., .:3....T6 -:;'.1,--7:i'7' . At 1 �. ❑ 1-and 2-family dwelling a/Commercial/industrial =; � 0Accessory building For special information use checklist. ❑Multi-family ■ Master builder 0 Other: Description �a I Qty. 1 Ea. 1 Total .' @ f sfx l !I Heating/cooling: Job site address (f...7` ��-' � i� ‘ Air conditioning 46.75 z S `(1) Fel c G ) v, unlace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: ( l�cutlet ( ©g. 9 ? 223 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: I Project name: Fire_etwerr Heat pump 61.06 e.-c- Duct work 23.32 Cross street/directions to job site: Hydropic 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 �.. .R.. . °. � 1., +i 4,. " .:W..' Gas fireplace/insert 33.39 `� _ Flue vent for water heater or gas 0 ',, a do V2. (pro I-A I fireplace 23.32 �ff� Log lighter(gas) 23.32 Li Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ,: Other: 23.32 Ate.; xf -tom ...,''.„.0.4,n-i-.7,1744,,,, ,_.:1.6..,:,::;.. „,:.-° A �" Name: ( Environmental exhaust and ventilation: .41,14eve' Range hood/other kitchen Address: equipment 33.39 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 AA;.A.7,14.0,44 . , .� 47:-.4.42":1,.:1'/:44. �f}'4:1' .I 11.50.,f : Other: 23.32 Business name: `- - S/ me, / Fuel piping: L t/, $14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. Address: !.5 55_ /�,{� c a 4-,,, -iv� Gas heat pump t l Wall/suspended/unit heater City/State/ZIP: Water heater Phone:(p5) '2_3 f � (� I Fax::( ) Fireplace E-mail: Cr ,U IA S ou� ��, r=0 VVL Water h 'CO': T©R' .. ," �\ Clothes dryer(gas) Business name: 1� Other: Address: /�(/ � Mtalk$.16AL PERMIT FEES* Subtotal City/State/ZIP: Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( ) Fax:( ) CCB lic.: &? ` State surcharge(12%of permit fee) TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 after it has been accepted as complete. Authorized signature: d * Fee methodology set by Tri-County Building Industry Service Board Print name: DMA/ S_/��ai o q Date: p�'7� 5 I.\Building\Permits\MEC_PermitApp_040113.dock[ 440-4617T(I 1/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial& Multi-Famil 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 ech 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. l:\Building\Permits\MEC_PennitAPP_040113.doc 2 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 MEC2018-00288 Inspection Type: Inspector: 615 Mechanical rough-in Jeff Grove Result: PASS Comments: Violation Summary: Inspector Contractor 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 MEC2018-00288 Inspection Type: Inspector: 699 Mechanical final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor