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Permit (197) CITY OF TIGARD MECHANICAL PERMIT : 11111 41. COMMUNITY DEVELOPMENT Permit#: MEC2018-00676 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/04/2018 TIGARDParcel: 2S113AD01800 Jurisdiction: Tigard Site address: 16770 SW 72ND AVE B14 Project: Cedars Foods Subdivision: ROSEWOOD ACRE TRACTS Lot: PTS 5-1 Project Description: Install new walk-in cooler with(2)evaporators and(2)condensors. Contractor: POLAR REFRIGERATION INC Owner: PACIFIC REALTY ASSOCIATES 8819 NE 117TH AVE ATTN: N PIVEN VANCOUVER,WA 98682 15350 SE SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 360-852-3939 PHONE: FAX: FEES Specifics: Description Date Amount Type of Use: COM Building Misc Fund(copies/prints) 08/30/2018 $10.00 Class of Work: ALT Type of Const: VB Permit Fee 08/30/2018 $1,058.91 Occupancy Grp: B Occupancy Load: Plan Review 08/30/2018 $264.73 Stories: 12%State Surcharge-Mechanical 08/30/2018 $127.07 Info Process/Archiving-Sm$0.50(up to 08/30/2018 $10.50 Project Valuation: $38,000.00 11x17) Fuel Air Handlers Fuel Types: Electricity 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 $1,471.21 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: condensing Duct Work: units 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 re ' ou to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OA 952-0 -0090. You ay obtain a copy of the ules or direct questions to OUNC by calling 503.232 ':7 or 1.8 .3 . 344. Issued By: Permittee Signature: ,r/ 411110 1 � 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 ;: y-rl c-,. l'01(11.11:1;111't,t �;E ONE li tai City of Tigard F Rivl r�, ..- 13125 SW Hall Blvd.,Tigard,OR 97223 t7ate/By: © '� / P r I'ernrit rla./���» /�- 7 It, 1111 Phone: 503.718,2439 Fax: 503.598.1960 AUG 2 3 2018 Plan Revie _ f 64 DatefHy: 'O� tomer Permit' fiCARL) Inspection Line: 503.639.4175' $ Bate RcadyBy. 7urts. BJ See Page 2 for Internet: w�cwc.tigard-or.gov CITY 5 f- i'-,',.;:9i-AP`., Na`ted/M :4 I Supplemental Information t Mechanical permit fees*are based on the value of the work o New construction 1.11 'ddition/alterationlreplacement performed.Indicate the value(rounded to the nearest dollar)of all . 0 Demolition 0 Other: mechanical materials,equipment,labor overhead,and profit. Value:$ �y • a� 1-and 2 falmily dwelling ii ommercial/industrial 0Aceessory building ,� special Infnrmatlun use checkltst. �° )^� ❑Multi family 0 Master builder 0 Other: riQty. Ea. Total � � t HeatiDescnghption waling; Air conditioning 46.75 Joh site address: 7 ,+ ,a "V Furnace 100.000 BTLI(ducts/vents) 46.75 City/State/ZIP: j? , A6 r C.f Furnace 100,00()r BTU(ducts/vents) 54.91 Y Heat•um. 61.06 Suite:/bldg./apt,no.: I Project name: -- O -$ 5 Ductwork 23.32 Cross street/directions to job she: Hydtonic hot water system 23.32 '''"`] - ai Residential boiler(radiator or .r t r mfr' hydrot)TC) 23.32 f i t $ t- ieC! 1 y i jr,- Unit hein-duct, ct, pe,not electric), �ry 1 �,ry --r-r- t ) !`7e, in-wall,in=duct,suspended,etc. 46.75 I i :lU T 1e AJC t A. aJ 4 - .( t.3 flue/vent for any of above 23.32 Subdivision: '� r't� Other: 23.32 "T y�" /1 % - Lot no.: Other fuel appliances: Tax map/parcel no,: Water heater 23.32 �� � ; �ctd « -;$4,4016241414`.:4::01', :; Cias f#re ifur w rt ��_�e '� �iX a3�: . ��� P 33.39 COO Flue vent for water heater or gas - Z , * A W r t� .c'2/+ fireplace 23.32 At .� C i 4 ,l Log lighter(gas) 23.32 �,p �t t Wood/pellet stove 33.39 x° " �. + Wood fireplace/Insert 23.32 Chizmnevtliner/flue/vent 23.32 �� °a , ' 6 f alk.%, k d ti tial it iP r Other: 23.32 '.' - i a4. " �. Environmental exhaust and ventilation '�` Range;boos/other kitchen ,:- � equipment 33.39 Address: a i 11"'G K Y 300 Clothes dryer exhaust 33.39 City/State/ZiP: ) rI AA) e Ole C L Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(570j.) - 7 Fax:( ) I4 Attic/crawlspace fans 23.32 x� a!, ,, , s , . ,,n t R e , Other: 23.32 Fuel piping: Business name: At, / ; ,.., _ � /' ` /"1. S13.I5 for first four;54.03 for each additional Contact name: /4,f/t4, , r ¢eO/" 4 G Furnace.etc. Address: Po..// " '0/�. fi 3 // Gas heat pomp r' �. e"'"� Wall/sus tehtended/unit heater IS City/State/ZIP: Al O / ca / Water heater , Illiall Phone:( ,. 0) L.?5' if 30 Fax::( ) t2£7 l fire R lace `l Ran_e 11111111 E-mail: 1 00 ,,� if GTL`', ( Ohio JG t Barbecue ---1'",'''''''t-''‘-'.' f t;k 7 e " # l'; '1 �s . � / r Clothes dryer(gam) Business name: L� [ 11‘1C(. �' t� - Other: I �ry r It*. ..'' Address: tees # A t eyr ,p .,, ... Subtotal City/State/ZIP: V Vr #ti Lir / f " 1111.1 Minimum permit fee($90.00) ,r, - tri Plan review(23%of permit fee) �.Ir ► Phone:(i ,176)e,)/. ), - Q : j / h ` Y 0State surcharge(12%ofpermit fee) CCB lie.: 1 1 +) / t TOTAL PERMIT FES This permit application expires if a permit is not obtained within ISO days'after it has been accepted as complete. Authorized signature: r�71 • Fee methodology set by Tri-County Building Industry Service Hoard Print name: it ' f'? re 0&i,cam 'cy'Date: ' 3 - 1 1;Iisiiding\PermitsyMEC„PennitApp_040113 doe 440-46171(I1102✓COWWEB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16770 SW 72ND AVE B14, TIGARD, OR, 97224 Record Type: Record ID: Commercial - Mechanical MEC2018-00676 Inspection Type: Inspector: 699 Mechanical final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor