Permit CITY OF TIGARD MECHANICAL PERMIT
• COMMUNITY DEVELOPMENT Permit#: MEC2018-00719
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/15/2018
T f c ,�I<'.f3 g Parcel: 2S102CB00200
Jurisdiction: Tigard
Site address: 13115 SW PACIFIC HWY
Project: Speciality Retailers Subdivision: None Lot: None
Project Description: Mechanical for new commercial building: install refrigerated cases,walk-ins,compressor racks,condensers and
all related piping.
Contractor: COMMERCIAL SYSTEMS COMPANY Owner: TIGARD PACIFIC RE LLC
PO BOX 92403 C/O LEADERSHIP CIRCLE LLC
HENDERSON, NV 89009 1521 OXBOW DR STE 210
MONTROSE,CO 81401
PHONE: 702-798-7950 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 09/26/2018 $2,148.06
Class of Work: NEW Type of Const: Plan Review 09/26/2018 $537.02
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 09/26/2018 $257.77
Stories: Info Process/Archiving-Lg$2.00(over 09/26/2018 $8.00
11x17)
Project Valuation: $81,500.00 Additional Plan Review 09/26/2018 $45.00
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 Fumaces: 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 $2,995.85
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces: 1 Bolts in Concrete
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: coolers for
Duct Work: market
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OU .y calling 503.232.1987 or 1.80. •4.
Issued By: Permittee Signature:
Call 503.6 9.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
711111111P -
1
Mechanical Permit Applicat ,
Ili",, r,, , ED FOR OFFICE USE ONLY
City of Tigard Received
- Date/By: � G �%�J]/fir� Permit N gj 761 ,r/ 9
II 41 13125 SW Hall Blvd.,Tigard,OR 97223 APhone: 503.718.2439 Fax: 503.598.1960 1 �`018
Plan Revie
Date/By: J- J Other Permit:
T I G A R D Inspection Line: 503.639.4175 Date Read/B md5:
Ready/By: /, El See Page 2 for
Internet: www.tigard-or.gov CITY
Notifie. etho.. • Supplemental Information
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Mechanical permit fees*are based on the value of the work
New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
;• _ T . CONT IICT (l I SF7�
Value:$ 0
,111
o 1-and 2-family dwelling cOFommercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
Heating/cooling:
"' Air conditioning ( ) 46.75
Job site address: - � 6 l /C Hail` Furnace 100,000 BTU ducts/vents 46.75
City/State/ZIP: ( % ` ` Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:..I10-;..if °` -- dr ! .-.14 c 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: Lot no.:
Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
=I) 'IIIPTkif)Ni °wpm_ Gas fireplace/insert 33.39
C/ A/ " 2g ` ; ` ,; „ �J ( " � Flue vent for water heater or gas
h�( �/ �� 1 �y�f fireplace 23.32
,' l e j n A� '� �.,, 1 _,tog lighter(gas) 23.32
''jf'U I� �` /�- - ��:,/'�; % • } 1/ Wood/pellet stove 33.39
I / , � 1 / . / Wood fireplace/insert 23.32
` Chimney/liner/flue/vent 23.32
IET'1 �1� i Other: 23.32
.„- G `Q ` ,❑ T —
Environmental exhaust and ventilation:
Name: 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
PligiglitileR I1T PERSO• N Other: 23.32
OW -A� i/STel Y < Fuel piping:
Business name: 9!�
$14.15 for first four;$4.03 for each additional
Contact name: A U'I D �,V J j' Furnace,etc.
Address:r � � Gas heat pump
/ �t(� Wall/suspended/unit heater
City/State/ZIP: ,AJ/g2 �JA t /� e90.5--z, Water heater
Phone: ) Be & fp 7 8, !"Fax:: q gilei6,0 Fireplace
Range
E—mail Co LLC "- Barbecue
CONT ACTOI Clothes dryer(gas)
�� Other:
Business name:l�'.'" IM
�41 I to f/ q / y (
J
1AN �t wTS
Address: Oi h j - (( tc ;fy Subtotal al
City/State/ZIP: 6L) UV a0 '9
Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(702) "A 77/ Fax:(70a 7 q?) 79 L 6 State surcharge(12%of permit fee)
CCB lic.: ztyz,9 i C 021 l 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: r.w * Fee methodology set by Tri-County Building Industry Service Board
LPrint name: 0710 „Iwon1t Date: G✓ 9"2 //
,i3
L\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
J
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
•
I . Transmittal Letter
i i, '.K n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: 7-ani DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
t---0,0,,L C7,s/a4or►. SEP 18 208
FROM: l2nigrrzr / c rv,v�r,n,c- CSI iY OF 1 IGARD
COMPANY: 1\1(lb)2 a Cigoc:Gie.s . 17
BUILDING DIVISION
PHONE: 03 5-70 2 /2 . By -
RE: lit /. Sw "4c,Pi'c �w c tB UG7t.1
(Site Address) ( (ermit Number)
�t
( name rsubdi siovS ame aftd lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
,,,--01fier(explain):
REMARKS: A,-7/).--fr,--,1- _, C-01Jn )i 3 V- .r .t Z c•,..e-Gw,-
FOR OFFICE USE ONLY
Routed to Permit Technician: Date: (1. - ) • ) 4 Initials: -r)
Fees Due: ►.1 Yes C No Fee Description: Amount Due.
• s-- )-J r p/ �" Y $
$
$
$
Special
Instructions:
Reprint Permit(per PE): ❑Yes / o ❑ Done
y-e4.---Applicant Notified: Date: `�S ( Initials
I:\Building\Forms\TransmittalLetter-Revisions 061316.doc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13115 SW PACIFIC HWY, TIGARD, OR, 97223 October 16, 2018 at
10:27:54 AM
Record Type: Record ID:
Commercial - Mechanical MEC2018-00719
Inspection Type: Inspector:
699 Mechanical final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor