Permit CITY OF TIGARD MECHANICAL PERMIT
1111
a COMMUNITY DEVELOPMENT Permit#: MEC2020-00220
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/07/2020
T I G A II D 9 Parcel: 2S 101 BA00500
Jurisdiction: Tigard
Site address: 7600 SW DARTMOUTH ST
Project: Walmart Subdivision: HERMOSO PARK Lot: 8
Project Description: Demo ductwork, Installing grills,replacing filters on new RTU.
Contractor: TDR CONTRACTORS Owner: WAL-MART REAL ESTATE BUSINESS TR
PO BOX 1003 GILMER BY PROPERTY TAX DEPT STORE 5935-00
GILMER, TX 75644 PO BOX 8050
ATTN MS 0555
BENTONVILLE,AR 72716
PHONE: 903-843-5543 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/07/2020 $474.71
Class of Work: ALT Type of Const: Plan Review 05/07/2020 5118.68
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 05/07/2020 $56.97
Stories: Info Process/Archiving-Lg$2.00(over 05/07/2020 $2.00
Project Valuation: $15,000.00 11x17)
Fuel Air Handlers
Fuel Types: Units< 10000 cfm:
Gas Pressure: Units> 10000 cfm:
Furnaces Boilers 8 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 $652.36
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC y calling 5033..2,�2.1987 or 1.800.332.2344.
Issued By: ermittee Signature: c
{ Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application r ` ! FOR OFFICE USE ONLY
City of TigardRECEIVE ose � y 0,20III j C:20 �Xl-
MI
13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review
Date/By: !'� y,. ,
Inspection Line: 503.639.4175 APR 6 Z�2� �2t/ wicvT.�
TIGARD Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov Nolified/Method: Supplemental Information
CITY OF TIGARD
I,_ r, „i,-,cir)1
TYPE OF WORK COMMERCIAL FEE* SCHEDULE USE CHECKLIST '
Mechanical permit fees*are based on the value of the work
❑New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ / e— OC L
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMF. S I'a.MS FEES*
❑ 1-and 2-family dwelling \Commercial/industrial ❑Accessory building Far special information use checklist
❑Multi-family ❑Master builder El Other: Description Qty. Ea. Total
SOB SITE INFORMATION AND LOCATION Healing/cooling:
Air conditioning 46.75
Job site address: (coo S W DQrfin.,6u h S_i_ Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: / I ar� Q R Furnace 100,000+BTU(ducts/vents) 54.91
v 1 a 5q 35 work Heat 61.06
Suite Bldg./apt.no.: Project name: uViaC'# 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
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
emo r am* (duo (' k fireplace 23.32
-n Sfa.,G 1 q r► kt'' Log lighter(gas) 23.32
Wood/pellet stove 33.39
'SepAue� �A-E-e e , o n new RT/t Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
..PROPERTY OWNER 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: W(4.mos,c--17 I Range hood/other kitchen
Address: ao Q r SE !O-r t S+ Cloiothee ss 33.39
! Cl crcxhaust 33.39
City/State/ZIP: Benton 01 tt _ to,R a� t Single-duct exhaust(bathrooms,
l toilet compartments,utility rooms) 23.32
Phone: ( ) Fax:( ) Attic/crawlspace fans 23.32
0 APPLICANT CONTACT PERSON Other: 23.32
Business name: T D R Co rl*cac o I .. Fuel piping:
!� `^ J $14.15 for first four;54.03 for each additional
Contact name: h\o�A yoCAM Furnace,etc.
Address: 1 Gas heat pump
P O 1003
O Wall/suspended/unit heater
City/State/ZIP: CI.,V�ec l T `7S Lp(f.4(� Water heater
Phone:( ) -7 q7. 3 4 Ian Fax: :(%)3) 7 r- 5I OQ Fireplace
Range
E-mail: r IQ i (%�l / (.1rufr1-1//C� t- .1 I,e1 Barbecue
W CONTRACTOR V Clothes dryer(gas)
Business name: 7"p R l_-o)ntrac,-f-o ..S =/1 Other:
1 J MECHANICAL PERMIT FEES*
Address: Subtotal
City/State/ZIP: G: 4t,,Le•r f-15 k0 Lk( Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(qQ3) R . 34a2 Fax:(q03) 1 q -S too State surcharge(12%of permit fee)
CCB lie.: a a.'g 0 $3 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
//rr ���� // days after it has been accepted as complete.
Authorized signature: /•/l /r s- * Fee methodology set by Tri-County Building Industry Service Board
Print name: Rho n„�/t V e Oviryt��M»t t ol1 u Date: I i /ao .oiftBudding'PermitsUIEC PensitAop 041IL.oc I J I U a�0-96liT /o2ICOMM/ EB)