Permit CITY OF TIGARD MECHANICAL PERMIT
2 COMMUNITY DEVELOPMENT Permit #: MEC2009 -00214
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/29/2009
Parcel: 1 S136DCO2503
Jurisdiction: Tigard
Site address: 7501 SW DARTMOUTH ST 200
Subdivision: Lot: 0
Project: Petsmart
Project Description: Demo (8) existing.units, set new adapter curbs and install (8) new units.
Owner: FEES
LURIA, MARK T AND Description Date Amount
WHEELES, DOYLE E, BY PETSMART Permit Fee 05/29/2009 $796.50
INC /PROP MGMT, 19601 N 27TH AVE 4TH FL Plan Review 05/29/2009 $199.13
PHONE: 12% State Surcharge 05/29/2009 $95.58
Contractor:
HVAC INC
5188 SE INTERNATIONAL WAY
MILWAUKIE, OR 97222
PHONE: 503 - 462 -4822
FAX: 503- 462 -6555
Type of Use: COM
Class of Work: ALT Type of Const: IIB
Occupancy Grp: M Occupancy Load:
Stories: 1
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressue: Units > 10000 cfm:
Furnaces Boilers & Compressors
Furnaces < 100K BTU: 0 - 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 $1,091.21
Hoods: Comm Incinerators:
WoodStoves: Gas Fireplaces: Required Items and Reports (Conditions)
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 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: ;` o I PA l ` Permittee Signature: +
Call 503.639.4175 by 7:00 a.m. for an inspection that busine• da
This permit card shall be kept in a conspicuous place on the job site until coin • e on of the project.
Approved plans are required on the job site at the time of each inspection.
n CITY OF TIGARD MECHANICAL PERMIT
e) COMMUNITY DEVELOPMENT Permit #: MEC2009 -00214
Tlr'ARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/29/2009
Parcel: 1S136 DCO2503
Jurisdiction: Tigard
Site address: 7501 SW DARTMOUTH ST 200
Subdivision: Lot: 0
Project: Petsmart
Project Description: Demo (8) existing units, set new adapter curbs and install (8) new units. 9/16/09, push /pull (2)
exhaust fans.
Owner: FEES
LURIA, MARK T AND Description Date Amount
WHEELES, DOYLE E, BY PETSMART
INC /PROP MGMT, 19601 N 27TH AVE 4TH FL Permit Fee 05129/2009 $796.50
Plan Review 05/29/2009 $199.13
PHONE: 12% State Surcharge 05/29/2009 $95.58
Additional Permit 09/16/2009 $72.50
Contractor: Additional Plan Review 09/16/2009 $18.13
HVAC INC 12% State Surcharge 09/16/2009 $8.70
5188 SE INTERNATIONAL WAY
MILWAUKIE, OR 97222
PHONE: 503 -462 -4822
FAX: 503 - 462 -6555
Type of Use: COM
Class of Work: ALT Type of Const: IIB
Occupancy Grp: M Occupancy Load:
Stories: 1
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressue: 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 $1,190.54
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
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 ► . nation Ce = Those rules are set forth in OAR 952 -001 -0010 through OAR 952- 001 -0100. You may obtain ...py of the rules
or . ect questions to OU .. b • = .ng 03.246.6699 or 1.800.332.2344.
Is.ued By: / Permittee Signature: I L
Call 503.639.4175 by 7:00 a.m. for an inspection that busin= s da
This permit card shall be kept in a conspicuous place on the job site until co ..1 ion of the project.
Approved plans are required on the job site at the time of each inspection.
McChanical Permit ApplicatioiRiCEIVED FOR OFFICE USE ONLY
City of Tigard Date Plan Revt Date/By: y: �! ' /�� / I f Permit No de t, i7 9. -v �L'
ii
- ° 13125 SW Hall Blvd., Tigard, OR 97223 MAY 19 2009 >» '/ �i� 4 J
Phone: 503.639.4171 Fax: 503.598.1960 Other Permit:
Inspection Line: 503.639.4175 Date/By:
T I G A R D Date Ready y: Q Juris: El See Page 2 for
Internet: www.tigard- or.gov CITY Notified/Method: �4904L) 1 ' Supplemental Information
BUILDING DIVISION .7 "JIMIfft�'1 �!
TYPE OF WORK COMMERCIALir E* S It . DULE - USE CHECKLIST
❑ New construction ) Addition/alteration /replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: iJechanical materials, equipment, labor, overhea• d •rofit.
, " CATEGORY OF CONSTRUCTION . ' .. ; �` I ) --= •� Value: $�
RESIDENTIAL EQUIPMENT / SYSTEMS FEES *,
❑ I- and 2- family dwelling Commercial /industrial ❑ Accessory building '
Multi M builder For special information use checklist.
El y ❑ ❑ Other:
Description I Qty. I Ea. I Total
. •. ; JOB SITE INFORMA AND LOCATION , ' . '. Heating/cooling
Job site address: 1 Sb t S W D ��- O � s Air conditioning or heat pump
(requires site plan showing placement) 14.00
City/State /ZIP: eli G✓ / t� c � � Furnace 100,000 BTU (ducts/vents) 14.00
Suite/bldg. /apt. no.: \ I Project name: 'p e„--z c VN G Furnace 100,000+ BTU ( ducts/vents) 17.90
Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Subdivision: I Lot no.: Flue /vent for any of above 6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
. " "DESCRIPTION 'OF WORK ° Water heater 10.00
D\ /. ‘ kn�� t ,^� \ Gas firepla 10.00
\J' r` p � ]���1(� S NA/ Flue vent for water heater or gas
/,� y 1r T l/" WA AO 4 --- V\ D PT\ t,S fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
.• Chimney/liner /flue/vent 10.00
' ®; • .� , I' , ..❑ TENANT - ,
Other: 10.00
Name:
Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00
City /State /ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
' ,,.APPLICANT' . `. . ' ' ' J CONTACT PERSON. Attic /crawlspace fans 10.00
1 1\1 n r1 t ^ V ' � Other: 10.00
Business name: } -I r
Fuel piping
Contact name: J k n p,) $5.40 for first four; $1.00 for each additional
S
Address: 1 0 ''`! #,(/ firl k � I na w Furnace, etc.
Gas heat pump
City /State /ZIP: M I I Wa � , 1 D1'. ° r 1
13- -- Wall/sus • ended/unit heater
Phone: �
X 3) ` 1. � . (- D � I (1 (1� Fax:: l ( 93) Ll i --) ( VJ Water heater
Fireplace
E -mail: i 0\J �J .(.4)19. (,0 ) 1 Range
„ CONTRACTOR Barbecue
Business name: .4 \) (\ V' 'VL , Clothes dryer (gas)
V 1 Other:
Address: 'n MECHANICAL PERMIT FEES*
City/State /ZIP: C a f t iq, (�1 - J 6� Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lie.: 510 c? State surcharge (12% of permit fee)
Authorized signature: , %ij) TOTAL PERMIT FEE
This p ermit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: (IN 1111 I Date: ',) r /` 0 t) ' Fee methodology set by Tri -County Building Industry Service Board
1:\BuildingWermits \NEC- Pemilt'App.doe 01/19/07 440-4617T (I 1 /02 /COM/WEB)
0
,Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
Total Valuation , Permit`Fee:' '
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I:\ Building \Permits\MEC- PermitApp.doc 01/19/07 2
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Re l /F �f'
`.1 Received g Re Date/By:
o� Permit No.: G L I � ��
II/
. ° 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit:
T I CARD Inspection Line: 503.639.4175 Date Ready/By: El See Page 2 for
Internet: www.tigard - or.gov Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New construction A Addition /alteration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $ --! 01.Yv
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description
Qty. Ea. I Total
JOB SITE INFORMATION AND LOCATION \-- Heating/cooling
Job site address: S� I Sw Oc z4-m �L4� `: Air conditioning or heat pump
(requires site plan showing placement) 14.00
City/State/ZIP: -- - ay A DR, �`� Furnace 100,000 BTU (ducts /vents) 14.00
Suite/bldg. /apt. no.: Project name: , n r A/� Furnace 100,000+ BTU (ducts/vents) 17.90
1►' y t uv ° Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Subdivision: Lot no.: Flue /vent for any of above 6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
I,� PIMA n (� 1 +-� p f � /� Gas p fireplace 10.00
S" l pV t/ I � 1 1) l f,(Y l (,W`J �� t W lJ Flue vent for water heater or gas
fireplace 10.00
• Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
❑ PROPERTY OWNER ❑ TENANT Chimney/liner /flue /vent 10.00
Other: 10.00
Name: Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00
City/State /ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
V APPLICANT CONTACT PERSON Attic /crawlspace fans 10.00
Business name: \' r / Other: 10.00
V v L/ Fuel piping
Contact name: 13 ` $5.40 for first four; $1.00 for each additional
Address: ^� l s . ,,✓,ai'D Furnace, etc.
Gas heat at pump
City/State /ZIP: I I f 1 k. D--2/ Wall/suspended/unit heater
Phone: (93) ki a L452/x' Fax: : ( V3) 1 4 (0 _. k0.5-1s-s- Water heater
■ Fireplace
E -mail: j 1) 0\ \f ck `/O,�Q U�(N }gyp t cl/,/1 Range
I CONTRACTOR Barbecue
'�, l Pk � Clothes dryer (gas)
Business name: J
_ / Other:
Address: anti 1 �� IA) MECHANICAL PERMIT FEES*
.- .
City /State /ZIP: 40 Subtotal 7� cce)
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50)
Plan review (25% of permit fee) / if- 1 3
CCB lic.: C.310 ( • State surcharge (12% of permit fee) 15.7 v
• TOTAL PERMIT FEE 99 .; 5-
Authorized signature: I t I / This permit application expires if a permit is not obtained within 180
MQ days after it has been accepted as complete.
Print name; `,) (5 Iii ,y 0 ° Date: 0 ( C1 * Fee methodology set by Tri- County Building Industry Service Board
I:\ Building \Permits PermaApp.d. * 19/07 440 -4617T (11 /02/COM/WEB)
■
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.
BUILDING DIVISION
TIGARD TRANSMITTAL LETTER
a
TO: (e- DAT':il_avw' : `. 1,
DEPT: BUILDING DIVISION 2009
SEP 1
CI D D V SI
FROM: ' Ot�
�,� �� _ BOIL
COMPAN : morel -- ( •
PHONE:
RE: 75D/ ` 1-2 N a `�9C L'� D0a2 /�
(Site Ad ress) (P rmit/ ase Num er)
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
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.
Other (explain):
REMARKS: * DD a) A) s
Routed to Permit Technician: Date: Initials:
Fees Due: ❑ Yes ❑ No Fee Description: Amount Due:
. $
Special
Instructions:
Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: Date: Initials:
I: \Building\ Forms \TransmittalLetter- Revisions.doc 4/4/07