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Permit
' CITY OF TIGARD MECHANICAL PERMIT p ip ' — : 2 COMMUNITY DEVELOPMENT Permit #: MEC201300610 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/05/2013 Parcel: 1S134BC00300 Jurisdiction: Tigard Site address: 12220 SW SCHOLLS FERRY RD Project: Greenway Town Center - Whole Foods Subdivision: GREENWOOD TERRACE CONDO Lot: 17 Project Description: Refrigeration system work only for TI. Other HVAC done under MEC2013- 00609. Contractor: KEY MECHANICAL CO OF WASHINGTON Owner: FW OR- GREENWAY TOWN CENTER LLC 4655 NE 190TH LANE PO BOX 790830 PORTLAND, OR 97230 SAN ANTONIO, TX 78279 PHONE: 503 - 231 -0731 PHONE: FAX: 503 - 236 - 5848 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 12/05/2013 $8,185.91 Class of Work: ALT Type of Const: VB Plan Review 12/05/2013 $2,046.48 Occupancy Grp: M Occupancy Load: 12% State Surcharge - Mechanical 12/05/2013 $982.31 Stories: 1 Info Process /Archiving - Lg $2.00 (over 12/05/2013 $62.00 11x17) Project Valuation: $291,000.00 Info Process /Archiving - Sm $0.50 (up to 12/05/2013 $20.00 11x17) 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 $11,296.70 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Refrigeration 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 otification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -'; -0091. You may obtain a copy of the rules or rect questions to OUNC • , • ailing 503.232.1987 or 1.800.332.2344. I sued By: � �/ = = ,�� Permittee Signature: \ M Call 503.639.4175 by 7:00 a.m. for the next available inspection • _ This permit card shall be kept in a conspicuous place on the job site until comple • of the pro - Approved plans are required on the job site at the time of each inspection. i♦' Mechanical Permit Applicat s' C ELVED I t oli cn l lcr ush: c)\ l.l' Cl of Tiand Received /� � Permit No.: j /�j� / /, J City g Date/By: .J � C� �pr9 L ,, 4,„„ i (C 11 n 13125 SW Hall Blvd., Tigard, OR 97223OE 5 203 ® Phone: 503.718.2439 Fax: 503.598.196 Other Per Plan Review mit: Other U ao�3 — aoa� , TIGARD Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method: Supplemental Information BUILDING DIVISION 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: $ 6 `fi6 p ad _ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ 1 - and 2- family dwelling J Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: // - _ n ^ Air conditioning 46.75 Job site address: /Viso 5 � s,geu� 1' 1 /Z Furnace 100,000 BTU (ducts/vents) 46.75 City /State /ZIP: - 7 — /(/ylrtill Q/(� 97223 Furnace 100,000+ BTU (ducts /vents) 54.91 Suite/bldg. /apt. no.: Project name: 1,401,6 / Heat pump 61.06 /" v „4c (ST 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 did f L. Arfiq 4 ~Leg) EQ) , Ppm L -,o G r G !?,/ ✓ila0r fireplace 23.32 Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace /insert 23.32 Chimney/liner/flue/vent 23.32 ❑ PROPERTY OWNER ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name: Range hood/other kitchen equipment 33.39 Address: 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 APPLICANT ❑ CONTACT PERSON Other: 23.32 Business nam '< VI tl t?T.�lGte-- Fuel piping: $14.15 for first four; $4.03 for each additional Contact name: ! `a'Y 1' I - -1 M4 Furnace, etc. / 1 Gas heat pump Address: .�� /�'61-141 �/6 Wall/suspended/unit heater City /State /ZIP: byin &-h- 9723 d Water heater Phone: (5 p3) 2 — 67 3 i Fax: : (s)) Z46 sote Fireplace Range E -mail: RM cayMmi e9 41j rcM e_Acrievx Barbecue CONTRACTOR Clothes dryer (gas) , Other: Business name: 46 � c / 47✓l &A _ MECHANICAL PERMIT FEES* Address: / 5 5 L tie D 0 t L �/r Subtotal City /State /ZIP: P.t ' o, . b L ©- .1 '7 2 3 0 Minimum permit fee ($90.00) Plan review (25% of permit fee) Phone: ( .03) - 2. - 3 (- 0 ( Fax: (S ) Z-3b - 5 8y8 State surcharge (12% of permit fee) CCB lic.: 1 0 D f ly 1 OQ 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: Fee methodology set by Tri- County Building Industry Service Board Print name: p 07 E f tp . 1 or-1 Date: 1 1— i 3 , I:\Building\Permits\MECPec tApp_040113.doc 440 -46177 (11 /02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi- Family Fee Schedule: Total Valuation: Permit Fee: $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 each 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. 1:\BuildingWermits MEC_PermitApp 2 5 jee!lanical Permit Application 61t-cR olipi ioN , " FO RO FI IC ` • USE City of Tigard Received y g � y Date /By: L Zip ,. - • Permit No.: ---C–) ' IN q 13125 SW Hall Blvd., Tigard, OR 972 t1 Q( EEI Plan Revi� i�� C ' Phone: 503.718.2439 Fax: 503.598.1'. ti �/ Date /e ') Other Permit: y # i .�i TIGARD Inspection Line: 503.639 Date Re 1" y: Juris: See Page 2 for Internet: www.tigard - or.gov OCT 10 7013 Notified/Method: Supplemental Information TYPE OF vielg OF TIGARD COMMERCIAL FEE* SCHEDULE — USE CHECKLIST BUILNG DIVISION Mechanical permit fees* are based on the value of the work ® New construction ❑ Addition/alteration/replacement r performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. Value: $ $291,000.00 er CATEGORY OF CONSTRUCTION ; I RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ I- and 2- family dwelling 0 Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total 'l JOB SITE INFORMATION AND LOCATION Heating/cooling: kr Air conditioning 46.75 : I. 1 Job site address: 12220 SW SCHOLLS FERRY ROAD Furnace 100,000 BTU (ducts/vents) 46.75 ( I City /State /ZIP: TIGARD, OREGON 97223 Furnace 100,000+ BTU (ducts/vents) 54.91 Heat pump 61.06 rt� Suite/bldg. /apt. no.: Project name: WHOLE FOODS GREENWAY Duct work 23.32 i `; Cross street/directions to job site: SW 121 Avenue, at the Greenway Town Hydronic hot water system 23.32 I , � ! Residential boiler (radiator or I Center shopping center hydronic) 23.32 Unit heaters (fuel -type, not electric), I r in -wall, in -duct, suspended, etc. 46.75 Flue/vent for any of above 23.32 Other: 23.32 Subdivision: Lot no.: I IJ Other fuel appliances: f , Tax map /parcel no.: IS134BC00300 Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 1 Flue vent for water heater or gas Complete interior TI w/ minor exterior work for new39,249sf grovcery store fireplace 23.32 in existing bldg (exterior, core & shell, work by other under separate permit) Log lighter (gas) 23.32 Wood/pellet stove 33.39 This permit covers the refrigeration system work Wood fireplace/insert 23.32 Chimney /liner /flue/vent 23.32 ❑ PROPERTY OWNER I ® TENANT Other: 23.32 Environmental exhaust and ventilation: Name: Whole Foods Market Range hood/other kitchen equipment 33.39 Address: 3535 NE 15 Avenue Clothes dryer exhaust 33.39 City /State /ZIP: Portland, Oregon 97212 Single -duct exhaust (bathrooms, toilet compartments, utility rooms) 23.32 Phone: (503)729 - 8299 Fax: ( ) Attic /crawlspace fans 23.32 ® APPLICANT ❑ CONTACT PERSON Other: 23.32 Fuel piping: Business name: Cushing Terrell Architects Engineers $14.15 for first four; $4.03 for each additional Contact name: John Borer Furnace, etc. Address: 200 West Mercer Street, Suite 503 Gas heat pump Wall/suspended/unit heater City /State /ZIP: Seattle, Washington 98119 Water heater Phone: (206) 282 -6222 Fax: : (206) 282 -7350 Fireplace Range E -mail: johnborer @ctagroup.com Barbecue k CONTRACTOR \= Clothes dryer (gas) .usi l'o Be Determined before permit issuance. Other: MECHANICAL PERMIT FEES �4ddres Prrie/ I r 1 Subtotal CitS y,[a`te/ZIP: L `J Minimum permit fee ($90.00) /h' -v Plan review (25% of permit fee) &hone• ) Fax: ( ) State surcharge (12% of permit fee) IC13,f.lith TOTAL PERMIT FEE * I I 4 0.910 1.7° This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: * Fee metho dology set by Tri- County Building Industry Service Board Print name: Z o K t4. Eccomia Date: 10.0%13 I:\ Building \Permits\MEC_PermitApp_04.0 I t 3.doc 440 -46 ITT ( I I /02/COM/W EB ) 4e apical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi- Family Fee Schedule: Total Valuation: Permit Fee: $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 each 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. 1:\ Building \Permits\MEC_PermitApp_040I I 3.doc 2 Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 12220 SW SCHOLLS FERRY RD, TIGARD, OR, 97223 Commercial - Mechanical 699 Mechanical final PASS - No C of O May 16, 2014 at 12:07:08 PM MEC2013-00610 Chip Barnett Violation Summary: Inspector Contractor