Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
CITY OF TIGARD MECHANICAL PERMIT 1111 p �' COMMUNITY DEVELOPMENT Permit#: MEC2015-00297 T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/28/2015 Parcel: 1S136CD02200 Jurisdiction: Tigard Site address: 7850 SW DARTMOUTH ST Project: Costco Subdivision: PALMER ACRES Lot: 3 Project Description: Replacing refrigerator case and roof top condenser. Contractor: KEY MECHANICAL CO OF WASHINGTON Owner: COSTCO WHOLESALE CORPORATION 19430 68TH AVE SO PROPERTY TAX DEPT 111 KENT,WA 98032 999 LAKE DR ISSAQUAH,WA 98027 PHONE: 503-231-0731 PHONE: FAX: 503-236-5848 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 05/28/2015 $2,334.81 Class of Work: ALT Type of Const: IIB Plan Review 05/28/2015 $583.70 Occupancy Grp: M Occupancy Load: 12%State Surcharge-Mechanical 05/28/2015 $280.18 Stories: 1 Info Process/Archiving-Lg$2.00(over 05/28/2015 $16.00 11x17) Project Valuation: $89,000.00 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 Furnaces: 15-30 HP: Unit Heaters: 30-50 HP: Vents w/o Appliances: 50 or Greater HP: Air Conditioning: 1 Heat Pump: Appliances Vent Fans: Vent Systems: Total $3,214.69 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Deli cooler Duct Work: Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, • • is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utili 1otification Cen - Those rules are set forth in OAR 952-001-0010 through OAR 952-0# • '0. You may obtain a copy of the rules o sirect questions to OUNC • =. g 503.232.1987 or 1.800.332.2344. I sued By: , ( Permittee Signature: I • -L �✓ ,11A 1 i �JII Call 503.639.4175 by 7:00 a.m.for the next available inspection 'ate This permit card shall be kept in a conspicuous place on the job site until corn leti,n oft e pr.'•ct. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OF I.I( 1 I s1 (►\l 1 Received City of Tigard Date/By. Permit No.: • 13125 SW Hall Blvd.,Tigard,OR 97223 G�wED r '�� k •`e:s— - `,-Y Plan Rev'Phone: 503.718.2439 Fax: 503.598.19 Other Permit: I IC,,\R I Inspection Line: 503.639.4175 \\ �, Q r►f�15 Date Ready :y: —/ , Juris W1 See Page 2 for Internet: www.tigard-or.gov OM 1 p (•U Notified/Method.�! /j�j ��/ Supplemental Information GpV S� �V TYPE OF WORFj"(Y OF �� '(OM//<MERCIAL FEE* SCHEDULE - USE CHECKLIST It nit, Mechanical permit fees*are based on the value of the work ❑New construction Cir Addition/alterat cement performed.Indicate the value(rounded to the nearest dollar)of all El Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ g 9 &co() e 0 id- CATEGORY OF CONSTRUCTION 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. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: 7,9 fU Sw 7)0.2.1/I'U 0,.51 F0 s-t Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: '/ 4 445 ©R- qI7 z7.....- Furnace 100,000+BTU(ducts/vents) 54.91 r Heat pump 61.06 Suite/bldg./apt.no.: Project name: (.d im /1 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 ROL3 g0igG -715-p C1844 . 12-447F '7b P fireplace 23.32 D 177V S[Sf� 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 yPPLICANT ❑ CONTACT PERSON Other: 23.32 Business nam Fuel piping: /�$ 0(2 01....1 $14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:(5o 3) 51'/ r co f'7 3 Fax::( ) Fireplace Range E-mail: Rn/61tbi M A,J®ktsi 114 tY1* J\C#t- ,c-o>,--- Barbecue CONTRACTOR Clothes dryer(gas) Other: Business name: yeti Lam_ MECHANICAL PERMIT FEES* Address: Lk, S °1u LS ( g 1 la L, s- Subtotal City/State/ZIP: Pe '[ 0.11._ Gi 7-L-77 o Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( Col Z 3 1 —c?)'3 / Fax:("b'',) 27r(� 8I'1 State surcharge(12%of permit fee) CCB lic.: t 31.f ,f f 01'J/l(p TOTAL PERMIT FEE rr 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:Qom tmerfaA M rso✓ Date: S-1 V-1 I\Building\Permits\MEC_ermitApp_040i 13.doc 440-4617T(I1/02/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. 1:1 Building\Permits\MEC_PermitApp_040113.doc 2