Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2021-00798
Date Issued: 11/22/2021
T I C;A I2 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S115BA02600
Jurisdiction: Tigard
Site address: 16230 SW PACIFIC HWY 100
Project: Panda Express Subdivision: 2004-015 PARTITION PLAT Lot: 2
Project Description: Replace defective walking evaporator with like kind evaporator.
Contractor: HILLTOP REFRIGERATION INC Owner: SN PROPERTIES PARTNERSHIP
39011 NE 4TH AVE 1121 SW SALMON ST
WOODLAND, WA 98674 PORTLAND, OR 97205
PHONE: 775-771-4004 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 10/25/2021 $191.86
Class of Work: ALT Type of Const: VA Plan Review 10/25/2021 $47.97
Occupancy Grp: A-3 Occupancy Load: 12%State Surcharge-Mechanical 10/25/2021 $23.02
Stories: 1 Info Process/Archiving-Lg$2.00(over 10/25/2021 $6.00
11x17)
Project Valuation: $4,500.00
Info Process/Archiving-Sm$0.50(up to 10/25/2021 $6.00
11x17)
Fuel Air Handlers
Fuel Types: Electricity 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 $274.85
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: walk in
Duct Work: freezer
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
10/412
Mechanical Permit Applicatio rt Ik Ol I lcF. csl�-Oyl l
Cityof Tlaaard VE II Received/n �� �j�7,0 /_o6 (�
b Date/By: f Permit No.: ��L/'w j�Q
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review, I_` / •
Phone: 503.71$.2439 Fax: 503.598.1960 0 C T 04 2021 Date/By: 0 01` .• 2 r Other Permit:
I WARD Inspection Line: 503.639.4175 Date Ready/By: / I Suns: ® See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD N 1ed/Method: Supplemental Information
BUILDING DI1,`,..'GN ��� if )0 - r / �'
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction xi 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.
Value:$ g5-400••o
CATEGORY OF CONSTRUCTION
RUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ciit Commercial/industrial 0 Accessory building For special information use checklist
❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Job site address: / ' Q S. / /� Air conditioning 46.75
tY 2. W /fciFIC /�''i1/ Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: ri�1�ill OR1� ��� / Furnace 100,000+BTU(ducts/vents) 54.91
/ f Heat pump 61.06
Suite/bldg./apt.no.: /00 Project name: D d {ft/X C.#1 COIL Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
PAC
I F(C f V 4— {N! 1 Br4 /�/�/�_ Unit heaters(fuel-type,not electric),
F 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
iimcf' 71 VE W/}/,k WN Ccotet -E,Qpp 'mt fireplace 23.32
�/ Log lighter(gas) 23.32
LIMA' L.Uk.0 1 Ni %4WD- 6..4 pOitsitTlte— Cot I—• Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
❑ PROPERTY OWNER a TENANT
Environmental exhaust and ventilation:
Name: `NIDA E.XeiS-S Range hood/other kitchen
Address: ff //� //JJ equipment 33.39
AI 22_g O s IV Rik?he_ is.,7 Clothes dryer exhaust 33.39
City/State/ZIP: 7 iiA.1(O bet q 7.LZ if // Single-duct exhaust(bathrooms,
(�3) ( toilet compartments,utility rooms) 23.32
Phone: 0 '�� T a 3 8 Fax:( ) Attic/crawlspace fans 23.32
0 APPLICANT 0 CONTACT PERSON Other: 23.32
Business name: � Fuel piping:
1.1-%roe gEY'etkEi.ltrrt*Ai $14.15 for first four;$4.03 for each additional
Contact name: Awe
1 lih(l/1 Furnace,etc.
Address: 31 ot 1( AI L ntA j Gas heat pump
1 t e Wall/suspended/unit heater
City/State/ZIP: tAIDOLAMO / WA q 0 3-It Water heater
Phone:(' )1(•�0 f Fax: :( ) Fireplace
E-mail: L�f44 v ✓ 4, ,_, .�S , -d10. pg,Q Range
v�t Barbecue
CONTRACTOR Clothes dryer(gas)
gfr...atOther: Ce,v tiskie t1'C I Q,�Business name: Au:lb 45071 O.J MECHANICAL PERMIT FEES*
Address: 3 O1 NC if r4a- Subtotal
City/State/ZIP. Minimum permit fee($90.00)
�� (AA �'era�y
K I Plan review(25%of permit fee)
Phone:( ) 00 Fax:( )
State surcharge(12%of permit fee)
CCB lie.: Zl 9 Q/9- /� TOTAL PERMIT FEE f'f j (
`/r4 1` 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: ���,d Date: W20,/
1:1BuildinglPermitslMEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)