Permit 111111 CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Pe
COMMUNITY MEC2021-00813
T!GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/30/2021
Parcel: 2S 102CC01100
Jurisdiction: Tigard
Site address: 13680 SW PACIFIC HWY
Project: Tigard-Orenomah Masomic Lodge Subdivision: None Lot: None
Project Description: Replacing hood with new Type I hood.Gas piping for new range.
Contractor: CAMERONS INSTALLATIONS INC Owner: TIGARD-ORENOMAH LODGE#207 OF AF&AM
22170 SW MARTINAZZI PO BOX 230184
TUALATIN, OR 97062 TIGARD, OR 97281
PHONE: 503-692-3368 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 11/30/2021 $804.91
Class of Work: ALT Type of Const: VB Plan Review 11/30/2021 $201.23
Occupancy Grp: A-3 Occupancy Load: 12%State Surcharge-Mechanical 11/30/2021 $96.59
Stories: Info Process/Archiving-Lg$2.00(over 11/30/2021 $12.00
11x17)
Project Valuation: $28,000.00
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
II
Vent Fans: Vent Systems: Total $1,114.73
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 f more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rule e set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: Permittee Signature: "rr r u/I/
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.