Permit (209) u CITY OF TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT Permit#: MEC2013-00522
Date Issued: 09/16/2013
T[GAR D 13125 SW Hall Blvd,Tigard OR 97223 503 718.2439 Parcel: 2S1016601300
Jurisdiction: Tigard
Site address: 11950 SW GARDEN PL 100
Project: Vesta Subdivision: CROW PARK 217 Lot: 1
Project Description: Relocating grills.
Contractor: PROTEMP ASSOCIATES INC Owner: WALTON CWOR PARK BC 8 LLC
9788 SE 17TH AVE BY CTMT-WALTON RE TAX
PORTLAND, OR 97222 4678 WORLD PARKWAY CIR
ST LOUIS,MO 63134
PHONE: 503-233-6911 PHONE
FAX 503-238-9767
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 09/16/2013 $212 83
Class of Work: ALT Type of Const: Plan Review 09/16/2013 $53 21
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 09/16/2013 $25.54
Stories:
Project Valuation: $5,200.00
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.
Heat Pump
Appliances
Vent Fans Vent Systems Total $291 58
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 Notifi - _- ter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090 You may obtain a copy of the rules
or direct t estions to O C by calling 503.232.1987 or 1.800 332 2344 •
Issued =y: �� 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.
Mechanical Permit Application FOR OFFICE USE ONLY
II g City of Tigard Received Permit
13125 SW Hall Blvd.,Tigard,OR 972. a.�� 13 Plan Review
(o d
0 Phone: 503.718.2439 Fax: 503.598.' of,,�' ,�{O�O pa yew Other Permit: ,'h
Inspection Line: 503.639.4175 i •'– '
1 f V n R D Pe CQ G�1° a ate Ready/By: ® See Page 2 for
Internet: www.tigard-or.gov CJ` �1 �`\S Notified/Method: Supplemental Information
4 .COMAlERQAL,FEE*,SCHEDULE – USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/NO1 cement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$$5j20(9
b .'...,''!"41.: CATEGORY OF CONSTRUCTION:' –
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*: