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Permit
,R,�� '�� �� !' MECHANICAL PERMIT ,,, ° COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00237 ,,, DATE ISSUED: 4/26/2007 I GA RD'. 4. ,,,�, 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 102 C B -00302 SITE ADDRESS: 13285 SW PACIFIC HWY 7 -11 ZONING: C -G SUBDIVISION: PARK STREET SQUARE LOT: 033 JURISDICTION: TIG PROJECT: 7 -11 Project Description: Replace freezers and roof top conensers units, repipe. VALUE: $6000.00 CLASS OF WORK: ADD FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: M VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: ELE 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES ALADDIN MOTOR INNS Description Date Amount BY BENZENISTE, IRVING 10155 SW CAPITOL HWY [MECH] Permit Fee 4/26/2007 $159.50 PORTLAND, OR 97219 [TAX] 8% State Surcha 4/26/2007 $12.76 Total $172.26 Phone: Contractor: SOURCE REFRIGERATION & HVAC IN 5506 SE INTERNATIONAL WAY MILWAUKIE, OR 97222 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 652 -0884 Reg #: LIC 149200 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: i' / Permittee Signature: ,L � ��� Call 503.639.4175 by 7:00 a.m. for inspections th •t business day. ' 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. 1V1A:clia>iica1 Permit Applicat', EjN ( r ' atztttl'�il1Rt''kfi�FI�it #�1alk( r t FOR OFFICE USE ONLY � �l �, r , F nl k N RctY..i 't7a., •r.� h- ,wtrvM•0i .t.r �.,<� er s4 r� r..ax x a w c < r r ,t � Receive }J City of Tigard DateBy_ i Permit9.G� Ze7 --� a� v ), 3125 SW Hall Blvd., Tigard, OR 97223 r 1GG+ r +l Plan Revi w r l , _ ' Phone: 503.639.4171 Fax: 503.598.1960 A i ' 20 0 Other Permit: I \ ` Date/Hy: ')" 4x, '1 y Inspection Line: 503.639.4175 _ ,7T 1 G A RD p ; _` Date Readv/By: Juris ® See Page 2 for wt ::e1in.;r,ttP,a Internet: www.tigard- or.gov Cr CY ®I' �IGAR- Notified/Method. Supplemental Information BUILDING DIVISION _. : < TYPE OF, WORK _ COMMERCIAL FEE'. SCHEDULE USE CIIECIQ.IST • ❑ New construction Addition/alteration/replacement Mechanical permit fees' are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhea, and profit. "." CATEGORY OF CONSTRUCTION 2 • -, Value: $ ( X1300 RESIDENTIAL EQUIPMENT / SYSTEMS FEES * ❑ 1- and 2- family dwelling g Commercial /industrial ❑ Accessory building ❑ For special information use checklist. ❑ Multi- family ❑ Master builder Other: Description Qty. Ea. Total - JOB SITE INFORMATION AND LOCATION , ; Heating/cooling Job site address: ( ' z56.5 / Z $SSA) / Air conditioning or heat pump Q trr / l ((J (�+ (requires site plan showing placement) 14.00 Ci tate /ZIP: II ` 0 r a_ J Furnace 100,000 BTU ( ducts/vents) 14.00 Furnace 100,000+ BTU (ducts/vents) 17.90 e dg. /apt. no.: A Project name: 7- � ( e.E. 6 �� Gas heat pump 14.00 Cross street/directions to job site: C ' cam ,A ( 1 , _ f A : 0 ct Duct work 14.00 1 Lae 5--t A r Qbau t 2 ,;,(e S r 17Y� trYsi R ide i i hot water system 14.00 1 d /// }" . Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision: Lot no.: Flue /vent for any of above 10.00 Other: 10.00 _ Tax map /parcel no.: Other fuel appliances ' DESCRIPTION OF WORK Water heater 10.00 n \ �f /� Gas fireplace 10.00 p v� Z g ii V I IS (Free e -r ) . �'{�/1 �C(e _ Act Flue vent for water heater or gas n ; / fireplace 10.00 (In ...` -a" 07/7 /pure, Qi/zi/A� Log lighter (gas) 10.00 / Wood/pellet stove 10.00 Wood fireplace /insert 10.00 - :_. ❑ PROPERTY OWNER I TENANT.. Chimney/liner /flue /vent 10.00 Other: 10.00 Name :x j °r!I/l/? sd� t ' m Q tr Environmental exhaust and ventilation Address: / 3 `35 „541--' ra�c(r • /1,--7 Range hood /other kitchen equipment 10.00 ' City /State /ZIP: --� I 0-g-, Clothes dryer exhaust 10.00 I t 1 /2 '( Single -duct exhaust (bathrooms, Phone: ( ) 6 -3 q 7 Fax: ( ) toilet compartments, utility rooms) 6.80 . ❑ APPLICANT . (r CONTACT PERSON Attic /crawlspace fans 10.00 / Other: 10.00 Business name: . 0 J r r E. RE f r; f,E./ -1 t -u/ Fuel piping Contact name: ./a P Pi r t k {- { $5.40 for first four; $1.00 for each additional 'j Address: -S ✓--- ..r-ufae ..f L. /4),--/- Furnace, etc. Gas heat pump City /State /ZIP: l`�Gt)Qvi� c`t, 2-7- Z- Wall/suspended/unit heater Phone: (5 03 ) ZOC ._ Water heater ( o S2 (o Fax .. (�3) S 2 - o q Fireplace t� 7 E -mail: /ti/ - Range 6i 1 `5. CONTRACTOR Barbecue �� r ( Clothes dryer (gas) Business name: So t j rc e e.e c,,, ,Qit' -0. -1 d n Other: Address: ,...5 era Se _7 e-ie_i Razz& 4- r M ECHANICAL PERMIT FEES* City /State /ZIP: I OR 9 7z -2... 2-- Subtotal A90. YO Phone: (`6Ct ) 6 -24 gt Fax: (563 )6,5 - ©y `� I Minimum permit fee ($72.50) Plan review (25% of permit fee) CCB lic.: /f 2.2,0 State surcharge (8% of permit fee) TOTAL PERMIT FEE //pg,, T This permit application expires if a permit is not obtained within 180 Authorized si • ature: days after it has been accepted as complete. Print na r ' / fyk''f Date: y - -zo ' Fee methodology set by Tri- County Build' Industry Service Board : \B uildinglPermits MEC- PermitApp.doc 04/06/06 440 -4617T (11 /02 /COM/WEB) / 7 / , . . Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total. Valuation Permit Fee: " $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $1 0,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. 1:\ Building \Permits\MEC- PermitApp.doc 12/30/05 2 I I 1 1 1 1 1. 1 1 1 1 1 1 _1 I, 1 11 I' 1 _ ( I I I I I 1 I J mole , - Q!C-L Y vl/ ie6i ' '�<l�! 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RS54CIE-IAA 14 115/1 - .5 j 5.4 • 38 1 0 .,...' .../4 1/ ,... ‘...,., . j.. ?t: :4,,,,, , , V . „. •........ - • ....,.. ..... • ..., LPM01002VP ' RSL2-0100-CAV 1 ! 208-230/1 12.0 1 ,.) 0 ,-; IIEMEMI 20 , 38 5/8 13.2. 245 1 Decrease rating 64 tor each 10°F higher ambient. increase rating 6% for each 10°F lower ambient. • ' ' 11 U S g M i n it . Hussmann• Corporation s ; 140 East State Stree: Web Site: ‘vtv w.hli,c5rnann.COni . Gloversville. NY 12073 ;-- . : (518) 725-0644 An - . i (80o) 753-7790 ' - 05 (»4-.3.2.5r.1 FaY ■,5 725-38C! P • ' 5 Proven cource. i'oven solution . (ifnlIngersolifland bu OtD 04, PT" $ - 530 )1)5 C- h .*-, Vac) or? i/-5 3001 /66 E e- (/1 , ...,.:. ‘ CITY OF TIGARD BUILDING DIVISION 4. ..0 PERMIT #: MEG2007-00237 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2612007 Phone: (503) 639-4171 OPP i ,,, 4■ I & Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 5/8/2007 TIME: 7:03Alvl PAGE: 100 SITE ADDRESS: 13285 SW PACIFIC HWY 7.11 CLASS OF WORK: SUBDIVISION: PARK STREET SOUARE LOT #: 033 TYPE OF USE: PROJECT NAME: 7..11 DESCRIPTION: Replace freezers and roof top conensers units, ropipe. VALUE: $6000.00 OWNER: ALADDIN MOTOR INNS, PHONE #: CONTRACTOR: SOURCE REFRIGERATION & HVAC IN PHONE #: 503-6510884 Inspection Request Scheduled For: Date: 5/812007 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 047781-01 503-209-0526 N Corrections/Comments/ Instructions: • ••■•■■•••..--•••■•■••■••• • ••••... • , F _ 01/1/1(0 k !4 - ASS ri PARTIAL APPROVAL 7 CANCEL NO ACCESS I I FAIL / ' ALL FOR INSPECTION 0 ADDITI AL FEES ASSESSED Inspector: — Date: – Phone #: (503) 718- ..- II