Permit u CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00205
TIGARD; 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/23/2008
PARCEL: 1 S 136DC -04500
SITE ADDRESS: 07501 SW DARTMOUTH ST 100 WINCO ZONING: C -G
SUBDIVISION: PP1995 -013 LOT: JURISDICTION: TIG
PROJECT: WINCO
Project Description: Installing 20 ft. of 3" gas line to new gas meter location
CLASS OF WORK: ALT 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:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
WINCO FOODS Description Date Amount
650 N ARMSTRONG PLACE
BOISE, ID 83704 [MECH] Permit Fee 4/23/200€ $72.50
[TAX] 12% State Surch 4/23/200€ $8.70
Total $81.20
Phone: 208-377-0110
Contractor:
MCLANE PLUMBING, INC.
7675 HIGHBANKS RD #3
CENTRAL POINT, OR 97502 REQUIRED ITEMS AND REPORTS
Contact #: PRI 541- 664 -1880
FAX 541- 664 -4216
Reg #: LIC 90332
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. -� - Permittee Si nature: �— t et
Call 51 by 7:00 a.m. for inspections that business • -y.
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.
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Mechanical Permi Applicatio r j 1 1 1� .':?;9atr � �:wn.i� aw�+�'' i AIi,V2,, a .a;�r'I''r .ru #' ( :su
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�. , t' sr5 City of Tigard q P R 0 08 n�e,13Y t'1 / /0 � --- P«>tta No. /'7� ��'
13125 SW .fall Blvd., Tigard, OR 97223 Plan Review �� n ^_ D rQ/ G J J , Q
r
S i 50 Phone: 503.639.4171 Fax: 10 re,1 ; ljj(I
13 Date/By: Other Permit ; fpa( Q-
,w7 r C ti ti Inspection Line: 503.639.4 , � 1 , N Date Ready/By: 1 ® See Page 1 for
4 .
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Bar S Notified/Method: Supplementallotormation
TYPE OF WORK COMMERCIAL FEE" SCHEDULE - USE CHECKLIST
❑ New construction ® Addition /alteration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the neatest dollar) 01'0
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit
CATEGORY OF CONSTRUCTION Value: $
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. Ea. Total
JOB SITE INFORMATION AND LOCATION
Heating/cooling
• Job site address: 7501 S.W. DARTMOUTH ST. Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State/ZIP: TIGARD, OR 97224
Suite/bldg. /apt. no.: Project name: WINCO FOODS Furnace 100,000 BTU (ductslvenrs) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall. in-duct, suspended, etc. 14.00
Flue/vent for any of above 6.80
Subdivision: Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 1 0.00
Gas fireplace 10.00
LNSTALL 20' OF 3" GAS LINE '1'O NEW GAS METER LOCATION. Flue vent for water heater or gas
fireplace 10.00
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
Islam:
Environmental exhaust and ventilation
Range hood/other kitchen
Address: equipment 10.00
City/Statc.2IP: Clothes dryer exhaust 10.0
Single -duct exhaust (bathrooms,
' Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
® APPLICANT
1:: CONTACT PERSON AtticJcrawlspacc fans 10.00
Other: 10.00
' Business name: MCLANE PLUMBING, INC. Fuel piping pPnR
Contact name: RYAN MCLANE $5.40 etc. for first four; 51.00 for each additional
Address: 7675 HIGHBANKS ROAD #3 Furnace,
Gas heat pump
City /State/ZIP: CENTRAL POINT, OR 97502 Wal lsuspended/unit heater
Phone: (541) 664-1880 F'ax:: (541) 664-4216 Water heater
Fireplace
E -mail: mpiZeharterinternet.com Range
CONTRACTOR Barbecue
-
Business name: MCLANE PLUMBING, INC. Clo dryer (gas) 1
1 I S'. `
40 Address: 7675 HIGHBANKS ROAD #3 MECHANICAL PERMIT FEES*
Cn City /State/ZIP: CENTRAL POINT, OR 97502 __ Subtotal
Vii -- Minimum permit fee (572.50) 72.50
Phone: (541) 664 -1880 Fax: (541) 664 -4216 1 Plan review (25 %ofpermit fee) 0.00
4 CCB lic.: 90332 � State surcharge (1 of permit fee) 8.70
j P TOTAL PERMIT FEE 81.20
yi� . This permit appticatioa expires if a permit is not obtained within 180
Authorized signature: // " days after it has been accepted as complete.
I Print name: Ryan M ^ - 1 Date: 04/23/2008 • Fee methodology set by Tn- County Building du' Smice Board
I: auldiagWtrmits WEC.PermitApp.doc 01/19/07 44 - 4617r(11,02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ME C2000-00205 00205
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/23/2001
Phone: (503) 639 -4171 . °"''��p d':' ''
0----- -----------
Inspection Requests (24 Hrs.): (503) 639 -4175 ': ""II�
INSPECTION WORKSHEET FOR DATE: 4/24/2008 TIME: 7:01A1vt PAGE: 26
SITE ADDRESS: 0701 SW DARTMOUTH ST 100 WINCO CLASS OF WORK:
SUBDIVISION: PP1995 -013 LOT #: TYPE OF USE:
PROJECT NAME: \AtiNCO
DESCRIPTION: Inst lling 20 €t. of 3" gas line to new ga=y: meter location.
OWNER: WiNCO FOODS, PHONE #: 208
CONTRACTOR: MCLANE PLUMBING, INC. PHONE #: 541-664-1800
Inspection Request Scheduled For: Date: 412412008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 0688484 -01 541 -664 -1880 N
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Corrections /Comments /Instructions:
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V PASS 1 1 PARTIAL APPROVAL n CANCEL n NO ACCESS
❑ FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
1. _
Inspector: �. Date:O Phone #: (503) 718 - 1-