Permit CITY MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00375
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/21/2007
' "'' PARCEL: 2S102AA - 02302
SITE ADDRESS: 12202 SW MAIN ST ZONING: CBD
SUBDIVISION: TIGARD HIGHWAY TRACTS LOT: 003 JURISDICTION: TIG
PROJECT: AMERICAN FAMILY
Project Description: Install gas pack. 7/10/07 project name changed (from restaurant to American Family per contractor)
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:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
B -B -B PROPERTIES Description Date Amount
PO BOX 23952
TIGARD, OR 97281 [MECH] Permit Fee 6/21/2001 $72.50
[TAX] 8% State Surcha 6/21/200 $5.80
Phone: Total $78.30
Contractor:
SPECIALTY HEATING & COOLING
7500 SW TECH CENTER DR #130
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
Contact #: FAX 503 -598 -0718
PRI 503- 620 -5643
Reg #: LIC 66578
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 Signature: ;
Call 503.639.4175 by 7:00 a.m. for inspections that busines 'da .
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.
JUN /20 /2007 /WED 04:18 PM FAX No. P.002
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iVlec�iamcal Permit Application
Ci of Tigard Received ,, Permit No.: - •
131 SW Hall Blvd., Tigard, OR 9 '» " D01e�y7 / W �1 .. T r 3
: i" Ptah Review
Phone: 503.639.4171 Fax: 503.59
l" ✓r,,.7. , y , Other Permit: c2 sr
Inspection Line: 503.639.4175 «, ° ' I I Date Ready/By: la See Pa e taI 2 for
Internet www•ci.tigard.or.us J UN 2 0 2001 Notified/Method: Suppiaoeolaformatiou
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Mechanical permit fees' are based on the value of the work
❑ New construction ❑ • d a Rion/alteration/replacement
performed.
ID Demolition ❑Other: nical Indicate
s,alue (rounded to the nearest dollar) of all
materials, a
yy a1 equipment, labor, overh ad, and • refit.
+ "'F°1r D t F. 1r.f , t i ir „ {C A ' • ry } , •} Y f+ . cr f Nr'i y ^('a rj V� Value; $ _S p�
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° J:acyi;�P , y + . t +' + • .wdr••.��.r..... a to ><L•...,..n. ,..e �,n �qi ^ � at. �_..I:.z::hN, F � ..5. a... "'! ' 1 r^. r d A 1 K G 1°a
❑ 1- and 2- family dwelling ,Commercial /industrial ❑ Accessory building
For speclal information use checklist.
❑ Multi -family ,.. ., , ❑ Master builder ❑ Other Description Qty. l a. Total
r '
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f �! . .... pJcooliag
Air conditioning or heat pump
Job site address: 1 (,,tip at\ C .: vi (requires site plan showing placement) 14.00
City/State/ZIP: A CI 2Z,3 Furnace 100,000 BTU (ductsrvenrs) 14.00
Suite/bldg./apt. no.: • reject ream•: Fine 100 BTU (ducts/vents) 17.90
W Imo: Gas heat pump 14,00
Cross street/directions to job site: . . t / Duct work 14.00
/ Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric
in -wall, in -duct, suspended 10.00
Subdivision: I) of no.: Flue/vent for any of above 10.00
Other: Go Ps-(/ - ( 10.00 1 0. CO
Tax map /parcel no.: yy Other fuel appllanbes
S zr,P� V�r., f ,g 7 J .glsrc y J 1 Ytjl vpt5; x,� �2 a t / � d l 0 le " ;74" 6 ;?:a,g i " 15TA' � fi. ..W C f '�••+ y : Fi>'.l Water heater 10.00
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Gas fireplace 10.00
Flue vent for water heater or gas
fireplace 10.00
' 1 I R W Log lighte ) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
jj'IrTt n• 1 !1L , ti �, r s+ y7 'f 7 + p t «7 r t t °`i c Chimney/linerlfue/vent 10.00
- l� + , r. , .......-- .--1--1.. ,- °--, ∎ J 'i } .:l atys e L. ;..1W .! . , 1 : 1 . 2i;,M. ;. T } �� .7 i ,L . fa+i k. - Other: 10.00 _
r
L1 Cam` p 0 . hits Environmental exhaust and ventilation
- Address: ° t Range hood/other kitchen
equipment _ 10.00
City /State/ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) I/ °t Ib "j Fax: ( ) toilet compartments, utility rooms) 6.80 .
.V 1 }tr .0 *' td: 5 ti h ' � �� 9 YSY 1 17 °
` ,.y�.? c ,. , ! ' f _ � 7f 1 t e li l , t , e 1, ; ti 1 rJ { 1- - 1 ri1. .. >, ..Gt':' r r .� Attir✓craw[space fans 10.00
I��:4 } 1 a 4ilr ._ rY ._ f_ , . , ?r u _ t Other 10.00
t'4 '
Business name: S pE e , „ + ' - ' .u-- � f± t a nit 4IL &ph IOf Fuel piping
Contact name J G $5,40 for first four; S1.00 for each additional
^_ Furnace, etc.
Address:
Z1bb J1.La Te e_k & rd:- -Z" Mr i 1. A Gas heat pump
City/State/ZIP: A -*
L J are/ f i a�B Wall/suspended/unit heater
Phone: ( ) S eltr JC_ I Fax :: ( ) Water heater
Fireplace_
E -mail; Range
ci XK,k N ti�c i '',,,+ 1 IFS yr1
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S r ppt r "? ra• �ti t S T , �' >� r t R �. . Barbecue
r �� L, ,. •• -cd Jn; a1-+ ._..n: ; + <i.. _�r... dt i.. �,,: it6 J..L.�,,t.f.....� :.iu -...
Business name: ea : , ti 14 L. Q- C..00l21 lye_ Other dryer (gas)
Address: • 5 - i . l W 1 ' 1 s r tl i ��yL+ -Cyll� r ;��'1- 1� 'K'ys; rs'k
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city/state/ZW; ° �t.r et X12 .9 701,73 sabtofal ID. Cp
a� �j Minimum permit the ($72.50) 1}2 •
Phone: 563) F ax. ( 5 1 $5 1 4 ` g QZ i 6
�p � � G 413 � Plan review (25% of permit fee)
CCB lic.: 6 L 51 ' State surcharge (R% of permit fee) S • SO_
TOTAL PERMIT FEE ¥ , 30
signature: This permit application expires if a permit is not obtained within 180
Authorized si
/ days after it bas been accepted at complete.
Print name: A • T S 1 , - 1 Date: • Fee methodology set by Tri•Couaty Building Industry Service Board
i:\ auileinorermite thtEC- POrmltA9pp. 17103 440•4617T(11l02/COM/WEB) ,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00375
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/21/2007
Phone: (503) 639 -4171 �� � �� ,
Inspection Requests (24 Hrs.): (503) 639 -4175 � I °.
INSPECTION WORKSHEET FOR DATE: 7/11/2007 TIME: 7:0'1AM PAGE: 50
SITE ADDRESS: 12202 SW MAIN ST CLASS OF WORK:
SUBDIVISION: TIGARD HIGHWAY TRACTS LOT #: 003 TYPE OF USE:
PROJECT NAME: AMERICAN FAMILY
DESCRIPTION: Install gas pack. 7/10/07 project name changed from restaurant to American Family per contractor)
OWNER: 643-6 PROPERTIES, PHONE #:
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503 - 620 -5643
Inspection Request Scheduled For: Date: 7/11/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Messa.e
699 Mechanical final 051781 -01 503 -620 -5643 dt. AC'151.
Corrections /Comments /Instructions: -
_ i
4 7 °....--
(-- SS -> 1 A PARTIAL APPROVAL n CANCEL 1 I NO ACCESS rA II • r • LL FOR INSPECTION ❑ ADDITI • NA FEES ASSESSED
Inspector: Date: I( Phone #: (503) 718-
64,
!
CITY OF T4GAfD
BUILDING DIVISION PERMIT #: MEC2007- 00375
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/21/2007
Phone: (503) 639 -4171 .�' I�I , 1�
Inspection Requests (24 Hrs.): (503) 639 -4175 1111
INSPECTION WORKSHEET FOR DATE: 6/22/2007 TIME: 7:O3AM PAGE: 48
SITE ADDRESS: 12202 SW MAIN ST CLASS OF WORK:
SUBDIVISION: TIGARD HIGHWAY TRACTS LOT #: 003 TYPE OF USE:
PROJECT NAME: TAOUERIA RESTAURANTE
DESCRIPTION: Install gas pack.
OWNER: B-B-B PROPERTIES, PHONE #:
CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503. 620 -5613
Inspection Request Scheduled For: Date: 6/22/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 060763-01 503639 -2169
Corrections /Comments/ Instructions:
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PASS PARTIAL APPROVAL ( CANCEL El ACCESS
FAIL ❑ CALL FOR INSPECTION ` ADDITIONAL FEES ASSESSED
Inspector: VA
Date: tp, Z7 (") Phone #: (503) 718 - 1 ..`(