Permit :* *0. , ` 3 CITY OF TIGARD MECHANICAL PERMIT
C COMMUNITY DEVELOPMENT Permit #: MEC2009 -00555
gat Date Issued: 10/30/2009
eTIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 1 S 136AD06503
Jurisdiction: TIGARD
Site address: 10900 SW 68TH PKWY
Subdivision: WAY LEE Lot: 2
Project: Changs Mongolian Grill
Project Description: Install (2) type I hoods, grease duct, fans, HVAC and gas piping.
Owner: FEES
WAY W LEE GENERAL CONTRACTOR Description Date Amount
5210 SE 26TH AVE
PORTLAND, OR 97202 Permit Fee 10/30/2009 $601.71
Plan Review 10/30/2009 $150.43
PHONE: 12% State Surcharge - Mechanical 10/30/2009 $72.21
Contractor:
DAMAR HEATING INC
P.O. BOX 56327
PORTLAND, OR 97238
PHONE: 503 - 236 -6344
FAX: 503 - 236 -6552
Type of Use: COM
Class of Work: ALT Type of Const: VB
Occupancy Grp: A -2 Occupancy Load:
Stories: 1
Fuel Air Handlers
Fuel Types: Natural Gas Units < 10000 cfm:
Gas Pressue: 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 $824.35
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
issuan - e f-wo kt�s suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
i y Notification Ceriter,Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or direct questions to OUNC b . . 5 . 6.6699 or 1.800.332.2344.
Issued By: � �� Permittee Signature:
CaII 503.639.4175 by 7:00 a.m. for an inspection that 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.
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Mechanical Permit Applicati i ' 6 � � r ,,, pp �� , +i t p 1 ,1 ,; tic i
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, " � i � C . of Tigard Received . 7� Q Q
�{1['I `J g 0 C T 2 0 2009 Date/By: i 0 lS� 09 W6 Permit No.: � C�00C'f 5 ,
13125 SW Hall Blvd., Tigard, OR 97223 '� Plan Revie s..
"s,: Phone: 503.639.4171 Fax: 503.598.19 DateB Other Permit:
� ITY O T y: war p O
I ti Line: 503.639.4175 _ Z ..�i• o001(53S l I G A It' ' D
Ins ne: .. Date Ready/By: ® See Page 2 for
,, LI Internet: www.tigard - or.gov BUILDING DIVISION Notified/Method: EN Supplemental Information
• TYPE OF WORK DIVISION 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 nearest dollar) of all .
❑ Demolition ❑ Other: mechanical materials, equipment, labor overhead profit.
. . CATEGORY OF CONSTRUCTION Value: $ 71---)2-96r r. _n In n
RESIDENTIAL EQUIPMENT/ SYSTE
❑ I- and 2- family dwelling ' Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other:
Description 1 Qty. I Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: /0900 S/✓ 6 ' 'l,i- 8-)/?4( `Vk Li Air conditioning g p )
(requires site Ian showin lacement 46.75
City /State /ZIP: 7-1(.14 � Furnace 100,000 BTU (ducts /vents) 46.75
Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg./apt. no.: Project name: Qri,,,Q (n( t ( v '1 1 ) �, c 'u 1 Y � n eir `1, Heat pump 61.06
Cross street/directions to job site: ``JJ , ' Duct work 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Flue /vent for any of above 23.32
Subdivision: Lot no.:
Other: 23.32
Tax map /parcel no.: Other fuel appliances
. DESCRIPTION .OF WORK Water heater 23.32
` r / �/ p Gas fireplace 33.39
HA 1--/L (2) Iii/ fG 2 4,16667s r 1 �- J (4 i 64 oft. p116:, , l ' a�..- Flue vent for water heater or gas
1 i r ` 1 d 4/ , ( r,+ , 0 - fireplace 23.32
( 1 N /1 / /7 lip Log lighter (gas) 23.32
645 r/ro (, Wood/pellet stove 33.39
Wood fireplace /insert 23.32
23.32
PROPERTY OWNER I 0 TENANT , Chimney /liner /flue /vent
Other 23.32
Name: /,110./ G I!//1, Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 33.39
City /State /ZIP: Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
❑ APPLICANT ❑ CONTACT PERSON . Attic /crawlspace fans 23.32
Other: 23.32
Business name:
Fuel piping
Contact name: $14.15 for first four; 54.03 for each additional
Address: Furnace, etc.
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: ( )
Fax :: ( ) Water heater
Fireplace
E -mail: Range
' . C ONTRACTOR • • Barbecue
Business name: ''� 1) mil n urG /, Clothes dryer (gas)
!� / t 41' Other:
Address: re. A nxsC 722 MECHANICAL PERMIT FEES* '
City /State /ZIP: ( 04 -7 / � 713 y
Subtotal
Phone: (Xt 3 ) ` 2 ?(- ` 3 / % Fax: (9 3) / 3 6- C SSL Minimum permit fee ($90.00) fool. 11
Plan review (25% of permit fee) (1 -j0.1 .!
CCB lic.: S- 71 C State surcharge (12% of permit fee) 7 2,24
TOTAL PERMIT FEE �p-,3
4-- This permit application expires if a permit is not obtain wit Ain 180
Authorized signature CCC 1 days after it has been accepted as complete.
Print name: n i (( k < 6/� Date: /n / 21 / 1 * Fee methodology set by Tri- County Building Industry Service Board
I:\ Building \Permits \MEC- PermitApp.doe 10/01/09 440- 4617T(1I /02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi - Family Fee Schedule:
Total Valuation: Permit Fee:
$0.00 to $500.00 Minimum fee $69.06
$500.01 to $5,000.00 $69.06 for the first $500.00 and
$3.07 for each additional $100.00 or
fraction thereof, to and including
$5,000.00.
$5,000.01 to $10,000.00 $207.21 for the first $5,000.00 and
$2.81 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,000.01 to $50,000.00 $347.71 for the first $10,000.00 and
$2.54 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,000.01 to $100,000.00 $1,363.71 for the first $50,000.00 and
$2.49 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first $100,000.00 and
$2.92 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
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