Permit ,' a CITY OF TIGARD MECHANICAL PERMIT
a '.; COMMUNITY DEVELOPMENT Permit #: MEC2010 -00107
s Date Issued: 03/12/2010
TI G AR p 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S 102 BD01701
Jurisdiction: Tigard
Site address: 12830 SW PACIFIC HVVY
Subdivision: Lot: 0
Project: Davidson's Casual Dining
Project Description: Replace rooftop exhaust fan.
Owner: FEES
DAVIDSON, WILLIAM G & DIXIE L Description Date Amount
8915 SW COMMERCIAL ST
TIGARD, OR 97223 Permit Fee 03/12/2010 $90.55
12% State Surcharge - Mechanical 03/12/2010 $10.87
PHONE:
Contractor:
ARROW MECHANICAL
10330 SW TUALATIN RD
TUALATIN, OR 97062
PHONE: 503 - 692 -1565
FAX: 503 - 691 -1879
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: Occupancy Load:
Stories:
Fuel Air Handlers
Fuel Types: 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 $101.42
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire /Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. �� Q
LiQ
Issued By: 1 �;, 1 y"\ r // t Permittee Signature: C C� 1x �
L1:J�J� ll" l/ � pp
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
03/11/2010 14:47 5036911879 ARROW MECHANICAL PAGE 02/02
Mechanical Permit AppliCatia 1�'0,' A 'r'tr{ , , it i w . g ,. e
Received R ecei
. k � City of Tigard � Y• ► i a. Permit No, / . ` 60' 07
il%
13125 SW Hall Blvd., Tigard, OR 97223
u�
11 Phone: 503.639.4171 Fax 503.598.1960
MAR 1 1 2010 Nan Review other Permit:
t In ection Lino: 503.639.4175 DntdAY'
T fi t i h 12 F?: Date Ready/By; n uk 121 Set P 2 lbr
• : • � Internet: www.tigard- or.gov CITY OF TIGARD rr.lrifioaMt toed: T I s., t thtarrn><uon
' '''.`'.r; 1 1 +' 1r '. ,, , ..� S�'tt ��16p��AEAL}�fpy�p� �D!A'IFf,�7ry' 1g�1 1 l 11 F �, . , fb,
i.� r Y ' I.�'iu y `O � , a . kph 3«' .. K 11' y A 61 'Ili �YF X Ft 'fpA C4 , U , t ''' k
' t F r r Ba i1,P A� ^pc� �^yg�, y
f , : , ,$ h rl . n i� , r^ ^�',Y����,a #S+�al i.,+, •Y.d,e +� <'s�' i d'ala 1�GD4�s4 : ? .�` ^ da.m;�a�t,ai �c+ �;+ �r�i'. S? :,..tYy�,- isi�a: � eV;r'iri>.t'�,r,4n65ttr� ,,
Q New conslxuci ott �Adciititm /a1tersttion /tclrincemcn( Mechanical permit fees* are based on the value of the work
't 0.Delnolllion ❑ Diller
performed. Indicate the value (rounded to the ncarcat dollar) of all
mechanical materials, A.ut mVxlne: - labor, overhead, and' . fit.
� t}, ,, I�r` r :l ' T :ffc',+Y 1zc „ F wd : ;v. w t►, J ''f,,�' " er. 4 � t�rt .V , �a $ J
'(1ra 1t
71�� iNri b ip`/ ' ,yy r
t Nl b ' '.'a Fr'.nd) 1 •iSSi :ScbVw ; t" po 9 110 �
' ft ' ' t�Vs. � ll ��' [' .+ r t'� •
■ • 1- and 2-family dwelling Commercial /industrial Q Accessory building 4 ", , E ,i, : ,1. bid '•, « r s '' a ''''." .
For spacial Information we theckl[,rt•
0 multi- family 0 Master builder 0 Other:
$ ;-li ' tit . „"9 - ! i I" i :Ii ay e ; �C ■ " 2 ` M 4� w to e ii c ,r 37-; Description Qt� E. Total t o , ii 'a ,: 'tl y 4 .i „a, F t . 1, IN` # :, 0 r (fCvtttR', A � .� , ArI�, h E; i s Ihetttin BAATIn -
.1 Job' site address: 1 Z / , ,f PAG.t, I L t _ Air conditioning
add
�_ t' �'+ .__ acquirer alts plan shnuring placement) 46.75 III
City /State/Z1P: • l, • ►Q 1 d� ?ZZ Purnaco 1'00400•l3TU duos Iv ntl 46.75
T`urnaco 100 [37” I onciAtvone9 54.91
• Suite/bldg./apt. no.: Project name: [],a,ov t Pr i � c � ; ._ Heat •um 61.06
CTASS of ccf /d1rccllon3 to.1Ai, a►t Duct work 23,32
1Tydrema hot tvatcr,a stein '23.32
A• Regidentiat boiler (radiator or
Itydronic) 23.32
/4 - --' --- � • - — Unit hentere (tire] - typo not electric),
in wall, in - duct, sus tee aloe eta. %.75
Subdivision:
Tax n Lot no.; Flue/vent for any of above 23.32
Other: 23 12 ^�
x,tp/rmrccl nu.: Other t4el appilanca
p pp ,,, JdJ ,,� yy `` + s
r�r�,t ' `l' ', t ' , , ' ''.'" @rnat , ,k r [ y � 9 �I a , Y'LA y �jp ( a [, ` , Water haver 23.32
, a: y � 16 0 •,:( tr t . ,� 4 "', U t, et i :�t,5`li& ; i,r, ..1„ 1 c ' f 11H ., . ., 69`.tr 1, ,,
1 ,d1 C $jno FT, - :. . . , FIu Vc t for 33.39
Flux vent For wator heater or pltq
frepinae 2332 III
I.o: li • er ' s 23.32
Wood. Oct et:ow MA=
Wood fire laee/inacrt
i t ��r��M1 ,''h'i”' II yt ay tt • � `t� y� 7A1:41/ q ., . t t r a , x y � . Cc � '9 Chinutey/liner /IIue /vent ��
other. _ 2332
Namc: Envtronmcntal exhaust and ventilation
Address: fang
Range hood/other kitchen
_raiment _ 33.39
City/State/ZIP:
Clothes dryer oxbnual 33.39
- " — Single - duct exhaust (hathrootns.
Phone: ( ) Fax ( ) tailor compartments. utility rooms) 23.32
gp U 't �- a �' i� t '� 5 Vs Ar', R �" r a q $ r }a_. ' r + y � a /�ttlQfaraLV15 ttnv" 23.32
i *T' " :w! ` .,., tC ll dt X f d O V A0 � ; h •- t a t . � e of G7�, /..x& 1 . t ' � p
Rosiness RAMC: t Other: 23.32
_1.044 Ad1 17 & 14, 4/ 4 f L I Fuel Opine
Ctmtact name: "'` y� C $14:15 tt rittrtt tbur 34:03 (dr each additional
Addrewa: 1 0 3 3 0 6 k....J 7-v 1 .,� Furnace, eta.
turn heat UTnp �..
City/State/ZIP: �� c '1 p � . Wnlllsuapcndod /unit heater
Phone: ( b ) 6 ° ]6 . - Fate:: (F03) 65 / _ f e 74 Water heater _
Fireplace
]]mail: >e
,/ 'e, iii it rg r {h1 n -., t t'+^tg�t q (many F'�k/ 7i }( ¢p�7�',s t. � I k, t ^ � ve�"� '�i i•,,y 40 , , , Barbecue
sw. w_/. w : �,�� r. ;, . .�,i ,
�� ,y'Dupr� , �td�., �t l a .a .. a� a.1 A ].
RRnaincns Janine: A iQle OV __ r_ala6.t I c� C1Atltas dryer (gas) ��
Q ` Oilier:
Add ress: (D 33 a 6.44 To Al ..09 bed r ``� ��ti{ 'la �+ �.. r I I r.� � ,fk' ;'j` `M� ; r�''' a' G1:7
'l".au'�S t w a , ltJr..,w t„ .,a At��tS:m s ,c.id air
`� City/Srnro/7TP: ' J6S___ 7p n Z sumo.' —' Phone: (503) 6$ 2 -- I r( Y ,� Fax: (503 I $ 7d Minimum 25% f oe i )
Plan rcviow (25°� of permit foe)
CCT3 lie_: C `!� j ... State auntharge (]2% of permit fee)
1'(}'l'A 1.
� �f • PERM I FEE Z
Authorized cignnturc:" / I Nie parfait appOrallnn c:ptres tf n pormil h nol nldntn AHO
/// rrr days alter N hag been erupted at emnplett.
j nri..r.,.....,.• Vee 7 v049`K 1 n.,+, -. 3/11/ZO1 p 1 * Feem ethadnlnRVzn CoartvEttli ldinr_IndustrySere &r. Hoard