Permit CITY OF TIGARD
MECHANICAL PERMIT
a
COMMUNITY DEVELOPMENT Permit #: MEC2010 -00203
Date Issued: 05/18/2010
T tGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S 110DB00500
Jurisdiction: Tigard
Site address: 15336 SW PACIFIC HWY
Subdivision: Lot: 0
Project: Sonic Drive -In Restaurant
Project Description: Refrigeration equipment
Owner: FEES
MWF TIGARD LLC Description Date Amount
2123 NW ALOCLEK DR #1203 Permit Fee 05/18/2010 $173.44
HILLSBORO, OR 97124 Plan Review 05/18/2010 $43.36
PHONE: 503 - 617 -0175 12% State Surcharge - Mechanical 05/18/2010 $20.81
Contractor:
COMMERCIAL REFRIGERATION INC
5920 NE GLISAN STREET
PORTLAND, OR 97213 -3790
PHONE: 503 - 234 -6445
FAX: 503 - 234 -0668
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: Units < 10000 cfm:
Gas Pressue: Units > 10000 cfm:
Furnaces Boilers & Compressors
Furnaces < 100K BTU: 0 - 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 $237.61
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Refrigeration
Duct Work: equipment
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.
Issued By: cermittee Signature: / 2010
C. ' .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 completio of the pr. pct.
Approved plans are required on the job site at the time of each inspection.
Mechanical Perm ' A lication
AAx;,5.,vaj'k FOR OFFICE USEONLYayt,.r `
•
City of Tigard ,
13125 SW Hall Blvd., Tigard, OR 97223 Date/By: s it -s ` Perm No.: / ,' - -00 aQ
EcF:\ 1 :` Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 ? Date/By: 1� � Other Permit- �. U �UtJU
Inspection Line: 503.639.4175 tl w1 'i i. 4." 1...-r 2 fo
Internet: www.ci.tigard.or.us r+ ' _ �._... Date Ready/B : ice: 0 See Page 2 for
MAY Notified/Method:5 j)' 10 �J�� Supplemental Information
N R �} , M1 ~ r ai - 2 i 4 9 YI fa �, 7,77.172,r' 7 ✓ . . f 1 10
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w f - .r :. �:. a, rr _ -w: e . t + r o-+ i. «� .� ._. ... _ y ® "�,.'f''':20 .. ' .;- E SGH1 D E JSE HECICI§IST'
Mechanical permit fees* are based on the value of the work
(j�New construction ❑ Addition/al era io rep acement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, he
r r''Vs� "� Mi°� ,�}�'`: '�'` + �� :- = . .. z�n va .ae: �^.�z .,: ".. . ��- r. ; �: Value $ �.:i2z; labor, � profit.
s, .x�,3a k ` `T a G,Negfi OiiI e r >t'J -x. }g- M
or o�v a and
;,. -+ . *'*' a .8a..>x -VK . .t. a : + Sa gf - a - '' ,1D I L Q 1T li$. F
El 1 and 2 family dwellingommercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi-family ❑ builder ❑ Other: Description Qty. I Ea. Total
'' 'I� Q + T T iii O U_r er; ?
p , 1 'i
: 0,04t ► tz r �7�i k 3': Heatin 1'1 coolin
P,
� - ,ems tea,' ,
Job site address: 3� j p f�� Air conditioning or heat pump 6 (requires site plan showing placement) 14.00
City/ State/ZIP: i i ` q129__61/ Furnace 100,000 BTU (ducts/vents) 14.00
Suite/bldg. /apt. no.: I Project name: 564_)/ Furnace 100,000+ BTU (ducts/vents) 17.90
Gas heat pump 14.00
Cross street/directions to job site: 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, etc. 10.00
Subdivision: I Lot no.: Flue/vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
'' �" I CRIPT o) - O 1 '-
. ..9e..' - G `. ' - f -4 .- ,.. ++ J Y. .. :L -. ^ o .
. r f A t - 1 Water heater 10.00
Ti k-, b .
51-44-e--(---- � y „ i7 Gas fireplace foe gas
10.00
�jl� T�4'L � /�t� -� � ' { / C �> C Flue vent for water heater or as
Y t if PJ /� Fact_ Cdr- 6IC :..-rd L l igh 10.00
L Log lighter (gas) 10.00
06C2t'(. >Q I I _ ;` L?-- �dtJ Ift 2.../4!____ Wood/pelletstove 10.00
Wood fireplace /insert 10.00
r rn , P � < R- ' ^ 4 - * -. j' ,, , A,aav x r . 4 . .. other, Chimney/liner/flue/vent
er, fue/vent 10.00
.., .,�. : ........
..... ,:�z� � � :: Other: 10.00
Name: Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Phone: ( ) Fax: Single -duct exhaust (bathrooms,
( ) toilet compartments, utility rooms) 6.80
?[ �„ i'� i..7e. 'a R - Fi - P ��,s -T9 Attic /crawlspace fans 10.00
Business name: Other: 10.00
Fuel piping
Contact name: -el , /^ G 4 q /. $5.40 for first four; $1.00 for each additional
Address: 6 Furnace, etc.
Gas heat punip
City/ State/ZIP:
Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
E-mail: Fireplace
- 7 1
7' ,,,-.. - , x -45 ' .: +w-c:a. r^ °: ffiks WItil L4. � Barbecue
� .,, i..r w' CO RAG )2 s.
.. - ..._s = . .,�. �. �:� -,. T �? �`� �.ss: . ?��.�, �� Barbecue
Business name:Cp fcenc A. (�„ FettC/� i t (�4 x. Clothes dryer (gas)
l / Other
Address: 5-9 , p , -Vaa ��� ,�� �
�(� /�-� � rY��.SFl� ; �� *' � i M1 q �'' ( } � z' �a1l1EC�HA' l�Ii ,C(��y�.��'ERIVIT.T,k�EES * }t 'L'' ' . . .-
'h
City /State /ZIP: - (u� 0c/1_ 2 2-1_,---' Subtotal
j Minimum permit fee ($72.50)
Phone: ( 3) 9 3ei.."6:,'e "`5 Fax: (.'.0 , 3if _666 o
Plan review (25 /o of permit fee)
CCB lic.: 65 6 s 7 / CL /� /� State surcharge (8% of permit fee)
/ TOTAL PERMIT FEE q 07.61
- Authorized signature:
/ T his permit apptication expires if a permit is not obtained within 180
/
days after it has been accepted as complete.
Print name: e it `ref f.L% t �_,- Date: • ' 71 ' Fee methodology.set by Tri County Building Industry Service Board •
i:\Building'Permits\MEC- PermitApp.doc 12/03 ..440- 4617T(I I /02 /COM/WEB)