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Permit CITY OF TIGARD MECHANICAL PERMIT • COMMUNITY DEVELOPMENT Permit #: MEC2009 -00616 T t (3ARC' 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 11/24/2009 Parcel: 1S136AD06503 Jurisdiction: TIGARD Site address: 10900 SW 68TH PKWY Subdivision: WAY LEE Lot: 2 Project: Changs Mongolian Grill Project Description: Replace existing rooftop unit with like kind. Owner: FEES WAY W LEE GENERAL CONTRACTOR Description Date Amount 5210 SE 26TH AVE PORTLAND, OR 97202 Permit Fee 11/24/2009 $210.02 Plan Review 11/24/2009 $52.51 PHONE: 12% State Surcharge - Mechanical 11/24/2009 $25.20 Contractor: EASTSIDE HEATING & AIR CONDITIONING 7200 SW JOHNSON CREEK BLVD PORTLAND, OR 97206 PHONE: 503 - 774 -3281 FAX: 503- 774 -3057 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 $287.73 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: Fire /Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applica • - • . • k will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of is - • nce, or if work is su •ended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon tility Notification Center. • - rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. Yo may obtain a copy of the rules or direct questions to OU by . ing 503.246.6699 or 1.800.332.2344. Issued By` Permittee ! / Permittee Si• nature: JP Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. F-rom: 11/16/2009 10:07 #871 P.002/002 1 w�,... i ;.ii p v 12, r C .T#?dE$x�w'�,xv` -' r" "�`#ti 1r'1 ?� Mechanical Permit Application '� (,,,t� "`� ®. _ ' 1 :,,ta , E : ;is . > , y i (�, rm IN gig t'ved n , ,t ,� City of Tigard NOV Y �O f l Gate /B ece II�� F. ) Permit No. te_ ,yj r .,dO / , ,li ° 13125 SW Hall Blvd., "Tigard, OR 97223 vu �� ` 1V \ 1 Plan Review �® Other Permit: 2 A Phone: 503.639.4171 Fax: 503.598.1960 * y ., "•^ Inspection Line: 503.639.4175 CITY OF TIGA t l� 1 I G\ I D eady /B}. Jerk El See Page 2 for ae'x= lr? Interact: www.tigard -or,gov BUILDING DIVI ,IUdAe 6 Supplemental Information TYPE OF WORK COMMERCIAL r 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, and profit. V alue: $ CATEGORY OF CONSTRUCTION ' '. 5 r 10© GL RESIDENTIAL EQUIPMENT 1 SYSTEMS FEES* ❑ I- and 2- family dwelling Commercial/industrial 0 Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling S Job site address: i ( c\ 007 k �s t� N V Q . Air conditioning or heat pump � (requires site plan showing placement) 14.00 City /State /ZIP: 'T' • A , A PR - Furnace 100,000 BTU (ducts/vents) 14.00 Suite/bldg./apt. no.: t, , .. y. t I. 1 umace 100,000+ BTU (ducts Yea 17.90 � i / * I �'✓` Gas heat pump 14.00 Cross street/directions to job site: Duct work 10.00 ■ Hydronic hot water system 14.00 Residential boiler (radiator _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: 1 Lot no.: Other: 10.00 _ 'Fax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 r) 1 Gas fireplace 10.00 11.e. , 1 0 ..e 2 �k \ S`4 '"�C c 1 6 +'\ C;-S C._ - Flue vent for water heater or gas /2 G , A0 , / 4 - a -e 1) cA �(^ � /E/ A / fireplace 10.00 ` - - -- Log lighter (gas) 10.00 • CAS t \\ Wood /pellet stove 10.00 AnNS TV A -� ^ Wood fireplace/insert ]0.00 ❑ PROPERTY OWNER "TENANT "TENANT other Chimney/liner/flue/vent 10.00 Cy. �` Other 10.00 _ Name: '(\4"\ -�c�� \. 0.V'`, Cr ,r .` Environmental exhaust and ventilation Range hood /other kitchen Address: 1 0 9 00 s 9 T!1 v e _ __ _ equipment 10.00 City/State/ZIP:" cr�,rC\ t O Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (Se 3 3 2_4-7 - st„ 0,s Fax: ( ) toilet compartments, utility rooms) 6.80 0 APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00 - - ` - /� \ Other: 10.00 .Si Business name: C, \( �1C` ���vx�k- p.,:„,- Cosoc\.v�io Fuel r rn PP t Contact name: O‘ v1 E 0 A $5.40 for first four; $1.00 for each additional Address:" 1200 5E S "chvNSCn C - eg:Nk _ 'J • Usa nheatplc. Gas heat pump City /State /ZIP: P0r\ \ 0..r.cS,, OR CI'12 Wallsuspended/unitheater Fax: (5� ) Water heater Phone: (Sol) 'l - I �- 32,s j -7 30 7) J1 -__. Fireplace E -mail: ■ r' S0 e za..,_ S1Qe.\r\eio - \c:v. • C cn" Range CONTRACTOR Barbecue ` \ Clothes dryer (gas) Business name: o,S\'S tyQ<„,„ s\ - 1 " ��C G \'�∎ gv�tY • 'k - Other: Address: '1 2j SE •° '0\-.,^gCv1 Q'- V ` \\1c\ • MECHANICAL PERMIT FEES* City /State /ZIP: P6 r.\�w,L� , 1 C,> 20 to -__ -- Subtotal ^ , Phone: ( tl 32g‘ 5b3) 7"PA- 30r� Minimum permit fee ($72.50) �l( l. Pax:( Plan review (25% of permit Fee) 6 a, 51 CCB tic.: 32S State surcharge (12 %ofpermit fee) 41 - qg i TOTAL PERMIT FEE A Authorized signature ` law ` - This permit application expires if a permit is not obtained within 18 /ln days after it has been accepted as complete. n ; . o• 1 rh... I * Fee methodoloev set by Tri- County Buildine Industry Service Board eNt iiitat I - t. I lam, vv