Permit x � CITY OF TIGARD
MECHANICAL PERMIT
ppir'::?L',1 COMMUNITY DEVELOPMENT Permit #: MEC2010 -00256
T EGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 06/15/2010
Parcel: 2S113BA00200
Jurisdiction: Tigard
Site address: 7800 SW DURHAM RD 500
Subdivision: Lot: 0
Project: Typhoon
Project Description: Installation of walk -in refrigerator and freezer.
Owner: FEES
METZGER VENTURES, LLC Description Date Amount
PO BOX 400
SHERWOOD, OR 97140 Permit Fee 06/15/2010 $652.51
Plan Review 06/15/2010 $163.13
PHONE: 12% State Surcharge - Mechanical 06/15/2010 $78.30
Contractor:
EWCO SERVICES
18055 NE SAN RAFAEL ST #2
PORTLAND, OR 97230
PHONE: 503 - 661 -3964
FAX:
Type of Use: COM
Class of Work: ALT Type of Const: VB
Occupancy Grp: Occupancy Load:
Stories: 1
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 $893.94
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: coolers
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 co. - o,/ r .1:
or direct questions to OUNC by calling 503.246.6699 or 1_$00.332.2344. /
P r�'iTi Ittee Signature: � % '
Issued By: � `/ e
Amor
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.
^70� E D Mechanical Permit A�IICatio `� , r �,y °�y,V, �'I,�OR OI 1 1(I IiSI Oi∎i l„ m ryw ,- ��
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III 20 10 Received
Cl t�r Of TIgaI• Date/By: , /d' Permit No.:
° 13125 SW Ha ll Blvd., Tigard, OR 97223 JUN 0 3 _ � 0 t! / �'J EC Ol0
' � ' Phone: 503.639.4171 Fax: 503.598.1960 Plan Rev ew a � � //�!� /� � ,,,,,pp
p CITY d T ��A4D DateBy: 1� �� , Other Permit:�OKl��vl�t�t� 410 Ins Inspection Line: 503.639.4175
1 .'1'
; f (J A IL I ), o i\ I Date Remy : Juris: ® See Page 2 for
- - . - : Internet: www.tigard - or.gov B U I LDING DI' /tS Notified/Method: ( )0 /V /977 Supplemental lnformation
L . V PI w j 4 - cep / r St- .
• 'T,YPE " OF WORK - `' . •.COMMERCIIAL "FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction Addition/ alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, verhead, and profit.
Value: $
• " CATEGORY OF .CONSTRUCTION RUCTION . ; I
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ,Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. Ea. Total
. JOB SITE INFORMATION AND LOCATION Heating/cooling
c 0C) �� n
Air conditioning
Job site address:
7(, v ,1.2J/2./7 ,..,..e). (requires site plan showing placement) 46.75
City /State /ZIP: 7 -7e 7i 9,,Q, U2 9 7 7 Z y Fumace 100,000 BTU (ducts /vents) 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: . X..) Project name: - -),/,O/fDo✓ Heat pump 61.06
Cross street/directions to job site: 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
Gas fireplace 33.39
/ /,✓ 124"-F / r/ ZL7 Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace /insert 23.32
Chimney /liner /flue /vent 23.32
. -' - ROPERTY .OWNER . 1 ❑ TENANT : ' .
Other: 23.32
Name: 111 6-2&-. V y ' i - 0 , L LC Environmental exhaust and ventilation
Range hood/other kitchen
Address: {V, 0 . 3C')X yCj0 equipment 33.39
City /State /ZIP: X00 0 t 6::) 9 7/y0 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: ; /,-jf( ) Gc.Di2/°J6�fti 77L1k.J
Fuel piping
Contact name: ._EC L//4 - 19 77.-g $14.15 for first four; $4.03 for each additional
Furnace, etc.
Address: :7 cz3. . 3 c✓ .ovj2,919 /04 -_-;,),Tr-,-9-)0 Gas heat pump
City /State /ZIP: 77 67r9,2 , 02 97 2 7 c Wall /suspended/unit heater
Phone: _ Z 2Z_ - 799 - / Fax: : ( ) Water heater
Fireplace
E -mail: Range
, CONTRACTOR - Et4) C 0 Barbecue
Business name: cf W C 0 6 fi Jt C£ 6 Clothes dryer (gas)
Other:
Address: / g 55` CJL ,, p 4P4q- gl. 5 , . MECHANICALPERMIT:FEES *
City /State /ZIP: P 02 1 7 2.30
Subtotal
Minimum permit fee ($90.00)
Phone: (1 3F6 Fax: ( ) Plan review (25% of permit fee)
CCB lic.: 1 75-507 s l i b I State surcharge (12% of permit fee)
I TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized signature: K days after it has been accepted as complete.
Print name: , Date: * Fee methodology set by Tri- County Building Industry Service Board
1.\ Building \Permits\MEC- PermitApp.doc 10/01/09 440 -46I7T (1 l /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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