Specifications (3) CITY OF TIGARD MECHANICAL PERMIT
K t Permit #: MEC2010 -00128
COMMUNITY DEVELOPMENT
Date Issued: 04/29/2010
TIGARD; 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S110DB00500
Jurisdiction: Tigard
Site address: 15336 SW PACIFIC HWY
Subdivision: Lot: 0
Project: Sonic Drive -In Restaurant
Project Description: HVAC for new drive -in restaurant.
Owner: FEES
MWF TIGARD LLC Description Date Amount
2123 NW ALOCLEK DR #1203 permit Fee 04/29/2010 $1,292.59
HILLSBORO, OR 97124 Plan Review 04/29/2010 $323.15
PHONE: 503 - 617 -0175 12% State Surcharge - Mechanical 04/29/2010 $155.11
Contractor:
SUN GLOW INC
2428 SE 105TH
PORTLAND, OR 97216
PHONE: 503 - 253 -7789
FAX: 503 - 253 -7693
Type of Use: COM
Class of Work: NEW Type of Const: VB
Occupancy Grp: A -2 Occupancy Load:
Stories: 1
Fuel Air Handlers
Fuel Types: Natural Gas Units < 10000 cfm: 2
Gas Pressue: Units > 10000 cfm:
Furnaces Boilers & Compressors
Furnaces < 100K BTU: 0 -3 HP:
Furnaces >= 100K BTU: 3 -15 HP:
Floor Fumaces: 15 -30 HP:
Unit Heaters: 30 -50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: 2 Vent Systems: Total $1,770.85
Hoods: Comm Incinerators:
Required Items and Reports (Conditions)
Woodstoves: Gas Fireplaces:
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.
•
Issued By: 411 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.
6,45//d 4,--m i N /_ ✓ •
rvo CITY OF TIGARD MECHANICAL PERMIT
' s . COMMUNITY DEVELOPMENT Permit #: MEC2010 00128
T t G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 04/29/2010
w, q Parcel: 2S110DB00500
Jurisdiction: Tigard
Site address: 15336 SW PACIFIC HWY
Subdivision: Lot: 0
Project: Sonic Drive -In Restaurant
Project Description: HVAC for new drive -in restaurant. 6/23/10, adding radiant heaters to canopies. Inspected &
approved by Rick Bolen during final inspection on 6/9/10.
Owner: FEES
MWF TIGARD LLC Description Date Amount
2123 NW ALOCLEK DR #1203
HILLSBORO, OR 97124 Permit Fee 04/29/2010 $1,292.59
Plan Review 04/29/2010 $323.15
PHONE: 503-617-0175 12% State Surcharge - Mechanical 04/29/2010 $155.11
Permit Fee 06/25/2010 $125.90
Contractor: Plan Review 06/25/2010 $31.47
SUN GLOW INC 12% State Surcharge - Mechanical 06/25/2010 $15.11
2428 SE 105TH
PORTLAND, OR 97216
PHONE: 503 - 253 -7789
FAX: 503 - 253 -7693
Type of Use: COM
Class of Work: NEW Type of Const: VB
Occupancy Grp: A -2 Occupancy Load:
Stories: 1
Fuel Air Handlers
Fuel Types: Natural Gas Units < 10000 cfm: 2
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: 2 Vent Systems: Total $1,943.33
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 w is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility No ' ation Cente . Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or dire questions to OUN .y . H 5.3.246.6699 or 1.800.332.2344.
I
Issu d By: / 4 Permitt• • Signature: hp,. �(
Call 503.639.4175 by 7:00 a.m. for an inspection that busin= 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.
i _. . a 1.
Mechanical Permit Application FOI ;OFFICL tis` ONLY
City of Tigard pa;iay n : C50 p !b k i Permit No.: ' 6 / '/')ft
13125 SW Hall Blvd., Tigard, OR 97223 -r�^'�' �I
' Pla
I N
, • q �
C Phone: 503.639.4171 Fax: 503.598.1960 ;_ `./1_- -d ' , Date/BB 41 Y , c tt�, j Other Permit: 6T/ a P69 /0 . Q ay l i-
Inspection Line: 503.639.4175
T I G AR D Date Rea.) y: Juris ® See Page 2 for
Internet: www.tigard or.gov � qAR � I Noti -y � 97/0
Supplemental Information
loaf.• , !u , •
TYPE OF WORK crf A/ a^ =Q... -r•� OMMERCIAL FEE* SCHEDULE - USE CHECKLIST
v I� ' "D° c\J .,: / Lt% Mechanical permit fees* are based on the value of the work
El New construction ❑ Addition/alteration a te�it performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, l bo overhead, and t/ 7 N /�.
Value: $
CATEGORY OF CONSTRUCTION 7 7
RESIDENTIAL EQUIPM / SYSTEMS FEES*
❑ 1 - and 2 family dwelling ® CommerciaUindustrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description
i Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: ? �J Air conditioning
3 (,J 1k C t. ' nrJ (requires site plan showing placement) 46.75
City/State/ZIP: Furnace 100,000 BTU (ducts/vents) 46.75
( ` y ''' '� 0 1� ' T Furnace 100,000+ BTU ( ducts/vents) 54.91
Suite/bldg. /apt. no.: J Project name: - j�
'✓� r �i ,_„.arp - Heat pump 61.06
Cross street/directions to job site: J Duct work 23.32
' "� ��JJ Hydronic hot water system 23.32
�Lv / t.0 G`'`% r� t 'Cc7�L /41 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: 1 Lot no.: Other: 23.32
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 23.32
q t Gas fireplace 33.39
go ( L pi c, f •7 Pec le- tt ccc1Ci-, t r Ita -‘4. Flue vent for water heater or gas
�i::•s.I if ' � Yom_ . If / s ' ` l,,,1` . i k (le,-/:- n 4 -(-/ ' fireplace 23.32
A _ Log lighter (gas) 23.32
6 --N ctE �. to 4 °.t 9 4t� eas7, e. r• - ,(,„ "4.; et. it c, c- i7 Wood/pelletstove 33.39
6 . , ; C (, ,• . : f I 1 e / - J , fyt Wood fireplace /insert 23.32
® PROPERTY OWNER 1 ❑ T ANT Chimney/liner /flue /vent 23.32
Other: 23.32
Name: Cde �.. t f ,,, :a ..„ 0 Je / Environmental exhaust and ventilation
/ C *'t l �, 7t v.r �
/ Range hood/other kitchen
Address: j ,, ,, A a - s L - l 6 equipment 33.39
City/State /ZIP: 141.614 to 0 A. D q 7 /,2..Lf Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: (56 ) 6/7 - O ( 75 -- Fax: ( ) toilet compartments, utility rooms) 23.32
❑ APPLICANT ® CONTACT PERSON Attic /crawlspace fans 23.32
Other: 23.32
Business name:
Fuel piping
Contact name: , „ O $14.15 for first four; $4.03 for each additional
Furnace, etc.
Address:
Gas heat pump
City /State /ZIP: Wall/suspended/unit heater
Phone: 3 ) on -59%L I Fax: : (5 ) 253 - .- 9. 3
Water heater
Fireplace
E -mail: re 5 �C 't • toc- .•c..e -) if Range
CONTRACTOR Barbecue
Business name: Clothes dryer (gas)
Other:
Address: MECHANICAL PERMIT FEES*
*UN
City /State /ZIP: LOW 2428 SE 105th Ave. Portland, OR 97216 Subtotal / � 9�,
(503) 253 -7789 FAX (503) 253-7693 Minimum permit fee ($90.00)
Phone: ( ) NEATEN° & AIR Plan review (25% of permit fee) 0,2 3.
CONDmONIN°
�V L v /
CCB lic.: f{/ 2 / State surcharge (12% of permit fee) /5 //
TOTAL PERMIT FEE / t 770. $ $ c."(W-------- This permit application expires if a permit is not obtained within 180
Authorized signature: days after it has been accepted as complete.
Print name: ,e ,5 e r,i re f l Date: j3' J0 -- 7 rj * Fee methodology set by Tri- County Building Industry Service Board
I:\ Building \Permits\MEC- PermitApp.doc 10/01/09 440- 4617T(11 /02/COM/WEB)
Mechanical Permit Application RE/fSioN5 FOR OFFICE USE ONLY
Cl of Tigard a ,v� - Received _ Permit No.: ��C� O
IN
- City g 3 Date/By: 6 _Oa :' , I O�r�� dl 0
q 13125 SW Hall Blvd., Tigard, OR 97, 4�
g „ ( Plan Review
Phone: 503.639.4171 Fax: 503.598 9 I 9 AAA, ? t' Date/By: Other Permit.
TIGARD Inspection Line: 503.639.4175 JUN Date Ready /By: Juris: ® See Page 2 for
JU N Internet: www.tigard - or.gov 4 2010 Notified/Method: Supplemental Information ^
TYPE OF WK(Ui 1 IUHHv COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
1 "1 "'
�� g i Q� �� ` "ien�� � HIV I v Mechanical permit fees* are based on the value of the work
❑ New construction ❑ Addition /alt[E performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
rf 7 f yI Value: $.1 O �r e9 t'73 '( t.
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
1'1 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: i G` 3 2 ? 6,, ,S C 1 r t '' ' Air conditioning N
JJ �"f r i ,; , W (requires site plan showing placement) 46.75
City /State /ZIP: '� ✓ Furnace 100,000 BTU (ducts /vents) 46.75 NI
C ��� Fumace 100,000+ BTU (ducts /vents) 54.91
5 6 5 Suite/bldg. /apt. no.: Project name: � A i c , .m r vt q , fir`,,,. Heat pump 61.06
Cross street/directions to job site: ). d Duct work 23.32 r
f , ✓ i A i Hydronic hot water system 23.32 ! k'
i to et- t I rt :,, ' J - (.; , _ Residential boiler(radiatoror
hydronic) 23.32
Unit heaters (fuel -type, not electric), v
in- wall, in -duct, suspended, etc. 46.75
Subdivision: Lot no.: Flutvvent for any of above 23.32
Other: 23.32
Tax map /parcel no.: Other fuel appliances
n DESCRIPTION OF W RK Water heater 23.32
E � , ; . / :- Gas fireplace 33.39
; _ IT .e �t t A Flue vent for water heater or gas
j � � t " fireplace 23.32
rtol ;' at ' " ° � Log lighter (gas) 23.32
Wood /pellet stove 33.39
Wood fireplace /insert 23.32
Chimney /liner /flue /vent 23.32
❑ PROPERTY OWNER ❑ TENANT Other: 23.32
Name: r - L.L Environmental exhaust and ventilation
Address: �� ��a ,
p 1 Range hood /other kitchen
9 t 2 i
,�. A j,_Y �t �1 , equipment 33.39
City /State /ZIP: �� r .��„, `` �' ? Clothes dryer exhaust 33.39
t Single -duct exhaust (bathrooms,
Phone: ('y s ) ,/ `- . Fax: ( ) toilet compartments, utility rooms) 23.32
❑ APPLICANT �l CONTACT PERSON Attic /crawlspace fans 23.32
Other: 23.32
Business name:
Fuel piping
Contact name: e., I) S14.15 for first four; S4.03 for each additional
Address: Furnace, etc.
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: (' '',) v�, ./ q • '
• ' : a o ' ,. " Fax:: ( ) Water heater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
Business name: Clothes dryer (gas)
Other:
Address: MECHANICAL PERMIT FEES*
UN
City /State /ZIP: LOW 2428 SE 105th Ave. Portland, OR 97216 Subtotal
(503) 253 -7789 FAX (503) 253 -7693
Minimum permit fee ($90.00)
Phone: ( )
HEATING &AIR Plan review (25% of permit fee)
CONDITIONING
CCB lic.: State surcharge (12% of permit fee)
TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not obtained within 180
P>n days after it has been accepted as complete.
Print name: Date: * Fee methodology set by Tri- County Building Industry Service Board
I:\ Building \Permits\MEC- PermitApp.doc 10/01/09 440 -4617T (I 1/02 /COM/WEB)
CITY OF TIGARD
- Building Division
TIGARD 13125 SW Hall Blvd.,Tigard, OR 97223 503 - 639 4171
INVOICE
TO: Sun Glow Inc. Customer ID: 48131
2428 SE 105 Ave. Invoice No.: INV2010 -00009
Portland, OR 97216 Invoice Date: 6/23/2010
Date Due: Upon Receipt
'Case No. Site Address Subdivision- Lot # or Project Name ` Amount Due
MEC2010 -00128 15336 SW Pacific Hwy. Sonic Drive -In $172.48
Increase project valuation from $47,141.00 to $52,167.00
for radiant heaters under canopy.
Invoice Total: $172.48
® Please see attached fee schedule for description of fees due.
(Detach and return this portion with payment.)
Case No.: MEC2010 -00128 Customer ID: 48131
Site Address: 15336 SW Pacific Hwy. Invoice No.: INV2010 -00009
Project: Sonic Drive -In Invoice Date: 6/23/2010
Date Due: Upont Receipt
Invoice Total: $172.48
Amount Paid: $
Office Note: Remove parcel condition and forward copy of receipt to Dianna Howse when paid.
Please mail payment to:
City of Tigard, Building Division
13125 SW Hall Blvd.
Tigard, OR 97223
Attn: Dianna Howse
I: \ Building \Accounting \Imroicc.doc 04/06