Permit , MECHANICAL PERMIT
UFFY OF TIGAR'D
•
COMMUNITY DEVELOPMENT Permit #: MEC2010 -00295
• � ` SW Hat Blvd., Tigard OR 97223 503:639.4 Date Issued: 07!07!20 t0
T l ARD Parcel: 1 S 1
Jurisdiction :, Tigard
Site address: 11643 SW PACIFIC HWY A
Subdivision: Lot: 0
Project: Canyon Auto Repair
Project Description: Spray booth and RTU; installation.
Owner: FEES
MILNE REAL PROPERTIES, INC Description Date Amount
1312 SW 16TH AVE
PORTLAND,'OR 97201 Permit Fee 07/07/2010 $652.51
Plan Review 07/07/2010 $163.13
PHONE: 12% State Surcharge - Mechanical 07/07/2010 $78.30
Contractor:
OWNER "
PHONE:
FAX:
Type of Use: COM
Class of Work: ALT Type of Const: VB
Occupancy Grp: S -1 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 $89
Hoods: Comm Incinerators:
Woodsto es Fireplaces: Required Items and Reports (Conditions)
Clothes, Dryers: Other Mech Units:
Gas Outlets: Other Desc: Spray paint
Duct Work: booth
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 . o • 952-011-0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503: • • -- •,, •r 1.800.332.23
Issued By Permittee Si.:.ture:
4.0711
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 atthe,time of each inspection.
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ry & z Received Penult No.. +
: a )1 1 , City of Tigard r . ➢ate/By: d t.
) a w 1 ` ° 13125 S W Hall Blvd Tigard, OR 972 _ '} `n
• Plan Review • • ; , � tithes Permtr.
IN P"
d '' Phone 503 639 4171 Fax 5 969 Date/By mo t® t ` LV ry
} '' 'Inspection Line: 503 639.41.75 �Q�O Date eodyfBy:
417IGNY.D p » ; See Pa e2for
s *,,is, ow.w r4 Intemet www: -or goo 4 p Noti 7 C Supplemental Information
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'� M e e han • EE SC t Igi:L USE?Clk,WGKLIS' ':
P1E OF Wt7R1{ �' ,�cJ p e al permi are based on the value,of the work
0 New construction A dditionialtet at + \n performed. Indicate the value rounded to the nearest dollar) of all
❑ Demolition El Other: '9\ V mechanical materials, equipment, labor, overhead, and profit. .
C O ..DONS UCT30N. — Value $ 2, 2 0 - 0 0
•
2-family dwelling orrunercial /industrial ❑ Accessory building RESIDEN'�"AALEQUW IJT ;SYS EM�'IS FEES *.: ` -. •
and y g ry ding For spacial information use checklist.
❑ Multi- fatiai.ly . ❑ Master builder ❑ .Other: Description Qty. Ea. Total
J L
Air d . • i _
JOB' SITE F IIN / OR 4TION AND LOCATION Heating/cooling
q rcot conditioning . ng 6,75
Job site address: i i 6 If 3. , V v 'L G t.1. (requires site ptan'showing'placement)_ 4
2 Furnace 100,000 BTU (ducislvente) 46'75
City /State/ZIP: /I a rc( G , Z - /
� Furnace, 100,000+ 83'lJ1ductslvents) 5491
Suite/bldg. /apt. no.: Project name: CGl , ✓ (h A-vt.'h P pi l'•tSc,� H pump _ 61.06
Cross street/directions to job site: Duct 23.32
Hydronic hot water system 23.32
Residentialboiler (radiator or
-- hydronic) 23.32
1Jnitheaters (fiiel-t•pe, not electric),
in -wall, in- duct, suspended, etc. 405
Flue/vent of above 23.32 •
Subdivision: 1 Lot no.: Other: _ 23,32
Tax niap /parcel no.: Other fuel appliances _
DESCRIPTION OF • WORK • Water heater 23.32
C { Gas fir dace 33.39
• A . i �Gt 7 ; Flue vent for water heater or gas •
fireplace 23.32
• POD • 11 Log lighter (gas) 23.32
Wood/pellet 33.39
Wood` fireplace/insert 23.32
,. Chimney/liner/flue/vent rlflue /vent 23.32
TENANT 23.32
I ROP E RTX QWNER. .. ... O ther - ,
Natne H — Ai , A4.7)....0/1„ , Environmental exhaust and ventilation
? ► V G' Range hood/other kitchen
Address: t4 g S ( J j^J . , I— equipment J_ 33;39
City /State /ZIP; e so e n) . ciyv O. ' a g q 7 Clothesdrve exhaust 33.39
_ Single, duct exhaust (bathrooms,
Phone: ( ,Lc ) 25 -02 1...1 Fax: ( ) S` t toilet compartments, utility rooms) 23.32
❑ APPLICANT . 0 col x AC T PERSON Attic /erawlspace fans 23.32
.. . _ ,� . �t M1} // Ot her: 23.32
/
Business naive: 3 E- A S Ag ( V Fuel ipin _ _ •
C name: $14.15 for first four; $4.03 for each additional
Furnace, etc.
Address[ Gas heat pump f
City /State /2IP: _ — _ Walt /suspended/unit
Water heater
C�1 ( Phone: ( l t)31 3 2 - 5G 5 3 Fax:.; ( ) Fireplace
E -mail: Range
..
CONTRACTOR
Barbecue
1 Clothes drier (gas)
Business name: Other: _
Address:
NECK — ' I T k'k S*
Subtotal
City /State /ZIP: _
_ Minimum permit fee ($90.00)
Fax: ( ) Plan review (25% of permit fee
Phone: ( ) _ p fee)
CCB lie,; . State surcharge (12 %of permit fee)
. ° J TOTAL PERMIT FEE •
• __ This permit application expires it s permit is not obtained within 180
Authorized signatu - / drays after it has been accepted as complete.
v
Print name: •�iiJ�� J !, Date: 06 J 0 j Fee methodology set by 7r - County Building Industry Service Board
r:\ Buildingwermits \MEC- PermitApp 10/01/09 44046177 (I t)02/COM/WEB)