Permit CITY OF TIGARD MECHANICAL PERMIT
.74
COMMUNITY DEVELOPMENT Permit #: MEC2010 - 00459
T [ G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/07/2010
Parcel: 1 S135BA00100
Jurisdiction: Tigard
Site address: 10205 SW WASHINGTON SQUARE RD
Subdivision: WASHINGTON SQUARE TOO Lot: 0
Project: Thirsty Lion
Project Description: Install (2) walk -in coolers
Owner: FEES
PPR SQUARE TOO LLC Description Date Amount
BY THOMSON PROPERTY TAX SERVICES, Permit Fee 10/07/2010 $360.41
2235 FARADAY AVE STE #0 Plan Review 10/07/2010 $90.10
PHONE: 12% State Surcharge - Mechanical 10/07/2010 $43.25
Contractor:
ARJAE SHEET METAL CO, INC.
5510 SE MCLOUGHLIN BLVD.
PORTLAND, OR 97202
PHONE: 503 - 231 -7717
FAX: 503 - 230 -4888
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: 0-3 HP:
Furnaces >= 100K BTU: 3 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 $493.76
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Walk in
Duct Work: coolers
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: / r Permittee Signature:
Call .3' .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.
,
Mechanical Permit Application R Ec Ely E . FOR O E FFIC liSE ONLY
City of Tigard ] r eceive d ' _-. s ,
Date/By: 7 a /0 !A Permit 1■190VE79 _... 95 1
• 13125 SW Hall Blvd., Tigard, OR 97223 Plan RevieW
1111 lIl Phone: 503.639.4171 Fax: 503.598.1960 S E P 2 2 2 0 1 0
1 G A R D Date/By: t . 161 (C3 Other Permit - . 1 90 j z
Inspection Line: 503.639.4175
T 's fa See Page 2 for
Internet: www.tigard CITY OF TIGARD Notifie Read 0 6h 0 677
1 576- Supplemental Information
BUILDING DIVISIO . c.150A w.11., w-ra
TYPE OF WORK w COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
0 New construction Addition/alteration/replacement
Mechanical permit fees* are based on the value of the work
(8:1
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
— Value: $ (
CATEGORY OF CONSTRUCTION
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
0 1- and 2-family dwelling (El Commercial/industrial 0 Accessory building
For special information use checklist.
0 Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. 1 Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Air conditioning
Job site address: 10205 WASHINGTON SQUARE RD (requires site plan showing placement) 46.75
City/State/ZIP: TIGARD OR 97223 Fumace 100,000 BTU (ducts/vents) 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg./apt. no.: I Project name: THIRSTY LION II
Heat pump 61.06
Cross street/directions to job site: ACROSS THE STREET FROM WASHINGTON Duct work 23.32
Hydronic hot water system 23.32
SQUARE MALL 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: I Lot no.:
Other: 23.32
Tax map/parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater , 23.32
Gas fireplace 33.39
14/7/1 1..t. ?. kolf4 LA tn.) C sl V C. ()2J 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
0 PROPERTY OWNER I 0 TENANT
Other:
. 23.32
Name: Environmental exhaust and ventilation
Range hood/other kitchen
Address: equipment 33.39
City/State/ZIP: Clothes dryer exhaust 33.39
Single-duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
0 APPLICANT 0 CONTACT PERSON Attic/crawlspace fans 23.32
Other: 23.32
Business name: AFLIAE SHEET METAL CO INC
Fuel piping
Contact name: KEN KLUNDER $14.15 for first four; $4.03 for each additional
Furnace, etc.
Address: 5510 SE MCLOUGHLIN BLVD
Gas heat pump
City/State/ZIP: PORTLAND, OR 97202 Wall/suspended/unit heater
Phone: (503) 231-7717 I Fax: : (503) 230-4888 Water heater
Fireplace
E-mail: ken@arjae.com Range
CONTRACTOR Barbecue
Clothes dryer (gas)
Business name: ARJAE SHEET METAL CO INC
Other:
Address: 5510 SE MCLOUGHLIN BLVD MECHANICAL PERMIT FEES*
City/State/ZIP: 5510 SE MCLOUGHLIN BLVD Subtotal
Minimum permit fee ($90.00)
Phone: (503) 231-7717 I Fax: (503) 230-4888
Plan review (25% of permit fee)
\t CCB lic.: 60835 State surcharge (12% of permit fee)
4
TOTAL PERMIT FEE pf93 30
Authorized signature:
This permit application expires if a permit is not obtain within 180
days after it has been accepted as complete.
Print name: KEN KLUNDER Date: 09/16/10 • Fee methodology set by Tri-County Building Industry Service Board
I:\Building\Permits\MEC.PennitApp.doc 10/01/09 440-461 7T (1 I/02/COM/WEB)