Permit a CITY OF TIGARD
MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00134
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/17/2008
PARCEL: 2S112AD - 00500
SITE ADDRESS: 14650 SW 72ND AVE ZONING: I -
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: ROGERS MACHINERY
Project Description: Extend 2# gasline 75' for connectio nto 70 KW stand -by generator. No plan review required. Project V
$2,000
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
ROGERS MACHINERY CO INC Description Date Amount
14600 SW 72ND AVENUE
TIGARD, OR 97223 [MECH] Permit Fee 31171200E $72.50
[TAX] 12% State Surch 3/17/200E $8.70
Phone:
Total $81.20
Contractor:
AGAPE GASWORKS LLC
8940 SE CLINTON ST
PORTLAND, OR 97266 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -570 -9722
FAX 503- 775 -1007
Reg #: LIC 174481
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or dire • - tions to OUNC by calling 503.246.6699 or 1.800.332.2344.
I
Iss • d By: ` `� /1 L . /,,, Permittee Signature: Aga ■■■i�
Call 503.639.4175 by 7:00 a.m. for inspection - - • . ess
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 . D I UR (lint. 1 SE ONi.V -. . • .
City of Tigard •; A Received
l
Phone: 503.639.4171 Fax: 503.598. , I ® D c6 Permit No.: tf e a jyj ay 3 •
13125 SW Hall Blvd., Tigard, OR 9¢' j �VU plan Review v ""
C Date/By.. Other Permit:
196Q t AR 1
l 1 G R 1) Inspection Line: 503.639.4175 �V� of' cal RVD Date Ready /B • • ® See Page 2 for
Internet: www.tigard- or.gov �� `� Notified/Method: Supplemental Information
gv« 1 1 \Vv - 1 1
TYPE OF WORK COMMERCIAL 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.
CATEGORY OF CONSTRUCTION Value: $ S2,000.00
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description 1 Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Air conditioning or heat pump
Job site address: 14650 sw 72 sv
(requires site plan showing placement) 14.00
City /State /ZIP: Portland, OR. 97224 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: Rogers Machinery eras heat pump 14.00
Cross street/directions to job site: Bonita and 72 ay. Duct work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Subdivision: Lot no.: Flue/vent for any of above 6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
Extend 2# gasline 75' to location for connection to 70 KW stand -by generator Flue vent for water heater or gas
fireplace 10.00
Log Tighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
® PROPERTY OWNER • I ❑ TENANT Chimney/liner/flue/vent 10.00
Other. 10.00
Name: Rogers Machinery Co. INC, Environmental exhaust and ventilation
Address: 14650 SW 72 Av. Range hood/other kitchen
equipment 10.00
City/ State/ZIP: Portland, OR. 97224 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (503)639 -0808 Fax: (503)639 -0111 toilet compartments, utility rooms) 6.80
® APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Other: 10.00
Business name: Agape Gasworks LLC.
Fuel piping
Contact name: Jim Luckenbach $5.40 for first four; 51.00 for each additional
Address: 8940 SE Clinton St. Furnace, etc.
Gas heat pump
City /State/ZIP: Portland, OR. 97266 Wall/suspended/unit heater
Phone: (971) 570 -9722 Fax: : (503) 775 -1007 Water heater
Fireplace
E-mail: jwloc56 @gmaiLcom Range
CONTRACTOR Barbecue
Business name: Agape Gasworks LLC.
Clothes dryer (gas)
Other: Generator 1
Address: 8940 SE Clinton St. MECHANICAL PERMIT FEES*
City /State/ZIP: Portland, Or. 97266 Subtotal
Minimum permit fee ($72.50) ��
Phone: (971) 570 -9722 Fax: (503) 775 -1007
Plan review (25% of permit fee)
CCB lic.: 174481 VAt 0 9 State surcharge (12% of permit fee) S. 70
TOTAL PERMIT FEE 9/ ,,„1,°
Authorized signature: This permit application expires if a permit is not obtaine within 180
!'� days after It has been accepted as complete.
1 Print namo• to moa W 1 .nr4onharh 1 rlato• 21114/A11 1 • Fee methodoloov set by Tri- Countv Building Industry Service Board
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: MEC200t3.00134
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/17/20013 a
Phone: (503) 639 -4171 'lI
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/'19/2008 TIME: 7:01AM PAGE: 19
SITE ADDRESS: 14650 SW 72ND) AVE CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ROGERS MACHINERY
DESCRIPTION: Extend 2# gasline 75' for connectio nto 70 KW stand -try generator. No plan review required. Project
Value: $2,000
OWNER: ROGERS MACHINERY CO INC, PHONE #:
CONTRACTOR: AGAPE GASWORKS LLC PHONE #: 503-570-9722
Inspection Request Scheduled For: Date: 3/19/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Me a
610 Gas lino 066958 -01 971- 570 -9722 Y -.
Corrections /Comments /Instructions:
a l ‘ re JO Al y 4
bb 4or
o p , vvl k v
9
gm!;
PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
r
Inspector: Date: 4 "/ / Phone #: (503) 718- LC
v
For Mle. r 3" 3\4( etr 7t
ao1o a4
Ex' ( %a" Bi4C ? e
11, (" aiac.K+PI'Q 3 i
<5
8 - 1iPe
3 I' t 7;re
70 Ktu &enera4cr
_ -<
C
0
5 v C. A