Permit "A CITY OF TIGARD
MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00329
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/23/2008
PARCEL: 2S113AD-01700
SITE ADDRESS: 16800 SW 72ND AVE ZONING: C -
SUBDIVISION: ROSEWOOD ACRE TRACTS LOT: 030 JURISDICTION: TIG
PROJECT: BED BATH & BEYOND
Project Description: TI. Valuation: $50,000.00
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: M VENTS W/O APPL: VENT SYSTEMS:
STORIES: 1 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: 3 COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: 4 REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 8
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
BRIDGEPORT LAND LLC Description Date Amount
3939 NW ST HELENS RD
PORTLAND, OR 97210 [MECH] Permit Fee 9/23/200E $771.50
[MECPL■] Plan Rev 9/23/200E $192.88
[TAX] 12% State Surch 9/23/200E $92.58
Phone:
Total $1,056.96
Contractor:
_ B & B CONTRACTORS INC
• 13745 SEMINOLE DR
CHINO, CA 91710 REQUIRED ITEMS AND REPORTS
Contact #: PRI 909 - 627 -3651
Reg #: LIC 119235
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 -. 10 You may obtain copies of these
rules or . • - • 1- - . • s to OUNC by calling 503.246.6699 or 1.800.332.2344.
-Nor ,ade
: • bot / / Issu • d By / . Permittee Signature: _■ ......'
Call 503.639.4175 by 7:00 a.m. for inspections that busine 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.
IV •' T1+ 1 7
e 1 anica e E3 rmit Application FOR OFFICE USE ONLY
Received Permit No.:
Ci of T and it
54 tar Tigard Date/By: I . S/1 -` ;
• 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie N .
• Other Permit: /
Ph one: 503 F ax: 503 ` Date/By: _ AI�,���j , fi •
Inspection Line: 503.639.4175
��
T i G A it 1� nspecon ne: �� Date Ready/By: fa See ' age 2 for
Internet: www.tigard � �0% Notified/Method: l Supplemental Information
TYPE OF WORK v ` , � V �� O 1 COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ New construction A d dition /alteration/re4\ Mechanical permit fees* are based on the value of the work
��� �� performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: Ci mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CON `ION Value: $ ,>;0 0a0
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1 - and 2 family dwelling O'Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi family ❑ Master builder ❑ Other: Description I Qty. I Ea. 1 Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Op �d ✓Q Air conditioning or heat pump
Job site address:
1‘, e, S � 12 (requires site plan showing placement) 14.00
City /State /ZIP: 7,p a , el 0' 91224 Furnace 100,000 BTU (ducts/vents) 14.00
J / Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: D d- 'Be 0
y --ci Gas heat pump 14.00
Cross street/directions to job site: 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
1kvA -C. N p.ii-ad e Flue vent for water heater or gas
I fireplace 10.00
•
Log lighter (gas) 10.00
Wood/pellet stove 10.00
" Wood fireplace /insert 10.00
❑ PROPERTY OWNER I ❑ TENANT Oter: Chimney/liner/flue/vent 10.00
Other: 10.00
' Name: P "_ i--2_1' k Environmental exhaust and ventilation
Ave Range hood/other kitchen
Address:
195 L I 7�VE. equipment 10.00
City/State /ZIP: Urt t0 N S o 10 8 3 Clothes dryer exhaust 10.00
1 Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT Ca CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name:
Qua 1.4 f ro, e C Net rtctje szsv... ) - Fuel piping
Contact name: f We , - be. $5.40 for first four; $1.00 for each additional
Address: k 1 O f - E, C N A i,. -D„-. Furnace, etc.
Gas heat pump
City /State /ZIP: Tempe 1 /44 852133 Wall/suspended/unit heater
Phone: (b0-1- ) 2 2i3 - •7 cal / Fax: : ( ) Water heater
Fireplace
E -mail: L Y E R BE 6) QP 11 L (C , CO M Range
CO� J r CS Barbecue
Business name: Clothes dryer (gas)
Other:
Address: MECHANICAL PERMIT FEES*
City /State /ZIP: Subtotal
Phone: ( ) F es; ( ) Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lic.: 11q). P a` 1 e ((I) State surcharge (12% of permit fee)
TOTAL PERMIT FEE
Authorized signature:
This permit days after it has been accepted eed as complete. r ISO
Print name: KQK s 1 -412v Date: 6° Zr -tom • Fee methodology set by Tri- County Building Industry Service Board
I: \ Building \Permits\MEC- PermitApp.doc 01 /19/07 440-461 7T (1 1 /02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
Total Valuation: Permit Fee:
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 .
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I:\ Building \Permits\MEC- PermitApp.doc 01/19/07 2
,
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2008 -00329
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/23/2008
Phone: (503) 639 -4171 A o 41 IiI I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/19/2008 TIME: 7 :02AM PAGE: 9
SITE ADDRESS: 16800 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: ROSEWOOD ACRE TRACTS S LOT #: 030 TYPE OF USE:
PROJECT NAME: BED BATH & BEYOND
DESCRIPTION: TI. Valuation: $50,000.00
OWNER: BRIDGEPORT LAND LLC, PHONE #:
CONTRACTOR: B & B CONTRACTORS INC PHONE #: 903621 -3651
Inspection Request Scheduled For: Date: 11/19/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 0782513.01 404-556-4527 N
Corrections/Comments/Instructions: .
orrections /Comments /Instructions: 1 •Y____ e
o i 2
•
All
� / PARTIAL APPROVAL
t � P�� 111 CANCEL ❑ NO ACCESS
• FAIL j CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:
'� -- Date: /1 I l" o Phone #: (503) 718 -
27---Y
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2008 -00329
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/23/2006
Phone: (503) 639 -4171 ��aohtt I
Inspection Requests (24 Hrs.): (503) 639 -4175 ``'I i..
INSPECTION WORKSHEET FOR DATE: 11/7/2008 TIME: 7:02AM PAGE: 37
SITE ADDRESS: 16800 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: ROSEWOOD) ACRE TRACTS LOT #: 030 TYPE OF USE:
PROJECT NAME: BED BAT Ii & BEYOND
DESCRIPTION: TI. Valuation: $50,000.00
OWNER: BRIDGEPORT LAND LLC, PHONE #:
CONTRACTOR: B & B CONTRACTORS INC PHONE #: 909-627 -3661
Inspection Request Scheduled For: Date: 11/7/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Messa
— Y---
699 Mechanical final 077789-01 360693.7379 Y
Corrections /Comments /Instructions:
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• ��1; . T 3 f PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
iri FAI J 19 ALL FOR INSPECTION ❑ ADDITIO AL F S ASSESSED
Inspector: Date: 7 6 T! Phone #: (503) 718-
_____Vy
CITY OF TIGARD
BUILDING DIVISION PERMIT #: Mt_C2006- 00329
13125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED: 9/23/2006
Phone: (503) 639 -4171 ,�..
Inspection Requests (24 Hrs.): (503) 639 -4175 it `'
INSPECTION WORKSHEET FOR DATE: 10/16!2008 TIME: 7 :01AM PAGE: 6
SITE ADDRESS: 161300 .SW 72ND AVE CLASS OF WORK:
SUBDIVISION: ROSEWOOD ACRE TRACTS LOT #: 030 TYPE OF USE:
PROJECT NAME: BED BATH & BEYOND
DESCRIPTION: TI. Valuation: $50,000.00
OWNER: BRIDGEPORT LAND LLC, PHONE #:
CONTRACTOR: B & B CONTRACTORS INC PHONE #: 309`627-3651
Inspection Request Scheduled For: Date: 10!'16/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
GM Misc. inspection 07681 404 - 556.4527 N
Corrections /Comments /Instructions:
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• ►► :. .lac :, '
111 PASS �I`' _ I. ' - _ - •VAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: __ `i1� Date: c #: (503) 718 - [�e
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MECa_o0 00329
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/23/2008
Phone: (503) 639 -4171 �muA .�.�.
Inspection Requests (24 Hrs.): (503) 639 -4175 .:.
INSPECTION WORKSHEET FOR DATE: 10/16/2008 TIME: 7:01AM PAGE: 7
SITE ADDRESS: CLASS OF WORK:
16800 SW 72ND AVE
SUBDIVISION: ROSEWOOD ACRE TRACTS LOT #: 030 TYPE OF USE:
PROJECT NAME: ;ED BATH & BE'Y'OND
DESCRIPTION: TI Valuation: $50,000.00
OWNER: BRIDGEPORT LAND LLC, PHONE #:
CONTRACTOR: B & B CONTRACTORS INC PHONE #: 909-627-3651
Inspection Request Scheduled For: Date: 10!16/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
625 Duct work 076813-02 401.556 - 4527 N
Corrections /Comments/ Instructions:
,111 911),
74 PAS j PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL ►,7 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _ �� Date: 1fl I6 0P Phone #: (503) 718 - /V
s
CITY OF TIGARD
BUILDING DIVISION PERMIT #: htEC2008 00329
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
9/23/2000
Phone: (503) 639 -4171 4,u A —•
Inspection Requests (24 Hrs.): (503) 639 -4175 r °'f L
INSPECTION WORKSHEET FOR DATE: 1W1 &2008 TIME: 7:O1AM PAGE: 8
SITE ADDRESS: 16k300 SW 72ND AVE CLASS OF WORK:
SUBDIVISION: ROSLINOOD ACRE TRACTS LOT # : 030
TYPE OF USE:
PROJECT NAME: BED BATH & BEYOND
DESCRIPTION: TI. Valuation: $50,000.00
OWNER: BRIDGEPORT LAND LLC, PHONE #:
CONTRACTOR: B & B CONTRACTORS INC PHONE #: 909 627 -3651
Inspection Request Scheduled For: Date: 10/16120013 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 076813-01 404 -556 -4527 N
Corrections /Comments /Instructions:
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1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
e m :Al 7CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: Date: 10 lO U Phone #: (503) 718 - _