Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2010 -00616
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/24/2010
Parcel: 2S113B000400
Jurisdiction: Tigard
Site address: 8154 SW DURHAM RD
Project: Zuniga Foods Subdivision: Lot: 0
Project Description: Walk -in refrigerator anchorage.
Contractor: ARELLANOS CONSTRUCTION LLC Owner: DURHAM I LLC
PO BOX 2225 8100 SW DURHAM RD
WILSONVILLE, OR 97070 TIGARD, OR 97224
PHONE: 971 - 645 -6825 PHONE:
FAX: 503 - 855 -4691
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 11/24/2010 $69.06
Class of Work: ALT Type of Const: Plan Review 11/24/2010 $17.27
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 11/24/2010 $8.29
Stories:
Project Valuation: $0.00
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressure: 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 $94.62
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 ail 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 -0090. You may obtain a copy of the rules
or direct questions to 0 by calling 503.232.1987
Issued By: Permittee Signature: - _....
Call 50' — 175 by 7:00 a.m. for the next available inspection date.
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 FOR FILE VSE ON
Cl / //�� _ '`
City of Tigard g � �� DateBReceived y: (� / l t} /r� j Permit No.: rnGeG�90 /C�' f) 0G, (f r.
° 13125 SW Hall Blvd., Tigard, OR 97223 ��1, f
C }YY Date /By: Other Permit: `
Phone: 503.639.4171 Fax: 503.598.1960
Inspection Line: 503.639.4175 + Date/By: 1�-
l' I G A R D Ins p `� \Q Daie Ready /By: luris: ® See Page 2 for
Internet: www.tigard -or.gov n\ I 2 Notified/Method: " TYY0 Supplemental Information
V �, • li ` /yam
TYPE OF WORK ��IN ` O G NI COMMERCIAL FEE* SCHEDULE = :'USE'CHECKLIST
El New construction ❑ Addition /alteration/regItOt1 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, over , and profit.
CATEGORY OF CONSTRUCTION Value: $
RESIDENTIAL EQUIPMENT /SYSTEMS FEES*
❑ I- and 2- family dwelling %Commercial /industrial ❑ Accessory building
For special information use checklist.
?•15 ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: < 3 VNA harf�n CA Air conditioning
' , 1 (requires site plan showing placement) 46.75
City /State /ZIP: `l ark 0� ' 9 L e1 Fumace 100,000 BTU (ducts /vents) 46.75
1 / Fumace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: S Project name: Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 23.32
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
Gas fireplace 33.39
C O r \ (N. 0.)60.V., - tr\.., - C? e 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
• ❑ PROPERTY OWNER I ;a' TENANT Chimney /liner /flue /vent 23.32
Other: 23.32
Name: yrx h Vi a n Environmental exhaust and ventilation
Address: Range hood/other kitchen
11 j,� 5 p�' � (Acke_ ' 0 ,1 equipment 33.39
City /State /ZIP: - --- 1 � -aa
q � 3 t Clothes dryer exhaust 33.39
C� Single -duct exhaust (bathrooms,
Phone: (352 ) c _ Fax: ( ) toilet compartments, utility rooms) 23.32
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32
Other: 23.32
Business name: `.�t ,� ( .� A-� +d , piping
1 io
f..�- , W g
Contact name: � n �� S ` b e \�\ �� 514.15 for first four; $4.03 for each additional
i 1► Furnace, etc.
Address: l 2 c,... -- fi , ` )\' y Gas heat pump
City /State /ZIP: . G ,-A Q(? on- 3 Wall/suspended/unit heater
Phone: (Y ) i 0 - ,9-�aa Fax: : ( ) Water heater
� ^ �( cam E -mail: .7-)-/\1\ o o .. -� Jl? y a cU , a \ Range
•JJ CONTRACTOR Barbecue
Business name: " r e Co 1 -* csr� Clothes dryer (gas)
�T Other:
Address: )lJ J 4? ,, � L' MECHANICAL HANICAL PERMIT FEES*
City /State /ZIP: ` Subtotal
wit \SI/1�1 v t Lo — G2_- `- 1
Minimum permit fee ($90.00) 0 , otp
Phone: ( oi l i) cog s - co Xa. 5 Fax: ( ) Plan review (25% of permit fee) I i ,.?-7
CCB lic.: _ State surcharge (12% of permit fee) .S..-,
TOTAL PERMIT FEE q/,j. O.
- n � This permit application expires if a permit is not obtained within 180
Authorized signature'i`r`� {" 41 �� 1W 9 ( V. days after it has been accepted as complete.
Print name:
r Date: slim * Fee methodology set by Tri- County Building Industry Service Board
....- „ I „,„, .... 1 :\Buitding)Permits\ MCC-Perm itAp 0/01/09 440 -4617T (1 I /02 /COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi - Family Fee Schedule:
Total Valuation: Permit Fee:
$0.00 to $500.00 Minimum fee $69.06
$500.01 to $5,000.00 $69.06 for the first $500.00 and
$3.07 for each additional $100.00 or
fraction thereof, to and including
$5,000.00.
$5,000.01 to $10,000.00 $207.21 for the first $5,000.00 and
$2.81 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,000.01 to $50,000.00 $347.71 for the first $10,000.00 and
$2.54 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,000.01 to $100,000.00 $1,363.71 for the first $50,000.00 and
$2.49 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first $100,000.00 and
$2.92 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
1:\ Building \Permits\MEC- PermitApp.doc 10/01/09 2
1 Building Division
Over- The - Counter (OTC) Mechanical Permit,
T.1 GARD Check List
Description of Project:
GENERAL INFORMATION
• Class of Work:* AL-r- Floor Furnace: Evap. Coolers:
. Type of Use:* Unit Heaters: Vent Fans:
Occupancy Group: 6 Vents w/o Appl.: Vent Systems:
Stories: Boilers, Comp, Heat Pump, A /C: Hoods:
Fuel Types: 0 - 3 HP: Domestic Incinerator:
ELC / GAS / NG / OIL / OTHER 3 - 15 HP: Com. /Ind. Incinerator.
• Max Input: BTU: 15 - 30 HP: Repair Units:
. Fire Dampers: 30 - 50 HP: Wood Stoves:
Gas Pressure: H / M / L >50 HP Clothes Dryer.
No. of Units: Air Handling Units: Other Units:
Furnace <100k BTU: 510,000 CFM: Gas Outlets:
Furnace >_100k BTU: >10,000 CFM:
Notes:
INSPECTIONS FEES DUE
Post /beam mechanical $ (01, O(0 Permit Fee
Gas line $ , gl State Surcharge
Mechanical rough -in $ f -1 ).-- Plan Review Fee
Fire damper $ Additional Permit Fee
Duct work $ Additional Plan Review Fee
Smoke detector $ Investigation Fee
Investigation inspection $ Misc. Fee
Misc. inspection $ Hourly Rate Fee
Final inspection $ Hourly Rate State Surcharge
• $ q q , 61 Total Fees Due
OTHER PERMITS REQUIRED
Building Electrical
Plumbing Site Work
•
*OPTIONS:
TYPE OF USE: COM = commercial; CMS = commercial manufactured structure.
CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; FND = foundation; DEM = demo;
FND = foundation; FPS = fire protection system; NEW = new; OTR = other (use for fences, decks, retaining walls, signs, awnings
or canopies); REP = repair.
• I:\Building \Forms \OTC - MEC.doc 09/22/06
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INDUSTRAIL PARK OF DURHAM Attached [ ] Conup nT _.. 2
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Permit Number/14f _ -- OD (� 1 (
8154 SW DURHAM ROAD Address: '1 5t �t NAn Rated Corridor
TIGARD, OR 97224 Energy Code
By: t '1 A J J Date: 1 L - 10 Accessibility tit
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