Permit . ipii ,
�' CITY OF TIGARD MECHANICAL PERMIT
_ - COMMUNITY DEVELOPMENT Permit#: MEC2010 -00442
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/30/2010
Parcel: 2S102CB01802
Jurisdiction: Tigard
Site address: 13407 SW PACIFIC HWY
Project: AutoZone Subdivision: Lot: 0
Project Description: Mechanical for new auto store.
Contractor: CENTURY HEATING & A/C INC. Owner: BAR -AM, LLC
PO BOX 544 BY GODFATHER'S PIZZA
GRESHAM, OR 97030 1416 THIRD AVE
SEATTLE WA, 98
PHONE: 503 - 656 -6707 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 11/17/2010 $589.01
Class of Work: NEW Type of Const: Vg Plan Review 11/17/2010 $147.25
Occupancy Grp: M Occupancy Load: 12% State Surcharge - Mechanical 11/17/2010 $70.68
Stories: 1
Project Valuation: $19,500.00
Fuel Air Handlers
Fuel Types: Natural Gas 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 • $806.94
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 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 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. .
Issued ByC. Jw"` ,,,f j 4�� f Permittee Signa ._Q �� , I ./
i� ♦ iii — .41 <'
Call 503.639.4175 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 OFFICE USE ONLY
City of Tigard Perm itNo.:�10� DOY
Er
13125 SW Hall Blvd., Tigard, OR 97223 „� Plan ' evie
Phone: 503.639.4171 Fax: 503.598.1960 cw l \..,,' D.te /By: 1 �i Other Permit: 03 JMIDINI
Ti GARD Inspection Line: 503.639.4175 1,:,• TN Ready /B : .turfs: ® See Page 2 for
• Internet: www.tigard - or.gov 1\ 1 Notified /Method: / Supplemental information
TYPE OF WORK (�� �: � I�• Q COMMERCIAL FEE * SCHEDULE - USE CHECKLIST
® New construction ❑Addition /alteration /replacem G `1.0`N 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: $ (1 5w
RESIDENTIAL EQUIPMENT/ SYSTEMS FEES*
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: -
Qty. Ea. Total/
JOB SITE INFORMATION AND .LOCATION eating/cooling
Job site address: 13405 SW Pacific Highway A conditioning
(req : res site plan showing placement) 46.75
City /State /ZIP: Tigard/OR/97223 Fuma. • 100,000 BTU (ducts /vents) 46.75
Furnace 00,000+ BTU (ducts /vents) 2 54.91 109.82
Suite/bldg. /apt. no.: Project name: AutoZone Store No 3756 Heat pum• 61.0
Cross street/directions to job site: West of SW Pacific Highway Duct work 23 2
South of SW Park Street. East and North of SW Watkins Avenue. Hydronic hot ter system 32
Residential boile radiator or
hydronic) 23.32
Unit heaters (fuel -typ. not electric),
• in -wall, in -duct, suspen. d, etc. 46.75
Subdivision: N/A Lot no.: 01802 Flue /vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: R994507 Other fuel appliances
DESCRIPTION OF WORK ' Water heater 1 23.32 23.32
Gas fireplace 33.39
Installation of Mechanical Equipement to new AutoZone Building, Flue vent for water heater or gar
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
•
Wood fireplace /insert 23.32
•
® PROPERTY OWNER, ❑ TENANT a Chimney /liner /flue /v t : .32
Other: 2 2
Name: - Environmental :• haust and ventilation
• Address: Range hood/ot • kitchen
equipment 33.39
City/State /ZIP: Clothes dry , r exhaust 33.39
Single -d ' exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet c•, partments, utility rooms) 2 23.32 ' '.64
❑ APPLICANT ❑ CONTACT PERSON Attic rawlspace fans 23.32
Ot er: 23.32
Business name: AutoZone, Inc
' uel piping
Contact name: Mitch Bramlitt $14.15 for first four; $4.03 for each additional
Address: 123 South Front Street Furnace, etc.
Gas heat pump -
City/State/ZIP: Memphis, TN. 38103 • Wall/suspended/unit heater
Phone: (901) 495 -8714 Fax: : (901 -) 495 -8991 Water heater
Fireplace
E - mail: mitch.bramlitt @autozone.com Range -
CONTRACTOR - Barbecue
Business name e4 nary t zf£ f y -T7 oc , ct Clothes dryer (gas)
Other:
Address: 76 51/ 0 MECHANICAL,PERMIT FEES* _•
City/State /ZIP: Opimb -M oe.� 9'70 Subtotal
• i Minimum permit fee ($90.00)
Phone: (5)5 ) ( Q - 61 Fax: ;t 4 ) Plan review (25% of permit fee)
CCB lic.: g 7 C (o State surcharge (12% of permit fee) .
, 1 TOTAL PERMIT FEE
Authorized signature: h1/YI�GC� I� ,/ rei This permit application expires if a permit is not obtained within 180
vv days after it has been accepted as complete.
Print name: Mitch Bramlitt Date: 08 -30 -10 * Fee methodology set by Tri -County Building Industry Service Board
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