Permit 4 CITY OF TIGARD MECHANICAL PERMIT
Ill 2: COMMUNITY DEVELOPMENT Permit #: MEC2010 -00697
TIGARD 13125 SW Hall Blvd.. Tigard OR 97223 503.718.2439 Date Issued: 12/30/2010
Parcel: 1 S136DA01000
Jurisdiction: Tigard
Site address: 11564 SW PACIFIC HWY
Project: Kaady's Appliances Subdivision: Lot: 0
Project Description: Splitting gas line to (3) meters for (3) tenants at 11560, 11564 and 11570.
Contractor: WESTERN PLUMBING Owner: GREENLAND GROUP LLC
9460 SW TIGARD, AVE STE 101 PO BOX 1008
TIGARD, OR 97223 NEWPORT, OR 97365
PHONE: 503 - 639 -5296 PHONE:
FAX: 503 - 684 -9015
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 12/30/2010 $69.06
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 12/30/2010 $8.29
Occupancy Grp: Occupancy Load:
Stories:
Project Valuation: $300.00
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 $77.35
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 By: Permittee Signature: • � /
Ca / 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.
12/29/2010 14:16 5036849015 WESTERN PLUMBING INC PAGE 01/02
Mechanical Permit App 'cation. FOR OFFICE USE. ONLY , ,; :.,. City of Tigard ( I Received h ` ' "' 999 FD > Date/By: i r /�// Permit No: .� IO` 6 ..1
4 13125 SW hail Blvd, Tigard, ' Phone: 503.639.4171 Fax 503, 9 2U 1U Pl g O Penult:
T I G i\ r, n Inspection Line: 503,639,4173 � � 9
Date R e e d Y / B Y : E l $ e c P a g e l fhr
Internet: www-tigard- or.gov
Notified�lvle=hod: .. / Supplemental Information
CITY OF " ;BARD
.
... s. ; ..:a..:..'<r '• F)LE; � :USE C?!IEC LIST . •
��•.� ...,'fit _C?UIVI,M�RCTt#L'�- �'PaE'! �
0 New construction Addition /alteration/replacement Meebaulcal',emit fees* are based Oil the value of the work
perftrrsaed, Indicate the value (twmdtd to the nearest dollar) of all
❑ Demolition
des= mechanical materials, equipment, labor, overhead, and profit.
:- 04*60: oF: col!(ST40x41*c
Value: ,
RESIDENTIAL it/uttnitiT:1 SYSTESS:FgEs •
l- and 2- family dwelling i Cox:axn,erciaUi tdustna1 El Accessory budding
0 Multi- family ❑ Master builder
For specterl information use checklist
Description f City. I Ea. Total
J 1
.. • _.... .. - l�aa>a6efrfeootin
C ( 1 Air cordite plan Job site address: n
�1 °�1 a C � '14.0( . . (eequirsa site plea aLawinR placement) 46.75
City/State/ZIP: Furnace 100,000 BTU (ducts/vents) 46,75 , t k
Suite/bldg. /apt. no.: Project name: Furnace 100,000+ BTU (ducts/vents) 54.91
f r savtw.. • I / .. . drat pump 61.06
Cross street/directions to job site: Duct work 23.32
,.- Avdronie hot water system 23.32
_ I J / ` ` �w /1 Residential boiler (radiator or
hydrvaic) 23.32
L - - ---- Unit heaters (fuel -type, not electric),
in -w: in -du • sus. ende etc. 46.75
Subdivision: Lot no.; Flue/vent for any of above 23.32
Other, _ 2332
Tax man /parcel no,: Other fuel appliances
Water heater 2332
• Gas Fuaplace 33.39
Flue vent for water heater or gas
QT 'x `1 r .`1"(U \94 ,
fireplace gh 23.32
�Y_ ,�,�,, + � ,, 't1U, U'Q> �1.5 ���Q� Lo�fit�ertl�) 23.32
U \ '( '(die `. o Wood/pellet stove 3339
Wood fireplace/insert 23.32
. .
23.32
,. ,..� �;;:, ..-
;mss% % �. 23.32
Name: Etrvironmental exhaust and ventilation
Address: -- Range hood/other kitchen
-- _�- equipment 33.39
City /State/ZIP: Clothes dryer exhaust 33.39
Pbtvne: ( ) Fax $ingle -duct exhaust (bathrooms,
( ) toilet compartmerlis, utility rooms) 23.32
. •jU,.�1P� 1tAk ,.t„2 P1a,Itsor4., Attic/crawlspace fans 23.32
Business name: • t]Ariera - _ 23 - 32 _
Fuel w
Contact name: 514.15 for first four; 54.03 for each additional
Address: Furnace, etc.
Gas hest pump
City/State/ZIP: Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
E-mail Fireplace
Range
Business name: Western Plumbing, Inc. Clothes dryer (gas)
»--- •-- :•^ --+-- Other:
Address: 9460 SW "17gard Avenue Suite 101 — " ' - .
I 1CAI P 441r I EE6''
City/State/11P; 97223 Subtotal
Phone: (503) 639-5296 Fax (503) 684-9015
Minimum permit fee ($90.00) j ,( P
Flan review (25% of permit fee)
CCB lie.: 2439 State surcharge (12% of permit fee) y ,Q151 �
/c9 � r . TOTATOTAL I'Eft. IIT FEE ` .1..55
I ` � This rmtt a lication e
Authorized signature: �� �J p ys after k been er has b act as cootD ere d wlfhl 180
Ric { 11` 0 ,f)