Permit C ITY OF TIGARD MECHANICAL PERMIT
I ° COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00425
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
DATE ISSUED: 7/23/2007
PARCEL: 2S1 14AA -00200
SITE ADDRESS: 16285 SW 85TH AVE 103 ZONING: I -P
SUBDIVISION: DURHAM HALL BUSINESS PARK LOT: JURISDICTION: TIG
PROJECT: CHEZ GOURMET
Project Description: Install type 1 hood system with fan and makeup air. Project Value: $10,000
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: Fl VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS: 1
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
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:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
BIRKEMEIER, BRENT T /JANET D TRS Description Date Amount
BY THE BIRKEMEIER FAMILY TRUST
10573 SW NAEVE ST [MECH] Permit Fee 7/23/2007 $231.50
TIGARD, OR 97224 [TAX] 8% State SurcharE 7/23/2007 $18.52
[MECPLN] Plan Rev 7/23/2007 $57.88
Phone: Total $307.90
Contractor:
A -1 STAINLESS STEEL FABCO.
PO BOX 605
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 631 -8896
FAX NA
Reg #: LIC 165278
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 direct questions to OU NC by
calling503. s.•••• • .800.332.2344.
� / P r i Si natur: /I/ I ,r
Issue • By: / �`I �/ e m ttee g
v
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.
i b2.8 `4'
Mechanical Permit A 1 t� +.1 FOR OFFICE USE ONLY
Received il
City of Tigard Date/By: ha p .►
Permit No.: y 416 _,..
• 13125 SW Hall Blvd., Tigard, O' 3 ' — '
Ili
Plan Review 1
C ,
O
Phone: 503.639.4171 Fax: 503.598.1960 ther Permit:
JUL 1 2007 DateBy: ,`I%�1 / ` - �I1r/1!
T I G A R D Inspection Line: 503.639 Date Ready — U . : See Page 2 for
Internet: www.tigard - or.gov // p� 7 � j� �yy 7� Notified/Method: En Supplemental Information
CITY OI Fl ARD
BrYINt DIVISION COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
N ew construction LJl 3 Yl it
❑ ❑ Addition/alteration/replacement 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 �cfxDo, (--)0
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ I- and 2- family dwelling fg Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
/ np 1 � Air conditioning or heat pump
Job site address:
f L � S t (./ - (requires site plan showing placement) 14.00
City /State /ZIP: r 7C b iz / D Furnace 100,000 BTU (ducts/vents) 14.00
0 -' Project �V Gas heat 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. noa'
1 �i � K� TT 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
, �/1� Gas fireplace 10.00
4 /N LL. I Pr 1 1 S L/S`( '/'' to/ Flue vent for water heater or gas
Q Q,, �, [ fireplace 10.00
I/ • ✓ ' " u �� � .L. 2,t 't 1 nek Log lighter (gas) 10.00
L( g2Ci STf/t DU&CJI tat s tit- ( -fr/ Wood/pellet stove 10.00
Wood fireplace /insert 10.00
❑ PROPERTY OWNER ❑ TENANT Chimney/liner /flue /vent 10.00
Other: 10.00
Name: Environmental exhaust and ventilation
1 Address: Range hood/other kitchen
equipment 10.00
City/State /ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
V APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Business name: A .. I s7-i 9i l s gs ' T? � � / G Fuel
Other: 10.00
�"��'- Fu piping
Contact name: C ,r�j> t c e ) $5.40 for first four; $1.00 for each additional
Address: l Q ° `�` n Furnace, etc.
/ aU 2 c , 1 �- 17 � r - Gas heat pump
City/State /ZIP: �r�.� � 6-0 q7o�S Wall/suspended / unit heater
Phone: �
r��l 6' /, eaF6 ax: : ( ) Water heater
Fireplace
E -mail Range
CONTRACTOR Barbecue
Business name: Clothes dryer (gas)
� Other:
� Address: 4 A { , J � t�c MECHANICAL PERMIT FEES*
City/State /ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lic.: /42,5 State surcharge (8% of permit fee)
TOTAL PERMIT FEE --��}
Authorized signature: This permit application expires if a permit is not obtained within 180
n days after it has been accepted as complete.
L rint name: t U / e 4 s� Date: 0 , - z ' 7 * Fee methodology set by Tri -County Building Industry Service Board
uilding \Permit PernutApp. oc 01/19/07 440- 4617T(I I /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.
L\Building\Permits\MEC- PermitApp.doc 01/19/07 2
CITY OF TIGARD -
BUILDING DIVISION 4 -- PERMIT #: MEC2Q07 -00425
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/23/200/
Phone: (503) 639 -4171 4 "%le �n
Inspection Requests (24 Hrs.): (503) 639 -4175 l'1 �..
INSPECTION WORKSHEET FOR DATE: 8/2/2007 TIME: 7:00AM PAGE: 35
SITE ADDRESS: 16285 SW 85TH AVE 103 CLASS OF WORK:
SUBDIVISION: DURHAM HALL BUSINESS PARK LOT #: TYPE OF USE:
PROJECT NAME: CHEZ GOURMET
DESCRIPTION: Install type 1 hood system with fan and makeup air. Project Value: $10,000
OWNER: BIRKEMEIER, BRENT T /JANET D TRS, PHONE #:
CONTRACTOR: A-1 STAINLESS STEEL FABCO. PHONE #: 503- 631 -8896
Inspection Request Scheduled For: Date: 8/2/2007 Pour Time: 1-j
0
�-
Code # Inspection Description Confirm # Contact # M-:sage (`�,�
640 Exhaust hood 053262-01 503 - 631 -8896 Y �°
Corrections /Comments /Instructions:
I
1
r
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Z (/(/'
Date: J 1s?' 7 Phone #: (503) 718- 2 I P
1
CITY OF TIGARD = "'
BUILDING DIVISION PERMIT #: MEC2007- 00425
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/23/2007
Phone: (503) 639 -4171 VpgI�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/24/2007 TIME: 7:00AM PAGE: 35
SITE ADDRESS: 16285 SW 85TH AVE 103 CLASS OF WORK:
SUBDIVISION: DURHAM HALL BUSINESS PARK LOT #: TYPE OF USE:
PROJECT NAME: CHEZ GOURMET
DESCRIPTION: Install type 1 hood system with fan and makeup air. Project Value: $10,000
OWNER: BIRKEMEIER, BRENT T /JANET D TRS, PHONE #:
CONTRACTOR: A - STAINLESS STEEL FABCO. PHONE #: 503 - 8896
Inspection Request Scheduled For Date: 7/24/2007 Pour Time:
Code # Inspection Description Confirm # Contact # M •
640 Exhaust hood 052596 -01 503 - 913 -1390 Y
Corrections /Comments /Instructions:
•
•
•
PASS lij -ARTIAL APPROVAL ❑ CANCEL NO ACCESS
❑ FAIL % ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ■ Date: 7 /y7 _ Phone #: (503) 718 -7