Permit - PLN _
141 4 ,CITY OF TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00076
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/13/2008
PARCEL: 2S 102CC -00500
SITE ADDRESS: 13500 SW PACIFIC HWY ZONING: C -
SUBDIVISION: TIGARD MARKETPLACE LOT: JURISDICTION: TIG
PROJECT: HOME TURF SPORTS PUB
Project Description: Change out roof counted gas pack. Value: $5475.00
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
•
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP CL DSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS O DRYERS:
FURN > =100K BTU: 1 <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
13500 PACIFIC CORP Description Date Amount
BY CAP ADVISORS
38345 W TEN MILE RD, STE 170 [MECH] Permit Fee 2/13/200E $150.50
FARMINGTON HILLS, MI 48335 [MECPLN] Plan Rev 2/13/200E $37.63
[TAX] 12% State Surch 2/13/200E $18.06
Phone:
Total $206.19
Contractor:
AMERICAN HEATING INC
1339 SE GIDEON ST
PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 239 -4600
FAX 503 -239 -7038
Reg #: LIC 33135
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 OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature: gr cf / ' aiic + G sq C �'
Call 503.639.4175 by 7:00 a.m. for inspections that business 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.
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Mechanical Permit ..ptliea:s'11.. 1 V r FOR OFFICE USE ONLY
City of Tigard -- .. _
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:-. Rxeeived it' 0 , p Permit N• .... — -1:-/..."C:400 .„,,
1 3125 SW Hall Blvd., Tigard, OR 97223 i. -
1 5-d 1 ..... 200'
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Phone: 503.639.4171 Fax: 503.59r900, ply wirtioti,71 Other Permit:
Ale4.11401 trit Plan : : rAv) /pi
Inspection Line: 503.639.4175 %-.. I .. Da I. U.,, -.I, 41 Date '77..y :y: lurir;,...-- 63 See Page 2 for
Lnternet: www.ci.figard.or.us
BU D . ... _
II- IN° TTP \T r q TON
L- 1 .1.. ... , Notified/Method: / Supplemental Information
,
'':.... .''', ... 1 : .... ...:..:-.,.......'-': . ...,:"..' .. 4Y0'. ;: ' '......-:::'.:: '-:: ::: . . . ..bNeitsuricps.r.,..FEEi - SCHEDULE - USE CHECKLIST
0 New construction R. Addition/alteration/replacement Mechanical permit fees • are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead,araiprofi t.
; •: .- -,;;;Y': : : - .Y:: :: : ; :. :.;,-..-,.
Value: S
." 4 - . ' - ' . ...'..'...'....: ' . 5 eV
FiESIDENTIAi,.EalIPMENT/ SYSTEMS FEES*
0 1 - and 2 dwelling IX,Cornmercial/industrial 0 Acr.essory building
For special information use checklist.
0 Multi-family 0 Master builder 0 Other: . Description I Qty. I Ea. I Total
I4 -,::::,..:.: : .•;-....-, Heating/cooling
Job site address: 13So 0 Sk° i ,.,
q w...4 i"-- r c, ‘4%,..• ki. showing Air con or heat pump
(requires site plan sho placement) 14.00
City/State/ZIP: .6, ( 9 Q.. ql Furnace 100,000 BTU (ducts/venu) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: Project name: kliv LtAki6 , Gas heat pump 14.00
--..
Cross street/directions to job site: i \ (Ail., _Duct work ---,.. 14.00
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. 10.00
■ Flue/vent for any of above 10.00
Subdivision: j Lot no.:
Other: _ 10.00
Tax map/parcel no.: Other fuel appliances
-- -■;!,...•.:1':''''''' ..Vie..,,„12.-tf,;•:10+0k014..61,44i,'-tiijithi4..lcii'',,,,f,.71-i.,i:,:-.;;15.1."'.V.f.0-",.t,ri'.:1,:l._;•;.7 Water heater 1000
Gas fireplace 10.00
CA A rfk - n-Czeov..t PAYa v (---1 Flue vent for water heater or gas
P fireplace 10.00
Log lighter (gas) 10.00
• Wood/pellet stove — 10.00
1
• Wood fireplace/insert ,. 10.00
,
.. ...• .,,- ,- - Chimne /liner/flue/vent. 10.00
;Iiii-■;t.facjithiveCiiiiiiiii;.'..; Orvi? ;::-- ....;',.. .
1 :. '.. , .,.,..;,- ,.......„.., __Y
10.00 Other Name: TUNte S.1 T i3,14,„ .1/4- &elk Environmental exhaust and ventilation
Range hood/other kitchen
Address: cls"vo f ...;(. iN., equipment 10.00 ,
City/State/ZIP: ..\--tc-„A" at_ 6eV3...3 Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: (s- ) ci L ce ......ci 1 ( e, Fax: ( ) toilet compartments, utility rooms) 6.80
:,,,•-:,::::.2.'.....E1,..-.::-..:::',..'1;,;;:..11:it;Aiii;A:c,A,,•E.:',•:!j..,::?:. i;,.:- ... jl i, ; `,;: , :,,,,•,..: - .': ,..6c;i4iik'6'r *E Attic/crawlspace fans 10.00
Other: I I 10.00
Business name: A_Aku...si ii 1 ..a.. -, Fuel piping
Contact name: SP • '1N--0 $5.40 for first four; $1.00 for each additional
t --- W — ••••;N' '-
Furnace, etc.
Address: k 331 S'e. (:--1 • 'tf. T . Gas heat pump
City/State/ZIP: c ci-a. , 9 7,14) a_ Wall/suspended/unit heater
Water heater
Phone: (G, ) - 2:31 _ Lkc.ot) Fax: : (., vi ) z,3# _---) 0 3 „,e,
Fireplace
E-mail: . ,P 6
... 0,_,A, ea,- c..-. iVi ..”11 , e. , .. . . . . . Range
/ : :"1 4 ..,'.:; t "" q9y.:#.i:fy.cwqk,,,..;..:;--c,.t,:;....,.:-:•f;.', .z. Barbecue
Clothes dryer (gas)
Business name: A „., \--‘2,4:-.1- r , L _ I
I Other:
Address: l - i c l Ce; C- sl-, . .... ... .
::;',.-i:.' ' • .
City/State/ZIP: Tro . 0 .2 9 7 )-4:- 2- Subtotal
Minimum permit fee ($7150)
Phone: (Sc- ) 2 ,-. ? i _
CIA,-..C.L.) Fax: ( s t ,, ) 4 , 3 e ) , _-. c , 3 $
.--- Plan review (25% of permit fee)
CCB tic.: - , )) - -- State surcharge/P(a of permit fee)
TOTAL PERMIT FEE g067. 15
This permit application explres If a permit Is not obtained within ISO
Authorized signature: Jet-I- A days after It has been accepted as L.:
I Print name: V- •,<% Si51_,?-14.,51/---, Date: • Fee methodology set by Tri-County Building Industry Service Board
CITY OF TI`GARD . • ` . t'
BUILDING DIVISION PERMIT #: MEECC2 76
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3J13/2O0
Phone: (503) 639 -4171 i jmypi
Inspection Requests (24 Hrs.): (503) 639 -4175 'J /�J�'�'t(�' 0 2O7(C)
INSPECTION WORKSHEET FOR DATE: 2/21/2000 TIME: 7 :00AM / PAGE: 30
SITE ADDRESS: 13500 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: TIGARD MARKETPLACE LOT #: TYPE OF USE:
PROJECT NAME: HOME TURF SPORTS PUB
DESCRIPTION: ;:hinge out roof counted gas pack. Value: $5475.00
OWNER: 13500 PACIFIC CORP, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503 - 23941600
(IA', + -- A-1E
Inspection Request Scheduled For: Date: 2/21/2003 / Pour Time: G
Code # Inspection Description Confirm # Contact # Mes e �,1�
699 Moci►ariical final 065300.01 503-572-5979 V
Corrections /Comments/ Instructions:
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n PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
t4 FAIL IR CALL FOR INSPECTION ❑ ADDITIONAL FEES ASS S
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Inspector: V (/ Date: ? ` /() Phone #: 503
p � ) 718