Permit 7 ' � _ II CITY OF TIGARD MECHANICAL PERMIT
'
1 COMMUNITY DEVELOPMENT Permit #: MEC2011 -00217
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/19/2011
Parcel: 1 S 136AD06502
Jurisdiction: Tigard
Site address: 10935 SW 68TH PKWY
Project: Blitz Sports Pub Subdivision: WAY LEE Lot: 1
Project Description: Add gas line for outdoor heaters. Add walk -in cooler. 6/8/2011: REPRINT permit to add extension of Type I hood.
Contractor: PROGRESS CONSTRUCTION LLC Owner: WAY W LEE
1628 NW 15TH AVE 5210 SE 26TH AVE
PORTLAND, OR 97223 PORTLAND, OR 97202
PHONE: 503 - 804 -0960 PHONE:
FAX: 503 - 552 -9817
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/19/2011 $252.17
Class of Work: ALT Type of Const: VB Plan Review 05/19/2011 $63.04
Occupancy Grp: A -2 Occupancy Load: 12% State Surcharge - Mechanical 05/19/2011 $30.26
Stories: 1 Info Process /Archiving - Sm Sheet (up to 05/19/2011 $0.50
11x17)
Project Valuation:, $6,950.00
Permit Fee 06/08/2011 $11.24
Plan Review 06/08/2011 $2.81
Fuel Air Handlers 12% State Surcharge - Mechanical 06/08/2011 $1.35
Fuel Types: Units < 10000 cfm: Info Process /Archiving - Sm Sheet (up to 06/08/2011 $1.00
Gas Pressure: Units > 10000 cfm: 11x17)
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 $362.37
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: walk in
Duct Work: cooler
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. Y u may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ( Ael� / - Permittee Signature:
Amur .
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.
` CITY OF TIGARD MECHANICAL PERMIT
'l COMMUNITY DEVELOPMENT Permit #: MEC2011 00217
T 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/19/2011
Parcel: 1 S136AD06502
Jurisdiction: Tigard
Site address: 10935 SW 68TH PKWY
Project: Blitz Sports Pub Subdivision: WAY LEE Lot: 1
Project Description: Add gas line for outdoor heaters. Add walk -in cooler.
Contractor: PROGRESS CONSTRUCTION LLC Owner: WAY W LEE
1628 NW 15TH AVE 5210 SE 26TH AVE
PORTLAND, OR 97223 PORTLAND, OR 97202
PHONE: 503 - 804 -0960 PHONE:
FAX: 503 - 552 -9817
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/19/2011 $252.17
Class of Work: ALT Type of Const: VB Plan Review 05/19/2011 $63.04
Occupancy Grp: A-2 Occupancy Load: 12% State Surcharge - Mechanical 05/19/2011 $30.26
Stories: 1 Info Process /Archiving - Sm Sheet (up to 05/19/2011 $0.50
11x17)
Project Valuation: $6,600.00
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 $345.97
Hoods: Comm Incinerators:
Woodstoves Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: walk in
Duct Work: cooler
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 b calling 503.232.1987 or 1.800.332.2344.
i
Issued By: / 1 j Permittee Signature: --v
�� 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 Applicatio9FC :i \ _ ... , FOIR,OFFIC USE•ONLY
City of Tigard l - "� Received 0 / g N Permit No.:tiee Oty 1( Goa /
MAY
° 13125 SW Hall Blvd., Tigard, OR 97223 1 8 2011 Plan Review A 1� � 1 I
41 ,.: ' Phone: 503.718.2439 Fax: 503.598.1960 Date/By: / 'j ( Other Permit:
f IG A R D Inspection Line: 503.639.4175 ^^ r Da R�yy: Suns ® See Page 2 for
CI V Th3D Da llotifie ea dlMethod:
Internet: www.tigard- or.goV Supplemental Information •
BUILDING DIVISION N a
TYPE OF WORK CV Swlu— , l :-e. E FEE" SCHEDULE - USE CHECKLIST
• Mechanical permit fees" are based on the value of the work
❑ New construction Addition /alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
El Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $ (,9L, O01 SP ti
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES`
❑ I- and 2- family dwelling 'IQ Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:)
` rr--�� R(/ Air conditioning
Job site address: \ `' c C.,\.4..5 C.,\.4..5 l aa"`� �t (requires site plan showing placement) 46.75
n Furnace 100,000 BTU (ducts/vents) 46.75
City/State /ZIP: e � �•+
G,C.. 4 ` ',I -a Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: Project name: ` -. ) \A _. CD.f;" t ? Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: a l _ ` Duct work 23.32
V 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
Subdivision: Lot no.: Flue /vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: Other fuel appliances:
DESCRIPTION OF WORK Water heater 23.32
^ iiik
, v ..� � �` _ . Gas fireplace
water heater or gas
e 33.39
G 4
L a ^�, Flue vent fo
(� �� k` �� (�_ (� , �� _p.. � fireplace 23.32
�-t \ F {'fit' fU(J.+M Log lighter (gas) 2332 �f/4�C tq„ r A A , g irs" Wood/pellet stove 33.39
Wood fireplace /insert 23.32
Chimney/liner/flue/vent 23.32
A PROPERTY OWNER ❑ TENANT
` Other: 23.32
Name: (.. (. Q 3 Environmental exhaust and ventilation:
Address: J V Range hood/other kitchen
equipment 33.39
City /State /ZIP: Clothes dryer exhaust 33.39 _
Fax: Single -duct exhaust (bathrooms,
Phone:
( ) p ( ) toilet compartments, utility rooms) 23.32
®.. APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32
Business name:
\ *. z...^ C-402 _ , Other: 23.32
Fuel piping:
Contact name: ,o• ` \ &1 V` _e a? E $14.15 for first four; $4.03 for each additional
Address: `( _'�� NUJ 1 A ' Furnace etc.
�P e � " r,-L_ CA Gas heat pump
City / State/ZIP: Wall/suspended/unit heater
Phone: ) C itt°` OCk60 Fax: : (+ �� ��� Water heater
lam' _'J, Fireplace f
E -mail: �r \ � Q t) it C,,.• P•e` fl f +
Q I l 6 S . e Range
CONTRACTOR Barbecue
q Clothes dryer (gas)
Business name: _
,e. J r 4 ‹ +t izro ��1 L74 t � / �. � Other:
Address: ((a5 i t. k4 _
MECHANICAL PERMIT FEES"
City /State/ZIP: � er.....4° CT A-- ck`7 -'D-09 Subtotal
Phone: () 04 LA _ �j 1 �q Minimum permit fee ($90.00)
C-3 l 19 (.t Fax: ( ) S ? �l l T` Plan review (25% of permit fee)
CCB lie.: r°t4„ State surcharge (12% of permit fee)
�) TOTAL PERMIT FEE
Authorized signature This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: �• • C tre_ Vv..$S Date: Fee methodology set by Tri- County Building Industry Service Board
t: Building \ Permits \MEC - PermitApp.doc 09 /09/10 440 -4617T (l l /02/COM/WEa) 1 11 ->.q 7
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 09/09/10 2
I
CITY OF TIGARD
Approved �9 /ELK) C l ciZ [ 14--
Conditionally Approved [ ]
See Letter to: Follow [ ]
Attached
Permit Nu_ mber: 1 20l 'C
Address: 109
By:.ia■ 'i. Date:
C(_
OFFICE COPY e-P
C'Tl ar