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Permit
t< C ITY OF TIGARD MECHANICAL PERMIT i DEVELOPMENT SERVICES PERMIT #: MEC2006 -00267 �' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/12/2006 PARCEL: 1 S135BC -00300 SITE ADDRESS: 10840 SW CASCADE AVE ZONING: I -P SUBDIVISION: LOT: JURISDICTION: TIG Project Description: HVAC replacement. Value: 9975.00 CLASS OF WORK: ADD 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: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: 1 <= 10000 cfm: OTHER UNITS: GAS OUTLETS: > 10000 cfm: Owner: FEES UNITED STATES BAKERY Description Date Amount PO BOX 14769 PORTLAND, OR 97214 [MECPLN] Plan Rev 6/12/200€ $57.88 [TAX] 8% State Surcha 6/12/200€ $18.52 [MECH] Permit Fee 6/12/200€ $231.50 Phone: Total $307.90 Contractor: MACDONALD MILLER OF OREGON 12801 NE AIRPORT WAY PORTLAND, OR 97230 REQUIRED ITEMS AND REPORTS Contact #: PRI 971 - 244 -0906 FAX 971 - 244 -0902 Reg #: LIC 154368 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: AP i. � ' � / � . Permittee Signature: _ /.�m Ia • . t Call 503 - 639 -4175 by 7:00 a.m. for inspections that bu ss day. This permit card shall be kept in a conspicuous place on the job site u completion of the project. Approved plans are required on the job site at the time of each inspection. N Mechanical,,Permit App O R .? _ FOR OFFICE USE ONLY T _ _ _ City of Tigard Dar /By: 06 ��' CcG , Permit No.: O / v - %�/ja 7 13125 SW Hall Blvd., Tigard, OR 97223 JU ltl f FAr Plan Revie w Phone: 503.639.4171 Fax: 503.598.1960 IV 1, `` Other Permit. I s Dat /By: `'.. Z 1 / , Inspection Line: 503.639.4175 2 2 •' I' Date Ready /By: iiial H See Page 2 for Internet: www.ci.ti ard.or.us � " g CITY OF f i. 7 1 1I1 Notified/Method: Supplemental Information Illiiiralihi DT ITT T 111%.T( TIM TTQTrI `T'VE. 'OF WORK COMMERCIAL 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 ❑ Demolition ❑ Other: mechanical materials, equipment : overh• =d, and profit. CATEGORY OF CONSTRUCTION V. se: $ $9,975.00 RESIDENTIAL E nUIP STEMS FEES* I=1 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: 10840 SW Cascade Blvd Air conditioning or heat pump (requires site plan showing placement) 14.00 City /State /ZIP: Tigard, OR Furnace 100,000 BTU (ducts /vents) 14.00 Furnace 100,000+ BTU (ducts /vents) / 17.90 Suite/bldg. /apt. no.: Project name: Franz Bakery Gas heat pump 14.00 Cross street/directions to job site: Truck depot / Retail Store fronts Cascade Blvd 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 Subdivision: Lot no.: Flue /vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10.00 Demo and remove existing 7.5 ton rooftop gas package HVAC unit Flue vent for water heater or gas Furnish and install one 7.5 ton rooftop gas package HVAC unit fireplace 10.00 Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 El PROPERTY OWNER El TENANT Chimney /liner /flue /vent 10.00 Other: 10.00 Name: Franz Bakery Environmental exhaust and ventilation Range hood /other kitchen Address: 2006 S. Weller Street equipment 10.00 City/State /ZIP: Seattle, WA 98144 Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (206.)726.7514 Fax: (206.)726.7533 toilet compartments, utility rooms) 6.80 . ❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00 Other: 10.00 Business name: Macdonald Miller Facilties Solutions Fuel piping Contact name: Clif Hazen $5.40 for first four; S1.00 for each additional Address: 12801 NE Airport Way Fumace, etc. Gas heat pump City /State /ZIP: Portland, OR 97230 Wall /suspended/unit heater Phone: (971) 244.0906 Fax: : (971) 244.0902 Water heater • Fireplace E - mail: clif.hazen @ macmiller.com Range b CONTRACTOR Barbecue Business name: MacDonald Miller Facility Solutions Clothes dryer (gas) Other: Address: 12801 NE Airport way MECHANICAL PERMIT FEES* City /State /ZIP: Portland, OR 97230 d Subtotal 21 / ^ Phone: (971) 244.0906 7.ir Q I Fax: (971) 244.0902 Minimum permit fee ($72.50) - v s Plan review (25% of permit fee) J i` CCB lic.: 154368 ti' State surcharge (8% of permit fee) /0,05 TOTAL PERMIT FEE3D;�. ? O . I � I _ This permit application expires if a permit is not obtained within 180 Authorized signature: V ;�. days after it has been accepted as complete. Print name: Clif Hazen . Date: 6 -12 -06 * Fee methodology set by Tri -County Building Industry Service Board i:\Building\Permits \MEC- PermitApp.doc 12 /03 440 -4617T (11 /02 /COM/WEB) • _ . grOF TIGARD BUILDING DIVISION PERMIT #: MEC2006-00267 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/12/2006 Phone: (503) 639-4171 Alb i 0\ n o t t il i Inspection Requests (24 Hrs.): (503) 639-4175 „......... I ......W ........ 6 200 1 INSPECTION WORKSHEET FOR DATE: 7/14/ TIME: 7 : 16 AM PAGE: SITE ADDRESS: Th840 SW CASCADE AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: FRANZ BAKERY DESCRIPTION: HVAC replacement. Value: 9976.00 OWNER: UNITED STATES BAKERY, PHONE #: CONTRACTOR: MACDONALD MILLER OF OREGON PHONE #: 971-2440906 Inspection Request Scheduled For: Date: 7/14/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 033138-01 603-969-3009 N Corrections/Comments/Instructions: tArk."_ FAA - -------- .....,i z li • 1 i 1 t.a... 401, , , i- / IV VIIMIll■" ,,.. I b4 S LI PARTIAL APPROVAL ril CANCEL 0 NO ACCESS FAIL El CALL FOR INSPECTION ri ADDITIO AL FEES ASSESSED 10 i Inspector: Adirg Date: 1 - 2 ZPhone #: (503) 718- 242-3 CITY' OF TIGARD BUILDING DIVISION PERMIT #: MEC2006.00267 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/12/2006 Phone: (503) 639 -4171 Atbk p �iitilbl Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/10/2006 TIME: 7:05AM PAGE: 43 SITE ADDRESS: 10840 SW CASCADE AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: FRANZ BAKERY DESCRIPTION: HVAC replacement. Value: 9975.00 OWNER: UNITED STATES BAKERY, PHONE #: CONTRACTOR: MACDONALD MILLER OF OREGON PHONE #: 971-244-0906 Inspection Request Scheduled For: Date: 7110/2006 Pour Time: Code # Inspection Description onfirm # Contact # Message 699 Mechanical fir - 032 0.01 503 - 209-6391 Y 0 61 477k 2.1.wv6 c.,tt=c. Corrections /Comments /Ins ctiens :. 1_koo - - c - ( c_ . f • 1� dee / i f l PASS El PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- CITY, OF TIGARD BUI DIVISION PERMIT #: in eL. ©06 - oo y 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 / Inspection Requests (24 Hrs.): (503) 639 -4175 ' :_.. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: , CLASS OF WORK: SUBDIVISION: �J� LOT #: TYPE OF USE: PROJECT NAME: I 0 'Lt O cO& - e- r DESCRIPTION: C _ i OWNER: C YOv. PHONE #:��3)�& c /'3 °©CJ CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: & -.2-5 --®c Pour Time: Code # Inspection Description Confirm # Contact # Message 425 1 F C'o,. Ap. b J9 Gov; vaLL Corrections /Comments/ Instructions: p re.ov l. ( FCCP- tk C.c(E,S 41I► i ►_ :I ∎ 'r P f ' ❑ PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS I FAIL • CALL FO' INSPECTION I ADDITI NAL F ES ASSESSED Inspector: � I Date: 06 Phone #: (503) 718 - 24-2--