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Permit CITY OF TIGARD MECHANICAL PERMIT 1 1 14 N 2 COMMUNITY DEVELOPMENT Permit #: MEC2009 -00308 'TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06!25/2009 Parcel: 2S113AB01400 Jurisdiction: Site address: 7358 SW DURHAM RD BLDG G Subdivision: Lot: 0 Project: CORAM Project Description: Install self contained walk in cooler and pre charged condensing unit. Owner: FEES PACIFIC REALTY ASSOCIATES Description Date Amount ATTN: N PIVEN, 15350 SW SEQUOIA PKWY Permit Fee 06/25/2009 $272.00 #300 Plan Review 06/25/2009 $68.00 PHONE: 12% State Surcharge - Mechanical 06/25/2009 $32.64 Contractor: PORTLAND MECHANICAL CONST INC 2000 SE HANNA HARVESTER DR MILWAUKIE, OR 97222 PHONE: 503 - 656 -7400 FAX: Type of Use: COM Class of Work: ALT Type of Const: IIB Occupancy Grp: B Occupancy Load: Stories: 1 Fuel Air Handlers Fuel Types: Units < 10000 cfm: Gas Pressue: 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 $372.64 Hoods: Comm Incinerators: Required Items and Reports (Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Self enclosed Duct Work: walk -in Fire /Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246 or 1.800.332.2344. Issued By: 4 A n \ R J \ y /1 n /� Permittee Signature: 6 csiok Il c)r) Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard DECEIVED Date/By:, P No. ( w • 4 w4IY 13125 SW Hall Blvd., Tigard, OR 9 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Date/By: ther Permit: 9 r t.'L� Q� TIGARD Inspection Line: 503.639 J U N 2 4 2009 Date Ready/ k See Page 2 for Internet: www.tlgard or.gov Notified/Method: IM Supplemental Information CITY OF TIGARD TYPE O1$lG DIVISION • COMMERCIAL FEE* SCHEDULE — USE CHECKLIST ❑ New construction ® 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 ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ $13,000.00 ❑ 1- and 2- family dwelling ® RESIDENTIAL EQUIPMENT /SYSTEMS FEES* Commercial /industrial ❑ Accessory building ❑ Multi - family ❑ Master builder ❑ For special information use checklist. Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: 7358 SW Durham Road Air conditioning or heat pump (requires site plan showing placement) 14.00 City/State /ZIP: Portland, Oregon 97224 Furnace 100,000 BTU (ducts/vents) 14.00 Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name: Coram 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 Gas fireplace 10.00 Install self contained walk -in cooler and the pre - charged condensing unit/coil Flue vent for water heater or gas which sits on top of the unit. fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace /insert 10.00 ® PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 10.00 Other: 10.00 Name: Pacific Realty Associates, LP. Environmental exhaust and ventilation Address: 15350 SW Sequoia Pkwy #300 Range hood/other kitchen equipment 10.00 City /State /ZIP: Portland, Or 97224 Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: (503)624 - 6300 Fax: (503 - )624 - 7755 toilet compartments, utility rooms) 6.80 ® APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00 Other: 10.00 Business name: PMC - Group Fuel Piping Contact name: Kim Beyer $5.40 for first four; $1.00 for each additional Address: 2000 SE Hanna Harvester Drive Furnace, etc. Gas heat pump City/State /ZIP: Milwaukie Wall/suspended/unit heater Phone: (503) 417 - 0312 Fax: : (503) 656 Water heater Fireplace E -mail: kimb @pmc - g.com Range •CONTRACTOR Barbecue Business name: Same as above Clothes dryer (gas) Other: Address: MECHANICAL PERMIT FEES* City/State /ZIP: Subtotal Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) Plan review (25% of permit fee) CCB lie.: 151807 State surcharge (12% of permit fee) TOTAL PERMIT FEE 372.64 Authorized signature: f< - This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Kim Beyer Date: 06/24/09 * Fee methodology set by Tri- County Building Industry Service Board I. \Building\Permits \MEC- PermitApp doc 01/19/07 440 -4617T (I1 /02/COM/WEB)