Permit CITY TIGARD MECHANICAL PERMIT
' COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00084
TIGARL . 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/18/2008
PARCEL: 1 S135CA -02600
SITE ADDRESS: 11130 SW GREENBURG RD ZONING: R -
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: GOOD NEIGHBOR CENTER
Project Description: TI, install refrigeration equipment for walk -in cooler & walk -in freezer.
Project value $4,900.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: 1 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
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: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
GOOD NEIGHBOR CENTER Description Date Amount
11130 SW GREENBURG RD
TIGARD, OR 97223 [MECH] Permit Fee 3/18/200€ $139.20
[MECPLN] Plan Rev 3/18/200€ $34.80
[TAX] 12% State Surch 3/18/200€ $16.70
Phone: 503 -443 -6084 Total $190.70
Contractor:
COMMERCIAL REFRIGERATION INC
5920 NE GLISAN STREET
PORTLAND, OR 97213 - 3790 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -234 -6445
FAX 503 -234 -0668
Reg #: LIC 65271
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: ��
Call 503.•39.4175 by 7:00 a.m. for inspections tr : bus'• -ss day.
This permit card shall be kept in a conspicuous place on the joq -ite until completio of the p oject.
Approved plans are required on the job site at the e of each inspect on.
Mechanical Permit plication - F OR OFFICE USE ONLY A Y . - :-
City of Tigard Y !/JJ LLL444mmm NNNVV9 • Received
��� • PermitNo.: .
13125 SW Hall Blvd., Tigard, OR 2 Plan Re "�� A 1/- +L�i I " _ - r f
Phone: Fax: 503.598.1960 1 • Other Permit:
Inspection Line: 503:639.4175 FEB 1 9 2008 R e1 . Date Ready/By: Ions: 0 See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: - - Supplemental Information
CITY OF TI i TI FM nr •
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Q 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.
� 5 4 ' r: ATEG 7 Y . Wi , G r ,Wir�ItT OIRI" 3:';: 7 Value (70
. _ ,. levic.4.:sv,..44,. .k r� ' . - t -1.W "Gf:"4 , ..i " "' � ' 5 :' '.,n= c - � 1•
:t -
❑ 1- and 2- family dwelling �Commercial/industrial � n &D ,TL 1tE3V PIMNT Gl$YS I,TW4li §
❑ A ccessory building
For special information use checklist.
❑ Multi family ❑ Master builder ❑ Other: -
Description Qty. Ea. Total
2:b 4 Q �$ h1Y All { D CAtTI01 $ lts r'< r` Heating/cooling
Job site address: I ( 130 54) C �4..�liC � r j Air conditioning or heat pump
I � � `r` --.-- (requires site plan showing placement) 14.00
City/State/ZIP: 'T4 al f►- _ut Furnace 100,000 BTU (ducts/vents) 14.00
Suite/bldg./apt. no.: V Project name Furnace 100,000+ BTU (ducts/vents) 17.90
� k U .- - - Gas heat pump 14.00
Cross street/directions to job site: G� t-, 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 •
. .` ,, , � ,, , ,- 1 ESGRIP 0 i ex.. � • - 5,,, } Water heater 10.00
� F u;12 ���� ,.� C P Gas fireplace 10.00
5`t'�( 1. A trw (�l � 1 �{ 2 Flue vent for water heater or gas
te fireplace 10.00
, (ALE, CC21t _ t Cs.).. r ' `e 2,- - Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
ss ;,- Chimney/liner /flue /vent 10.00 Awf �'`�_' �. a F '� �3 '.: *���: ; �'� Other: 10.00
Name: Environmental exhaust and ventilation
Address: - Range hood/other kitchen
equipment 10.00
City/State/ZIP: Clothes dryer exhaust . 10.00
Phone: ( exhaust (bathrooms,
) Fax: ( ) toilet compartments, utility rooms) 6.80
:4 ' �� � Attic/crawlspace fans 10.00
' Other: 10.00
Business name: 0 , '/I-( ?Yac-j 4- Y -16(1 Fuel piping
Contact name: e+_ e_2 -i2 y AA � 2
Co9t iC/ $5.40 for first four; $1.00 for each additional
Address: Sal 20 N j` 6 <S4� Fumace, etc.
ty 1O � c q�� /� �� , i D Gas heat pump
City/State/ZIP: /
Wall /suspended /unit heater
Phone: 533 ) L3t /- 6(/ L/5 Fax: : ( )2_..1z./ Water heater
E -mail: Fireplace
Range
. a . - til R : 4.1-`,,:q., .ml Barbecue
� - r /1 i C /I c / ,? Clothes dryer (gas)
Business name: l t / C J / T[�C (,I C_
Other:
Address: 7 Is K .
CH FII P, arq
City/State /ZIP: Subtotal ! /
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) `9'�
Plan review (25% of permit fee) 31 • go
CCB lic.: C 5-9_77 27 / State surcharge (8% of permit fee) I Co . d
--9k, ..„ TOTAL PERMIT FEE te ?',CD . 7v
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: 7 C ca - 7 * Fee methodology set by County Building Industry Service,Board
• i:\ Building \Petmits'14EC- PermirApp.doc 12/03 • 440 -4617T (I 1 /02 /COM/WEB) . • •
CITY OF TIGARD
BUILDING DIVISION PERMIT #: IvIEC2008-00084
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ;118,
Phone: (503) 639-4171 ,t‘
ehesp
Inspection Requests (24 Hrs.): (503) 639-4175 AI"
INSPECTION WORKSHEET FOR DATE: 3/28/2008 TIME: 7:01AM PAGE: 30
SITE ADDRESS: 11130 SW GREENBURG RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: GOOD NEIGHBOR CENTER
DESCRIPTION: TI, install refrigeration equipment for walk-in cooler & walk-in freezer.
Project value $4,900.
OWNER: GOOD NEIGHBOR CENTER, PHONE #: 603-443-6094
CONTRACTOR: COMMERCIAL REFRIGERATION INC PHONE #: 5M-234-6445
Inspection Request Scheduled For: Date: 3/28/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 067457-01 603-234-6445
Corrections/ Comments/ Instructions:
I AK/ ^.1 f A- 491:::
e_0,4 pc.4 •
tel PARTIAL APPROVAL CANCEL NO ACCESS
n FAIL LI CALL FOR INSPECTION LI ADDITIONAL FEES ASSESSED
Inspecto . Date. Phone #: (503) 718- Z- /e.1
CITY OF ��n n m ��n ux�mw��un��
BUILDING DIVISION . PERMIT #: k4EMOO@'00W
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5118/2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639'4175
INSPECTION WORKSHEET FOR DATE: 312CX2008 TIME: 7:02&M PAGE: 27
SITE ADDRESS: 1'1130 SW GREENBURG RD CLASS OF WORK
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: GOOD NEIGHBOR CENTER
DESCRIPTION: TI, i o!| refrigeration equipment for walk-in coo & wallin freezer.
Project value $4.900.
OWNER: GOOD NEIGHBOR CENTER, PHONE #: 503-443-6084
CONTRACTOR: COMMERCIAL REFRIGERAT1ON INC PHONE #: 503-2346445
Inspection Request Scheduled For: Date: 3/20/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 kMmchanicalnxumbin 067020'01 503-254-6445 N
Corrections/Comments/Instructions:
k-.
C
•
-- ~� c PARTIAL NO ACCESS
�� CANCEL / |
W�= ' ' / ' '
II FAIL VI CALL FOR INSPECTION -- ADDITIONAL FEES ASSESSED
��
/ �~ Date: C y~� Phone #: (503) 718-
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