Permit `. rr
CITY TIGARD MECHANICAL PERMIT
411111 I DEVELOPMENT SERVICES PERMIT #: MEC2005 -00092
'll 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/8/2005
PARCEL: 1S135AA-01901
SITE ADDRESS: 10225 SW HALL BLVD 102
SUBDIVISION: METZGER ACRE TRACTS ZONING: C -N
BLOCK: LOT: 037 JURISDICTION: TIG
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: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
LPG 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:
Remarks: Duct work added to existing rooftop unit. Value: $2153.00
Owner: FEES
GERIG, WAYNE L. Description Date Amount
10225 SW HALL BLVD #101 [MECH] Permit Fee 3/8/2005 $77.10
TIGARD, OR 97223 [TAX] 8% State Surchar€ 3/8/2005 $6.18
Phone: 503 244 - 1004 Total $83.28
Contractor:
AIR MASTERS
RICHARD ALLEN CAMERON REQUIRED ITEMS AND REPORTS
2858 LIVINGSTON ST NE
SALEM, OR 97303
Phone: 503 - 244 - 8880
Reg #: LIC 149532
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.
Issued By: 41. Permittee Signathre'w—■ .
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next 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.
IS E c cha » ca1 Perm;).. 11.1 : II ,p' , -. ,: r FOR, OFFICE USE ONLY . a ,.
City of Tigard Received 0 . # Permit No.: , —0 0
13125 SW Hall Blvd., Tigard, OR 97223 n � '
j} U
Phone: 503.639.4171 Fax: 503.598. 4 R 0 /H� t I Plan Review
DateBy: Other Permit:
Inspection Line: 503.639.4175 � j,..., •'I Date Ready/By: Juris. EI See Page 2 for
Internet: www.ci.ti ard.or.us
g CITY OF '116 A ` Notified/Method: /j i 4 Supplemental Information
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,� . �� �' r m� .. � z F , �, wzs& ��. �<� � , ;�, GOMNIE' {�C TAT � : .o..,.-
sz:3ta2- ._ .b�"�� •.nom', ._,. e ;�s.t.� � es�.a _..� :a'#,"a�,3r�<��,.;.- P ..._,.. -.. a.¢� c�. < de*':a,va�m :� �=^c �� ,,,
Mechanical permit fees* are based on the value of the work
❑ New construction 111 Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical. materials, equipment, labor, overhead, and profit.
xjr q: r $ `e l Value: $ 2,J52, eft,
. . - .� A` . „ OIVSTRM TION .3L, , , .1 1`' , _ .. is ° ;` . . � c. nP t -,P, ,;,,,. : .e,, , z . ,,<., ,
Y R ESIDENT I ' AT )EQ,U
❑ 1 and 2 family dwelling 2 ❑ Accessory building
For special information use checklist.
❑ Multi family ❑ Master builder ❑ Other:
Description p Qty. Ea. Total
°'^ s, _ JQ Si E =IN FOi M\ ION Al b LOCA ION , `'° i ;" y Heating/cooling
d . , ,,: . oe, „,,,,,4„...,,,, - ,x,, a. * .- .. - tea:: a
^�t ` Air conditioning or heat pump
Job site address:
( 0 Z Z S S L's J l L — j,LV (O 2 (requires site plan showing placement) 14.00
City/State /ZIP: ,- T - t ) rc • ( 1 2 Z 3 Furnace 100,000 BTU (ducts /vents) 14.00
Suite/bldg. /apt. no.: Project name:- w �U 0 Furnace 100,000+ BTU (ducts /vents) 17.90
i411,c �- Gas heat pump 14.00
Cross street/directions to job site: 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
' . ' DESCRIPTTION O WORj ,, r,.Z� , . 4% ,'n Water heater 10.00
� �x� � � - .z � ,� r, .,:,„...,.. a .<... > . . ^� . -.. ls�.e . - - F . .as: + „ ro,
Gas fireplace 10.00
ft D 1 ” fl 0 OF b iJ (-- -- 1 --- uk r 7b 1 - 1 - ffE_ Flue vent for water heater or gas
g ) t S-n cj (f- R-00 i” v co (-4 V A c- S ',/5--- fireplace 10.00
/ Log lighter (gas) 10.00
Wood /pellet stove 10.00
�- Wood fireplace /insert 10.00
* PROP RT'Y OWNER 0 v h „z 0/ 4 AIVT ,. A E 4 Chimney /liner /flue /vent 10.00
,
Other: 10 00
Name: v t lc (.4 " / 1 j E � & li:. Yt G- Environmental exhaust and ventilation
Address: I Range hood /other kitchen
equipment 10.00
City/ State/ZIP: Je / . 0,/Z . Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
i'V W Vin' . [ APPLIMf i *I T ONTACT PERSON r „? Attic /crawlspace fans 10.00
Other: 10.00
Business name: Al ft - vvt A - 6C 3 1 4-Ti .v(}- d- 4.- C
Fuel piping
Contact name: 2k C t. 4 c ,vt. € t20-&1 $5.40 for first four; $1.00 for each additional
Address: J Furnace, etc.
zgs o t-t'J 1'u�5�� s T ' Gas heat pump
City/State /ZIP: 5 p o , , 0 ((.._ 1 7 30 3 Wall /suspended /unit heater
Phone: (533) aq (- g g k (7 Fax: : (Sb3) 5�5- Z I Water heater
Fireplace
E -mail:
Range
" 3 �'r , r : , w, 5 a re uz or a 5 ' ^xs a a'r'�€c , ;' "'�` s:.=` a' „k �' : ' ,` s
k i � . . aCON � -' »..;.i a Barbecue
- _ €*,�.. *:� -¢, �s.�. � '�,..� # ,v«. �. - .�. ... . .:� ter;
Business name: A-1, i Vvt - , <_s Ai (r ,- A , Clothes dryer (gas)
Other:
Add ress: � ��Ki`. -,.A . ..., ��„„. �,. l - ,�., „;,.. : rz * �;:.- �e:M . +
z % - S�C _ t v I N& STJ S 1 • E• r t w ME(� `A`NI ”
City/State /ZIP: sktiz l oi l `1 7303 Subtotal 7 1 . /b
Phone: (S T b3) - Z C(_ /1(8 Fax: (� ��� -4 ) Minimum permit fee ($72.50)
z �1 c 1 Plan review (25% of permit fee)
CCB lic.: / -( S 3 Z State surcharge (8% of permit fee) # . / g
TOTAL PERMIT FEE A •S .
Authorized slgna{LP /(_____,. This permit application expires if a permit is not obtaine within 180
days after it has been accepted as complete.
Print name: 2 �
\ o cA.yvt €.4...a" Date: 041_ * Fee methodology set by Tri- County Building Industry Service Board
\ i:\Building \Permits MEC- PermitApp.doe 12/03 440 -4617T (1 I /02 /COM/WBB)
n . •
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
Total aluation C Permiti ee- ° '
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
i:\Building\Permits\MEC- PermitApp.doc 12/03 2
CITY_ OF TIGARD
BUILDI DIVISION PERMIT #: MEC2005- 00032
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3//8/2005
Phone: (503) 639 -4171 � ��� �u� � li � ' � \
Inspection Requests (24 Hrs.): (503) 639 -4175 ,,,,,,,,W = __.. .
INSPECTION WORKSHEET FOR DATE: 5/2/2005 TIME: 7:10AM PAGE: 22
SITE ADDRESS: 10225 SW HALL BLVD 102 CLASS OF WORK:
SUBDIVISION: METZGER ACRE TRACTS LOT #: 037 TYPE OF USE:
PROJECT NAME: TAGLIO HAIR SALON
DESCRIPTION: Duct work added to existing rooftop unit. Value: $2153.00
OWNER: GERIG, WAYNE L., PHONE #: 503244 -1004
CONTRACTOR: AIR MASTERS PHONE #: 503-244 -8880
Inspection Request Scheduled For: Date: 6/2/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
605 Post/beam mechanical 005806 -01 503 -462 -2557 Y
i`e MEC#$ Fl OPtc --
Corrections /Comments /Instructions:
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PASS 0 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
AftiLikiri -___/___C_
Inspector: IMMIAZE � Date: / Phone #: (503) 718 -