Permit CITY OF TIGARD • MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2011 -00576
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/15/2011
Parcel: 2S113AC01201
Jurisdiction: Tigard
Site address: 7315 SW BRIDGEPORT RD
Project: California Pizza Kitchen Subdivision: Lot:
Project Description: Tie gas line for (7) new heaters into existing gas line. Hang (7) new heaters.
Contractor: ROTH HEATING & COOLING Owner: BV CENTERCAL LLC
PO BOX 1265 ATTN: FRED BRUNING
CANBY, OR 97013 7455 SW BRIDGEPORT RD
TIGARD, OR 97224
•
PHONE: 503 - 266 -1249 PHONE:
FAX: 503 - 266 -3478
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 12/15/2011 $207.21
Class of Work: ALT Type of Const: IIB Plan Review 12/15/2011 $51.80
Occupancy Grp: A - 2 Occupancy Load: 12% State Surcharge - Mechanical 12/15/2011 $24.87
Stories: 1 Info Process /Archiving - Sm $0.50 (up to 12/15/2011 $0.50
11x17)
Project Valuation: $5,000.00
Fuel Air Handlers
Fuel Types: Natural Gas 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 $284.38
•
Hoods: Comm Incinerators:
Required Items and Reports (Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: 7 Other Desc:
Duct Work:
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
issuanc it wo suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utili 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 irect qu-stions to OUNC b . 13.2. 2.1987 or 1.800.332.2344.
Is ued By: .' Permittee Signa ure: 5 dl . r
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.
DEC -13 -2011 TUE 12 17 PM ROTH HEATING LX 0, 50326. _ P, 02/03
T ECETVE _.;,,, ; .
Mechanical Permit Applicaatia FOR OFFICE usi: ( :)Nl,1' •
City of Tigard _ R neeivud /�� a ,,\/
q D C 1 3 2 011 IJat /lly: /� / j/ P i /tall No.: / i i �GO (Jr `dos - ,.
: 13125 SW Hall Dlvd,, Tigard, OR 97223 Plan Rcv r-
U: • • Phone: 5(13,718,2439 Fax: 503.598,1960 i Other Permit: D ate/Fiy: _ A ,1. i ),, f r ietyi, -00 6-g
1 . I t� R D Inspection Line; 503.639.4175 CITY OF TIGARD Dote Ren°"7y: lurid: 0 See Pam= 2 for
Interact: www.tigard- ar.gov BUILDING DIVISION Notified/Method: / /5— ( l 7 Sull pluhc�ttvl Information
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Mechanical permit tees'* arc 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, labor, overhead, and profit.
:I;:: :a'. ;. %'i I B ;'p;;;l „ � ,,. ,.,,.;� l; •re' „ ” ;h f P " „ ' ii "' , I', I 'iili ! 'Value; $ $5,000.00
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❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Da. Total
Heating /cooling:
J!;!;; 11'ti {;'li.., i;;,; :;•r;::Y!!r ;q : 1141 ,,,14,,,:7��gry�q ilfil yj;ry
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lc ljl •n'�r�dSr'� '' " F!�rQ �' 111, }'1 �l:ll,l�l'"t lit;�"�.T!1'�t,T.” I�I!1MiA 7" �,' ", ,' ,N y d��i-�.r Air conditioning
Job site address; 7315 Bridgeport Rd. (requires sits plan showing placement) 46
City/State/ZIP: 'Tigard, OR 97224 Furnace 100,000 BTU (duels /vents) 46.75
— Furnace 100 ,000+ BTU (ducts /vents) 54,91
Suite /bldg, /apt. no.: Project name: California Pizza Kitchen Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: � Duct work 23.32
r / 1- lydronic hat water system 23.32
i Q " tf �v ' Residential boiler (radiator or
� hydronic)
Unit heaters (fuel -type, not electric),
�.. /, in -wall in-duct, 2332
suspended, etc. 46,75
f t ' I . Flue /vent for any of a bove 23.32
Subdivision: �� � Lot - ---
1 �+ / �-� Other: 23.32
'lax map /parcel no.: Other fuel appliances:
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.:,., Water heater 23,
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Gas fireplace 33.39
Tic gas line for (7) new patio heaters into existing gas line. Hung (7) new Flue vent fur stater heater or gas
patio healers, fireplac 23.32
Log lighter (gas) 23,32
Wood /pellet stove 33,39
Wood lreplace /insert. 23.32
('6 °!•:[ '. �.r.: .!n }, } 1 v! .r ;I ;'),ibi '� , T; ^i:; Chimney Inner ., _ /flue /Vent 23.32
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Name: California Pizza Kitchen Environmental exhaust and ventilation:
Address: 7315 SW Bridgeport Rd. Range hood /other kitchen
equipment 33.39
City / State /ZIP: Tigard, OR 97224 Clothes dryer exhaust 33.39
Phone: ( ) Fax: ( ) Single -duct exhaust (bathrooms,
toilet compartments, utility rooms) 23.32
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I:a >,,.• , l ! (�L?! P.4.!)4i' i ,I li , ', Ilii , 1 � ,1iM,SV9 : 1;1iIyy 1P ,r�i )j Attic /crawls ace fans 23.32
Business name: Roth Iieating & Cooling Other: — 23.32
Fuel piping:
Contact name: Jesse Mrmsclle $14.15 for First four; $4.03 for cacti additional
Address: 6990 S. Anderson Rd. Furnace, etc,
-- Gas heat pump
City /State /ZTP: Canby, OR 97013 Wall /suspended /unit heater
Phone: (503) 266 -1249 Fax: : (503) 266 -3478 Water heater
` " -” Fireplace
E-mail; jessem @roth- heat.com
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Address: Heating
4ndciaun Cooling Clothes
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City /State /ZIP: Canby, OR 97013 Subtotal AO 2/
Minimum permit fee ($90.00) -_
Phone: (503) 266 - 1249 Fax: (503) 266 review (25 %of permit fee) 37 -IV
CCB lie.: 14008 • State surcharge (12% of permit fee) •
4 TOTAL PERMIT FEE
Authorized signature: g all le his permit application expires if a permit is not obtained within 150
nt \. ‘.10,- days after it has been accepted ns complele-
Print name: Jesse Mans .11. Date: 12/13/11 * Fee methodology set by Tri- County Building Industry }er viee l5ear�l
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a: \auiid lag \Permi,s1MEC•PermiuApp.4oc 09/09/10 440- 4617T(I 1 /02/CDM/Waa) t t tJ -- e -.