Permit t
,,~„ CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00069
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/25/2008
PARCEL: 25101 DB -00100
SITE ADDRESS: 07320 SW HUNZIKER RD 106 ZONING: C -P
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: WOODEN SHOE DELI
Project Description: hanging hood $ 5,000
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: UNK VENTS W/O APPL: VENT SYSTEMS:
STORIES: 3 BOILERS /COMPRESSORS HOODS: 1
FUEL TYPES 0 - 3 HP: 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: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
ROBINSON DEVELOPMENT Description Date Amount
21360 NE AMBERWOOD DR.
HILLSBORO, OR 97124 [MECH] Permit Fee 2/25/200E $141.50
[MECPLN] Plan Rev 2/25/200E $35.38
[TAX] 12% State Surch 2/25/200E $16.98
Phone: 503- 645 -8531 Total $193.86
Contractor:
ROBINSON CONSTRUCTION •
21360 NW AMBERWOOD
HILLSBORO, OR 97124 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 645 -8531
FAX 503- 645 -5357
Reg #: LIC 63147
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: l 1 ,44/ , Permittee Signature: I
- f '
Call 503.639.4175 by 7:00 a.m. for inspections 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.
MechathcarPermiT Appilcat10II FOR OFFICE USE ONLY
City of Tigard Received YI�L
II Permit No.: �^ 1- q
° 13125 SW Hall Blvd., Tigard, OR 97223 1 Y • ' � / . an • '1] ���� Date/By5 ��In
Phone: 503.639.4171 Fax: 503.598.1
2 *A Other Permit: r
'e —
TI !(KD Ins Linc: 503.639.4175 " /�
Q Date Rea. yBy: ' r luris: ® See Page 2 for
" Internet: www.tigard- or.gov V �� `Zola Notified/Method: Supplemental Information
E OF WORK . �� TIUA t�, COMMERCIAL FEE* SCHEDULE -USE CHECKLIST
New construction Addition /alteratio r 12041 OrV�� 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 id profit.
CATEGORY OF CONSTRUCTION _ Value: $ 5 Oa°
.RESIDENTIAL EQUH'MENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building
Master builder For special information use checklist.
Multi -family ❑ y ❑ ❑Other: Description Qty. Ea. Total
- JOB SITE INFORMATION A ND` LOC .. Heating/cooling
Air conditioning or heat pump
Job site address:
7.7 2_,._d $j • 4 _ (requires site plan showing placement) 14.00
City/State /ZIP: T/79( vf\ Furnace 100,000 BTU (ducts /vents) 14.00
/ Furnace 100,000+ BTU (ducts /vents) 17.90
a(9 Suite/bldg. /apt. no.: / Project name: tocjcLeA S,4Ct - �, 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
Flue /vent for any of above 6.80
Subdivision: Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
D- Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
❑ PROPERTY OWNER, Chimney /liner /flue /vent 10.00
LI T ENANT Other: 10.00
Name: fiel-P Cr(/ s01` eavt 1, k Gy'7 w--- Environmental exhaust and ventilation
Address: 2-4 3,4 a /(1.,' /4 4..r(Jarz�f! 4 i/- Range hood /other kitchen
G 7 � !� equipment 10.00
City /State /ZIP: 44/1//30y--6 � l (L �7 Clothes dryer exhaust 10.00
Fax: Single -duct exhaust (bathrooms,
Phone:
( ) PPL ( ) toilet compartments, utility rooms) 6.80
. AICANT , - ❑.'CONTACT. "PERSON . Attic/crawlspace fans 10.00
Other: 10.00
Business name: 6_1, i, J4 L !° //- 3 e-7
///���
Fuel piping
P Contact name: 7 PO F -re--4 5 t"-, * $5.40 for first four; $1.00 for each additional
Address: 4 p 0 sr /5 Furnace, etc.
Gas heat pump
City /State /Z1P: P elr-V---64-2/1 f 7 Z d Z Wall /suspended/unit heater
Phone: (5 5 238 7 Z rt Fax: : c ) z', E -- 7 2...7 / Water heater
Fireplace
E -mail: 6 15 eg AI e- . e/iTe"`-- Range
g
CONTRACTOR ACTOR / I Barbecue
Business name: Z),P j �S __ t s ' < �—
Clothes dryer (gas)
t' "'� Other:
Address: St/I - ' MECHANICALPERMITFEES*: ' '
City /State /ZIP: Subtotal /y /, Sp
Minimum permit fee ($72.50)
Phone: ( ) Fax: ( )
Plan review (25% of permit fee) 35, 3F
CCB lic.:
(p3141 ' -1- ' l ° / State surcharge (12% of permit fee) /6 , 9,
TOTAL PERMIT FEE f93,J'�
Authorized signature:
/ This p ermit application expires if a permit is not obtained within 180 �; 9
days after it has been accepted as complete. �/
Print name: ,) Ler /4-- /Q '- -- Date: 'Z ^o? * Fee methodology set byTri- County Building Industry Service Board
1:\Building \Permits \MEC- PermitApp.doc 01/19/07 440 -4617T (11 /02 /COM/WEB)
A .
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
Total Valuation: Permit Fee:.
$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.
•
L Bui lding \Permits\MEC - PermitApp.doc 01/14/07 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2008- 00069
, A
13125 SW Hall Blvd., Tigard, OR 97223 ,-• DATE ISSUED: 2/2612000
Phone: (503) 639-4171 avoiliiipol -
Inspection Requests (24 Hrs.): (503) 639-4175 A- '111.
INSPECTION WORKSHEET FOR DATE: 2126/2008 TIME: 7:00AM PAGE: 53
SITE ADDRESS: 07320 SW HUNZIKER RD 106 . CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: WOODEN SHOE DELI
DESCRIPTION: hanging hood $ 5,000
OWNER: ROBINSON DEVELOPMENT, PHONE #: 503-645-8531
CONTRACTOR: ROBINSON CONSTRUCTION PHONE #: 503-645-8531
Inspection Request Scheduled For: Date: 2/26/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 065636-02 503-238-7254 N
Corrections/Comments/Instructions:
,q iff ft-iyi2e)vfc___ FL_A--kr
'
mt PAS"- // PARTIAL APPROVAL fl CANCEL n NO ACCESS
I I FAIL / CALL FOR INSPECTION n ADDITIO AL FEES ASSESSED
i
Inspector: !..•■■ Date: Z ." 1° Phone #: (503) 718- le
vs/
1110
._. .. • .. _.- _ ,. _. , .
C1 16.1 11 1111111111F- Y OF' TIGARD
BUILDING DIVISION PERMIT #: ME.:C2008- 00069
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/254'2008
Phone: (503) 639-4171
_4totill'il`
Inspection Requests (24 Hrs.): (503) 639-4175 ...„...„_„., • ---
INSPECTION WORKSHEET FOR DATE: 206/2008 TIME: 7:00AM PAGE: 54
SITE ADDRESS: 07320 SW HUNZIKER RD 108 CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: WOODEN SHOE DELI
DESCRIPTION: hanging hood $ 5,000
OWNER: ROBINSON DEVELOPMENT, PHONE #: 503-645-8531
CONTRACTOR: ROBINSON CONSTRUCTION PHONE #: 503
Inspection Request Scheduled For: Date: 2/26/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
640 Exhaust hood 065636-01 503-238-7254 N
Corrections/Comments/Instructions:
•
AA - -- , -
Al
tir . PA r/ PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
0 FAIL • CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
,....
/ .
Inspector: Date: glz-67be Phone #: (503) 718- •"6-9X