Permit C ITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00066
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/5/2007
PARCEL: 2S 102AB -04500
SITE ADDRESS: 12436 SW MAIN ST ZONING: CBD
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Hook up walk in cooler $1500
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:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
MICHAEL UM Description Date Amount
PO BOX MAINI
TIGARD, OR 97223 [MECH] Permit Fee 2/5/2007 $72.50
[TAX] 8% State Surcha 2/5/2007 $5.80
Total $78.30
Phone: 503- 620 -0345
Contractor:
FRED GREENINGER CONST
PO BOX 83315
TIGARD, OR 97283 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 286 -7993
FAX 503- 286 -0505
Reg #: LIC 70274
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: ���6. Permittee Signatur?Y
Call 503.639.4175 by 7:00 a.m. for inspections th s 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 Applica r(:)R OFFI. IC a SE (J I •
City of Tigard ECEI VE®
Received 3 d • Permit No -
y •i —u0
: � q 13125 SW Hall Blvd., Tigard, OR 97243 _ 5 2007 plan Review' /
ft Phone: 503.639.4171 Fax: 503.598. l9 Date/By. Other Permit:
r 1 G n it D Ins Line: 503 CIT OF f.IGSARD Na vie' ® ppleme n tal I
Internet: www.tigard - or.gov BUILDING DIVISION
• TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
El New construction i4ddition /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: $ / 'QA)
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1 - and 2 family dwelling Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family Master builder ❑ Other:
Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
I n r Air conditioning or heat pump
Job site address:
2 3 .b J i✓ ""/ c-}'. (requires site plan showing placement) 14.00
City / State/ZIP: Furnace 100,000 BTU (ducts/vents) 14.00
�� ~�� ^ �'1 �`�� — 2 2 J q Furnace 100,000+ BTU (ducts/vents) 17.90
. Suite/bldg. /apt. no.: Project name: 4 n 4'QCT "f)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: f Lot no.: Flue/vent for any of above 10.00 ,
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
L
Hoe a P 4)/1C d e' ( r Flue vent for water heater or gas
Weak. I /)
fireplace 10.00
. Log lighter (gas) 10.00
' Wood/pellet stove 10.00
Wood fireplace/insert 10.00
❑ PROPERTY OWNER I ❑ TENANT Chimney/liner /flue/vent 10.00
Other: 10.00
. Name: pi / at is L a Environmental exhaust and ventilation . •
Address: / \ Range hood/other kitchen
Z� 3 Jt� ' 4) !/ln equipment a 10.00
City /State/ZIP: �f `'-� O Clothes dryer exhaust 10.00
/ Single -duct exhaust (bathrooms,
Phone: (c9 y) 6 ®/l-[ G6" Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
• Other: 10.00
Business name:
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address:
Furnace, etc.
Gas heat pump ,
City/State/ZIP: WalUsuspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E-mail: Range •
CONTRACTOR Barbecue
FIZZ, . „ 9 — _ Clothes dryer (gas)
Business name: ( / `� ��' Other.
Address: ,4--/S5)-V 3 /5. MECHANICAL PERMIT FEES*
City /State/ZIP: ,Q r a-( q ”. 2.--il 3 Subtotal
(� 2_8-4 ,Gf ? Fax: 0-3') / O -SO �— Minimum permit fee ($72.50)
Phone: (
S 3 3 � Plan review (25% of permit fee)
CCB lic.: 2a Z 1 V /a .Q / Z , co7 State surcharge (8% of permit fee)
IllilirI TOTAL PERMIT FEE
• Authorized signature:
This p ermit application expires if a permit is not obtained 'thin ISO
.� days after it has been accepted as complete.
411 Date:. • Fee methodology set by Tri- County, Building Industry Service Board
I:\ Building \Permin\MEC- PennitApp.doc 04/06/06 440 -4617T(II /02/COM/WEB)
Mechanical Permit Application -City of Tigard
•Page 2 - Supplemental Informati
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.
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1:\ BuildingTamits \MEC- PamitApp.doc 12/30/05 2
CITY OF TIGARD a
BUILDING DIVISION . PERMIT #: MEC2007- 00066
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 215/2Q07
Phone: (503) 639 -4171 l +� e
Inspection Requests (24 Hrs.): (503) 639 -4175 �'f
INSPECTION WORKSHEET FOR DATE: 2/5/2007 TIME: 7 :02AM PAGE: 31
SITE ADDRESS: 1243E SW MAIN ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: MAIN STREET STORE
DESCRIPTION: TOIWArtiVelic in cooks . - $1500
OWNER: UM, MICHAEL PHONE #: 5Q3- 520 -Q345
CONTRACTOR: FRED GREENINGER CONST PHONE #: 503- 286 -7993
Inspection Request Scheduled For: Date: 215/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 043000 -01 503 - 702 -1661 N
Corrections /Comments/ Instructions:
I t /
h '. ._■ A .4 I / C-. 1 L , See , .- ,/1 / ,
_,
i )
Ou
K PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ C LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: VO Phone #: 503 718 i
P � )