Permit C ITY OF TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00609
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/30/2006
PARCEL: 1 S133AD -16200
SITE ADDRESS: 12700 SW NORTH DAKOTA ST 180 ZONING: C -P
SUBDIVISION: PP1995 -073 LOT: 003 JURISDICTION: TIG
Project Description: Install line sets for cooler and freezer to condenser on roof. Value: $2500.00
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:
ELE 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: 2
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
PACIFIC CREST PARTNERS SCHOLLS L Description Date Amount
1430 EASTSIDE RD
HOOD RIVER, OR 97031 [MECH] Permit Fee 11/30/20( $84.00
[MECPLN] Plan Rev 11/30/20( $21.00
[TAX] 8% State Surcha 11/30/20C $6.72
Phone: Total $111.72
Contractor:
ARTIC HEATING & REFRIGERATION
PO BOX 83795
PORTLAND, OR 97283 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 735 -2808
FAX 503- 240 -7732
Reg #: LIC 152332
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: jz Permittee Signature
Call 503.639.4175 by 7:00 a.m. for inspections th
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 Ap armGEIVE® rc)lt ol� l..cr.: I sly: o, l_,,
City of Tigard `` R DA erg. l - 0 O(2 .? Permit No ...47 • �1,
;� ° 13125 SW Hall Blvd., Tigard, OR V 2��6 Plan Review
Phone: 503.639.4171 Fax: 503. 98.1960 D B Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD
Date Ready/By ®See Page 2 for
w
Internet: ww.tigard or.gov BUILDING DIVISION Notified/Method ilarWA Supplemental Information
• TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
"KNew 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.
CATEGORY OF CONSTRUCTION Value: $ Z Sr Q .
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
Job site address: /' Z Air conditioning or heat pump
/ 0Q �l�L� i I� / 7-/� �ig (requires site plan showing placement) 14.00
City /State/ZIP: 2 .-- / - 9 - 4C9242 , Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (duets/vents) 17.90
Suite/bldg./apt. no.: Project name: ' � � ��- Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
v • Hydronic hot water system 14.00
l/ �7C/� &c-4__T Hydronic
boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: I 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
/�1J X11 Ave- es �� d`z n ��_ Flue vent for water heater or gas
n, fireplace 10.00 • `I � -.�! ' � / 401," Logliphter (gas) 10.00
A / , Wood/pellet stove 10.00
Wood fireplace/insert 10.00
❑ PROPERTY OWNER I ❑ TENANT Chimney/liner/flue/vent 10.00
Other: 10.00
• Name: Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00
City /State/ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) 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: Wall/suspended/unit heater
Phone: ( ) I Fax: : ( ) Water heater
Fireplace
E -mail: Range DY Ill
CONTRACTOR Barbecue
y[ t ` / Q • Clothes dryer (gas) oP
�
Business name: r D .1605< .1605< GU G / f _ t� /� s (/C
7 ¢ y Other: I
• Address:
< O 7 9S MECHANICAL PERMIT FE 1 /
city/ State/ZIP: 6 0,-- t` r .jt , 9 7,2-g% S l /
�
t Minimum permit fee ($72.5 ..
Phone: (�pf3) 735 _ Fax: ( Z. `-, 7 73 Z Plan review (25% of permit fee)
CCB lic.: j3 Z 7 -- 7. (, - p State surcharge (8% of permit fee)
TOTAL PERMIT FEE z
Authorized signature:
7 Lis permit application a :pircs if a permit is I oat obtained within 180
days after it has been accepted as complete.
I Print name: ,... X 1/}yA,/iet_ I Date: / / 7.30/ 6 • Fee methodology set by Tri -County Building Industry Service Board
1:\ Building \PamitsVMEC- PennitApp.doc 04/06/06 440-4617T(II /02/COM/WEB)
Mechanical Permit Application - City of, Tigard
• :Pagel - "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 $230
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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i O -
1:\ Building \Permits\MEC- PermitApp.doc 12/30/05 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006-00609
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/30/2006
Phone: (503) 639 -4171 / qp
Inspection Requests (24 Hrs.): (503) 639 -4175 „„ I �..
INSPECTION WORKSHEET FOR DATE: 12/12/2006 TIME: 7 :01AM PAGE: 11
SITE ADDRESS: 12700 SW NORTH DAKOTA ST 180 CLASS OF WORK:
SUBDIVISION: PP199E LOT #: 003 TYPE OF USE:
PROJECT NAME: OUIZNO'S
DESCRIPTION: Install line sets for cooler and freezer to condenser on roof. Value: $2500.00
OWNER: PACIFIC CREST PARTNERS SCHOLLS L, PHONE #:
CONTRACTOR: ARTIC HEATING & REFRIGERATION PHONE #: 503- 735 -2808
Inspection Request Scheduled For: Date: 12/12/2006 Pour Time: �,
Code # Inspection Description Confirm # Contact # Message ( I , Cq
1 w
699 Mechanical final 040970 -01 360- 607 -0000 Y
Corrections /Comments /Instructions:
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' AIMIVIIIM\
MP' MI
-'111M111111 .
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NAL EES ASSESSED
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Inspector: Mi' Date: \ Phone #: (503) 718 ��/
_• r '.
CITY OF TIGARD
BUILDING DIVISION , ' PERMIT #: MEC200G -00609
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/30/2006
Phone: (503) 639 -4171 . u ; � � k\
Inspection Requests (24 Hrs.): (503) 639 -4175 P ..
INSPECTION WORKSHEET FOR DATE: 12/8/2006 TIME: 7:01AM PAGE: 2
SITE ADDRESS: 12700 SW NORTH DAKOTA ST 190 CLASS OF WORK:
SUBDIVISION: PP1995-073 LOT #: 003 TYPE OF USE:
PROJECT NAME: QUIZNO'S
DESCRIPTION: In ( o condenser on roof. Value: $2600.00
OWNER: PACIFIC CREST PARTNERS SCHOLLS L, PHONE #:
CONTRACTOR: ART1C HEATING & REFRIGERATION PHONE #: 503 -73J -2808
Inspection Request Scheduled For: Date: 12/8/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 040868 -01 360 -607 -0000 Y
Corrections /Comm -� is /In / tructions:
is/ - I ( A
\/(..e.6 ‘ 2 '
(9 b&kisT)
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• PAS' ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
(VA FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Ci> Date: ' Zje/ 6 (O Phone #: (503) 7182 L y
CITY-OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/30/2006
Phone: (503) 639 -4171 A ,, 11
Inspection Requests (24 Hrs.): (503) 639 -4175 ,'!!'i °'f �..
INSPECTION WORKSHEET FOR DATE: 12/6/2006 TIME: 7:01AM PAGE: 29
SITE ADDRESS: 12700 SW NORTH DAKOTA ST 180 CLASS OF WORK:
SUBDIVISION: ppi9g5.073 LOT #: 003 TYPE OF USE:
PROJECT NAME: QUIZNO'S
DESCRIPTION: install line sets for cooler and freezer to condenser on roof. Value: $2500.00
OWNER: PACIFIC CREST PARTNERS SCHOLLS L, PHONE #:
CONTRACTOR: ARTIC HEATING & REFRIGERATION PHONE #: 503- 736.2808
Inspection Request Scheduled For: Date: 12/6/2006 Pour Time:
Code # Inspection Description Confirm # . Contact # Message
•
615 Mechanical rough -in 040736 -01 503.998 -3860 N
Corrections /Comments /Instructions:
Vi b iE /T-` rtwt, c rep_ eic
(TSTh 4-4)cr= edt
— PRov(t) CIATE " PPE FA-6 5
&J C& 5
' 1
❑ ,ss ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: 411111 Date: r `2 5 ki Phone #: (503) 718 - z4z3
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