Permit 4 1 1,10 CITY OF TIGARD MECHANICAL PERMIT
I � DEVELOPMENT SERVICES PERMIT #: MEC2006 -00517
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/30/2006
PARCEL: 1S133AD-16200
SITE ADDRESS: 12700 SW NORTH DAKOTA ST 180 ZONING: C -P
SUBDIVISION: PP1995 -073 LOT: 003 JURISDICTION: TIG
Project Description: Add 1 (3) ton RTU to existing curb, exhaust & duct. Valuation $8600.
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: 1 DOMES. INCIN:
ELE 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
PACIFIC CREST PARTNERS SCHOLLS L Description Date Amount
1430 EASTSIDE RD
HOOD RIVER, OR 97031 [MECH] Permit Fee 10/30/20( $206.30
[MECPLN] Plan Rev 10/30/20( $51.58
[TAX] 8% State Surcha 10/30/20( $16.50
Phone: Total $274.38
Contractor:
BLAIRCO INC
7609 MACARTHUR BLVD
VANCOUVER, WA 98664 REQUIRED ITEMS AND REPORTS
Contact #: PRI 360- 695 -1476
FAX 360- 699 -9310
Reg #: LIC 85750
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•
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.
Issu By: / I � � Permittee Signature:
y y l ���
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.
Mechanical ‘ coll G 0 FOR OFFICE USE ONLY
R eceived
II City of Tigard D r �-� Permit No. -� -
V 13125 SW Hall lvd., Tigard, OR 972ECEIVE Date/By: // _ � / l \, i �� t /� "] /�
C Plan Review Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 Date/By:
TIGARD Inspection Line: 503.639 OCT 2 4 2006 Date Ready/By: la See Page 2 for
Internet: www.tigard - or.gov Notified/Method: IMI Supplemental Information
CITY OF TIGARD
TYPE OF All-DING DIVISION
COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
El New 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: $ 6 600, 00
I -an 2 dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ y g ® Commercial /industrial ❑ Accessory building
For special information use checklist.
El Multi - family ❑ Master builder ❑ Other: Description I Qty. l Ea. l Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
r Air conditioning or heat pump
Job site address:
12700 S W . N. P , 41f o 7 i4 S , (requires site plan showing placement) 14.00
City /State/ZIP: 7-.16 A R0 o A , Fumace 100,000 BTU (ducts/vents) 14.00
Q G/ z Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: / /j Project name: A/ O C J
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
DESCRIPTION OF WORK Water heater 10.00
Gas 3 Tod/ /rjb/ r r_ r_S r.r C c.. /e if ■ Flue 10.00
� � J Flue vent for water heater or gas
4 l% /J /:-. f A/4 t' i 7 d / / ,/;1 If /i' / r ; .. /1 i /2 fireplace 10.00
Log lighter (gas) 10.00
0 f t c T E )f,1,$ T IA/ ( F' r 14 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: 5 G A I R 60 ,rNt- Fuel piping
Contact name: 5 r g V t; 0 c L L A R O $5.40 for first four; $1.00 for each additional
Address: 7 6 O c1 M df c 4g Tl-f u .- 13 L I / ,) Gas h ea t p
Gas heat pump
City/State /ZIP: (/4y Co u VCR j•4 9 V 66 N Wall/suspended/unit heater
Phone: (3 /, 0 ) 6 9 5 / W 76 Fax: : (3e0 ) 6 9 9- 3 j d Water heater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
1 7 L /9 r , C 0 r . N G Clothes dryer (gas)
Business name: �[J Other:
Address: 76 o 7 M A c A 2 T H 14 I3 LV D MECHANICAL PERMIT FEES*
City /State /ZIP: 1/4 N c 0 ti I/ E R WA 9 g C61/ Subtotal
Phone: (51 ) 6q5 / y 76 ax: (31a) 6 99 9- 9 3/0
Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lic.: g 5 7 5 0 ( -7/07 State surcharge (8% of permit fee)
gn r �� TOTAL PERMIT FEE
` �, This perm application expires if a permit is not obtained within ISO
Authorized signature:
r L days after it has been accepted as complete.
Print name: S T r f0 E 2 z L 1. ,4 R 0 Date: /69- 2 Li_ O 6 • Fee methodology set by Tri County Building Industry Service Board
I:\ Building \Permits\MEC- PermitApp.doc 04 /06/06 440-46!7T(II /02/COM/WEB)
CITY OF.TIGARD
BUILDING DIVISION PERMIT #: MEC2006- 00517
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/30/0006
Phone: (503) 639-4171 ►
Inspection Requests (24 Hrs.): (503) 639 -4175 ' !L.
INSPECTION WORKSHEET FOR DATE: 12/8/2006 TIME: 7:01AM PAGE: 43
SITE ADDRESS: 12700 SW NORTH DAKOTA ST 180 CLASS OF WORK:
SUBDIVISION: PP1995.073 LOT #: 003 TYPE OF USE:
PROJECT NAME: QUIZNO'S
DESCRIPTION: Add 1 (3) ton RTU to existing curb, exhaust & duct. Valuation $8600.
OWNER: PACIFIC CREST PARTNERS SCHOLLS L, PHONE #:
CONTRACTOR: BLAIRCO INC PHONE #: 360 - 696 -1476
Inspection Request Scheduled For: Date: 12/6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 040726 -01 360-607-0000 Y
Corrections/Comments/Instructions:
I
.i\k / ' I
►,INf% A
r
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIO AL F ES ASSESSED
i. Inspector: '1 / I Date: 49 • Phone #: (503) 718 -AZ'