Permit •
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A - CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00235
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/25/2006
PARCEL: 1 S136CD -01500
SITE ADDRESS: 11660 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: TIitGARD BOWL LOT: JURISDICTION: TIG
Project Description: Replace (2) roof top units, like for like. Valuation $15,000.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: 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
SCHULZ, DAVID TR Description Date Amount
KERR, GLORIA TR
11649 VIA MONTANA [MECH] Permit Fee 51251200E $199.00
YUMA, AZ 85367 [TAX] 8% State Surcha 5/25/200E $23.92
Phone: Total $222.92
Contractor:
OREGON HEATING + A/C INC
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -2953
FAX 503 -537 -2172
Reg #: LIC 125815
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 180 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: — Permiftee Signature:
' ‘??s.
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.
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Mechanical Permit Application Ft/It OFFICE USE ()NIA
C ity of Tigard o e B j GV— Y 1312 SW Hal B lvd, Tigard, OR 9 C EIVED 2- Plan Review MILMNI OM=
m Phone: 503.639.4171 Fax: 503.59801AV 2 5 2006 Date/By. Other Permit:
T I G A IL D Inspection Line: 503.639 Date Ready/By. Eiffi El See Page 2 for ,
Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method Supplemental Information
1AU1LD1NG DIVIl lnN
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ 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 head, and profit.
•
CA E RY OF CONSTRUCTION Value: $ Q
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ I - and 2 family dwelling Commercial/industrial ❑ Accessory building
❑ Multi - family ❑ Master builde ❑ For special information use checklist.
Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: p660 v ! lAi fa - ,- 1/14 y 1 Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State/ZIP:
O �'�'` ,( ✓ � Furnace 100,000 BTU (duds/vents) 14.00
Suite/bldg. /apt. no.: ' . Project name: privy Furnace 100,000+ BTU (dugs/vents) 17.90
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
Flue/vent for any of above 10.00
Subdivision: Lot no.: Other: 10.00
Tax map/parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater - 10.00 .
r
Gas fireplace 10.00
� i l 4 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 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
Business name:
Other: • 10.00
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Fumace, etc.
Address: -
Gas heat pump
City /State/ZIP: • Wall/suspended/unit heater
Phone: ( ) I Fax: : ( ) -, Water heater
- E -mail: _ __
Fireplace
Range •
CONTRACTOR Barbecue
Business name: a ;A Z� . Clothes dryer (gas)
4;0 J 59 � Other:
Address: MECHANICAL PERMIT FEES*
City /State/ZIP: d)144- ..(1 g7I/ Subtotal )40 W
Phone: ( o> 2R Fax: "l 7 Minimum permit fee ($72.50)
C /` Plan review (25% of permit fee)
CCB lic.: / � �' State surcharge (8% of permit fee) ,Z3, 7,Z.,
e � TOTAL PERMIT FEES „� 1
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Authorized signature: Tbis permit application expires if a permit is not obtained within 180 80
days after it has been accepted as complete.
[Print name: C L H 7 L447"po , ,i Date: 5 7 / ��f • Fee methodology set by Tri County Building Industry Service Board
1:\ Building \Pmnits\MEC- PemiitApp.doc 04/06/06 4 61Tr (II/ COM/W
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.
I:\ Building\Permits\MEC- PermitApp.doc 12/30/05 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006.00235
13125 SW Hall Blvd.,-Tigard, OR 97223 DATE ISSUED: 525/2006
Phone: (563) 639 - 4171
Ja zi l l Inspection Requests (24 Hrs.): (503) 639 -4175 _
INSPECTION WORKSHEET FOR DATE: 6/212006 TIME: 7 :08AM PAGE: 69
SITE ADDRESS: 11660 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: TIGARD BOWL LOT #: TYPE OF USE:
PROJECT NAME: TIGARD BOWL
DESCRIPTION: Replace (2) roof top units, like for like. Valuation $15,000.
OWNER: SCHULZ, DAVID TR, PHONE #:
CONTRACTOR: OREGON HEATING + NC INC PHONE #: 503.530-2953
Inspection Request Scheduled For: Date: 6/712006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 030958 -01 503 - 849 -8162 Y
Corrections /Comments /Instructions:
COLT —
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P� ASS PARTIAL APPROVAL CANCEL ❑ ❑C ❑ NO ACCESS
❑ FAIL U LL FO' INSPECTION ❑ ADDITI NAL FEES ASSESSED
■
Inspector: 4i Date: Phone #: (503) 718- - Z-A 2 - 3
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