Permit L A
CITY TIGARD MECHANICAL PERMIT
l oc DEVELOPMENT SERVICES PERMIT #: MEC2005 -00519
I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/24/2005
PARCEL: 1S136CD-00100
SITE ADDRESS: 11705 SW PACIFIC HWY J ZONING: C -G
SUBDIVISION: PACIFIC CROSSROADS LOT: JURISDICTION: TIG
Project Description: Replace roof -top unit. $6700
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:
LPG 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 CROSSROADS PROPERTIES, I Description Date Amount
BY WYSE INVESTMENT SERVICES CO [MECH] Permit Fee 8/24/200f. $172.10
200 SW MARKET ST STE 345 [TAX] 8% State Surchar€ 8/24/200E $13.76
PORTLAND, OR 97201
Phone: Total $185.86
Contractor:
REITMEIER MECHANICAL INC
7051 SW SANDBURG ST STE 400 REQUIRED ITEMS AND REPORTS
TIGARD, OR 97223 -8011
Phone: 603 - 0205
Reg #: LIC 153770
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: � / i i i _ � . , �! Permittee Signature: G ref/
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 Permit Application FOR OFFICE USE ONLY
City of Tigard = 4 V ED Received 2 ej
a z iui t,._ ; Date/By: �OZ VO D // Permit No.: /1/1 /,I fin /}� 00 67
13125 SW Hall Blvd., Tigard, OR 9722 Plan Review it , If� lxt.ci
Phone: 503.639.4171 Fax: 503.598.1960 A 2 //ma w . „ , \
Date/By:
Other Permit:
Inspection Line: 503.639.4175 AUG 2 4 2005 �i` f lI i y
p ■ __� Date Ready/By: l See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: i Supplemental Information
CITY OF TIGARD
- ; •- , T1 d .01 flSTON ,• -_ , - COMMERCIAL . FEE *_ S Supplemental
=' CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction [ lrAddition /alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $ (p 7c .
1:1 1 - and 2 dwelling ; RESIDENTIAL EQUIPMENT / TEES*
y g ErCommercial/industrial ❑ Accessory building
❑ Multi family ❑ Master builder ❑ Other: For special information use checklist.
Description I Qty. I Ea. Total
" JOB SITE INFORMATION AND LOCATION. ' Heatinp/cooling
J / /� C �` /Q limit conditioning or heat pump
Job site address:
1 1'70 sw / 2GIA Tim (requires site plan showing placement) 14.00
City/ State/ZIP: / 1 li/T ' a 7 -, Furnace 100,000 BTU (ducts/vents) 14.00
Suite/bldg. /apt. no.: ,, ? Project name: SUS Furnace 100,000+ BTU (ducts/vents) 17.90
HI ilAtJA.Iq Gas heat pump 1 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
S.R. Gas fireplace 10.00
Re ( , L, 1(.6 S 1. tl.E " Rocl -t1/4V a , E ( t 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 ❑ TENANT Chimney/liner /flue /vent 10.00
Other: 10.00
Name: tc Ji '• Cat 54F2E*0 5 A ply S6 Itout STMt"t� 1 Environmental exhaust and ventilation
f Range hood/other kitchen
Address: I I / 5.W. 5'1406" equipment 10.00
City/State/ZIP: pf / DO, 9 7 Z. a Clothes dryer exhaust 10.00
/ Fax: Single -duct exhaust (bathrooms,
Phone:
�c3 ), S4 - L)4' v a cc 3 ) 0147 0 75 0 7 toilet compartments, utility rooms) 6.80
,❑' APPLICANT , , - CONTACT PERSON Attic/crawlspace fans 10.00
Business name: Other: 10.00
Fuel piping
Contact name: Di c.tc TA Q.e.- $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
5 /) Gas heat pump
City/ State/ZIP: ,6j/ Wall/suspended/unit heater
Phone: (3 3) .$z 7_83 IF Fax:: ( ) Water heater
Fireplace
E -mail:
Range
. , ' CONTRACTOR - Barbecue
\ ' `
Business name: R IE R Mt u1At�'LA L Clothes dryer (gas)
( `ms Other:
Address: 7051 5.44 5Aw317gtA.1Z,C1 St • 51.1d t 4 ,MECHANICAL PERMIT FEES*
City/State/ZIP: 'fl. A E. 1) f Ui k I i 2 3 Subtotal
Minimum permit fee ($72.50) / 702. /0
Phone: (507 Lc 3 - t , 2 _ O 5 Fax: (5�) 6 0 3 _ a ,6- Plan review (25% of permit fee)
CCB lic.: /63 7 V / State surcharge (8% of permit fee) / , ?7
TOTAL PERMIT FEE
Authorized signature: 1 This permit application expires If a permit is not obtain ithi 0
�� days after it has been accepted as complete./g5 g
Print name: D i e, M4 j i2, Date: 8 - t/.1 s • Fee methodology set by Tri- County Building Industry Service Board
i:\ Building \PennitsUMEC- PermitApp.doc 12/03 440 -4617T (I1 /02/COM/WEB)
•• •
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 12/03 2
CITY` OF TIGARD
BUILDING DIVISION PERMIT #:
MEC2005-00519
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/24/2005
Phone: (503) 639 -4171 - "r °Ip� �
Inspection Requests (24 Hrs.): (503) 639 -4175 '` I ..
INSPECTION WORKSHEET FOR DATE: 9/21/2005 TIME: 7 :03AM PAGE: 79
SITE ADDRESS: CLASS OF WORK:
11705 SW PACIFIC HWY J
SUBDIVISION: PACIFIC CROSSROADS LOT #: TYPE OF USE:
PROJECT NAME: SUSHI HANNA
DESCRIPTION: Replace roof -top unit. $6700
OWNER: PACIFIC CROSSROADS PROPERTIES, I.
PHONE #:
CONTRACTOR: REITMEIER MECHANICAL INC PHONE #: 603 -0205
Inspection Request Scheduled For: Date: 9121/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 016236 -01 503- 603 -0205 Y
Corrections /Comments /Instructions: �aUP-._
CK2t s
ill \ . 6: 1 -1,- h .1; , 1
,.
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • CALL FOR INSPECTION ❑ ADDITI &NAL ' EES ASSESSED
/
i t 1 / . -
Inspector: f , Date: 65 Phone #: (503) 718-