Permit . CITY OF TIGARD MECHANICAL PERMIT
II I COMMUNITY DEVELOPMENT PERMIT #: MEC2007 - 00112
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/1/2007
PARCEL: 1S136CD-00100
SITE ADDRESS: 11705 SW PACIFIC HWY X ZONING: C - G
SUBDIVISION: PACIFIC CROSSROADS LOT: JURISDICTION: TIG
PROJECT: LITTLE CAESARS PIZZA
Project Description: New HVAC, Type II hood w /gas piping. Valuation: $17,000.
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: 1 BOILERS /COMPRESSORS HOODS: 1
FUEL TYPES 0 - 3 HP: 2 DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: N 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: M 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: 1 <= 10000 cfm: 2 OTHER UNITS: 4
> 10000 cfm:
GAS OUTLETS: 4
Owner: FEES
PACIFIC.CROSSROADS PROPERTY INC Description Date Amount
WYSE INVESTMENTS
111 SW 5TH AVE SUITE 1100 [MECH] Permit Fee 3/1/2007 $326.00
PORTLAND, OR 97204 [MECPLN] Plan Rev 3/1/2007 $81.50
[TAX] 8% State Surcha 3/1/2007 $26.08
Phone: 503- 294 -0400 Total $433.58
Contractor:
OREGON HEATING & AC
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -2953
FAX 503 -537 -2172
Reg #: LIC 172126
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: . • Permittee Signature:
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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Mech. nical Permit A Heat' on , FOR OFFICE USE ONLY
1 C of Tigard .4 A R — O D . Permit No ( _ D � ' a 13125 SW Hall Blvd., Tigard, OR 229 id E;diliv-J L1
C Phone: 503.639.4171 Fax: 503.5 Date/B ew - o ? Other Pemrit: '
r I G n It D Ins Line: 503.639 FEB 2 l0 2007 Date ReaayBy: tuns: ®See Page 2 for
Internet: www.tigard - or.gov Notified/Method: ey , P O # 7 , , Supplemental Information
TYP 'O' � T ,- COM RCIAL FEE* SCHEDULE - USE CHECKLIST
� �' "'1 �' IP 1 ' / Mechanical permit fees* are based on the value of the work
El New constructionAddi n/alterahbn/replaccment 1 performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, =•ui.ment, lab . rh . ",.J.rofit.
C�TE !ORY OF CONSTRUCTION Value: $ ll1r1J y �
RESIDENTIAL EQUIPME / SY. TEMS FEES*
❑ 1 and 2 family dwelling ) 11-- ommercial/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: ff' �J J Air conditioning or heat pump
/D 5/4 �i /' / / 1i1 (requires site plan showing placement) 14.00
City /State/ZIP: r�/f ' Furnace 100,000 BTU (ducts/vents) 14.00 _
( •r"
/ 17.90
Suite/bldg./apt. no.: u I Project name: �� Furnace 100,000+ BTU (ducts/vents)
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: 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
A_Al/ �/ i4, . � Flue vent for water heater or gas
-r-, 1 F
r _ , �/� ✓v �(/ A ,� fireplace 10.00
►mot[ Log lighter (gas) 10.00
S 7 ,o / /� 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: ( ) I Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Business name: 10.00
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: (. ) Fax: : ( ) Water heater
Fireplace
E -mail:
Range
CONTRACTOR Barbecue
Business name: Clothes dryer (gas)
A ���•� Pa •�i outer: I
Address: /� / /`', MECHANICAL PERMIT FEES* •
City /State/ZIP: /�)�_)_� (yam , 7 Subtotal
Phone: (93) v i, 'w � ez b i , . Fax: ( ) Minimum permit fee ($72.50)
o iv Plan review (25% of permit fee)
CCB lic.: ( 7 ? I -Z State surcharge (8% of permit fee) .
TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: / (-- C il,---r— [__ir t m tkte: / • Fee methodology set by Tri- County Building Industry Service Board .
I :�Building \ Permits \ NEC - PennitApp.doc 04 /06/06 617T(1 02/CO M/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.
•
•
1:\Building\Permits\MEC- PermitApp.doc 12/30/05 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00112
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/7/2007
Phone: (503) 639- 4171j i, 'l
Inspection Requests (24 Hrs.): (503) 639 -4175 14 LL . I
INSPECTION WORKSHEET FOR DATE: 3/14/2007 TIME: 7:00AM PAGE: 20
SITE ADDRESS: 11705 SW PACIFIC HWY X CLASS OF WORK:
SUBDIVISION: PACIFIC CROSSROADS LOT #: TYPE OF USE:
PROJECT NAME: LITTLE CAESARS PIZZA
DESCRIPTION: New HVAC, Type II hood w /gas piping. Valuation: $17,000. 3(7/07: Added walk in cooler. Valuation
$1000.
OWNER: PACIFIC CROSSROADS PROPERTY INC, PHONE #: 503 -294 -0400
CONTRACTOR: OREGON HEATING & AC PHONE #: 503 - 538.2953
Inspection Request Scheduled For: Date: 3/14/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 044809-01 503 -849 -6162 N /1 .O 6 A- l
Corrections /Comments /Instructions:
6,
i►�I PASS U - ARTIAL APPROVAL El CANCEL ❑ NO ACCESS
❑ FAIL I% C • LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/ i -
Inspector: NI " ..6,...■ Date: I r Phone #: (503) 718- 267
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007- 00112
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/7 /2007
Phone: (503) 639 -4171 thipi
Inspection Requests (24 Hrs.): (503) 639 -4175 /mra I_..
INSPECTION WORKSHEET FOR DATE: 3/12/2007 TIME: 7:01AM PAGE: 39
•
SITE ADDRESS: 11705 SW PACIFIC HWY X CLASS OF WORK:
SUBDIVISION: PACIFIC CROSSROADS LOT #: TYPE OF USE:
PROJECT NAME: LITTLE CAESARS PIZZA
DESCRIPTION: New HVAC, Type II hood w /gas piping. Valuation: $17,000. 3/7/07: Added walk in cooler. Valuation:
$1000.
OWNER: PACIFIC CROSSROADS PROPERTY INC, PHONE #: 503 -294 -0400
CONTRACTOR: OREGON HEATING & AC PHONE #: 503 - 538
Inspection Request Scheduled For: Date: 3/12/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 044640-01 503 - 849-8162 N
Corrections /Comments /Instructions:
@_- ° .S �'` t c am ' '` f �---
Co N.J as ;.-
❑ PASS P PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
$AIL % I LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: — Date /2- 07 Phone #: (503) 718 - 2 ‘9 1
1
CITY OF TIGARD • . •. -
BUILDING DIVISION PERMIT #: MEC2007- 00112
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/7/2007
Phone: (503) 639- 4171�e I C I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/9/2007 TIME: 7:01AM PAGE: 46
SITE ADDRESS: 11705 SW PACIFIC HWY X CLASS OF WORK:
SUBDIVISION: PACIFIC CROSSROADS LOT #: TYPE OF USE: .
PROJECT NAME: LITTLE CAESARS PIZZA
DESCRIPTION: New HVAC, Type II hood w /gas piping. Valuation: $17,000. 3/7/07: Added walk in cooler. Valuation:
$1000.
OWNER: PACIFIC CROSSROADS PROPERTY INC, PHONE #: 5 50`4•:.x1 -0`100
CONTRACTOR: OREGON HEATING & AC PHONE #: 50 ,3t -29S3
Inspection Request Scheduled For: Date: 3/9 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # Me - . -
695 Misc. inspection 044585 -01 503-849-8162
Corrections /Comments /Instructions: .
K 7z.
i ovi zo Inr.
i
.. , _, 1
•
_,.. 4 4------ 1
); PASS if g1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL I ' LL FOR INSPECTION 11] ADDITIO • AL F S ASSESSED
1 ‘ 9,
Inspector: — Date: 0 Phone #: (503) 718 -
W
CITY OF TIGARD
BUILDING DIVISION r PERMIT #: MEC2007- 00112
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/1/2007
Phone: (503) 639- 4171p ���
Inspection Requests (24 Hrs.): (503) 639 -4175 `
INSPECTION WORKSHEET FOR DATE: 3/7/2007 TIME: 7:18AM PAGE: 66
SITE ADDRESS: 11705 SW PACIFIC HWY X CLASS OF WORK:
SUBDIVISION: PACIFIC CROSSROADS LOT #: TYPE OF USE:
PROJECT NAME: LITTLE CAESARS PIZZA
DESCRIPTION: New HVAC, Type II hood w /gas piping. Valuation: $17,000.
OWNER: PACIFIC CROSSROADS PROPERTY INC, PHONE #: 503-294-0400
CONTRACTOR: OREGON HEATING & AC PHONE #: 503
Inspection Request Scheduled For: Date: 3/7/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 044434 -01 503- 849-8162 N
Corr 'ons /Comm nts /Instructions:
.1 Ai0 ..eL------------
•
j PASS • 'ARTIAL APPROVAL ❑ CANCEL El NO ACCESS
111 FA / � ALL FOR INSPECTION ❑ ADDITIO A FEES ASSESSED
Inspector. Date 0 Phone #: (503) 718- 2 � q
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MEC2007 -00112
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 31.1/2007
Phone: (503) 639 -4171 Ayeit lli
Inspection Requests (24 Hrs.): (503) 639 -4175 4 _'_..
INSPECTION WORKSHEET FOR DATE: 3/6/2007 TIME: 7:00AM PAGE: 69
SITE ADDRESS: 11706 SW PACIFIC HWY X CLASS OF WORK:
SUBDIVISION: PACIFIC CROSSROADS LOT #: TYPE OF USE:
PROJECT NAME: LITTLE CAESARS PIZZA
DESCRIPTION: New HVAC, Type II hood w /gas piping. Valuation: $17,000.
OWNER: PACIFIC CROSSROADS PROPERTY INC, PHONE #: 503 -2E4 -0400
CONTRACTOR: OREGON HEATING & AC PHONE #: 503.538 -2953
Inspection Request Scheduled For: Date: 3!6/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 044345-01 503 - 849-8162 N
Corrections /Comments/ Instructions:
Pl.c.,, cam- 5 FE9e_ I< / A4 ,,,,f c0oc___
4 __&3;>, - ( ---- x - ez , A40,4 , - - e - ? N1 N �i. � , /
oAI PL-rehNiS
�2.o v, (�.- I
_....) .k ( ).6e- _ _■:‘ . —........ ..
❑ PASS ' • 'T • L APPROVAL El CANCEL ❑ NO ACCESS
FAIL WA FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Dater J 6 Phone #: (503) 718 - g‘ I-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00112
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/1/2007
Phone: (503) 639- 4171`c° i'
Inspection Requests (24 Hrs.): (503) 639 -4175 `'I I..
INSPECTION WORKSHEET FOR DATE: 3/6/2007 TIME: 7:00AM PAGE: 68
SITE ADDRESS: 11705 SW PACIFIC HVVY X CLASS OF WORK:
SUBDIVISION: PACIFIC CROSSROADS LOT #: TYPE OF USE:
PROJECT NAME: LITTLE CAESARS PIZZA
DESCRIPTION: New HVAC, Type II hood wlgas piping. Valuation: $17,000.
OWNER: PACIFIC CROSSROADS PROPERTY INC, PHONE #: 503-294 -0400
CONTRACTOR: OREGON HEATING & AC PHONE #: 503.530 - 2953
Inspection Request Scheduled For: Date: 3/5/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
810 Gas line 044345`02 503-849-8162 N
Corrections /Comment tjctions:
__ C� Ol■ U Z ■ & Ibb_ ■-1
❑ PASS % P' RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL I/ • . FOR INSPECTION ❑ ADDITION . FE S ASSESSED
Inspector _ Date ‘ Phone #: (503) 718- Z-CX
lip