Permit 114 u CITY OF TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2009 -00054
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/19/2009
PARCEL: 1S135DD-03301
SITE ADDRESS: 11945 SW PACIFIC HWY 208 ZONING: C - G
SUBDIVISION: TIGARD PLAZA LOT: 002 JURISDICTION: TIG
PROJECT: DOLLAR TREE
Project Description: Install (2) self contained walk -in coolers, (2) self contained refrigerated cases. $60,000
r
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: M VENTS W/O APPL: VENT SYSTEMS:
STORIES: 2 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: 5
> 10000 cfm: GAS OUTLETS:
Owner: FEES
TIGARD PROPERTIES INC Description Date Amount
2106 SE OCHOCO ST
MILWAUKIE, OR 97222 [MECH] Permit Fee 2/19/200C. $896.50
[TAX] 12% State Surch 2/19/200E $107.58
[MECPLN] Plan Rev 2/19/200. $224.13
Phone:
Total $1,228.21
Contractor:
PORTLAND MECHANICAL CONTRACTOR
2000 SE HANNA HARVESTER DR
MILWAUKIE, OR 97222 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 656 -7400
FAX 503- 656 -6383
Reg #: LIC 151807
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 401 vu LIdiful Permittee Signature: m , ��
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.
A
j tl-Ae--T-C=e' 1 I kJ T
-- T apical Permit Application FOR OFFICE u�l ONl_1'
y City of Tigard C�+ t eived l el '" M c , _ -
`J g IVE `'� te ' a Permit No.: C �/t rJ,n/1 Q _•
111111
V 13125 SW Hall Blvd., Tigard, OR 97223
C Plan Revie ,� .7
Phone: 503.639.4171 Fax: 503.598.1960 FEB 4 � Date/By,: � e- 1 t • ( °tbef X11
Inspection Line: 503.639.4175 Z��
T I G A R D Date Re y: kris iii See Page 2 for
Internet: www.tigard-or.gov Notified/Method:a • 17. Q _ , 7 ,. Supplemental Information
e.-0 � 9 ) o q q y �. 4 OF TIG ' % i ' / a..p{� t ■ t: et. f1 k, • _L
TYPE OF WO ' so • 1 a a 0 ' g COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees' are based on the value of the work
❑ New construction ® Addition/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: $6000.00
dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2-family g ® Commercial/industrial ❑ Accessory building
❑ Multi - family 0 Master builder For special information use checklist.
❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 11945 SW Pacific Hwy Air conditioning or heat pump
(requires site plan showing placement) 14.00
City/State/ZIP: Tigard, Or 97223-6469 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU ( ducts/vents) 17.90
Suite/bldg./apt. no.: 208 I Project name: Dollar Tree !13701 _Gas heat pump 14.00
Cross street/directions to job site: _Duct work 10.00
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. 14.00
Subdivision: Lot no.: Flue /vent for any of above 6.80
Other: F 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK _Water heater 10.00
Gas fireplace 10.00
Install 2 self contained walk in coolers and 3 self contained refrigerated cases 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 0 TENANT Chimney/liner /flue/vent 10.00
Other: 10.00 "
Name: Dollar Tree Environmental exhaust and ventilation I I
Range hood/other kitchen
Address: Same as above equipment 10.00 I
City/State /ZIP: Tigard, Or 97223 Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms, i
Phone: (503)443 -2390 Fax: (- ) toilet compartments, utility rooms) 6.80 •
® APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00 . •
Other: 10.00
Business name: Plumbing & Mechanical Contractors Group Fuel i to
Pp g
Contact name: Kim Beyer $5.40 for first four; $1.00 for each additional
Address: 2000 SE Hanna Harvester Drive Furnace, etc.
Gas heat pump
City/ State/ZIP: Milwaukie, Or 97222 Wall/suspended/unit heater
' Phone: (503) 656 -7400 Fax: : (503) 656-6383 Water heater
Fireplace
E -mail: kimb ®pmc -g.com Range
CONTRACTOR Barbecue
Business name: Plumbing & Mechanical Contractors Clothes dryer (gas)
Other:
Address: 2000 SE Hanna Harvester Drive MECHANICAL PERMIT FEES*
City/State/ZIP: Milwaukie, Or 97222 Subtotal 254.70
Phone: (503) 656 -7400 Fax: (503) 656 -6383 Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lic.: 151807 State surcharge (12% of permit fee)
TOTAL PERMIT FEE 254.70
Authorized signature: '~ This permit application expires if a permit is not obtained within 180
Li_ mkt ; • - days after it has been accepted as complete.
Print name: Kim Beyer I Date: 01 - • Fee methodology set by Tri -County Building Industry Service Board
I :\Building\PermitsWEC- PermitApp.doc 01/19/07 4404617T(I1 /02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2009 00054
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/19/2009
Phone: (503) 639 -4171 gz.: 4, ;����
Inspection Requests (24 Hrs.): (503) 639 -4175 'All
�..
INSPECTION WORKSHEET FOR DATE: 2/2 - 009 TIME: 7:00AM PAGE: 24
SITE ADDRESS: 11945 SW PACIFIC HWY 208 CLASS OF WORK:
SUBDIVISION: TIGARD PLAZA LOT #: 002 TYPE OF USE:
PROJECT NAME: DOLLAR TREE
DESCRIPTION: Install (2) self contained walk-in coolers, (2) self contained refrigerated cases. $60,000
OWNER: TIGARD PROPERTIES INC, PHONE #:
CONTRACTOR: PORTLAND MECHANICAL CONTRACTOR PHONE #: 503 - 656-7400
Inspection Request Scheduled For: Date: 2/24 /2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 0130770 -01 503-969-8510 N
Corrections /Comments/ Instructions:
7 of i e,r=
o2e �a1 i OSI6k)1� o : (" 0MPLI )e,(/
4. a, L z C
,,I.4. i
__ II PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
IIII FAIL %/C ALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
i
Inspector: Z v Date: Phone #: (503) 718 - .51,4
I