Permit *" • tj
uN
CITY TIGARD MECHANICAL PERMIT
� * DEVELOPMENT SERVICES PERMIT #: MEC2005 -00077
��I �! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/25/2005
PARCEL: 2S 102AC -01704
SITE ADDRESS: 12720 SW PACIFIC HWY
SUBDIVISION: ZONING: CBD
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: OTR 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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: 1 <= 10000 cfm:
> 10000 cfm: GAS OUTLETS:
Remarks: Replaced roof top heat pump.
Owner: FEES
SPRINGER, JERRY C Description Date Amount
7400 SW FAIRWAY DR [MECH] Permit Fee 2/25/200: $72.50
WILSONVILLE, OR 97070 [TAX] 8% State Surchar€ 2/25/200: $5.80
Phone: Total $78.30
Contractor:
ACE RESTURANT EQUIPMENT
9955 SW BEAVERTON - HILLSDALE HY REQUIRED ITEMS AND REPORTS
BEAVERTON, OR 97005
Phone: 503- 644 -1806
Reg #:
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 •- )246 -6699.
•
Issued By: cfm Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next 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.
xechanical e>rmit f4 r R OFFICE USE ONLY f
D Received 1 - QS � PermitNo.: E - too . !
'its of i�ara 11,,,,,ria y :
,125 SW Hall Blvd -, Tigard, OR 97 22 3 Rev Other Pewit:
tone: 503.639.4171 Fox: _03.598.1960 2 r. 20 05 :ti t,. I
spection Le: 503.639.4175 (r ,� =k 1 Dcte Ready
turfs: El See Pu Z for
tercet: wlvw.ci.tigal•3 - ot.us CITY OF TIG 1 NottseL'IMethod r 1 is ` Supplemental Information
uoa
: , w !y; "" r _ a - ' ^ } • � F. . ' '' ,L S i E'?i?. 13 'S, L • - , 4,1 . fuoi c 11'iss - c ∎1AIE'•I3 -0, `.WpA' .. rpm
.j _ by A 'i I y i1 y.y
l '� i ' i � „�Y'S ' jr C� , Vi a, e. ..�; 'F' , T t I� : � Fn,� , { , d
:„
� rit es a ii, fps .. fee; , .
Mechanical p fees" are . based on the value of the work
—
3 New construction Addition /altetationireplacement performed. Indicate the value (rounded to the neerest dollar) of all
] Demolition Other: mechanical materials, etiuipmcnt, labor, overhead, anti profit.
_ value: $
' ..., .. f,'i:4 •'� „n�'t � a�: -''•' iL =V 7, 4 7 ''. i'?- ,11, '-...1:'-i;'. 7 tl ' L � � 4 -= • ... a ' t� it y � ' ';rs .rpr _ .r. ,r-.�..,...,
'_: ?'s. 'r(:: '7t' kli 11 i Vic, "'4`4t y'- : '� . •,, - ,.'' . : s. tL't ,_ n�p1�j�'�Fr'p ,�� /0W3**! •~ �.r
] 1- and 2- family dwelling Commercial /indusliisi ❑ Accessory building For special infomration use checklist.
Multi- family ❑ Master builder ❑ Other: Description I Qty. ( Ea.. A_ Tonal
'. -1 T s t ,�;'. E : o ' �u ` + a ',:, , J . i, ijr :13 :r. I Renting/cooling.
en�il ,,9f r:)�' "re 'i.4'�!=1t1 fi +)�:.- � zx il�?= : L.. - ._c. ':,..,�.•'�l •t., . .�6n.h.S
p �/ ?Jr conditioning or heat pump
ob site address: 1 Z 4 O 4�S Pelt(' Jf j u W J ..... (.,,ii., site plait showing pLtcetrtn) L___ 14.00
/State/Zip: I Furnace 1130,000 BTUjducts/verts) 14.00
;i ' 13 1 ? ' ?' 3 — Furnace 100,000+ BTU (ducts/vents) 17.90 •
• iuitelbldg. /apt no.: ) Project name :'3 \ i " ..4;1\t, Gas heat pump 14.00
roes street/directions to job site: i.n i7G4i,UP OYI rn ai n s� Duct work 14.00
H dronic hot water system 14.00
m oss Orr, n_t— LijeCree M o ijo. i 9 • Residential boiler (radiator or .
hvdronic 14.00
• Unit heaters (fuel -type, not electric), IIIII
in -wall, in -duct. su • nded, etc. 10.0 -
- • Flue/vent for any of above 10.00
Subdivision; Lot no.: • Other 10.00
Tax map/parcel no. Other fuel appliances
,�;1� y s. ^ „- • , -P i 10
..t5 " •� ", ?let, rn 1 w�C Y n C r ya 1 I 1 • l !0S: yl. Water heater
l
i ' I I�':�;.:21 -`:.�' 44.,,:- .1 : i e 1EF S ri , a ... ?i � ,}id p.i,-,; � ., .;c_: c t_ i � , ,.., d .
Gas •lace 10.00
P a d AL'ND- 0n PQog Flue vent for water heater or gas j }
fire. lace f I 10.00
Lo • li:htet( 10.00 � �
Wood!, Ilet stove — , — I 10.00
Wood fireplace/insert_ 10.00
n 7 .r ..�fiar.°, fir;• "ti.i I':U ''t5l S!^'. LF'` - -� , i''v' `���'''11 Chime )liner /fluelvent 10.00
, FG_,�•:, .:�. 11,f':. `:1- ?"a �? a ,7 1 :�T:�l',_r.jA., ,i �' (,,, 7 7!?. ' ..qr.i a 1 -1 i s ' «i
!,-nf k _�,le- -, -,-4 ,1 r..rt - k4fi�1s � t]s'i .k':1,. G%::44 —,1. , .i_^a '"�I' .�,i.'l Other: 10.00
Name: ta e wrnk Ik i Environmental exhaust and ventilation
Address: N� Tt � Nd C
Range hood/other kitchen
c ui meet 10.00
City /State /ZIP: ) OE Q7� g Clothes dryer exhaust 10.00
iP 1 Single-duct exhaust (bathrooms,
Phone: (03) 31 qq4 i5 I Fax: ( ) toilet compartmetns, utiiiy room& _ 6.80
Y ^>•-�.•- ur .' : 2:17 -i ^il t ., � , '..v. 'h^ gi , T4 °. - `�I I Artietcta\11space fans 10.00
- -- -- '" i `Z ,'•5..( ' u
, ,^ .... ,_t!x� � -.4,p4. , N U�� � . . ` r
- :Y v , r ti .1 1 _ , � i'7iM: i , ,�.n, �� ,4�i -. i;e.: �.ti��u
ness note: .�-^ Other: _ 10.00
Business
P- YG rJrYA fit_, Fuel piping r••
Contact name: - , • - $5.40 for first four: 51 -00 for each additional
?�ddrt59: IA Furnace, etc.
( MK $W UeY n �iitSr�a�P i - Gas hest pump I *
City /State/ZIP: VeQU e j --J- O K (� 0 g Waii/susyended/unit heater i
Phone:
(43) bu -' (V o 6 Fax: : ( ) Water beater
Fireplace
E - "r.. - - � — ' :1 ,c'♦: ay, °:t _ ,,1 1 _ _ _ -�- =-^ - ^ter- 7„^�.;, iC � l T:T. nmr. • :t • Range
pl y {+i crc t y �' �r r ; "�c:) p ,, r t?`_Y� .e ` 95 > l ti; I - . '�' rt. ice• Barbecue
.' � ��►i rS',L�; P •i �iy. : , '��y� 1 ,�.•••�.;aK�.�:.,y�, �.7'� ` 4 f :� ( t, a , .�. ! . • �' 7'�.1t� b
,::kit' L>s�_= .
Business name At Rp. uro4 - u p p o ,I. -
clothe.,. dryer (tics) —
Address: / , 4 O thirr: ti G w r , iss,,. L as ? ... ' ry�..i,pn. ?:�,,,;.,
6b) i ..._l. -- S1G e. _ ? ':,`fin e: •
city /state f 2ir: aQ�(�� Subtotal
/ V! 1VIinimum permit fee (572.50) L�
Phone: ( ) �! � -1 -4.... Fax: ( ) ~— Plan review (25°/% of permit fee)
CCB lie.; Z: S A -- e.su
Statrcharge (8% of permit fee)
- _ ..
- TOTAL PER1vIIT FEE 7
Authorized si ature - This pmt applkatiaa expires if a permit is not obtained within 160
(� / — / days after It has been aecepted as complete.
Print name: ! / Date: ..2 • Fee rrethodclogy set by Tri.County Building Industry Servicellosrd
i:1Balding\Frr,ri's1l G°eroitApp.6ce 12/03 440- 1617t('- !/O2ICOM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEG200500077
13125 SW Hall Blvd., Tigard, OR 97223 . DATE ISSUED: 2/25/2005
Phone: (503) 639 -4171 i ti.
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 3/29/2005 TIME: 7:11AM PAGE: 91
SITE ADDRESS: 12720 SW PACIFIC HWY CLASS OF: WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: PUBLIC SERVICE LABRATORY
DESCRIPTION: Replaced roof top heat pump.
OWNER: SPRINGER, JERRY C. PHONE #:
CONTRACTOR: ACE RESTURANT EQUIPMENT PHONE #: 503 - 644 - 1806
Inspection Request Scheduled For: Date: 3/29/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 003053-01 503 -644 -1805 N
Corrections /Comments/ Instructions:
. te,70
I
4r0IlP""
t
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITI NAL FEES AS SSED
Inspector: ill
/ '
� i Date: Phone #: (503) 718 -