Permit C ITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00609
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/17/2008
PARCEL: 2S102BD -03200
SITE ADDRESS: 13075 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: NORTH TIGARDVILLE ADDITION LOT: 035 JURISDICTION: TIG
PROJECT: SALON
Project Description: New furnace and A/C. $5,900
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS: 2
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: 1 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 0 AIR HANDLING UNITS
OTHER UNITS:
FURN > =100K BTU: 1 <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
LUPE SANCHEZ Description Date Amount
13075 SW PACIFIC HWY
TIGARD, OR 97223 [MECH] Permit Fee 12/17/20C $157.70
[MECPLN] Plan Rev 12/17/20C $39.43
[TAX] 12% State Surch 12/17/20C $18.92
Phone: 503 710 - 6115 Total $216.05
Contractor:
RONS HEATING & COOLING INC
13315 SW BARLOW RD
BEAVERTON, OR 97008 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 336 -4783
Reg #: LIC 183984
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 411011/11 1 Pd Permittee Signature: e Ga/ 4e,
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.
' eC11a P A�h�
FOR OFFICE USE ONLY
City of Tigard O D ��
Received ; , ili ,
Date/By: • , . .. - Permit No.: aeL F
° 13125 SW Hall Blvd., Tigard, OR 97223 LL 40. fit'
C Phone: 503.639.4171 Fax: 503.598.1960 DEC 66 ?a Plan Revte $ DateBy: ,��p< a y�, Other Permit: ` . I - t
T I G A R D Inspection Line: 503.639 Date Ready : y: , See Page for
Internet: www.tigard or.gov CITY OF TIGARD Notified/Method: 0 f 6 di 67 IVE Supplemental Information
■ __I . \ U 1 I \ 0_ . _ /?frMAI
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction 0 Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overheadd profit.
CATEGORY OF CONSTRUCTION Value: $ c d
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ I- and 2- family dwelling tig Commercial/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
307 Sr(�/ Air conditioning or heat pump
Job site address:
P4 ^'�,r C (requires site plan showing placement) / 14.00
City /State /ZIP: - 1 - 7 4 D 1e- q70-23 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: Saknn 61/450 0A1LS 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: I Lot no.: Flue /vent for any of above 6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
/(JS L AX-t- r(,'Av,it .E e' hilt-1 Flue vent for water heater or gas
/� fireplace 10.00
C �KT� N`t/ Log lighter (gas) 10.00
E L-oL� � 6 pt1 (r.i (Z So93 t (_ _l� Wood stove 10.00
AO ft7 (/ PROPERT OWNER I El TENANT � � �ts Wood fireplace /insert 10.00
pv Chimney/liner /flue /vent 10.00
Other: 10.00
Name: �(f K 4/1,14/0.1.C4 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: (99) - 7.D - 4(t 3 Fax: ( ) toilet compartments, utility rooms) 6.80
APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
,- / /� Other: 10.00
Business name: fo Ai. i7' �t, ``"� (. ! I r (I -f C ' Fuel piping
Contact name:
$5.40 for first four; $1.00 for each additional
A/4A't.-P 6 • LJ( -1-1- e2
Address: (f3 f(a.5" .S t• / -•�{ La t ' 41 Furnace, etc.
t' Gas heat pump
City/State /ZIP: V« ` -440. 6g_ q'710 7 , Wall /suspended/unit heater
(03) 76 8 _6 2 s-'( I Water heater
Phone: Fax: ( )
Fireplace
E -mail: Range
CONTRACTOR Barbecue
mess name: SQ_n/(� Clothes dryer (gas)
// �1 Other:
Address: MECHANICAL PERMIT FEES*
City/State /ZIP: Subtotal
Phone: ( ) I Fax: ( ) Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lic.: ) O 7/ FL.t State surcharge (12% of permit fee)
( a ` TOTAL PERMIT FEE
/ / This permit application expires if a permit is not obtained within 180
Authorized signature: Lr� days after it has been accepted as complete.
Print name: / a v i d " - 4 0 C . 1 , , A 1 - - . - i - z z I Date: Ik jr 2 • Fee methodology set by Tri -County Building Industry Service Board
1:\ Building \Permits\MEC- PermitApp.doc 01/19/07 4404617T(I(02/COMIWEB)
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 01/19/07 2
III CITY OF TIGARD 12/16/2008
Fees Associated With 10:45:08AM
13125 SW Hall Blvd.
TIGARD Tigard, OR 97223 503.639.4171 Case #: MEC2008 -00609
Fee Start End Revenue Created
Type Date Date Dept Description Account Number By Date Amount Due
PRMT 1/1/1990 12/31/2020 [MECH] Permit Fee 245- 0000 - 431010 DAN 12/16/2008 157.70 157.70
PLCK 1/1/1990 12/31/2020 [MECPLN] Plan Rev 245- 0000 - 433050 DAN 12/16/2008 39.43 39.43
SUR1 12/31/2007 12/31/2020 [TAX] 12% State Surcharge 100- 0000 - 207020 DAN 12/16/2008 18 8.92
otal Due: $216.05
Page 1 of 1 CaseFees..rpt
CITY OF TIGARD 12/17/2008
13125 SW hall 1ihd. 9:57:49AM
• 'hoard. OR 97223 5113.639.4171
TIGARD
Receipt #: 27200800000000004103
Date: 12/17/2008
Line Items:
Case No Trait Code Description Revenue Account No Amount Paid
Ni EC2008 -00609 [M ECM I Permit lee 245 -0000 - 431010 157.70
iMEC200$ -00609 [MECPLNJ Plan Rev 245-0000-433050 39.43
MEC20(»- 00609 [TAX] 1 State Surcharge 100- 0000 - 207020 18.92
• Line Item Total: $216.05
Payments:
Method Paler User II) Acct./Check No. Approval No. Iio►►•Received Amount Paid
CreditCard RONALD E \VI-IITAKER I -IVAC kjp 013607 In Person 216.05
Payment Total: $216.05
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CITY OF TIGARD 0
BUILDING DIVISION PERMIT #: MEC2006 -00609
13125 SW Hall Blvd., Tigard, OR 97223 to DATE ISSUED: 12/17/2003
Phone: (503) 639 -4171
JligiNii�i '
Inspection Requests (24 Hrs.): (503) 639 -4175 ZS
INSPECTION WORKSHEET FOR DATE: 215 /2O0g TIME: 7 :00AM PAGE: 3
SITE ADDRESS: 13075 SW PACIFIC H1NY CLASS OF WORK:
SUBDIVISION: NORTH TIGARDVILLE ADDITION LOT #: 035 TYPE OF USE:
PROJECT NAME: SALON
DESCRIPTION: New furnace and NC. $5,900
OWNER: SANCHEZ, LUPE . PHONE #: 503 - 710.6115
CONTRACTOR: RONS HEATING & COOLING INC PHONE #: 503 336 - 47133
Inspection Request Scheduled For: Date: 2/512009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
609 Mechanical final 080335 -01 503- 708 -6251 N
Corrections/Comments/Instructions:
•
4
❑ PASS ❑ PARTIAL APPROVAL t CANCEL ❑ NO ACCESS
El FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: t14 Date: VO Phone #: (503) 718 - `
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006-0CS09
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/17/2008
Phone: (503) 639 -4171 it , /B
I l
Inspection Requests (24 Hrs.): (503) 639 -4175 -' "
INSPECTION WORKSHEET FOR DATE: 2/612000 TIME: 7:00AM PAGE: 4
SITE ADDRESS: 13075 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: NORTH TIGARDVILLE ADDITION LOT #: 035 TYPE OF USE:
PROJECT NAME: SALON
DESCRIPTION: New furnace and NC. $5,900
OWNER: SANCHEZ, LUPE PHONE #: 503- 710 -6115
CONTRACTOR: RONS HEATING & COOLING INC PHONE #: 503 - 336 -4703
Inspection Request Scheduled For: Date: 2/6/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 080384 -01 503 708 -6251 N
Corrections/Comments/Instructions:
2 C27 14-677 1v
•
1�!��.�: S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ! %4 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
7
Inspector:
AO' 6 U e
Phon#: (503) 718- .-6#
CITY OF TIGARD .
BUILDING DIVISION _ PERMIT #: MEC2008 -00809
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12J17/2000
Phone: (503) 639 -4171 4� ieil
Inspection Requests (24 Hrs.): (503) 639 -4175 .t'--i
INSPECTION WORKSHEET FOR DATE: 12119/2000 TIME: 7 :00AM PAGE: 5
SITE ADDRESS: 13075 SW PACIFIC HVW CLASS OF WORK:
SUBDIVISION: NORTH TIGARDVILLE ADDITION LOT #: 035 TYPE OF USE:
PROJECT NAME: SALON
DESCRIPTION: New furnace and NC. $6,900
OWNER: SANCHEZ, LUPE PHONE #: 503. 710 -6115
CONTRACTOR: RRON,S HEATING & COOLING INC PHONE #: 503-336-4783
Inspection Request Scheduled For: Date: 12/19/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 079162 -01 503-700-6251 OP 4(1."
G ` LD
Corrections/Comments/Instructions:
L, -' 07 1/6/ - 0l , - f ' L J ()-M a *
/1
rq PAS; ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
A
k �
Inspector: Date: i - I i7
,-!< Phone #: (503) azi 718-
_ ..
CITY OF TIGARD
BUILDING DIVISION _ PERMIT #: MEC200R-00609
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/17/2008 Phone: (503) 639 -4171 ,1 :11 1 1
Inspection Requests (24 Hrs.): (503) 639 -4175 .�. -_. IL
INSPECTION WORKSHEET FOR DATE: 12/22/2008 TIME: 7 :00AM PAGE: 9
SITE ADDRESS: 1307 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: NORTH TIGARDVILLE ADDITION LOT #: Q35 TYPE OF USE:
PROJECT NAME: SALON
DESCRIPTION: New furnace and A/C. $5,900
OWNER: SANCHEZ, LUPE PHONE #: 603 - 710 -6115
CONTRACTOR: PONS HEATING & COOLING INC PHONE #: 503. 336 -4783
Ins ection Re uest Scheduled For: Date: Pour Time:
P q 12/2.x/200$
Code # Inspection Description Confirm # Contact # Me. - °.ag
C10 Gas line 079169 -01 503 -708-6251 Y
Corrections /Comments /Instructions:
VO �( ?,� /s — hi
I)Q790
ifthiAss ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 'A ().-- C/ Dat / d 0 Phone #: (503) 718- 4 - y
p / � ) /