Permit r
1,1 r' t.
CITY OF TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00151
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/24/2008
PARCEL: 2S 110AB -00200
SITE ADDRESS: 14411 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: CANTERBURY SQUARE LOT: 1 -3 JURISDICTION: TIG
PROJECT: RIALTO
Project Description: Install walk - in cooler. Project Value: $2,000
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: A3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: 1 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
OTH 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: 0
> 10000 cfm: GAS OUTLETS:
Owner: FEES
G C KOLVE Description Date Amount
14389 SW PACIFIC HWY
TIGARD, OR 97224 [MECH] Permit Fee 4/24/200E $72.50
[MECPLN] Plan Rev 4/24/200E $18.13
[TAX] 12% State Surch 4/24/200E $8.70
Phone: Total $99.33
Contractor:
CAMERON'S INSTALLATIONS, INC.
IN MARTINAZZI
97062 TUAL ATIN, OR 97062 REQUIRED ITEMS AND REPORTS
TUALATIN,
Contact #: PRI 503- 692 -3368
FAX 503 -691 -6880
Reg #: LIC 145983
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 'n the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain .opies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. /
Issue By: / L� _ LI! / Permittee Signature: LIR
Call 503.639.4175 by 7:00 a.m. for inspections.tha buss *s ay.
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.
R i'C-To R: l" I '' Rc -
Mechanical Permit Applica w o : .. FOR OFFICE USE ONLY
City of Tigard — \\I Received
. (p eg , I� Permit No.: •. / g ,A.0940 • r
� j5 /
13125 SW Hall Blvd., Tigar + -'','' '',2 /A
Phone: 503.639.4171 Fax: '4I .'• t Plan Review .1 -
� 1�:w � 1 ejl 1� r � a ti t ;� Other Permit:
Inspection Line: 503.639.417 .. G ZQ
Internet: www.ci.tigard.or.us B AR ► n�. ' DateBy:
. Date y: /c„ly 0 See Page 2 for
T ����@� Notified/Method: 1. thod: / V e ' / (f Supplemental Information
Ias : I �n"r• fli: d,`" y� 4�M .�.�4. f 4'`y F�' S• .. n}?^ '�-
%i; , ,.fir . . e `yee.
�c�:a .� � � . c .s.ui. , �..<S i�"l�"L -ti�r r� .`r^ r. ._�' es, . I'A I� ��„_ _{''•�L+Mi � D 1' �`.,,�,T�(3'IQ�I�?� " ��
El New construction i .•. . dition/alteration/replacement
Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment,
_,, � ls, eq ,labor, overhead a /�r
fit
". r' i- - v*o' Y O a \ 0 . ' 1 J , '` a�.•i•_ `. ; Value: $ e
1A. >i 4 . �1 ? •tom - K - • • s • vL1.J: -N?4: W'L 45. .--t .
❑ 1- and 2- family dwelling aCommercial/industnal ❑ Accessory building
El Multi 0 Master builder For special information use checklist.
❑ Other
Description I Qty. I Ea- I Total
4 1. =` r , -4 .!=- .: n � 4: .. � HeatinWcooling
Job site address: I LI Air conditioning or heat pump
( 5 c / 'C - (requires site plan showing placement) 14.00
City/ State/ZIP: ,- - 9 ®(L 9i 7 22 e J Furnace 100,000 BTU (ducts/ven 14.00
a
Suite/bldg./apt. no.: J Pro'ect % name: �t O i — e Furnace 100,0 BTU (ducts/vents) 17.90
J ( AI ) / 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
`-..r2.1.1- s' Y.i. ` _ CRIP Qom. :.- VO ms` s_` g .�t ih , t , Water heater 10.00 •
.,.� / �,� n g,� Gas fireplace 10.00
5r /�t (�- t��QX�}'�� � f / t ( pRIC Flue vent for water heater or gas
J� �eS AcL/� . / r /9O fireplace 10.00
y Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
{ :iii - .°. . . - yes p ' r.a7g " ;. 4 < r -- .v.;; - , Chimney/liner/flue/vent 10.00
e' - ..,-..v.,s. �..� .. .:_ r:." 24.
i' ": -- „z� _ : c+ , other: 10.00
Name: Environmental exhaust and ventilation
-
Address: Range hood/other kitchen
equipment I 10.00 I
City/State/ZIP:
C no+u's 2-t-LS t4i.1.A- 1- =0A-t5
Phone: ( ) j Fax: ( ) a,1 -V76 st,o IY,A}PLTyF( A-Z-T^c Ave.'
p . P "r'" .fi fi 4Wt s ff,: 4 It) '` 1 OdT_ Q'106 l
s , Y5 7 ' ,, � tK� - t." ,- (Sty's) - 3308 koa) if‘ 4 /-6°
Business name: C.cAS : 1 t{ S4$3
Contact name: ' �t D
�e- � PI C ref / 2—et d _ ..tv we tat at Lou.; ar.vv for eacn aamuonar
Address: Furnace, etc.
Gas heat pump
City/ State/ZIP: WalVsuspended/unit heater
Phone:- 9 f (-( — 6p L/yc I Fax: : ( ) Water heater
E -mail: J Fireplace
x _P,� "� :ate. .. _ Range
-, ,tv '' 3 'z, y ,wr' 1-, ......w. fr , . s 1.4 rS'' - r t ' `' ,,,, ' - 1 Barbecue
Business name: U (,�e i is ! Pe"- , dryer (gas)
_ .� /� other:
Address: c5' :21 p $jy#0 , _ :_ 1 '''' ra j ... v �- Kc.4OM <_ ry °:ar;:.C:, _ -
City/State/ZIP:� [ .. -4. - q 72-- /- Subtotal
X Phone: (Sep) 2...3'e '' . -- • 1" Fax: ( ,33,d° Minimum permit fee ($72.5)
CCB l ic.: / P l an review (25% of permit fee)
(e, ( State surcharge (8% of permit fee)
TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within ISO
Authorized signature: 97te ( . - days after It has been accepted as complete.
Print name: 7 C— / Co IS ccie ... Date: . ' • Fee methodology set by Tri_Couraty Building Industry Service Board .
' i:\ BuildinglPemits \ MEC- P "`
ermittApp.doc 12/03 440.4611T(II /02/COM/WEB)
1y .
CITY OF TIGARD FUZA0 6 5 00151
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 /4��.o i r�
Inspection Requests (24 Hrs.): (503) 639 -4175 F 'f �
INSPECTION WORKSHEET FOR DATE: chi0 TIME: PAGE:
SITE ADDRESS: 144 I I PIk& CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: c \- C1., 1 4.13
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Mute cheduled For: Date: Pour Time:
Code # NV nspectior Description Confirm # Contact # Message
isq 1 V1 e vii a.-1Aii. (.1J -it.11 (J2
Corrections /Com ents /Ins ctions:
P Lev 6--v■ , %- I •-t*—
-C z , — ad 1., •
aw
1
/CASs ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718 -
r
CITY OF TIGARD . ` `r
BUILDING DIVISION PERMIT #: MEC2008- 00151
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/24/2008
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ° ' I �..
INSPECTION WORKSHEET FOR DATE: 5/1/2008 TIME: 7:00AM PAGE: 18
SITE ADDRESS: 14411 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: CANTERBURY SQUARE LOT #: 1 -3 TYPE OF USE:
PROJECT NAME: RIALTO
DESCRIPTION: Install walk-in cooler. Project Value: $2.000
i
OWNER: KOLVE, G C PHONE #:
CONTRACTOR: CAMERON'S INSTALLATIONS, INC. PHONE #: 503.692 -3368
Inspection Request Scheduled For: Date: 5/1 /2008 01-• Pour Ti • -:
Code # Inspection Description Confirm # Contact #- Mes•.. ge
699 Mechanical final 069178 -01 503- 702 -8338 Y ei a
Corrections /Comments /Instructions:
k l 0 1 lij-Nr Ae.A_ t 2a-Zo/ 1 - :LA are-- i •L)C•._.k.g.- C- ,_...
C_0 a 12-,2. C Ll 00.4-- 4 S c. �? -�
G p_ �,,, k _ E C ;-re--civil •
X (,S.. Zo 03-- 6 61 L ic CGS ,Si w".
`s /A /6 g- )-- Ks u. L .
kJ 0 � 4 A k
6 K - 5 14_ .‘2_i a 6 ,,,,,_ \ k c__
— dek...,,
Z k
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
e [
Inspector: �� Date: ��` b r Phone #: 503 718- L �Z
P (503)
CITY OF TIGARD , r
BUILDING DIVISION PERMIT #: MEC2O1Ci ;■.00151
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4I74(2001';
Phone: (503) 639 -4171 AJ.MM�. � �t
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4t3Of7108 TIME: 7:O6AM PAGE: 11
SITE ADDRESS: 144111 :Al PI,CIFIC !TM CLASS OF WORK:
SUBDIVISION: CANTERBURY SQUARE LOT #: 1 - TYPE OF USE:
PROJECT NAME: RIALTO
DESCRIPTION: ltis ;+l! a1. It< -in cool r. 'rojeci Value $2,x'10
OWNER: KOI.VE, G C PHONE #:
CONTRACTOR: CAMEROI'I' . INSTA` ;.AEONS, INC. PHONE #: 503- 02- 3303
Inspection Request Scheduled For: Date: 41130t : ?i?i Pour Time:
Code # Inspection Description Confirm # Contact # Message
(9 Mecimticat find! O69091 - 50'inti3 :? N
Corrections/Comments/Instructions:
e)17, 04 0 x-1 r'.c -�'I;1 . c: j --(.
o.avi C c r - l` I'Z I A( A--A/ L / y &(: i
(40%4 . " - S ,c
❑ PASS IN PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
` ik AIL' i% CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 1 / 0 ag Phone #: (503) 718 - /7
I