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Permit CITY OF TIGARD MECHANICAL PERMIT IN m : COMMUNITY DEVELOPMENT Permit #: MEC2009 -00198 T f GA R O 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/28/2009 Parcel: 2S115BA02600 • Jurisdiction: Tigard Site address: 16230 SW PACIFIC HWY 160 Subdivision: Lot: 0 Project: BISCUITS CAFE Project Description: TI - 16' hood with pert. plenum, exhaust fan, supply air and duct. Owner: FEES SN PROPERTIES PARTNERSHIP Description Date Amount 1121 SW SALMON ST Permit Fee 05/28/2009 $375.95 PORTLAND, OR 97205 Plan Review 05/28/2009 $93.99 PHONE: 12% State Surcharge 05/28/2009 $45.11 Contractor: CUSTOM METAL FAB INC 50602 BIRCH AVE SCAPPOOSE, OR 97056 PHONE: 503 - 543 -3170 FAX: 503- 543 -3171 Type of Use: COM Class of Work: ALT Type of Const: VB Occupancy Grp: A -2 Occupancy Load: Stories: 1 Fuel Air Handlers Fuel Types: Units < 10000 cfm: Gas Pressue: Units > 10000 cfm: Furnaces Boilers & Compressors Furnaces < 100K BTU: 0 -3 HP: • Furnaces >= 100K BTU: 3-15 HP: Floor Fumaces: 15 -30 HP: Unit Heaters: 30 -50 HP: Vents w/o Appliances: 50 or Greater HP: Air Conditioning: Heat Pump: Appliances Vent Fans: Vent Systems: Total $515.05 Hoods: Comm Incinerators: Required Items and Reports (Conditions) Woodstoves: Gas Fireplaces: 1 Pln Gen COMPACT SPACES SHALL BE MARKED Clothes Dryers: Other Mech Units: 2 Pln Gen PLANNING FINAL INSPECTION Gas Outlets: Other Desc: Duct Work: Fire /Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules or direct • - ons o • • by -Ilin• 03.246.6699 or 1.800.332.2344. • Issued , / / / /, /. • Permittee Signature: Call 503.639.4175 by 7:00 a.m. for an inspection 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. f Mechanical Permit Application FOR OFFICE USE ONLY q p City Of Tigard - Received 5 f - Permit No.: O1 / q M� "(J0� L � Date/By: / al 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review I t�l © Q Other Permit: Phone: 503.639.4171 Fax: 503.598.1 ] 1 � , r /i ` ,,.,; 1 � , Date/By: 1 In spection Line: 503.639.4175 { aJ J, 0111 Date Rea y: J • • ® See Page 2 for Internet: www.ci.tigard.or.us l - - " Not' ed/Method: Ri �7 /, Supplemental Information , AAAY o 5 2nnq fir/^ t.._ !v TYP)i! WORK / CO I MERCIAL EE* SCHEDULE - USE CHECKLIST ❑ New construction El AddealQ Mechanical permit fees* are based on the value of the work ❑ Demolition ❑ ot�aJILDING DIV tl ant performed. Indicate the value (rounded to the nearest dollar) of all • I 10 mechanical materials, equipment, labor, overhead, and profit. _ Value: $ 2i) I (07 d CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ 1- and 2- family dwelling ® 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 / - p J , Air conditioning or heat pump Job site address: �W 2)30 S W 1 G cA'f l C. t W (requires site plan showing placement) 14.00 City/State/ZIP: T ( ' c 44 4 en_ 1 - 7 212,4 Furnace 100,000 BTU (ducts/vents) 14.00 . ► Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: '&0 l Project name: 6 I 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 Flue/vent for any of above 10.00 Subdivision: I Lot no.: • Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10.00 «o I I4,004 1 ,4 I�e..t f pletu n t ostk&i S� furl i c 1 / (24/1 fait / Flue vent for water heater or gas 10.00 1 l fireplace Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace/insert 10.00 — Chimney/liner /flue/vent 10.00 ❑ PROPERTY OWNER I _ TENANT Other: 10.00 Name: SC CR Environmental exhaust and ventilation Ile p � G 1 LW , r ti Range hood/other kitchen Address: 0 �W ' equipment 10.00 City/State/ZIP: Tl (J� al z Clothes dryer exhaust 10.00 / Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80 in Attic /crawlspace fans • 10.00 Other: APPLICANT ❑CONTACT PERSON 10.00 & r �'�'' 'ctiO ^ Business name: (,,,1r mad Fuel piping Contact name: MA i kt ` t U' $5.40 for first four; $1.00 for each additional Address: 606 OZ 5i r(/r1 ��-"- J Furnace, etc. Gas heat pump City/State/ZIP: Sate DO? I et. a 1l/J1% Wall/suspended/unit heater 64 � - 3 tR ) y 4 .3 Water heater Phone: ( Fax: : 603 3 1�) ��77 Fireplace E -mail: 11 Oct V CArYfStell U( S S• COYVN. Range CONTRACTOR Barbecue cS , V & V V Gtk. I a Clothes dryer (gas) Business name: Other: Address: t5 0 (002— 13 i sick k/e • MECHANICAL PERMIT FEES* • City/State/ZIP: 6 cif) (Oow gt atO5, _ Subtotal 6O' P � � 3 - � "7) Minimum permit fee ($72.50) Phone: 60'1i �Lt .3 - 3 Il () I Fax Plan review (25% of permit fee) CCB lie.: 004q 0 I I M e r ; ( l 4 ( °( State surcharge (S /o of permit fee) TOTAL PERMIT FEE c j /5 S This permit application expires if a permit is not obtained within 180 Authorized signature: % /% 0 / / , / . days after It has been accepted as complete. Print name: T y^ v` IF [ DV Weft Date: S ...(4 M, •^,T^` • Fee methodology set by Tri -County Building Industry Service Board 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. i:\ Building \Permits\MEC- PermitApp.doc 12/03 2 COMMERCIAL KITCHEN HOOD PERFORMANCE VERIFICATION City of Portland Office of Planning and Development Review 1900 S.W. 4 Ave Portland, Oregon 97201 Mechanical Permit Number: ti e c2.009-60 1 9 g Street Address: 1030 S 1A/ FGG; () C U1 ' 6 D )( Type I Hood Type II Hood Canopy Hood Non -Canopy Hood CFM of exhaust fan intake: M ) 1 S3 C- Dimension of duct opening into hood: 19y 1 d x L = Z , 6 3% L Velocity of exhaust in duct: 1 Horizontal surface area of hood: - 1 2 - Sq. Ft. N Printed name of person performing test Signature/Date 02. 088 -01 �c * ► 4 l'1�Q C.� on: Gal _ Sc7 2—C 4) Contracto ame CCB# This form satisfies the requirements of Oregon State Mechanical Specialty Code provision 507.17. All information given on this sheet shall be provided by the installing contractor or air balancing agency if applicable. Information given shall be obtained by field testing and site verification of installation information. This form shall be completed and submitted to the inspector prior to final Inspection approval C:\My Documents \COMMERCIAL KITCHEN HOOD.doe