Permit CITY OF TIGARD MECHANICAL PERMIT
11 . COMMUNITY DEVELOPMENT Permit #: MEC2009 -00145
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 04/13/2009
Parcel: 2S 115 BA02600
Jurisdiction: Tigard
Site address: 16230 SW PACIFIC HWY 100
Subdivision: Lot: 0
Project: Panda Express
Project Description: TI of tenant shell. Install (2) 5 ton RTUs and gas lines to both units.
Owner: FEES
SN PROPERTIES PARTNERSHIP Description Date Amount
1121 SW SALMON ST Permit Fee 04/13/2009 $243.65
PORTLAND, OR 97205 Plan Review 04/13/2009 $60.91
PHONE: 12% State Surcharge 04/13/2009 $29.24
Contractor:
WILLAMETTE HVAC
3075 SW 234TH AVE. #206
HILLSBORO, OR 97123
PHONE: 503 - 628 -6841
FAX: 503 - 848 -2597
Type of Use: COM
Class of Work: ALT Type of Const: VB
Occupancy Grp: R -2 Occupancy Load:
Stories: 1
Fuel Air Handlers
Fuel Types: Natural Gas Units < 10000 cfm:
Gas Pressue Units > 10000 cfm:
Furnaces Boilers & Compressors
Furnaces < 100K BTU: 0 -3 HP:
Furnaces >= 100K BTU: 3 -15 HP:
Floor Furnaces: 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 $333.80
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
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, • • ork is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utili otification C • er. The - rul are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
-sued By: Permittee Signature: (1A-ti2-2
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.
Mechanical Permit Application FOR OFFICE USE ONLY
M
City of Tigard RECEIVE v++ Da[eB / • Permit No.
y 4- .c l 0 � i 001 11., " 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ► -
APR — 2 2009 Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 Date/BY: ♦`����� i p4 , 0 e ' COCGS
TIGARD I ns p ection Line: 503.639.4175 Date Ready/By: H See Page 2 for
Internet: www.tigard- or.gov crr OF TIGARD Notified/Method: MI Supplemental Information
TYPE OF WO WILDING DIVISION COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
I=1 New construction ® Addition/alteration/replacement Mechanical permit fees" are based on the value of the work
performed. Indicate the value (rounded to the nearest doliae of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $ $10,858.00
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. Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 16230 SW Pacific HWY Air conditioning or heat pump
(requires site plan showing placement) 14.00
City/State /Z1P: Tigard OR 97224 Furnace 100,000 BTU (ducts/vents) 14.00
Suite/bldg. /apt. no.: 100 Project name: aas Q Furnace 100,000+ BTU (ducts/vents) 17.90
r f 5 5 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: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
Install two 5 ton RTU's and gas line to both units. Install two new gas lines to Flue vent for water heater or gas
future tenant spaces. fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
❑ PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 10.00
Other: 10.00
Name: 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: ( ) I Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT I _ ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name: Same
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City/State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
Business name: Willamette HVAC Clothes dryer (gas)
Other:
Address: 3075 SW 234 Ave Ste 206 MECHANICAL PERMIT FEES*
City/State /ZIP: Hillsboro OR 97123 Subtotal
Phone: (503) 628.6841 Fax: (503) 848.2597 Minimum permit fee ($72.50) _
Plan review (25% of permit fee)
CCB lie.: 56951 State surcharge (12% of permit fee)
rm TOTAL PERMIT FEE
Authorized signature: This p ermit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Michael Maistrom Date: 4/2/09 ' Fee methodology set by Tti - County Building Industry Service Board
1 \ Buildin germitstMEC- PermitApp.doc 01/19/07 4404617T (11 /02/COM/WEB)