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Permit CITY OF TIGARD MECHANICAL PERMIT ' s COMMUNITY DEVELOPMENT Permit #: MEC2009 -00364 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 (. Date Issued: 08/03/2009 Parcel: 2S115BA02600 Jurisdiction: Tigard Site address: 16230 SW PACIFIC HWY 120 Subdivision: Lot: 0 Project: Little Caesars Pizza Project Description: (2) rooftop units, (2) fans, (1) MVA duct, gas piping & hood. Owner: FEES SN PROPERTIES PARTNERSHIP Description Date Amount 1121 SW SALMON ST PORTLAND, OR 97205 Permit Fee 08/03/2009 $420.50 Plan Review 08/03/2009 $105.13 PHONE: 12% State Surcharge - Mechanical 08/03/2009 $50.46 Contractor: OHAC INC PO BOX 241 DUNDEE, OR 97115 PHONE: 503 - 538 -2953 FAX: 503- 691 -8556 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: Natural Gas Units < 10000 cfm: Gas Pressue: Units > 10000 cfm: Furnaces Boilers 8. 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 $576.09 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: 2 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 N. • • enter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy the les or .'•-ct questions to s N calling 503.246.6699 or 1.800.332.2344. sued By: , _ d/ , 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. .. Mechanical Permit Application FOR OFFICE USE ONLY • 1E9 City of Tigard RECEIVED Received a 0 9 13 P No. Q F . 9 13125 SW Hall Blvd., Tigard, OR 97223 Plan Date/By: R w `l Phone: 503.639.4171 Fax: 503.598.1960 Plan Review f .:l Date/By: _IL A/ l Other Permit: Inspection Line: 503.639.4175 JUL 21 7 Date Ready/By:• lads' la See Page 2 for Internet: www.tigard - or.gov I Notified/Method:�..a of v ii Supplemental Information R� OF �—?� 0 ;;it/•t- TYPE OF WOIHYINV DI VISION COMMERCIAL FEE* SCHEDULE – USE CHECKLIST ❑ New construction Addition/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, labor�ove�he a profit CAT G RY OF CONSTRUCTION Value: $ Zi47 RESIDENTIAL EQUIPMENT / SYS FEES* ❑ 1- and 2- family dwelling Commercial/industrial ❑ Accessory building For special information use checklist. M ulti -famil ❑ Multi-family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND L ATION Heating/cooling Job site address: `/ � �� v' j / '1 � � Air conditioning or heat pump / 1? ! (requires site plan showing placement) 14.00 City /State /ZIP: f > � Furnace 100,000 BTU (ducts/vents) 14.00 Furnace 100,000+ BTU 17.90 Suite/bldg. /apt. no.: /AO Project name: / / / /e 61.0,/' Gas heat pump 14.00 Cross street/directions to job site: ` Duct work 10.00 v f/j_ lA �� 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 Flue /vent for any of above 6.80 Subdivision: I Lot no.: Other: 10.00 _ Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 /1/ Gas fireplace 10.00 2 11 ��v Flue vent for water heater or gas I rfrti5 , (4/ /14114 fireplace 10.00 Log lighter (gas) 10.00 V IA C 1. ge3 A j ,/ Wood/pellet stove 10.00 • Wood fireplace /insert 10.00 ❑ PROPERTY OWNER I ❑ 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: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80 A ri APPLICANT , CONTACT PERSON Attic/crawlspace fans 10.00 • Business name: 6:4446 10.00 4 Fuel piping Contact name: C i i,t4 Le / ` 1v2 $5.40 for first four; $1.00 for each additional Address: / v e0 �/ Furnace, etc. Gas heat pump City/State /ZIP: L1J2/e9jej.. of Wall /suspended/unit heater Phone: , (3) ( pig — 0j/12� I Fax: : ( ) Water heater /'/ / w • �� Fireplace E -mail: ! fze• f ? 0, ? b ),19... Range CONTRACT Barbecue Business name: (*Ay Clothes dryer (gas) � Other: Address: MECHANICAL PERMIT FEES* City/State/ZIP: Subtotal Minimum permit fee ($72.50) Phone: 5 Fax: ( ) Plan review (25% of permit fee) : O b ` CCB lic.: / 7 2 _/ State surcharge (12 %ofpermit fee) / TOTAL PERMIT FEE `- 7 ( CAI Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: C./(... n L/ I Date: fjJ d, • Fee methodology set by Tri -County Building Industry Service Board I:\BuildingTermitsV�C- PermitApp.doc 01/19/07 44 17T(( /07/COM/WEB) 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 $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. • 1:1Building\Permits\MEC- PermitApp.doc 01/19/07 2 • This form is recognized by most Building Departments in the Tri- County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. • I II V BUILDING DIVISION e T I G A R D TRANSMITTAL LETTER a TO: Z a ill DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED JUL 2 3 ?ooq FROM: CITY OFTIGARD COMPANY: BUILDING DIVISION PHONE: By: _ RE: 0 • A• ' 1 C. \ \,' -- 120 1 w - 2_00q - 0© ite • I I ress (Permit/Case umber) (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: I Copies: Description: . Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations.. Engineer's calculations. t Other (explain): OG O•e,� r g the b_l 1 t P 1, (1/1. REMARKS: FOR OF�ICF USE ONLY . Routed to Permit Technician: Date: `7 (23([ j Initials Fees Due: Di Yes o Fee Description: Amount ue: $ $ $ $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes El No ❑ Done Applicant Notified: Date: Initials: 1:\ Building\ Forms \TransmittalLetter- Revisions.doc 4/4/07