Permit C ITY OF TIGARD MECHANICAL PERMIT
.i DEVELOPMENT SERVICES PERMIT #: MEC2006 -00449
I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/20/2006
PARCEL: 1 S134BC -00200
SITE ADDRESS: 12162 SW SCHOLLS FERRY RD ZONING: C -G
SUBDIVISION: GREENWAY TOWN CENTER LOT: JURISDICTION: TIG
Project Description: TI Project Value: $3,800
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
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: 1
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
SAUNDERS, WILLIAM W TRUSTEE Description Date Amount
2155 KALAKAUA AVE STE 500
HONOLULU, HI 96815 [MECH] Permit Fee 9/20/200E $113.90
[TAX] 8% State Surcha 9/20/200E $9.11
Total $123.01
Phone: •
Contractor:
AREA HEATING & COOLING INC
2721 NE 65TH AVE
VANCOUVER, WA 98661 REQUIRED ITEMS AND REPORTS
Contact #: PRI 360- 737 -0811
Reg #: LIC 64801
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.
Issue By: La C12 Permittee Signature: V ,l ,4 y U�
Call 503 - 639 -4175 by 7:00 a.m. for inspections that siness 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.
Mechantat iermit Application ., FOR OFFICE liSE ONLY ,
4-
City of Tigard Received
BBy / p alk, Permit No.: IJt 4 6 _� !, r
1111111 q 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review I
Phone: 503.639.4171 Fax: 503.598.1960 Date/By. Other Permit:
T I G � It D Inspection Line: 503.639 Date Ready/By. El See Page 2 for
Internet: www.tigard or.gov Notified/Method ffl, I Supplemental Information
r TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
11 New construction ti 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, overhead, and profit Y
CATEGORY OF CONSTRUCTION Value: $ 3 . I 7 /
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1 and 2 family dwelling 121' ommercial/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/eooling
Air conditioning or heat pump
Job site address:
2.I (0 2 S W .S c h. o l 1.S Fe. r rti 1 (requires site plan showing placement) 14.00
City /State/ZIP: l3 0 I g 7 2z3 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (duets/vent;) 17.90
Suite/bldg. /apt. no.: Project name:
Tk I3 o_r b c-r s Gas heat pump 14.00
Cross street/directions to job site: a (e_ e-n t„J &Al Ctn. 4.(.f Duct work I 14.00
1 1 Hydronic hot water system 14.00
l a Z I S ' t S r,k o i I s Furry '._/ (LA Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: Lot no.: Flue/vent for any of above 10.00 ,
Other: _ 10.00
Tax map /el no.: I s j. 3 g C. - O Q Z 6 6 Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
CO nv rr e.te C-1 a.1 - T = • Flue vent for water heater or gas
1 fireplace 10.00
F.e .plat'.e. U.)) r A; tt Sp∎ t&,t 4uc 4 Log lighter (gas) 10.00
♦ (P,1'\, 4 (1 l c1 r L/ e ( Wood/pellet stove 10.00
Wood fireplace/insert 10.00
❑ PROPERTY OWNER I fie TENANT Chimney/liner /Aue/vent 10.00
Other: 10.00
Name: 1 KE - Sur b e.rs Environmental exhaust and ventilation
Address: 1 2_110 7 5? S C*B 1 1 s rein( 1Z-8 Range hood/other kitchen
equipment 10.00
A dryer exhaust 10.00
city /State/ZIP: ( 1 J� � � Q c1 7 ` 3 Clothes �'
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
APPLICANT 0 CONTACT PERSON Attic/crawlspace fans 10.00
Other: 10.00
Business name: S i tip (Gtr
ill- ).._LC. t tLb & T Rai- bLYS Fuel piping
Contact name: 1/ i ti1'1 ,( 1 ( ate 1 b e rC $5.40 for first four; $1.00 for each additional
Address: . (0 �)n I �u L J -.7 + �J Furnace, etc.
Gas heat pump
City /State/Z1P: v /� .n (;c ) V vex r W V} P 8 Wall/suspended/unit heater
Phone: ( i 77 Z I I l s I Fax:: (93) (,t . 9 t t i Water heater
Fireplace
E-mail: 5p j e c6 S b Gt..lz b C rS a.C) l- CG rv) Range
CONTRACTOR Barbecue
Clothes dryer (pas)
Business name: Area. M e .k ncc et- Coo l 1 rx.- � aYic . Other: -
Address: 2.7 - I /V P (0 S /- f MECHANICAL PERMIT FEES*
City /State/ZIP: V am c ,n i ): / eA boil- qR l0 (0 1 Subtotal
Phone: (? (�) 7 3 7 , 0 (I I Fax: (3 (9O) - 3 1 (o ' y
Minimum (25% fee permit fee /- . -
!O Plan review (25% of permit fee) -�-
CCB lic.: I State surcharge (8% of permit fee) /1
O O o �I �� TOTAL PERMIT FEE / J3 . o/
l / � � This permit application expires if a permit is not obtained within 180
Authorized signature: days after it has been accepted as complete.
Print name: M ^ ( �P ( I Date: 1 + G J o ' Fee methodology set by TO -County Building Industry Service Board
I:\ Building \PermitsMeC - PennitApp.doc 04/06/06 440-4617T / (II /02/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 $10,000.00 $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
n
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.
•
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006.00449
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 9/20/2006
Phone: (503) 639 -4171 er.eq�, I
Inspection Requests (24 Hrs.): (503) 639 -4175 `'I ..
INSPECTION WORKSHEET FOR DATE: 10/12/2006 TIME: 7:01AM PAGE: 50
SITE ADDRESS: 12162 SW SCHOLLS FERRY RD CLASS OF WORK:
SUBDIVISION: GREENWAY TOWN CENTER LOT #: TYPE OF USE:
PROJECT NAME: 111E BARBERS
DESCRIPTION: T1 Project Value: $3,600
OWNER: SAUNDERS, WILLIAM WTRUSTEE, PHONE #:
CONTRACTOR: AREA HEATING & COOLING INC PHONE #: 360 - 737 - 0811
Inspection Request Scheduled For: Date: 10/12/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 036078 -01 360- 772 -1165 N
I
Corrections /Comments/ Instructions:
1, A 1
I v iWv ( ' - :malt:! •
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • CALL FOR INSPECTION ❑ ADDITI NAL EES ASSESSED
,11 / I j� /' � - Z
Inspector: Date: 1 ` 6 Phone #: (503) 718 _2