Permit CITY TIGARD MECHANICAL PERMIT
i�� DEVELOPMENT SERVICES PERMIT #: MEC2005 -00121
re 1 � 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 3/25/2005
PARCEL: 1 S134BC -00300
SITE ADDRESS: 12272 SW SCHOLLS FERRY RD ZONING: C -G
SUBDIVISION: GREENWAY TOWN CENTER LOT: JURISDICTION: TIG
Project Description: Mechanical TI. Project Value: $44,000
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: A2 VENTS W/O APPL: VENT SYSTEMS:
STORIES: 1 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
GAS 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:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
BPP RETAIL LLC Description Date Amount
BY BURNHAM PACIFIC PROPERTIES [MECH] Permit Fee 3/25/200f. $690.50
ATTN: JOHN WATERS [MECPLN] Plan Rev 3/25/200f. $172.63
SAN DIEGO, CA 92101 [TAX] 8% State Surchar€ 3/25/200f. $55.24
Phone: Total $918.37
Contractor:
HVAC INC
5188 SE INTERNATIONAL WAY REQUIRED ITEMS AND REPORTS
MILWAUKIE, OR 97222
Phone: 503 462 - 4822
Reg #: LIC 50897
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 -33 - .
Issue. By: I iw .,� Permittee Signature: )(.,t GL i; to t_.v.J 6"N--
Call 503 - 639 -4175 by 7:00 a.m. for inspections 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.
IMchataical Permit Application l OI( 01. . 1.: I'SI: ONLY
City of Tigard n eY `g `
Permit No.: ' gL�� ,5-f lv
13125 SW Hall Blvd., D
, Tigard, OR 97223 �
Phone: 503.639.4171 Fax: 503.598.1960 c. : Date/By. Review f Other Permit:
Inspection Line: 503.639.4175 1 1 � I Date Re 1ui El See Page 2 for
Internet: www.ci.tigard.or.us - ��� / �
Notified/Meth �s0 / I Supplemental Information
CITY OF TIGARD 7 1 ,r: -
... 1 , :,. — - r COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ New construction 15"Additt rtc al ratio placement 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
CATEGORY-OF-CONSTRUCTION Value: $ . 00
RESIDENTIAL EQUIPMENT ! SYSTEMS FEES*
❑ 1 and 2 family dwelling onunercialjidustrial ❑ Accessory building
For special information use checklist.
❑ Multi - family Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION j � Q Heating/cooling
Job site address: 1 1.17 a � S 1k 1 Se-In r d (S 1—'x/1 (1 K rA Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State/ZIP: T - D jecJa Furnace 100,000 BTU (mtcts/vents) 14.00
I Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg/apt. no.: Project nam
RPen a i I �(�, Gas heat pump 14.00
Cross street/directions to job site: I YVLf�0. ntiitt'C 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
I (_r Gas fireplace 10.00
r /!� �� 644f :In 1i (Y Li�S c (i(.)� maize lu g, euir Flue vent for water heater or gas
//,^ / r l / rr � --�_ � f fireplace 10.00
V
S1 ) 42404x/144- S rG -Cc.vtt- 1'l➢r�Mfl�C Log lighter (gas) 10.00
5 i( .Q4 1 Sill d' •-A Q C rm lstiAlle./t Wood/pellet stove 10.00
Wood fireplace/insert 10.00
❑ PROPERTY OWNER I , TENANT Chimney /liner /flue/vent 10.00
Other: 10.00
Name: M i�____ 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
❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Other:
Business name: 10.00
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additiona
Address:
Furnace, etc.
Gas heat pump
City /State/ZIP: Wall/suspended/unit heater
Phone: ( ) Fax:: ( ) Water heater
Fireplace
E -mail:
Range
CONTRACTOR Barbecue
14 1 VAC 1 ' Ae
Business name: �i �/ 11L }- � - � 1 +1�i Clothes dryer (gas)
`� (� Other: I
Address: 512 S E t A\A'el rh,a - ices fief W02-411 MECHANICAL PERMIT FEES*
City / State/ZIP: twa Subtotal L
Phone: (50 1.k( _ ■ l ..k%•- a t F (�� Z� 0% Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lic.: 5Q -7 State surcharge (8% of permit fee)
TOTAL PERMIT FEE
f This permit application expires if a permit is not obtained within 180
Authorized signature:
Am �/ . 3 IQ I/VIA- days after it has been accepted as complete.
I Print name: S \o* rve_. RobwS■ I Date: 3112105 • Fee methodology set by Tri- Coonty Building Industry Service Board
i:\ Building \Permits\MEC- PermitApp.doe 17/03 440- 461Tr(I1 /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
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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i:\Building\Pennits\MEC-PermitApp.doc 12/03 2
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CITY OF TIGARD sd?'
BUILDING DIVISION PERMIT #: MEC2005-00121
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/25/2005
Phone: (503) 639 -4171 / 11 d'1��f I
Inspection Requests (24 Hrs.): (503) 639 -4175 _ -' I L
INSPECTION WORKSHEET FOR DATE: 5/13/2005 TIME: 7 :12AM PAGE: 56
SITE ADDRESS: 12272 SW SCHOLLS FERRY RD CLASS OF WORK:
SUBDIVISION: GREENWAY TOWN CENTER LOT #: TYPE OF USE:
PROJECT NAME: MCMENAMINS
DESCRIPTION: Mechanical TI. Project Value: $44,000
OWNER: BPP RETAIL LLC, PHONE #:
CONTRACTOR: HVAC INC PHONE #: 503-462 -4822
Inspection Request Scheduled For: Date: 5/13/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 006825-01 503 -462 -4822 N
Corrections/Comments/Instructions:
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E a 2 245.0 5- 4 a t(a Z C l-I-'! A-G tW t krtA4 5
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C'--1} / ' s „,4 -- tti, J19 -Ai,- e „..
14 - PASS ' 4 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: • — " Date: 6 V3 Phone #: (503) 718-