Permit C ITY ' O F T I GA R D MECHANICAL PERMIT
* DEVELOPMENT SERVICES PERMIT #: MEC2004 -00656
--- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/15/2004
PARCEL: 1S134BC-00300
SITE ADDRESS: 12288 SW SCHOLLS FERRY RD
SUBDIVISION: GREENWAY TOWN CENTER ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: M VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 2 DOMES. INCIN:
GAS 3 - 15 HP: COMML. INCIN:
MAX INPUT: 72,000 BTU 15 - 30 HP:
FIRE DAMPERS ?: N 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: 2
> 10000 cfm: GAS OUTLETS: 1
Remarks: Replace (1) rooftop unit, install new ductwork & grills, refrig. units & (1) fan.
Owner: FEES
BPP RETAIL LLC Description Date Amount
BY BURNHAM PACIFIC PROPERTIES [MECH] Permit Fee 10/15/20( $245.00
ATTN: JOHN WATERS [MECPLN] Plan Rev 10/15/20( $61.25
SAN DIEGO, CA 92101 [TAX] 8% State Surchart 10/15/20( $19.60
Phone: Total $325.85
Contractor:
GOHMAN MECHANICAL INC
412 S BEAVERCREEK RD., STE 602
OREGON CITY, OR 97045 REQUIRED INSPECTIONS
Phone: 503 - 650 - 1588 Gas Line Insp
Cooling Unt Insp
Reg #: LIC 119952 Heating Unt Insp
Duct Inspection
S.D. Shut -down inspection
Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
• requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0 10- through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling
(503) 6699.
Issued By: ,, r ` / - J!; / �_. Permittee Signature: /%
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
1 74 .54)4. oc k$ t
Mechanical Permi o: .- . - 1 C IV 1 FOR OFFICE USE ONLY
City of Tigard G4 370N ` Received D / - 0y -k � / Permit No.:�G "'Jr) a 0
13125 SW Hall Blvd., Tigard, OR 97223 J g 0 2004 S / P 120 $ " _
- Ian Review :J
Phone: 503.639.4171 Fax: 503.598.1960 hi�.e�"",1�, i ) � ateBy: 10 - IS"' 0 ?/1SP Other Permit:
_"
Inspection Line: 503.639.4175 ., 9( t IGARD AA- i' l i LDINGD .z .. f yte eadyBy: • lvris Ei See Page 2 for
Internet: www.ci.tigard.or.us BUILDING DIVISt 1 1 `ve° Met od: )60 � 7 ,9 /r -f `( Supplemental Information
��. �. _ K �_.� -� ;; {; „ - = t >:•TI'PE.' OFW�QRIC, , ,. -: _:� ,�;�6 ;� �•-, _ �„�G�' ..,, .... �CpM1VIERI?�L .
;. -. -- - .SC.._ tJ�E USE;�B.ECKLIST
r ;'
.:. y ti- ..:"kz�r- s..,�`kbx�'r_. - . , fl�'� _�...,. .: ?, , ...... _ , _., .� , . .., .. . • ' . ... _ . - C - ..
Mechanical permit fees* are based on the value of the work
❑ New construction Addition /alteration replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor overhead, and profit.
4 ;1!V:;y �-• " " 6 , - �.:.� . • t ,.. u - Value: $ i1 a t�
'7Y��Yyyww�y��at ,� •z ; CALO - RY 01ti`'CONSTRi]CTIO1', 'w ..v •;
tea' - .:r �2 Y:. W- J `:.._ _ .•.� :.: { w _a
E3 ; : . ;:l SID TAL UIPMENT _ FEES . ..
1=I 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
r ., i4 3 Ii = 30B ySITE INFO Mkiiit V ,Z4i - 7 OC k�f`RION E . '"_! _ ?`"Q! ' Heating /cooling
' �7- L - i :i -1 � F F
Job site address: 1Z !� 5�� - fit / Air conditioning ho heat pump
( � Tj (requires site plan showing placement) 14.00
City/State/ZIP: .-r-I.--) Ff::>e._- Furnace 100,000 BTU ( ducts/vents) 14.00
Suite/bldg. /apt. no.: Project name:[�0 Furnace 100,000+ BTU (ducts/vents) 17.90
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
Subdivision: Lot no.: Flue/vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
!x. �¢,- ".°!i •.,,.• f �: ;�"''•R ?`it. .. .. .. - z...•'ts:.. -a _r�., _ r ,pia''' Water heater 10.00
� �_ .U.r.�;1 =- ,'•:-'`-._ is ,; DESCRII tot U .WO :,.
-..:�z.d:'-:.f., =, t ='�•:2 w_. §,:. i'. =,: _• 4 1�.:. �. �_" �..:: �:} '.. �* �T�s' �:.92 ,. fi• `;'T'' - f'. <.'4�i:`�: s`��...r; ':.
' Gas fireplace 10.00
V 0) 1F.�<t r ME � v&. ∎ - r . 1: tt Flue vent for water heater or gas
r ,/ 11 S (l � ,tae. � xe gam \ fireplace 10.00
fltlw cull IW
�' t Log lighter (gas) 10.00
U•JI'f () u 3 rc ,ktAn- t r Wood /pellet stove 10.00
Wood fireplace/insert 10.00
.• Chimney/liner /flue/vent 10.00
• _. " si .: B PR
� OR
P TYWI\
IOER: Y °x� / -i:' TEN ; `: '
-' •" _Other: 10.00
Name: 1 ��- � �L ,pia I . A/eh �� 6 / /m Environmental exhaust and ventilation
��{ Range hood /other kitchen
Address: /927s Li , 7jt , zq ..�,. k -- Gf equipment 10.00
Cit si / g Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
o . t .. • j, - .,•;._ , ,.: s-'.•. is ace fans • ` ,Z, :.: ; '? .I.:fEICANT, : .-'• - - • .4. :. = t Attic /craw p 10.00
A�� f k r - .:r : ; � > _ - °�:� a ®'; -�` -
Other: 10.00
Business name: Gohman Mechanical, Inc. Fuel t in
P�P� R
Contact name: Mark Gohman $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address:
412 S. Beavercreek Rd. #602 Gas heat pump
City/State/ZIP: Oregon City, OR 97045 WaWsuspended/unitheater
Fax: Water heater
Phone:
( 503 650 -1588 ( 503 655 -0514 Fireplace
E - mail: mgohman @gohmanmechanical. corn Range
I . _; - }° ,: ai._ Barbecue
":i+ ti�,Crt 'rt ..�. "- • COIV 'I'129.C- TOR" "•,�'- '" • - - - : i. ' , _ �-„ ,� .a ":
•,L.'. .. ;5�'� ' s- -. ..
Business name: Gohman Mechanica l , Inc Clothes dryer (gas)
Other:
Address: 412 S. Beavercreek Rd. X602 1:" %MECHANTCM PER1vITT-FEES*
City /State/ZIP: Oregon City, OR 97045 Subtotal 2.8t5
Phone: ( 503) 650 -1588 I Fax: ( 503) 655 -0514 Minimum permit fee ($72.50)
Plan review (25% of permit fee) `( ZS-
Pl
CCB lic.: Oregon 11'952 State surcharge (8% of permit fee) J•9
j TOTAL PERMIT FEE 3 2 s.g1"
Authorized si ature: iAP This permit application expires if permit is not obtained within ISO
i�t days after it has been accepted as complete.
Print name: Date: . • Fee methodology set by Tri- County Building Industry Service Board
i /:": Y 4 Gs! will ./'
i:\ Building \Permits \MEC- PermitApp doc I2/03 440 -4617T ( I I (02 /COM/WEB)
•
Mechanical Permit Application - City of Tigard
. .
Page 2 - Supplemental Information
Commercial Fee Schedule:
To'taLV,f1uafoii( 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
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received � D%te Requ sted -3 AM PM BUP /
Location J o 8' o r Suite MEC 07D eot �(o
Contact Person Ph ( ) 5z) ' / Sere PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner , : ' ' ELC
Footing
ELC
Foundation
Ftg Drain Access: ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler /*
Fire Alarm
Susp'd Ceiling
Roof /1 K
Final g am_
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Sm •`•- mpers
' :CIr
PASS PART FAIL
LEC • ICAL
Se •ce
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call f - r reins • ection RE: U • U. • e o inspect — no access
Fire Supply Line 0' _ .,, ADA Approach/Sidewalk Date Inspecto 1 r itkt Ext
Other:
Final DO NOT REMOVE this Inspe on record from the job site.
PASS PART FAIL