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Permit , 1 • CITY OF TIGARD MECHANICAL PERMIT 9 ' ° COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00486 TIGARD DATE ISSUED: 8/22/2007 . 13126 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S112DD - 00701 • SITE ADDRESS: 15846 SW UPPER BOONES FERRY RD BLD.0 ZONING: I - SUBDIVISION: OREGON BUSINESS PARK II LOT: JURISDICTION: TIG PROJECT: COUGAR MTN. BAKING Project Description: In refrigeration equipment for walk - in freezer. Valuation $26,000. CLASS OF WORK: ALT • FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: UNK VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: • FUEL TYPES 0 - 3 HP: 1 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: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: - FEES PACIFIC REALTY ASSOCIATES Description Date Amount 15350 SW SEQUOIA PKWY #300 -WMI PORTLAND, OR 97224 [MECH] Permit Fee 8/22/20W $447.50 [MECPLN] Plan Rev 8/22/200i $111.88 [TAX] 8% State Surchar€ 8/22/20W $35.80 Phone: Total $595.18 Contractor: COMMERCIAL REFRIGERATION INC 5920 SE GLISAN STREET - PORTLAND, OR 972133790 _ REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 234 -6445 FAX 503- 234 -0668 ' Reg #: LIC 65271 This permit is issued subject to the regulations contained in the Tigard Muniapal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not - started within 180 days'of issuance, or if work is suspended for more than 180 days. ATTENTION. Oregon law requires you tofollow rules adopted in the Oregon Utility Notification Center. • Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100 You may obtain copies of these rules or direct questions to OU NC by calling 503.246.6699 or 1 800.332.2344. • • Issue B : / e ir , Permittee Signature: Call 503.639.4175 by 7:00 a.m for inspections th usiness day. . This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 1 Mechanical Permit ApplicatioII - 34,s - - FOR- OFFICE - USE ONLY —. City of Tigard Received Date/By: Permit No _ ! ,� — RP SW Hall Blvd.; Tigard, OR 97223 t''• Al �� J'� Plan Review Phone: 503 639.4171 Fax: 503.598.1960' ;'' it., 7 U7 Other Pentiit: Inspection Line: 503.639.4175 „ta e! Date Ready/By t °` s See Page 2 for Internet: www.Ci.tigard.or.u5 Notified/Method t I U / S(1� / Supplemental Information AUG 06 100 _ v nk el .7't �:4'�' r _ i="� vtinla�c -. �z'r• 5.-• � r=u 07:fiR y oc #� •- - • vE *- SCHFDU i -r4.�, M = su ^+.2•^.' - - �.,� t' I x` '`'; n . � "^ .e;" CEE HECICLIST'' [ Iew construction ❑ A thQS6�$lt bill lOVISI®Ni Mechanical permit fees* are based on the value of the work } i)L, �j1jV L7 LJ i performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ 0 er: mechanical materials, equipment, labor, overhead, and profit '�� 'r .� co �>; ..r tYrs�sr -�= •�yy:s- „+:�:,rr.r< c s x” $ u�Vr Q O , ' z V• g 5VZI. CA , T EGUrti46 tt5 NS71 R fJ T dfl�tgILS ''` r . j 1» Val f iii c"3i4.,- -' !- r- #a,�r•L.az=- ecsx;r�.� r, i!:azrs t: -ie s ,s:.f-e-t, w,cu•__xar•:� ^;- OC 12 1- and 2- family dwelling [�..CCommercialJindustnal ❑ Accessory building 'tr1' 'S DFTIT L EQC IP IENT3 / ?�Y�STErzS�FEES For special information use checklist ❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea I Total "'�'4: •cS•St^'�•Eyv.:c!!twrb:rn:a -, mt aabrc�;sr3cirsr• r x. ^s::+: ,� ?� , ^ - ., ctrAV rTE"IAi 57-1 N UN t11YD�L Rtri, I�r {I st ��� " " = �.�+"'t'n, b>�dh• „n- ..r�u .r.i. r:�F...•:. „r9r.....- xtx.>�w� a c Heatia�/cooling � e . ' 4, 5(,) e � ^ � P ga Air conditioning or heat pump Job site address: QQ ` � � � �. pp (requires site plan showing placement) 14.00 City/ State/ZIP: ■°r- CI p( , ©a_ 9'763 Furnace 100,000 BTU (ducts/vents) 14.00 �J Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: I Project name: - An_ �T, r Gas heat pump 14 00 Cross street/directions to job site: ( i I / -JCS. Duct work 14 00 a 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: • l Lot no.: Flue/vent for any of above 10.00 Other: 10 00 Tax map /parcel no.: Other fuel appliances 1F�' s y -... r -»r r..i+ce,..w: •s. a w ten: i.:,.._ ,:,� !c; y. t a• ?rte � �� � n pttp5a' I OF 4 V RI�y C `•Jy'' � t W ater heater 10.00 t W '�,` rEr '�.tt�' 1 F lw • rYO.Y� d ..e•: = "GS +Y�R.4.� Yl = 5gS�..�R d�9���>rv'`- �T� tC•. Gas fireplace 10 00 __--/J 57 LL 0.2. F Ul! GJ•PdZ/4- 7 - 7e4(J i5G2[,C i P -a Flue vent for water heater or gas R)VL ^ C (� , LC) Lit- ..._,c) ✓ fireplace 10 00 ll"� eo PAS Log lighter (gas) 10 00 Wood/pellet stove 10.00 Wood fireplace/insert 10 00 P P��r.Y �� Chimne /liner /flue vent 10 00 +�'F' R . �.n� h V " .1 rtki Rol El ,w `y ys i TEIYA BR? f� +�i�:.,.:�r = -?+ v is.!s n, ws� awsr.• a ,s.�� -• .' �e?r�..; .t•e : +�� Other: 10 00 Name: C bc_t_(/1 6 vz... imuiutpi ` (�jJ Environmental exhaust and ventilation Address: / 5� Gl 5 2 ( 1.. p ( � p �g� Range hood other kitchen equipment 10.00 City/ State/ZIP: r G P• vct l ©- Clothes dryer exhaust 1000 / Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80 ,Y .pS!i•Y �Y u. ;i? •4 7rOJ" :1 .1.NZ:-.;,:, +Ary ,•✓f0. yi F'• a� . �{ p m • r ` h s sz' f Attic/crawlspace fans 10.00 v i ga . 6 „ f -d� Other. 10.00 Business name: OLG L .. �4-Nt Fuel piping Contact name: ��/ `/ UJ E- Gl ! 9 -' (t✓�o aii t/(. $5.40 for first four; $1.00 for each additional Address: ( Q Fumace, etc Gas heat pump City/ State/ZIP: Oo(� � �2�3 WalVsuspended /unit heater Phone: (�o3 ) V.,....367-- 6 C /L75 " Fax: : (SO3) ix"- ��" Water heater E -mail: Fireplace Range _ 'v7;i' .� '�, - �'�> a�:�>�c =�.arn 3- A ,f°"°- 2 h=- �� '" 3- TR s fGTP# P � - ,,, �., '- B arbecue Business name: CA A-s Zo i I -e_ Clothes dryer (gas) ft V Other Address: -, `- �"'�:y:- -- J�tn�7.KR! x:tek' .:Li4Lry � = ,�f� ice ; . N,� 7 4„1- R EES'' >� - �,_. �. �, -ate --. ;- ,x,,..� '• .,, City/State/ZIP: Subtotal Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) Plan review (25% of permit fee) CCB lie.: State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature. " l / �' This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name• , y rT/,tG cv/ m ■Cl`� Date ' • 7 • Fee methodology set by Tn- County Building Industry Service Board i \But [ding \Per itsVvlEC- PermitApp doc 12/03 440 -4617T (I I /02 /COIWWEB) 1111 CITY OF T'aD BUILDING DIVISION PERMIT #: MEC2007 -00486 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8/22/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 �' `'ll� INSPECTION WORKSHEET FOR DATE: 9/11/2007 TIME: 7 :00AM PAGE: 63 SITE ADDRESS: 15846 SW UPPER BOONES FERRY RD BLD.0 CLASS OF WORK: SUBDIVISION: OREGON BUSINESS PARK II LOT #: TYPE OF USE: PROJECT NAME: COUGAR MTN. BAKING DESCRIPTION: Install refrigeration equipment for walk-in freezer. Valuation $26,000. OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: CONTRACTOR: COMMERCIAL REFRIGERATION INC PHONE #: 503 - 2346'145 Inspection Request Scheduled For: Date: 9/11/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 695 Misc. inspectio 055430 -01 503 -234 -6445 N • ( Li Correcti ns /C ments /Instru ti ns: SS� C 1 I � / 1 4 c Z -- PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED c Inspector: Dater / 1 6 r l Phone #: (503) 718 -2 ZY