Permit 1111 CITY OF TIGARD MECHANICAL PERMIT
* COMMUNITY DEVELOPMENT Permit#: MEC2014-00600
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/12/2014
Parcel: 2S102CC00500
Jurisdiction: Tigard
Site address: 13500 SW PACIFIC HWY 17
Project: Mizumi Buffet Subdivision: FREWING'S ORCHARD TRACTS Lot: 15
Project Description: Hood installation in kitchen.
Contractor: BULLDOG MECHANICAL&REMODELING INC Owner: ROIC OREGON LLC
3307 NE 39TH ST 8905 TOWNE CENTRE DR, STE 108
VANCOUVER,WA 98661 SAN DIEGO, CA 92122
PHONE: 360-901-2610 PHONE:
FAX: 360-693-1505
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 11/12/2014 $474.71
Class of Work: ALT Type of Const: Vg Plan Review 11/12/2014 $118.68
Occupancy Grp: A-2 Occupancy Load: 12%State Surcharge-Mechanical 11/12/2014 $56.97
Stories: 1 Info Process/Archiving-Sm$0.50(up to 11/12/2014 $7.50
11x17)
Project Valuation: $15,000.00
Fuel Air Handlers
Fuel Types: Units< 10000 cfm:
Gas Pressure: Units> 10000 cfm:
Furnaces Boilers&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 $657.86
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
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 Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-0! -•: • You may •btain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: --• ignature: Arm ■ - �-
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
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 t>I h It r 1 til:t)\I.1
eceived
1101 City of Tigard 1������ <)li Date/By: / Al, H �„ Permit No.: e : •AP bl• 13 F25 SW Hall Blvd.,Tigard,OR 97223 Plan Revie I al
• Phone: 503.718.2439 Fax: 503.598.1960 OCT Q ��j�A paw/gy. ��Vy�� Other Permit: f�� ��, — .� J
T I c A R n Inspection Line: 503.639.4175 U y p 2014't Date Ready/By: Jam: ® See Page 2 for
Internet: www.tigard-or.gov CITY Notified/Method: r�/C/` � Supplemental Information
CITY OF TIGARD //✓
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TYPE OF Vl �il\G DIVISION � CO ME CIAL FEE" SCHEDULE — USE CHECKLIST
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.
Value:$15000
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ I-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
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 13500 SW Pacific Hwy Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) _ 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:Mizumi Buffet Duct work 23.32
Cross street/directions to job ste:McDonald Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision: Lot no.:
Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
Remodel Existing Resturant fireplace 23.32
Add a hood Log lighter(gas) 23.32 '
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER ® TENANT Other 23.32
Environmental exhaust and ventilation:
Name: David Chen Range hood/other kitchen
equipment 33.39
Address: 1119 SE 163rd Place Clothes dryer exhaust 33.39
City/State/ZIP:Vancouver,WA 98683 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) _ 23.32
Phone:(541)441-0178 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT ❑ CONTACT PERSON Other. 23.32
Business name:Convergent Pacific LLC Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Hardy Li Furnace,etc. _
. ' Address:8975 Sw Center Street Gas heat pump
Wall/suspended/unit heater
' • City/State/ZIP:Tigard,OR 97223 Water heater
Phone:(503)747-3569 Fax::(503)747-3579 Fireplace
Range _
E-mail:hardy_Ii@convergentpacific.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:To be bid Other: 1
�/f, �, MECHANICAL PERMIT FEES*
Address: 33f:17 /1./ 3ei A )! Subtotal
City/State/ZIP: ail((�t�� cJq
a FeeN
Minimum permit fee($90.00)
(/"" ! Plan review(25%of permit fee)
Phone:a 0 ) .1S—p _ }u Fax:( ) _ State surcharge(12%of permit fee)
CCB tic.: / 1493 ! TOTAL PERMIT FEE 474.71
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized Signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name: Hardy Li Date: 10/27/14
t:13uilding\Permits\MEC_PermitApp_040I t 3.doc 440-46171(t 1/02/COM/WEB)
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Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13500 SW PACIFIC HWY 17, TIGARD, OR,
97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2014-00600
Jeff Grove
Balancing report recieved
Violation Summary:
Inspector Contractor