Permit CITY OF TIGARD MECHANICAL PERMIT
3111 COMMUNITY DEVELOPMENT Permit#: MEC2015-00019
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/03/2015
Parcel: 1 S136DC00500
Jurisdiction: Tigard
Site address: 11626 SW PACIFIC HWY
Project: Tigard Cinemas Subdivision: FRUITLAND ACRES Lot: 16
Project Description: Install(2)roof exhaust fans and ducting for popcorn makers. Demo/cap existing ducts as needed.
Contractor: IECS DBA SEATTLE MECHANICAL Owner: PACIFIC REALTY ASSOCIATES LP
899 W MAIN ST 15350 SW SEQUOIA PKWY#300
AUBURN,WA 98001 PORTLAND, OR 97224
PHONE: 253-939-9495 PHONE:
FAX: 253-939-9260
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/03/2015 $492.49
Class of Work: ALT Type of Const: VB Plan Review 02/03/2015 $123.12
Occupancy Grp: A-1 Occupancy Load: 12%State Surcharge-Mechanical 02/03/2015 $59.10
Info Process/Archiving-Lg$2.00(over 02/03/2015 $8.00
Stories: 1 11x17)
Project Valuation: $15,660.00 Info Process/Archiving-Sm$0.50(up to 02/03/2015 $2.50
11x17)
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: 2 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: 2 Vent Systems: Total $685.21
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 No -. er. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or dir= questions to OU, by ling 503.232.1987 or 1.800.332.2344.
Iss ed By: i, ZI�— l,(�Ij ' Permittee Signature: / rotIP" `.ez.....,
Call 503.639.4175 by 7:00 a.m.for the next available inspecti./date.
This permit card shall be kept in a conspicuous place on the job site until, ,mpletion of the project.
Approved plans are required on the job site at the time of e. inspection.
Mechanical Permit Applic FOR OFFICE USE ONLY
City of Tigard EIVED Received / Permit No.. �j a C
1114 `5 g Date/By: ( �5 I5 ip> 1 l G L / 'G ee
13125 SW Hall Blvd.,Tigard,OR 97223`�pt,�
= Phone: 503.718.2439 Fax: 503.598.19r�7i1V 1 5 2015 Plan Re
Date/By t2.b Other Permit:
T I G A R D Inspection Line: 503.639.4175 Date Rea y y: A Juris 0 See Page 2 for
Internet: www.tigard-or.gov /Z6 /5 CITY OF TIGARD Notified Method: ,7�t Supplemental Information
PI 141 PING DIVISION A - _ 'di
TYPE OF WORK s:,,, i„ `"'r � 17 a ,r s, . +
Mechanical permit fees*are based on the value of the work
❑ New construction r1 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
w _ .. — Value $ 4 i C-7
_ • — . . - lb 1Vd, l,c„3�1
❑ 1-and 2-family dwelling commercial/industrial ❑Accessory building For special information use checklist.
❑ Multi-family ❑ Master builder ❑Other: Description j Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
- ] Air conditioning 46.75
Job site address: 11��;_4 14-0,,(,, k c_ 14.1-1A LIt_4 i / Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: T) G,rd n 0 1 l^ 3 Furnace 100,000+BTU(ducts/vents) 54.91
4 l��i/� Heat pump 61.06
Suite/bldg./apt.no.: Project •
name: �� Duct work 23.32
Cross street/directions to job site: �' 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: A)11:4 I Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: l S t 7)L., 0(2_ (: p c., Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
ThSiCti I (°-' rOol{o @xh(LU4 A- � fireplace 23.32
��� j�� 1 "� /` �/p �� p Log lighter(gas) 23.32
Otat: LL {� C� ( rRaVI" r 0 f'`-'1 ' 'o Wood/pellet stove .
33.39
QCUP 'f-,NI i'ST l ' g CUC iY Q, . n i Q rt t rt . Wood fireplace/insert 23.32
1 / Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER I ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Rt'r J — ker. x 1 ti* ( ) i Range hood/other kitchen
�-1 equipment 33.39
Address: Clothes dryer exhaust _ 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 _
F,APPLICANT ❑ CONTACT PERSON Other: I 23.32
Business name: I' I^ p ( Fuel piping:
s�Gl T 1 L/t ) n.� $14.15 for first four;$4.03 for each additional
Contact name: Lo�,0., e..-V Furnace,etc.
•
Address: Q C1 a L U t ..p 1 �— Gas heat pump
S 1 l Wall/suspended/unit heater
City/State/ZIP: Q )13 I I /u t �� q s .�l�, ') / Water heater
Phone:(a53 9 39, L 9 5, Fax::(9(53 9,. / (.1,.. 10 Q Fireplace
Range
E-mail: a=Q a 1 r - _ • hi, £*AL I . . Barbecue
,. . ,.t _T,Iri' w ,.: � i 'fJ , u Clothes dryer(gas)
Business name: 5"n f rni eta
t cc 1 I�
MECHANICAL PERMIT FEES*
Subtotal Address: ( C1 OI 1.0, In Cr . .51- ,
City/State/ZIP: U D jut j t An �, 9 A o c i Minimum permit fee($90.00)
-�.i 9 Plan review(25%of permit fee)
Phone:( 5 9 9 f/� 5 Fax:( J�-� ty 3C�r State surcharge(12%of permit fee)
CCB lie.: al a Z_1G1 �(?/f //(p TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
` days after it has been accepted as complete.
Authorized signatu�b y/j * Fee methodology set by Tri-County Building Industry Service Board
Print name: ” Y/` Date:
�IL}nu� nfe�-- f--/A - /5
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