Permit CITY OF TIGARD MECHANICAL PERMIT
IN to COMMUNITY DEVELOPMENT Permit#: MEC2015-00054
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/11/2015
Parcel: 2S 101 AA00101
Jurisdiction: Tigard
Site address: 12000 SW 66TH AVE
Project: Landmark Ford Subdivision: WEST PORTLAND HEIGHTS Lot: 9
Project Description: Installing a new freestanding paint booth/aluminum repair station.
Contractor: OWNER Owner: CORLISS,JAMES L&CORA K
KURT SORG LEASE TO: FORD LEASING
12000 SW 66TH AVE DEVELOPMENT COMPANY
TIGARD,OR 97223 PO BOX 23970
TIGARD, OR 97281
PHONE: PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/11/2015 $2,608.71
Class of Work: ALT Type of Const: VB Plan Review 02/11/2015 $652.18
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 02/11/2015 $313.05
Stories: 1 Info Process/Archiving-Sm$0.50(up to 02/11/2015 $12.50
11x17)
Project Valuation: $100,000.00
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 $3,586.44
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Free
Duct Work: standing
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 • 0, the r -s adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-• •0. Y ,,,•• obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: ermittee Signature: '�
Call 503.639.4175 by 7:00 a.m.for the next available inspection •.te.
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.
(,),„v , c t
Permit Application
Commercial 1 oR OFFI( F 1 'i ON 11
City of Tigard RECEIVE DReceiece,B ved A , ,,. Permit No. Aii/+ • • ii ail
13125 SW Hall Blvd.,Tigard,OR 97223
Plan' Review 711110 �
Phone: 503.718.2439 Fax: 503.598.1960 p B Other Permit: I i , .1 _ ..l,
1 1 G A h D Inspection Line: 503.639.4175 FEB 2 205 r: B See Page 2 for
Internet: www.tigard-or.gov �r/> Supplemental Information
TYPE 0 111 • t ' REQUIRED DATAs I AND 2 FAMILY DWELLING
tt UN� 1�1N ` ,
❑New construction ■ t-molition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
[ Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ 1-and 2-family dwelling Commercial/industrial _
El Accessory building ❑Multi-family Number of bedrooms:
El Master builder ❑Other: Number of bathrooms:
.108 SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 12 oOo S Liu Cz,b d1► Ave. New dwelling area: square feet
City/State/ZIP: 7704lc0 6 R. '7Z23 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name: y Covered porch area: square feet
Cross street/directions to job site: 1-41.149/ncr re fr01 / Deck area: square feet
`-"OI, Other structure area: square feet
REQUIRED DATA COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
�• 5 /__ /,i Valuation: $ pp
�.v5 r��L . ''••-- TiF/,�/ / Lli-J:'��u rr� i 00 ovo.
7Q�. SltC.t.'tro-c% 33• x ig ' x /z / Existing building area: square feet
New building area: square feet
J°r PROPERTY OWNER I ❑ TENANT Number of stories:
Name: fpm ( or, l ss Type of construction:
Address: t 2'cc S Lu, 6 G-f..4 AVE. Occupancy groups:
City/State/ZIP: 7 j%Lj/'A 6 C 57 2-1 3 Existing:
Phone:(. b, ) 6.33-- //'3/ Fax:(513 ) 51 g^ '365 New:
0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES"
iFletue pilfer tofiraaFaistt
Business name: LA Kpm ark_ ��p- ,C^ Structural plan review fee(or deposit):
Contact name: Ku rT - SD - -
FLS plan review fee(if applicable):
Address: (2QIAi, nu.) '111. Ave. - —
City/State/ZIP: 7.94/i p� 97 72-2 Total fees due upon application:
J Amount received:
Phone:623 ) 639—//31 I Fax: :(5C3 ) 5r,.. IS 3 6'Sr!
E-mail: I‘S' 0 J 6 14.A3 i m4 rd. Gann PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
V Commercial and residential prescriptive installation of
CONTRACTOR IX-C %i rooftop p mounted Photo Voltaic Solar Panel System.
Business name: t4 PS (/.4�m p,1.lY` nam;7' - �''``���� Submit two(2)sets of roof plan with connection details
1' and fire department access,along with the 2010 Oregon
3 Address: 33ty$s� ,�/ 9' t Solar Installaiion Specially Code checklist.
City/State/ZIP:1 7 Q t� 973 T 4 Permit fee(includes plan review $180.00
! and administrative fees):
‘ Phone:(S'!//) 9/7 _ 74.9 go Fax:( )
State surcharge(12%of permit fee): $21.60
CCB lic.: rIrtil/aW -fa hc- v c CC32') Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
�+ Print name: at 11,0 m Qr ,A, / Date: * Fee methodology set by Tri-County Building Industry
/ Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-46131(11/02/COM/WEB)