Permit CITY OF TIGARD MECHANICAL PERMIT
1111 * COMMUNITY DEVELOPMENT Permit#: MEC2015-00158
T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/24/2015
Parcel: 2S102BD03200
Jurisdiction: Tigard
Site address: 13075 SW PACIFIC HWY
Project: Qush Hookah Subdivision: NORTH TIGARDVILLE ADDITION Lot: 35
Project Description: Vent hood for range.
Contractor: RES DEVELOPMENT GROUP INC Owner: SANCHEZ, J GUADALUPE
14476 S BUCKNER CREEK RD ZAVALA, BLANCA E
MULINO, OR 97042 10000 SW MOLLY CT
TIGARD,OR 97223
PHONE: 503-381-2586 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/24/2015 $69.06
Class of Work: ALT Type of Const: Plan Review 03/24/2015 $17.27
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 03/24/2015 $8.29
Stories:
Project Valuation: $500.00
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: I Total $94.62
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-r'.•s • may obtai• op . e rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: J •••gee Signature:
Call 503.• •.,411.y 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application l•011 01.1-1( f l s i.. 0\1.1
r Received
City of Tigard �r'\I Id. Date/B " . Permit No.:
?� • 13125 SW Hall Blvd.,Tigard,OR 972 G V y V- �%
Plan Review
Phone: 503.718.2439 Fax: 503.598.10E4 Date/By: Other Permit: 61 ♦?WS.--
T I c i n It 1 t Inspection Line: 503.639.4175 AR ti 4 2015 Date Ready/By: Suris. HI See Page 2 for
Internet: www.tigard-or.gov Notified/Method: •y�� Supplemental Information
O G p A S`ON f-�tm
TYPE OF Wt ''DIN COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
.i Mechanical permit fees*are based on the value of the work
❑New construction ;Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ p
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 130-4-5- 5110 �t( i G Furnace 100,000 BTU(ducts/vents) 46.75 _
City/State/ZIP: 7-1°�o,„'°` 1-4:2z-3 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: U Project name: /, k I t(^ Heat pump 23 32
��(( 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: 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
Val/\-- ko6c1. 4-ssiv t/ e._ fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER I ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment ' 33.39 33.3
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
APPLICANT ❑ CONTACT PERSON Other: 23.32
RE-S �1 1 Fuel piping:
Business name:
$14.15 for first four;$4.03 for each additional
Contact name: Cs-W.W.II ki / Furnace,etc.
�yy�/ �S ) N C Gas heat pump
Address: F� (�(,G� Wall/suspended/unit heater
City/State/ZIP: V/uAJ-tKo Op— 614cy-tZ Water heater
Phone:(3) 38 r 2_s--9.6 Fax::( ) Fireplace
Range
E-mail: Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name: R_S ve °t N„p,4.A2C- GI/.V0"P MECHANICAL PERMIT FEES*
Address: v Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(3)_ i/—2_78C Fax:( ) State surcharge(12%of permit fee)
CCB lie.: _205 3-48 TOTAL PERMIT FEE 'Egy.�al
This permit application expires if a permit is not obtained within 1
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name: ` Q,v,„� Date: 3/2A0
1:\Building\PermitsV�C_PermitA _040I13.doc 440-46171(1l/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I:\Building\Per nits\MEC_PermitApp_040113.doc 2
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
13075 SW PACIFIC HWY, TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2015-00158
Chip Barnett
Violation Summary:
Inspector Contractor