Permit •I CITY OF TIGARD MECHANICAL PERMIT
11111 ' COMMUNITY DEVELOPMENT Permit#: MEC2015-00596
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/08/2015
Parcel: 1S134BC00200
Jurisdiction: Tigard
Site address: 12196 SW SCHOLLS FERRY RD
Project: Mod Pizza Subdivision: GREENWOOD TERRACE CONDO Lot: 17
Project Description: Installing a new walk-in cooler with(2)refrigeration units.
Contractor: ALEGIS CONSTRUCTION INC Owner: ATLAS GREENWAY LLC
6900 SW ATLANTA ST SUITE 110 333 NW NINTH AVE, STE 1009
PORTLAND, OR 97223 PORTLAND, OR 97209
PHONE: 503-427-6065 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 09/08/2015 $115.11
Class of Work: ALT Type of Const: Vg Plan Review 09/08/2015 $28.78
Occupancy Grp: A-2 Occupancy Load: 12%State Surcharge-Mechanical 09/08/2015 $13.81
Stories: Info Process/Archiving-Sm$0.50(up to 09/08/2015 $17.50
11x17)
Project Valuation: $2,000.00
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 $175.20
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Walk in
Duct Work: cooler and
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expi, • •irk is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you t. •Ilow he rules adopted by the Oregon
Utility Notific. enter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. �. a copy of the rules
or dire •uestions to O C • • ling 503.232.1987 or 1.800.332.2344.
Is ued By: / / Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
3.)(:) 20 f5=cx6
Mechanical Permit Application I Oil (ii 1.1( 1 l .1 O.1 1
City of Tigard s? Received
�/ �_ Permit No.:
1' 13125 SW Hall Blvd.,Tigard,OR 97223 L rsZ/ may }I
11111
Plan Revi:r.i
8 Phone: 503.718.2439 Fax: 503.598.1960 a` , Other Permit: /` . .
Date/BY: •
1 I(i A It l) Inspection Line: 503.639.4175 Date Re /B orris:
Internet: www.ti ard or. ov RECEIVE I Ready/By: 3J 10 p Pagel for
g g `I otified/Method: /r Supplemental Information
_fl e—.W he C• g
TYPE OF WORK COMMERCIAL FEE* SCHEDULE—USE CHECKLIST
pr �n 01 Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/re performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF t i7 a 4 it k _ ]r]� Value:$ /
1s 1��{�{ fn RESIDENTIAL /SYSI BMS FEES"
►'
❑ 1-and 2-family dwelling ®Commercial/in,us • ii •c e so 1 mg 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: 12196 SW Schojis Ferry Rd Furnace 100,000 BTU(ducts/vents) 46.75 _
City/State/ZIP:Tigard,Oregon 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: I Project name:MOD PIZZA Heat pump 61.06 Duct work 23.32
Cross street/directions to job site:SW Schools and SW 121st 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
Other: 23.32
Subdivision: I Lot no.: Other fuel appliances:
Tax map/parcel no.: 1S134BC00200 Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
Walk In cooler with 2 refrigeration units fireplace 23.32
Freezer section with floor and cooler section without floor Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
0 PROPERTY OWNER f ® TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Atlas Greenway LLC Range hood/other kitchen
equipment 33.39
Address:333 NW Ninth Ave STE 1009 Clothes dryer exhaust 33.39
City/State/Z1P:Portland,OR 97209 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
0 APPLICANT on CONTACT PERSON Other: 23.32
Business name:Alegis Construction Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Sid Toll Furnace,etc.
Address:6900 SW Atlanta Street STE110 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Portland,OR 97223 Water heater
Phone:(503)894-4045 Fax::( ) Fireplace
Range
E-mail:
Barbecue
CONTRACTOR Clothes dryer(gas)
� y -
Other:
Business name: <
.l'V ''� `1� `S_62172.--- MECHANICAL PERMIT FEES*
Address:
Subtotal
City/State21P: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee)
CCB lic.: lg`& ,Vik TOTAL PERMIT FEE
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: --11") �pvL Date: 0/ 2' -�t 1 '
1\Building\Permits\MEC_PermitApp_040113.doe 440-4617T(11/02/COM/WEB)
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
12196 SW SCHOLLS FERRY RD, TIGARD, OR,
97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2015-00596
Chip Barnett
Violation Summary:
Inspector Contractor