Permit (76) a J CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT
PERMIT #: MEC2007 -00619
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/24/2007
PARCEL: 2S 115AB -01900
SITE ADDRESS: 16200 SW PACIFIC HWY B1 ZONING: C -G
SUBDIVISION: TIGARD TOWNE SQUARE LOT: JURISDICTION: TIG
PROJECT: BLISS NAILS & SPA
Project Description: Install exhaust fan system for (2) nail stations (see other units).
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: M VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 1
FURN > =100K BTU: <= 10000 cfm:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
BIT HOLDINGS LTD PARTNERSHIP Description Date Amount
BY FORUM PROPERTIES INC
FIVE CENTERPOINTE DR STE 290 [MECH] Permit Fee 10/24/20C $72.50
LAKE OSWEGO, OR 97035 [TAX] 8% State Surcha 10/24/200 $5.80
Phone: Total $78.30
Contractor:
DOGWOOD HOME REPAIR & IMPROVEMENT
2262 SE MIL W A UK IE, OR 9 7222 REQUIRED ITEMS AND REPORTS
MILAIE, OR 97222
Contact #: PRI 503- 807 -3674
FAX 503- 653 -9570
Reg #: LIC 177608
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Iss - = ii J / / Permittee Signatur : 11.
Ca 503.639.4175 by 7:00 a.m. for inspect'ons hat business day.
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 A li FOR OFFICE USE ONLY
' �� � Received /
City of Tigard v� Permit No.: � // �
: � • 13125 SW Hall Blvd., Tigard, OR 97 0 4 LUf U Date/By: ( Plan Review v
Phone: 503.639.4) 71 Fax: 503.598 14.
Date/By: Other Permit:
Inspection 503.639.4175 ! Y OF (I(71MW
Date
D
l' I G A R D p ection Line: 503.639.175 C Ready/By: ® See Page 2 for
Internet: www.tigard or.gov BlltLOINGD%VISION Notified/Method: WE Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
CI New construction ❑ Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- 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 or heat pump
Job site address:
l 5. (1, PO\c t 1 C - . - t - (requires site plan showing placement) 14.00
City/State /ZIP: ' / 1 �( D(- 7 D ( Furnace 100,000 BTU (ducts/vents) 14.00
1 (. Furnace 100,000+ BTU ( ducts/vents) 17.90
Suite/bldg. /apt. no.: �'l Project name: 13 t S S I Gl.. \S s S pA Gas heat pump 14.00
Cross street/directions to job site: 4I 1,1 k (,0 v/,S 51/14i [ ) I4—` Duct work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Subdivision: Lot no.: Flue/vent for any of above 6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIMON OF WORK Water heater 10.00
NS ` \\ °4% � 1 "A Gas fi 10.00
'T� r� / Ina JJ4 '�h 4.41 Flue vent for water heater or gas
n ��� fireplace 10.00
.a[ No\\\ `� °� 1 dtA5 Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
❑ PROPERTY OWNER ]TENANT Chimney /liner /flue /vent 10.00
Other: 10.00
Name: /\ � a 0 t Environmental exhaust and ventilation
Address: � 7 / I \- Range hood/other kitchen
l Wo20Q �O�C \& 1L C►2 equipment 10.00
City/State/ZIP : 1 1 r L -2 Clothes dryer exhaust 10.00
( Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
)R- APPLICANT CONTACT PERSON Attic /crawlspace fans 10.00
n ' Other: 44. �� 10.00
Business name:
0� 1/0 0 1 n� 1M11. 'G.Q �e. t r r {D tkwt d Fuel piping
Contact name: A �A ` 5Q1/'1 L"�'�- $5.40 for first four; $1.00 for each additional
o
Address: ° r L Furnace, etc.
b 1 2 5 E p Gas heat pump
City/State /ZIP: iV\ \W' ( L_ C\ . ¶1 Q22 Wall/suspended/unit heater
Phone: (Sc3) 3%1 - 36-7 y ( Fax: : ($3) 65 .- 7S? V Water heater
`� Fireplace
E-mail ) yot.)CJ v _ �OIMQrf C o►a1- stn„ Range
J
CONtRACTOR Barbecue
Clothes dryer (gas)
Business name: 0 (.1 r e) V wN42.. e ,c ; j 7f 4 .— Other:
Address: 4 ,Z2 fo ems. (1 - f &L C' MECHANICAL PERMIT FEES*
��W
City /State /ZIP: AA ti Po„
Subtotal
tic.,` Of . ?2 2
/ Minimum permit fee ($72.50)
Phone: (S03 4 ) 6 1 3 7 y Fax ( 3) }p$T ,s---26
76 Plan review (25% of permit fee)
CCB lic.: /77 k7 0 1 "/z. s /o 9 State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signatur _ This permit application expires if a permit is not obtained within 180
/4014 Cf+ days after it has been accepted as complete.
Print natne lIrt^ 19 ---171 1 1 S1 Date: / ;,?C/ 07 • Fee methodology set by Tri- County Building Industry Service Board
I:\Building\Permits\MEC- PermitApp.doc 01 /19/07 440- 4617T(11 /02/COMM'EB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
Total Valuation: Permit Fee:
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
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•
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I:\ Building \Permits\MEC- PermitApp.doc 01/19/07 2
CITY OF TIGARD
BUILDING DIVISION - A .. PERMIT #: MFC2007 -00619
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/24/2007
Phone: (503) 639 -4171 i i
Inspection Requests (24 Hrs.): (503) 639 -4175 `'I ...
INSPECTION WORKSHEET FOR DATE: 11/13/2007 TIME: 7 :01AM PAGE: 99
SITE ADDRESS: 16200 SW PACIFIC HWY B1 CLASS OF WORK:
SUBDIVISION: TIGARD TOWNE SQUARE LOT #: TYPE OF USE:
PROJECT NAME: BLISS NAILS & SPA
DESCRIPTION: Install exhaust fan system (2) nail stations (see other units).
OWNER: BIT HOLDINGS LTD RTNERSHIP, PHONE #:
CONTRACTOR: DOGWOOD HOME REPAIR & IMPROVEMENT PHONE #: 503-807 -3674
Inspection Request Scheduled For: Date: 11/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 059463-02 503- 807 -3674 N
orrectl s /Comments /Instructions:
MP MAIM. I.Lll■
vi PAS ` rd ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
U FAIL • LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: H /J 7 Phone #: (503) 718 -Z- C-/ y
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: MEC2007 -0( 19
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/24/2007
Phone: (503) 639 -4171° i
Inspection Requests (24 Hrs.): (503) 639 -4175 A- '..E.
INSPECTION WORKSHEET FOR DATE: 11/13/2007 TIME: 7 :01AM PAGE: 100
SITE ADDRESS: 16200 SW PACIFIC HWY B1 CLASS OF WORK:
SUBDIVISION: TIGARD TOWNE SQUARE LOT #: TYPE OF USE:
PROJECT NAME: BLISS NAILS & SPA
DESCRIPTION: Install exhaust fan system for (2) nail stations (see other units).
OWNER: BIT HOLDINGS LTD PARTNERSHIP, PHONE #:
CONTRACTOR: DOGWOOD HOME REPAIR & IMPROVEMENT PHONE #: 503-807 -3674
Inspection Request Scheduled For: Date: 11/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mochanical rough -in 059463-01 603-1307-3674 N
Corrections /Comments/ Instructions:
i�
MilI a 'ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL I /I ' ; LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: // /3/° Phone #: (503) 718 - Z.