Permit C ITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00155
T I C A R I 13 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/14/2008
PARCEL: 2 S 102CC -00500
SITE ADDRESS: 13600 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: TIGARD MARKETPLACE LOT: JURISDICTION: TIG
PROJECT: H MART
Project Description: Installation of (60) refrigerated display cases and refrigerant lines. Project Value: $180,000
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: 1 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODST
CLO DRYERS:
S:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 60
FURN > =100K BTU: <= 10000 cfm:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
13500 PACIFIC CORP Description Date Amount
BY CAP ADVISORS
38345 W TEN MILE RD, STE 170 [MECH] Permit Fee 4/14/200E $2,276.50
FARMINGTON HILLS, MI 48335 [MECPLN] Plan Rev 4/14/200E $569.13
[TAX] 12% State Surch 4/14/200E $273.18
Phone:
Total $3,118.81
Contractor:
KEY MECHANICAL CO
13477 SE JOHNSON RD
MILWAUKIE, OR 97222 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 231 -0731
FAX 503- 236 -5848
Reg #: LIC 93479
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 9 I $ 1 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By . ° - ' -e Signature: ■NL
yip
Call 50 9.4175 by 7:00 a.m. for inspections that Oness • ay.
This permit card shall be kept in a conspicuous place on the job siteil com • let' • of the project.
Approved plans are required on the job site at the time of each ins • ec • n.
' 9'
mechanical Permit Application ;i OR OFFICE USEONI \
R eceived � / Permit N
fr City of Tigard Date /By: /. i / _ L1! 1 / c rg- er`s
I N
° .13125 SW Hall Blvd., Tigard, OR
Plan Revie
Ill Phone: 503.639.4171 Fax: 503.5' ' , : i Date /B
„T 1 G A R D !
i I. tQ p s Other Permit:
Line: 503.639.4175 `) j 6 Date Rea.y/By: -i�� ® See Page 2 for
. Internet: www.tigard- or.gov gP A Notified/Method : �// d / , Supplemental Information
TYPE OF WQIyi , O� „An cAO. - A COMME CIAL FEE* SCHEDULE - USE CHECKLIST
��!!�r "" e ment Mechanical permit fees* are based on the value of the work
1=1 New construction ®Addition /altekaQ�t performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: G7 mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: S 99 `�D / md�0 °
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. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: /3400 SW PACIFIC HWY Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State /ZIP: TIGARD, OREGON 97223 Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: Project name: H MART
Gas heat pump 14.00
Cross street /directions to job site: 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
Flue /vent for any of above 6.80
Subdivision: Lot no.:
Other: 10.00
Tax map /parcel no Other fuel appliances
. • DESCRIPTION' OF WORK �� Water heater 10.00 •
INSTALL NEW REFRIGERATED DISPLAY CASES ( Gas fireplace 10.00
Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
❑ PROPERTY OWNER El TENANT Chimney/liner/flue/vent 10.00
Other: 10.00
Name: H MART Environmental exhaust and ventilation
Address: 13500 SW PACIFIC HWY Range hood other kitchen
equipment 10.00
City /State /ZIP: TIGARD, OREGON 97223 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
'hone: (503)620 -6120 Fax: ( ) toilet compartments, utility rooms) 6.80
O ' • • ❑ APPLICANT . ❑ CONTACT PERSON Attic /crawlspace faris 10.00
Other: 10.00
/ • name: Key Mechanical Company
Fuel piping
Co r t name: RAY MERRYMAN $5.40 for first four; $1.00 for each additional
0 Address: 13477 SE JOHNSON RD Furnace, etc.
Gas heat pump
1 City /State /ZIP: MILWAUKIE, OREGON 97222 Wall /suspended/unit heater
` ' Phone: (503) 231 -0731 Fax: : (503) 2 -5848 Water heater
8 Fireplace
E -mail: Rmerryman @keymechanical.co Range
' CONTRACTOR Barbecue
4i Business name: Key Mechanical Company
Clothes dryer (gas)
Other:
Address: 13477 SE JOHNSON RD. MECHANICAL PERMIT FEES*
City /State /ZIP: MILWAUKIT, OREGON 97222 Subtotal
Phone: (503) 231 -0731 Fax: (503) 236 -5848 Minimum permit fee ($72.50) I 2 ) 21 (2 50
Plan review (25% of permit fee) ; .j6:,cj , t `�
CCB tic.: 0093479 surcharge (12% of permit fee) 7 ?�
TOTAL PERMIT FEE 5 le. e j
i This permit application expires if a permit is not obtained within 180
Authorized signature: ) � days after it has been accepted as complete.
--I— Print name: RAY M ERRYMA / Date: 3 28 -08 * Fee methodology set by Tri- County Building Industry Service Board
iii, �:,,._..,.__. ,,, `// 1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC200B 00156
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/14/2000 ;
Phone: (503) 639 -4171 pf !1G'
_!;�'
Inspection Requests (24 Hrs.): (503) 639 - 4175 .. s I _. -
INSPECTION WORKSHEET FOR DATE: 6/21/2008 TIME: 7:00AM PAGE: 37
SITE ADDRESS: 13600 SW PACIFIC H1NY CLASS OF WORK:
SUBDIVISION: TIGARD MARKETPLACE LOT #: TYPE OF USE:
PROJECT NAME: H MART
DESCRIPTION: Installation of (60) refrigerated display cases and refrigerant lines. Project Value: $180,000
OWNER: 13500 PACIFIC CORP, PHONE #:
CONTRACTOR: KEY MECHANICAL CO PHONE #: 503231-0731
Inspection Request Scheduled For: Date: 5/21/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 070185 -01 503 -5'19 -2319 N
Corrections /Comments/ Instructions:
1
!l PASS // PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Sr--Z-` dg Phone #: (503) 718 -y/
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CITY OF TIGARD IMECZoo�- cd G , �
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4N 0' S
Phone: (503) 639 - 4171 ,, �°,, 0 r� ii�f! i 4
Inspection Requests (24 Hrs.): (503) 639 -4175 ,� "�I_L. Z
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INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
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SITE ADDRESS: 1 5 60o SKJ e661a,/ CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT TION: � ` V 1 1� 1k-V
DESCRIPTION:
OWNER: -4)' � J - ' - i'ti4 4 PHONE #: �1-1 .0'?/ 1
CONTRACTOR: ��CC�� PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
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orrecti ns /Comments /Instructions:
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/pikes-- 1 , PARTIAL APPROVAL ❑ CANCEL fl NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
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Ins ector: �r (� V Date: Phone #: 503 718 - 2
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