Permit ` r, 'i CITY OF T C!` 11 MECHANICAL PERMIT
IN
' ' . COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00063
'T DATE ISSUED: 3/2/2007
ArIGARII 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S104BB -07900
SITE ADDRESS: 14350 SW BARROWS RD 002 ZONING: C -C
SUBDIVISION: RUSSELL'S SCHOLLS FERRY SUB LOT: 002 JURISDICTION: TIG
PROJECT: SUNSHINE NAIL & SPA
Project Description: Fan, vents all through the roof. Duct work. $2300.00
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 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: IT
REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR NIT S:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
ALBERTSON'S INC #576 Description Date Amount
PO BOX 20
BOISE, ID 83726 [MECH] Permit Fee 1/31/20W $79.40
[TAX] 8% State Surcha 1/31/20W $6.35
[MECPLN] Plan Rev 1/31/200i $19.85
Phone: Total
$105.60
Contractor:
GARY THOMAS ENTERPRISES
PO BOX 880
NEWBERG, OR 97132 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 804 -6333
FAX 503 -537 -3021
Reg #: LIC 88093
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.
Issued By: 4 Permittee Signature: d').- c;„ ip` ' (J.-__
Call 503.639.4175 by 7:00 a.m. for inspections that 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.
t ".''',01 - ,; , %,„: ,, ..: •-b:_,,,,.,t,-- . ; ,. : e . ,,,Ttl i -rilk k oza --
i City of Tigard
13125 SW Hall Blvd., Tigard, OR 97223 1
r
,p, N c.) d 1 lan 2007 Received
Dale/By.
P Review di Awl Permit No.: ii 01, /.. 0 ,0
Phone: 503.639.4171 Fax: 503.598.1960 '
0
Date/By rtivt 3-?- 0 7 Other Permit:
e
1: •A ', A ' .
..wW'oo.li Inso ction Line: 503.639.4175
I), • C IT .- v; 0 iF -: .i (..iii-iirip Date Ready / y: Juris 0 See Page 2 for
s Internet www.tigard-orgov
BHP D1' q 1)1\1 jr Notified/Method: Supplemental Information
* *, ' • ' . TYPE OF WORK "., -,:. ' • * -, ,. . COMMERCIAL FEE* -SCHEDULE - USE CHECKLIST
Mechanical permit fees* are based on the value of the work
0 New construction 0 Addition/alteration/replacement
performed. Indi : = - ,. ue ro - • • • I • .-:. . • • . of all
ID Demolition 0 Other: mechanical • . terials, equipment, labor, overhead, and profit.
. Value: $ Z 3 00
. - . . . CATEGORY OF CONSTRUCTION . ..
R IDENTIAL,EQUIPMENJJ.SYSTEMSFEiS*. - -.
El 1- and 2 dwelling 0 Commercial/industrial 0 Accessory building
'Thr
12 Multi 0 Master builder 0 Other: Description I Qty. r Ea7 -- Total
• . . JOB SITE INFORMATION AND ,LOCATION . , - Heating/cooling
Air conditioning or heat pump
Job site address: 1 350 S ti ISA l eyeitus Rtk .44 (requires site plan showing placement) 14.00
City/State/ZIP: Ti _ .. ofz. 017-2z3 Furnace 100,000 BTU (ducts/vents) 14.00 /*
Suite/bldg./apt. no.: tr Furnace 109,000+ BTU (ducts/vents) 17.90
Project name: I_Voc ?1,44.1A4 ‘50t1011
Gas heat pup I
14.00/
Cross street/directions to jell) site: 54 Fcg fcr +a Duct work . 14.00
, Hydronic hot w er system 14.00
13 gksoro ws ---> 1....e_4 . g li A 1 1 0 - ClAtoltS r A I k-- 14 , 1 6 4- Residential boiler radiator or
hydronic) 14.00
13 6-61 ae,pt 131 ( -LI 4 i'kte 4 . oA4 l kiv 54 (%., Unit heaters (fiieI-tye not electric), ,
..
in-wall, in-duct, suspe ed, etc. .,10.00
Flue/vent for any of abo i 10.00
Subdivision: Lot no.:
Other: I' 10.00
Tax map/parcel no.: Other fuel appliances /
.. .
DESCRIPTION OF WORK ... ' ' ' Water heater / 10.00
Gas fireplace / 10.00
er - Tw 0 -e-4. Ks at x el I u. c Flue vent for water heater or gas \ /
fireplace \ / 10.00
IAA g'V
k. . A Iso A dvy .gv 0141. Log lighter (gas) ,1
10.00
A 11 V ( A 4 1 1 - or "A re Lit -4'L' rocs-C. Wood/pellet stove 1 \ 10.00
,
Wood fireplace/insert ! \ 10.00
• , 0 . PROPERTY:OWNER -.' . I ' IN TENANT , •. - . , Chimney/liner/flue/vent i fl. 10.00
Other: I \ 10.00
Name: 1_1 04,7 Pk AM Environmental exhaust and ventilation u ‘,
Range hood/other kitchen /
Address:
equipment / ',. 10.00
City/State/ZIP: ' Clothes dryer exhaust ' 10.00
Single-duct exhaust (bathroonis,
Phone: ( ) Fax: ( ) toilet compartments, utility rdoms) \ 6.80
S APPLICANT . ' - --,.. '0 CONTACT PERSON Attic/crawlspace fans / "•10.00
Other:
Business name: E 14 e A,. 0„4, i e , ,4 10.00
Fuel piping
Contact name: U TO Slit we,. r res If tea f4, $5.40 for first our; $1.00 for each additional
Address: 7 • 5 f,v Ceeke, cvv..s.t. 54, t Furnace,
Gas hea pump
City/State/ZIP: 7 ,,,,,,,, 4 a (2- 1 7--zz 3 Wall/suspended/ud heater N
Phone: (503 ) L16 0 i ... r I _ Fax: : (so)) 70 ( 6„ C f, Water heater
L°e, / ) Fireplace •
E-mail: e ilia ,.; n 4-1, if evt0VbAh 1 -'t../ VAL/ 0 0 - CO bi4 Range 10 JiA • /q.40
d • *:• ' ( CONTRAPOR "1. -- ' ; ' • Barbecue T G • ....6
Business name: (./ . howl 'is E ..k if . i <es
an
Clothes dryer (gas)
Other: (2). 1 oL)
Address: ' . 0 . 13,),k .6-<-0 . • _ MECHANICAL PERMIT FEES*
City/State/ZIP: I%) e tv3 i og, y 7/ 32 Subtotal
Minimum permit fee ($72.50)
Phone: (5, - 3 ) 53- 0 3 I Fa ( 9)3 ) 537- 302! Plan review (25% of permit fee)
CCB lie; 810 13 State surcharge (8% of permit fee)
/
TOTAL PERMIT FEE 1L2 5.
?1
This 4,0
is permit application expires if a permit is not obtained within 180
Authorized Si gnature: • 4 ::
days after it has been accepted as complete.
.....-, "
Print name: J
r4 r rA-146( Date: 1 LE /2, . Fee methodology set by Tri-County Building Industry Service Board
1: \ BuildingTerrnits \ MEC-PermitApp doc 04/06/06 440-4617T ( 1 1 /02/COM/WEB)
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.
•
•
1:\Building\Permits\MEC- PermitApp.doc 12/30/05 2
/- -
CITY OF TIGARD
BUILDING DIVISION A PERMIT #: MEC2007-00063
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/2J2007
Phone: (503) 639-4171 *op/Alit
Inspection Requests (24 Hrs.): (503) 639-4175 all-
ri 7- 00063
INSPECTION WORKSHEET FOR DATE: 3,70007 TIME: 7:00AM PAGE: 24
SITE ADDRESS: 14350 SW BARROWS RD 002 CLASS OF WORK:
SUBDIVISION: RUSSELL'S SCHOLLS FERRY SUB LOT #: 002 TYPE OF USE:
PROJECT NAME: SUNSHINE NAIL & SPA
DESCRIPTION: Fan, vents all through the roof. Duct work $2300.00
•
OWNER: ALBERTSON'S INC #576, PHONE #:
CONTRACTOR: GARY THOMAS ENTERPRISES PHONE #: 503-804-5333
Inspection Request Scheduled For: Date: 3,17/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
625 Duct work 044462-01 503-804-6333 Y 36
Corrections/Comments/Instructions:
1 15kA_SS 111 "ARTIAL APPROVAL 7 CANCEL NO ACCESS
I FAIL FA/ A FOR INSPECTION 7 ADDITION' L FE S ASSESSED
_1
Inspector: Date. 6 Phone #: (503) 718- 24'