Permit CITY OF TIGARD MECHANICAL PERMIT
• Permit #: MEC2009 -00486
COMMUNITY DEVELOPMENT
Date Issued: 09/11/2009
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1S135BB00500
Jurisdiction: Tigard
Site address: 10487 SW CASCADE AVE
Subdivision: Lot: 0
Project: More Furniture for Less
Project Description: Duct modifications for TI.
Owner: FEES
RAM /CASCADE CENTER LLC Description Date Amount
BY ELLIOTT ASSOCIATES INC, 901 NE GLISAN
Permit Fee 09/11/2009 $118.50
ST 12% State Surcharge - Mechanical 09/11/2009 $14.22
PHONE:
Contractor:
COMPLETE HEATING & COOLING
18310 SW BENFIELD AVE
LAKE OSWEGO, OR 97035
PHONE: 503 - 332 -4514
FAX: 775- 628 -1630
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: Occupancy Load:
Stories:
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressue: Units > 10000 cfm:
Furnaces Boilers & Compressors
Furnaces < 100K BTU: 0 -3 HP:
Furnaces >= 100K BTU: 3 -15 HP:
Floor Fumaces: 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 $132.72
Hoods: Comm Incinerators: Required Items and Reports (Conditions)
Woodstoves: Gas Fireplaces:
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 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection 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.
- 09/11/2009 @5:29 7756281630 COMPLETE HEATING PAGE 02
Mechanical Permit AppkyjaCEIVED (..), , ,(. 1.. t :E. ,., ,
litnaziwd ,... 4/ 1 pamitriovre62009— , 4 i PA
111111 City of 'Tigard DateRy: 7 I, el /will
,
,- -, 13125 Sw krall Blvd Tigard, OR 1P lb to' PIM Revlcw Other Permit: ii —0e, Al
: . Phone: 503.639.4171 Far. 503-597Z ,
40. Daan/By:
1arisi: la See Page 2 Far
inspection Line: 503.639.4175 call OF ARD 110. Rewly/Ry:
hiternet: vAr.v.tigard-or.gov
BUILDING DIVISION Notified/Method: fe.. Swipplemental Information
; f . , .,0 .';:,,::':ti:)...i.riet.0001446.71,i;;',..,-;.;',1:)':.;:,?;::,. !.Ai;:;."'ikk?,:eq."I'lk
m.,„„,,,,_,, permit fees* are based on the value of the work
0 New construction )31Additionialterationireplacement performed. indicate the value (rounded to the nearest dOilar) Of all
0 Denon 0 01ber: mechanical materials, ipe or Overhead, !ind pnafit.
.+.:‘;',.';';',' , i: •.:',. C', :: :‘'..:';:..,.,:,:<';'. '',,,T.,i:''T4tkiiiiiie..01,0 , , T ,.
' 44), ; ''''•''' :. ','' '''' ' ' ' '' 1 ' ''' Ll4.— - ' . ' s ''''''''''''.. 4 '''' ' ''''" '" " -' \ S>4a 11 41:f ill .77 )***104tfirtow..'::--,
ii I- and 2-family dwelling )2(Commercialrunlustrial 0 Accessory building
For special information usv checklist -
0 Multi-family 0 Master builder El Other: Description 1 Qty. 1 Ea. I Total
'77 ,:', ':. ,,, . '' . ' ' ' `' .7- •4( 1 P . 00144:0 4 II 6 eieue
i''VCW '‘' 9,11 n
';•''?; ''':i'• ' ' ; ''.. t„ 1, .",,..„ *. ,.' ,1 ',,',' g• ,4, ,,••,' , ,•' •••••,:temt: • . •••-'-, ,, _ ', ', ''. 13 Pg —
•
Air conditioning or beat pump
lob cite address: / 0 ti.
87 stA) c &if; ou sae ptaa showing plaoancut) ......, 14.00
—
furnar.e 100,000 Bill (dsrpverda) 14.00
City/State/DR r ( ilk --
FWD= 100,000+1311J (ducta(vems) 17.90 -
Suite/I/Mg/apt. no_2 Project n Elme: M 0 TR 67: guizm rug—c _ cos hest pump 14,00 ,
Cross street/directions to job site; ..ka-5 Duct work , 10.00
Hydrant; hot valet system 14.00
Residential boiler (radiator or
hydnanic) 14.00
Unit heaters (fact-typo, not electric),
--
in-wall, in-duck suspended. etc. _ 14.00 III
—
Rue/vent for any of above 6.80
Suttdivision: I Lot ::
R00
Tax . .
Tax map/parcel no.: Other tart applanco.
..—
':;,.• '1 Water heeler _ 10.00
,.,' I. ' ::, ,' : ‘,•"..'''''''''. ,' s' .ff A ,, i , •„ , 7,A ;,::< f■ c.V. r., A ,, -4.■,
Gas fireplace , 10.00
OV Cir 1' OD r F I ' Ci471 0 / 4-5 , Flue vent tbr water beater or gas .
firept,ee
_.......,
_
......___ !itzlar (gas) 10.00 --
____ _ Wood/pellet Wove 10.00
-
-
_
Wood fireplace/insert 10 00
OM 10.00
IIIII 1 09
-
Name: Ensi exhaust and vet:Kiloton
Range hood/other kitclien-
Actchcs: equipment 10.00
- - _ ,
City/State/7JF: Clothes dryer eithaust 10.00
---- — Single-duct exhaust (bathrooms,
Pbefaez ( ) Fax: ( ) toilet compartments. utility rooms)
/ ' 4.1144*:.,:::;;':1::.■:?,:‘i.).74.F140'Vaz.,'.7.Mi 1 1 V Artleterawlspace fans
moo,
Other: 10.00
. - .
Business name:
_ Fud, P0
-- -
Contact name: S5.40 for first four; $1.00 for each atiditions
— _
Address: Furnace. cit.
Gas heat pump
City/StatTAIP: __ _______ ViaAARIS 01:11tedhltiit healer
Water heater _
Phone: ( ) Floc : f )
--_ Fireplace --
E-mail:
,
Wt,:V0: :::::::- ., - ;0 ; B a d xcue
sit , Clothes dryer (gas)
Buit2S,3 Other:
Address: jaatia_ ,.. 436Ait- , /Ei r b A.
;,..,W f? h !..,,;,:''', l • ' ! ' •
Ci SUbtOtnl . // f-ST)
City/State/ZIP: 6, kz o sv,266 (,,, o p_ 7 . ,...._.__
.
fe
Phone: ( ) -4 v .. u ,.
.. , ,
j Fax: ( 15j -2 1' 4 3 3 r--
Minimum permit c ($72.50)
--------- '''' s ( ( t _ • Pian review (15% of penult fee) . -tr97-6-1-•"'''
CA CCB lic.: 6 7 q t , 8 ,,i -- . „ 7 i 0
state surcharge (2% of permit fee)
TOTAL PERMIT FEE j'ega.Sk
Authorized signature: ,---_—. rots Derain applica It tion expriw It 2 llerallt b am oneamen wino J411
d*y. after Ps* he . accepted as c.sspl..t.
I Priilt 161MC: tji M I ti VV (7:3 Tija;7 ii 7 .. Fee methodology set by Tri-Ceunty Building industry Servtce,ttoara
/3,, 1,
1: \BuildineSennitalEC-Acen[04 doc 01/14,1)7 440-4617T (11/02/036,01131:9