Permit z CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00033
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/17/2007
PARCEL: 1 S 135BC -00900
SITE ADDRESS: 10855 SW CASCADE AVE ZONING: C -G
SUBDIVISION: CASCADE PLAZA LOT: JURISDICTION: TIG
Project Description: PAULSON CARPET. (3) infared heaters, vents & gas piping. Valuation $ 24,490.
CLASS OF WORK: OTR 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:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
PAULSON LIMITED LIABILITY CO Description Date Amount
BY RICHARD G PAULSON SR
1511 NE 150TH AVE [MECH] Peimut Fee 1/17/2007 $427.25
PORTLAND, OR 97230 [TAX] 8% State Surcha 1/17/2007 $34.18
[MECPLN] Plan Rev 1/17/2007 $106.81
Phone: Total $568.24
Contractor:
REITMEIER MECHANICAL INC
7051 SW SANDBURG ST STE 400
TIGARD, OR 97223 -8011 REQUIRED ITEMS AND REPORTS
Contact #: PRI 603 -0205
Reg #: LIC 153770
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: > z ,,. Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applcat'infieD - _ Fog OFFICL;_USI ONLY _
C ∎ ` a Received ,�(' �� 7 /�
City of Tigard Date/By. -- 7-" 4 Permit No `�16 �V is
13125 SW Hall Blvd., Tigard, OR 9 ' 2' ''6°1 Plan Review
N
Phone: 503.639.4171 Fax: 503.598.1969 1 1 k Ai _,. � C LJS A Other Permit:
J A ' ���!� i Date/BY Inspection Line: 503.639.4175 el{k� "� I - , Date Ready/By: ®See Page 2 for
Internet: www.ci.tigard.or.us of ,
.7.7...-.
ON a 0' \i`$t Notified/Method Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ 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: $ d yc -to. o4
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building
❑ Multi family 0 Other: For special information use checklist.
❑ Ma ster builder
Description I Qty. I Ea. I Total
.. ' JOB SITE INFORMATION AND LOCATION Heating /cooling
Job site address: p .55 Air conditioning or heat pump
l0 a .5 5 5 W CA. CA (Y' . AJ L (requires site plan showing placement) 14.00
City /State /ZIP: l ! a[2 D / 0R ( 7 ...Z 5 Furnace 100,000 BTU (ducts/vents) 14.00
Suite/bldg. /apt: no.: Project name: Furnace 100,000+ BTU (ducts/vents) 17.90
Gas heat pump 14.00
Cross street /directions to job site: Duct work 14.00
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. 10.00
Subdivision: Lot no.:
Flue /vent for any of above '3 10.00
- Other: 10.00
Tax map /parcel no.: Other fuel appliances
.
DESCRIPTION OF WORK ' • Water heater 10.00
STA r( T A E .} Gas firepl 10.00
J
1 N �d Att"C a �(. A IG /� 5 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 - ❑ TENANT
Chimney/liner/flue/vent 10.00
Other: 10.00
Name: /74 14 5 o 1JS Environmental exhaust and ventilation
Address: ns d cz t.
Range hood/other kitchen
/0 e 5 5 St A'tE t -3, equipment 10.00
City /State /ZIP: .-Ti 6 Cz4 iz 1) o� 9�• -2_ 3 Clothes dryer exhaust 10.00
1 Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ,0' CONTACT PERSON Attic/crawlspace fans 10.00
•
Other: 10.00 _
Business name: Fuel piping
Contact name: a L g $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City /State /ZIP: C E I I Wall /suspended/unit heater
Phone: ( Water heater
( � d � ) �� O ( ) Fireplace
E -mail: Range
CONTRACTOR - . Barbecue
Business name: i S 6-1 i AG l E!� R �G14 A A (£ e Clothes dryer (gas)
f other: /NFA21� H! 1e-
Address: 7o51 -`�N, .SAtJ1ZecLA • 1 t 400 MECHANICAL PERMIT FEES*
City /State /ZIP: 776.; .D , 0A 91 '2. Z. 3 Subtotal 9 Z V-
Phone: (50,) bo 7, 40 7 c, 5 Fax: 3 ) 603 D E S d
Plan permit fee ($72.50)
an review (25% of permit fee)
CCB lic.: 752 7 7 O State surcharge (8% of permit fee) 3 yl J)/
O./. TOTAL PERMIT FEE e , 183
Authorized signature: This permit application expires if a permit is not obtained d within 180
ai. days after it has been accepted as complete.
Print name: 0/ c A "7 4 /Z/2 Date: /.. /5 _, O . • Fee methodology set by Tri- County Building Industry Service Board
i:\ Building \Permits\MEC- PermitApp.doc 17103 440- 4617T(I1 /02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Informatioq
•
Commercial Fee Schedule:
Total° Valuations„ 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.
i:\Building\Permits\MEC- PermitApp.doc 12/03 2
CITY - 0 TIGARD ..
BUILDING DIVISION #: MEC200I 00033
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/17/2007
I Phone: (503) 639 -4171 t wo / woolI �
Inspection Requests (24 Hrs.): (503) 639 -4175 Ai ¢_...
INSPECTION WORKSHEET FOR DATE: 1/23/2007 TIME: 7 :02AM PAGE: 56
SITE ADDRESS: 10855 SIN CASCADE AVE CLASS OF WORK:
SUBDIVISION: CASCADE PLAZA LOT #: TYPE OF USE:
PROJECT NAME: PAULSON CARPET
DESCRIPTION: PAULSON CARPET. (3) infared heaters, vents & gas piping. Valuation $ 24,431.
OWNER: PAULSON LIMITED LIABILITY' CO, PHONE #: .
CONTRACTOR: REl T METER MECHANICAL INC PHONE #: 603-0205
Inspection Request Scheduled For: Date: 1/2312007 Pour Time:
Code # Inspection Description Confirm # Contact # Message '
610 Gas line 042390-01 503-367 -8975 Y
(C — f►U'Gt( 5 ?l 82( (---3
Corrections /Comments/ Instructions:
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PASS n PARTIAL APPROVAL I I CANCEL NO ACCESS
FAIL C , L FOR I SPECTION ❑ ADDI NAL F ES ASSESSED
As
Inspector: 16 4 ilt. ! Date: Phone #: (503) 718 - aa
7