Permit Er! CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00223
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/29/2008
PARCEL: 2 S 113 BA - 002 0 0
SITE ADDRESS: 07800 SW DURHAM RD 400 ZONING: I -P
SUBDIVISION: DURHAM ELEMENTARY SCHOOL LOT: JURISDICTION: TIG
PROJECT: PORTLAND CATERING CO
Project Description: Exhaust hood. Project Value: $11,000
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: 1 BOILERS /COMPRESSORS HOODS: 1
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: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
DAVID METZGER Description Date Amount
PO BOX 400
SHERWOOD, OR 97140 [MECH] Permit Fee 5/29/200E $245.00
[MECPLN] Plan Rev 5/29/200E $61 25
[TAX] 12% State Surch 5/29/200E $29 40
Phone: 503- 625 -7045 Total $335.65
Contractor:
OWNER
REQUIRED ITEMS AND REPORTS
Contact #:
Reg #:
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 l' i/ P Signature: i ce /'
Call 50 .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.
FORM A '0 C&T / 7E§c� 9 R - t n •
Mechanical Permit Application c .-- rr& FOR „ OFFICE USE ONLY.,
t lnr . Cit of Tigard "� .' Dat e/B ey ` w j Permit No N�Cam B�cY�aa
'4. 131 25 SW Hall Blvd , Tigard, OR 9 223 ,
1 Pl an Revte /A {{
� • Phone: 503.639 -4171 Fax 50 841.960 - O� Date/By / l !'� ,...>-( 23 Other Permit l l a 20 E- --
I Gt\RD Inspection Line 503 639 4175 � °� Q \-.1'� Date Ready/By ���yyy�.. tins ® See Page 2 for
f Internet www tigard -or gov 0 0) Notified/Method d d 0 Supplemental Information
�
TYPE OF W 1�iK"� uo COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
El New construction ❑ Addition /altera rkeplacement Mechanical permit fees* are based on the value of the work
/6) performed Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, e uipment, labor overhead r i -
CATEGORY OF CONSTRUCTION ' Val $ 0 (� l J \
RESIDENTIAL EQUIP SYSTEMS FEES*
❑ 1 - and 2 family dwelling [✓] Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family - ❑ Master builder ❑ Other: Description I Qty Ea Total
•
JOB SITE INFORMATION AND LOCATION
Air cond
4
itioning Job site address: 7s...00 s(� pc> /Ll -jx)iy1 l Zp 5 y0O rt plan or heat pump
(requires site plan showing placement) 14.00
City /State /ZIP: 7 7 p /zip 0 2 Q -7,c),1 Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17 90 /
Suite/bldg. /apt. no.: 4/00 Project name: - ` Gas heat pump 14 00
Cross street/directions to job site: PoQ Tt-a v� eA � ��O Co. Duct work 10.00
t
7S- r/4 r/4 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
i ` DESCRIPTION OF WORK Water heater 10 00
7 ��, ' / \ Gas fireplace 10 00
.a' C - 67 - Z U 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: ')y] 7 U,J_aV7t:))Z£S L. C. Environmental exhaust and ventilation
Range hood /other kitchen
dress: p 0 • dae /c 5c3 - 104 - (.j7 equipment 10 00
S,
City /State /ZIP: j izt_ .a o ,Q 97/ yd �/ l (�( Clothes dryer exhaust 10 00
/ Single -duct exhaust (bathrooms,
Phone: (�3) 6o2S^ 7055” �� .. Fax ( 3) t �L - S.?J toilet compartments, utility rooms) 6 80
[APPLICANT E CONTACT PERSON Attic /crawlspace fans 10 00
B // r U6H 1��"'u
Business name: Other i 10 00
�2An/H S C4 '�/ L 2�lG _Z/VC C'rtJ (li7nl/�r�N Fu piping
� P P
• Contact name: e /ZJC , t/ZEE/2_ $5.40 for first four; $1.00 for each additional
Address: �� s� av AM ID cw Gas heat etc
2 sr �` Gas heat pump .
'ty /State /ZIP: T26 i/� j 0 /2 97 2,3 Wall /suspended unit heater _ ^�
P hone: (�T/ ) , 2 ,0 1 ,.. >_60_5-- / Fax: : ( )
E-mail: Water heater
�` - » Fireplace
� ?h T� /' �/ iTC19ND9 CY 7'£%ZTr�l6COi'v1��9n�
Range
. CONTRACTOR Barbecue _
Ask. Business name:
Clothes dryer (gas) ■
Vg5 �°' O ther
a v 60 , _ \
Address: n ,� ,� MECHANICAL PERMIT FEES*
kk\ City /State /L � , d }� Y i `^" Subtotal
Minimum permit fee ($72 50)
Phone: (503) SS-a2 Fax: (.%O3) 6 0 9 33, Plan review (25% of permit fee)
CCB lic.: 0 v 4 i9 State surcharge (12% of permit fee)
TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not obtained within 180
�� days after it has been accepted as complete.
Print namee; .� Date: S /s• ,1/4 * Fee methodology set by Tn- County Building Industry Service Board
1 \Buddmg\Permits \MEC- PermitApp doc 01/19/07 440 -4617T (11 /02/ / �
C
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 \Buddmg\Pernuts \MEC- PermitApp doc 01/19/07 2
. . .
CITY OF TIGARD
BUILDING DIVISION
A.,* PERMIT #. MEC2009-00223
,.,
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED 5/29/2008
Phone: (503) 639-4171 imoolgii If
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 7/29/2008 TIME: 7: 01 MI PAGE: "I .
SITE ADDRESS: 07800 SW DURHAM RD 400 CLASS OF WORK:
SUBDIVISION: DURHAM ELEMENTARY SCHOOL LOT #: TYPE OF USE:
PROJECT NAME: PORTLAND CATERING CO
DESCRIPTION: Exhaust hood. Project Value: $11,000
OWNER: METZGER, DAVID PHONE #: 503-625-7046
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 7/297 8 Pour Time:
Code # Inspection Description Confirm # Contact # Message
609 lvlochanical final 073397..01 5±:ymio_ N -tlel- 1::e'C)
Corrections/Comments/Instructions:
41 0 1 ,0
11 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
I I FAIL IN CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: ) Date: 7/tello 3 Phone #: (503) 718-
. . , .
CITY OF TIGARD , ,,
BUILDING DIVISION PERMIT #: MEG200I3-00223
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5129/2008
Phone: (503) 639-4171 /
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET WORKSHEET FOR DATE: 6/13/2008 TIME: 7:01Alvt PAGE: 13
SITE ADDRESS: 07800 SW DURHAM RD 400 CLASS OF WORK:
SUBDIVISION: DURHAM ELEMENTARY SCHOOL LOT #: TYPE OF USE:
PROJECT NAME: PORTLAND CATERING CO •
DESCRIPTION: Exhaust hood. Project Value: $11,000
OWNER: IvIETZGER, DAVID PHONE #: 503-625-7046
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 6/13/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 071367-03 503.801-0607 Y
Corrections/Comments/Instructions:
i • e ' ' _ . ' ." : "7 - KI10 dr a ' ..------ a C.) bk. — , I.) •
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a• .---
L. _ _ ''' es ----._
C ;---‘ -
I PARTIAL APPROVAL fl CANCEL I I NO ACCESS
rhi AIL • CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
f ....■
Inspector: Date: 0 . ' /I lf, Phone #: (503) 718- 40
yr
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