Permit C ITY OF TIGARD MECHANICAL PERMIT
.74 COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00523
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/27/2008
PARCEL: 2S 102AA -00600
SITE ADDRESS: 11940 SW PACIFIC HWY A ZONING: CBD
SUBDIVISION: TIGARD HIGHWAY TRACTS LOT: 012 JURISDICTION: TIG
PROJECT: PACIFIC PLAZA
Project Description: Replace existing rooftop unit with like kind. Project Value: $7,871
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:
NAT 3 - 15 HP: 1 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:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
ALPROP CO Description Date Amount
6149 SW SHATTUCK RD
PORTLAND, OR 97221 [MECH] Permit Fee 10/22/20C $193.70
[MECPLN] Plan Rev 10/22/20C $48.43
[TAX] 12% State Surc h 10/22/20C $23.24
. . Phone: Total $265.37
Contractor:
DETEMPLE COMPANY INC
1951 NW OVERTON ST
PORTLAND, OR 97209 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 227 -2641
FAX 503- 274 -7686
Reg #: LIC 2510
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
rule .erect ques ' • • to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: �� Permittee Signature:
y - •_ le i , g .. .�� w/
Call 503.639.4175 by 7:00 a.m. for inspections t at • • siness • ay.
s permit card shall be kept in a conspicuous place on the job s . until coin • eti • n of the project.
Approved plans are required on the job site at the time of each inspection.
it c t 4 5 PaCi6 0 • .
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Received
Date/By. /0 AEI= PermitNo.:fe -#65,2 3
° 13125 SW Hall Blvd., Tigard, OR 97223 �' Plan Revie �i'i• ,
Phone: 503.639.4171 Fax: 503.598.1960 p � �/ 8 o �� Other Permit:
T I G ARD Inspection Line: 503.639.4175 � Date Re °': y: ,I Pi Page 2 for
Internet: www.tigard or.gov (j 0'4 Notified /Method: Uffd �' �� Supplemental Information
TYPE OF WO st � � , � COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New construction Addition /alteratiot Mechanical permit fees* are based the value of the work
+�,�I A performed. Indica the value (rounded d to the nearest dollar) of all
❑ Demolition 0 Other: �V mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $ , p---
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ I- and 2- family dwelling g Commercial /industria ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other:
Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating /cooling
C \ 1 N Air conditioning or heat pump
Job site address:
1 914 0 JVLJ aC/l \ C I Il L (requires site plan showing placement) 14.00
I t G
City/State/ZIP: �-�� V E q
Cit y Furnace 100,000 BTU (ducts/vents) 14.00
� .
ac, Furnace 100,000+ BTU (ducts/vents) 17.90
Suite /bldg. /apt. no.: 4 f Project name: u fi C pia., 5:-hr1 kl v' 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: I Lot no.: Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
Flue vent for water heater or gas
IP o �, }� fireplace 10.00
Q 1 �� a L��� ti) � ��"— "' Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
❑ PROPERTY OWNER I 0 TENANT Chimney/liner/flue/vent 10.00
Other: 10.00
Name: Environmental exhaust and ventilation
Range hood /other kitchen
Address: equipment 10.00
City /State /ZIP: Clothes dryer exhaust 10.00
Phone: ( ) Fax: Single -duct exhaust (bathrooms,
( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Business name:
Other: 10.00
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City /State /ZIP: Wall /suspended /unit heater
Phone: ( ) Fax: : ( ) Water heater
E-mail: Fireplace
Range
CONTRACTOR Barbecue
Clothes dryer (gas)
Business name: DeTemple Company Other:
Address: 1951 NW Overton St MECHANICAL PERMIT FEES*
City /State /ZIP: Portland, OR 97209 Subtotal J. 5'3,70
Phone: ( ) P #503- 227 -2641 f #503- 274 -7686 Minimum permit fee ($72.50)
Lic# 26 -25PB CCB# 2510 Plan review (25 %of permit fee) y �j N 3
CCB lic.: State surcharge (12% of permit fee) a 3. a q
TOTAL PERMIT FEE 21 2,1
Tpa 4, c lo
Authorized sigi lure
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name. . Date: ) 0 — u • Fee methodology set by Tri- County Building Industry Service Board
' 1: \Building \Permits \MEC- PermitApp.doc 01/19/07 440.461 T (I I /02 /COM/WEB)