Permit C IT ( OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00150
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/28/2008
PARCEL: 1 S135DD -03301
SITE ADDRESS: 11945 SW PACIFIC HWY 246 ZONING: C -G
SUBDIVISION: TIGARD PLAZA LOT: 002 JURISDICTION: TIG
PROJECT: DAXING SEAFOOD STORE
Project Description: Installation of walk -in cooler. Project Value: $20,000
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: 2 DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
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
TIGARD PROPERTIES INC Description Date Amount
2106 SE OCHOCO ST
MILWAUKIE, OR 97222 [MECH] Permit Fee 31281200€ $366.50
[MECPLN] Plan Rev 3/28/200€ $91.63
[TAX] 12% State Surch 3128/200€ $43.95
Phone: Total $502.08
Contractor:
NW EAGLE MANAGEMENT CO INC
VANCOUVER, , WA 98682 AVE
VAN COO UVE REQUIRED ITEMS AND REPORTS
VAN
Contact #: PRI 503- 810 -2861
Reg #: LIC 146090
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. Yo may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Iss d By: , L `L j Permittee Signature. . I
Call 503.639.4175 by 7:00 a.m. for inspections that bu 2( ss day.
This permit card shall be kept in a conspicuous place on the job site u :il completion of the project.
Approved plans are required on the job site at the time of each inspection.
xI 1, Cam- _ _ - rL.
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Me chanical Permit Applicati c T Ew ` ! ` FOR OFFICE USE ONLY
City of Tigard . ' 6 (Fl;c3 Dat ' ps og Permit No.: Mg.0 B --Q0 /5D
I N III • 13125 SW HaII Blvd., Tigard, OR 97223 MAR 2" z �
ARD D t 51v� ' Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960
TI G n It D Ins Line: 503 TIG y y: ® See Page 2 for
CITY O F Date Read B kris:
Internet: www.tigard or.gov Notified/Metho. / - o lementalInformation
BUILDING DIVISIO ,,� a 08 r te. S pp
- Wi 4i W '
TYPE OF WORK i
�� OMME ' C EE* SCHEDULE - USE CHECKLIST
❑ New construction Iddition/alteration/replacement / f Mechanical pe . ees• are based on the value of the work
performed. lndi . to the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $ 'j D
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ I- and 2- family dwelling 12fEommercial /industrial ❑ 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
Job site address: / 1 0 - r6 A A G u (Ai Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State/ZIP: '' q -6 n - CJ/4 Furnace 100,000 BTU (ducts/vents) 14.00
Suite/bldg. /apt. no.: I Project name: ', 06 o�gfl c-----6 Gas h
D ee 100,000+ BTU ( ducts/vents) 17.90
� � I/'' f � ' / /'/./ � ,( 7 �, Gas heat pump 14.00
Cross street/directions to job site: / i / a V , rf Duct work 10.00
� r Hydronic hot water system 14.00
��, eJ� Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Subdivision: I Lot no.: Flue /vent for any of above 6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
(,%-) Ic / /\/ ro / fusioe / 19 4.1 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 I TENANT Chimney/liner /flue/vent 10.00
Other: 10.00
Name: n X /Ad 4- S O p Environmental exhaust and ventilation
Address: Z4-4 y 1') S�J p fG �icl Range hood/other kitchen
equipment 10.00
City /State /ZIP: • o g Clothes dryer exhaust 10.00
f Single -duct exhaust (bathrooms,
Phone: (5 v _ [73 Fax: ( ) toilet compartments, utility rooms) 6.80
[APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Other: 10.00
Business name: f �2 /?9 J / IA.,- L ' Fuel piping
Contact name: c3 " ` r
' /V �y D t. ) /// $5.40 for first four; $1.00 for each additional
v V
7
Address: G g- / 5 7 '7 t. A r- , Furnace, etc.
/ Gas heat pump
City/State /Z1P: \../ /3.-7, / (A JA- -$Z Wall/suspended/unit heater
Phone: ( 9.0 SID -- I Fax: : ( ) Water heater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
Business name: 1 any me . , Clothes dryer (gas)
Other:
Address: MECHANICAL PERMIT FEES*
City /State /ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lic.: y 46 eS O 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 name: �� 1.. Date: • Fee methodology set by Tri -County Building Industry Service Board
I:\ Building \PermitsVMEC- PernutApp.doc 01/19 /07 440- 4617T(I1 /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.
•
•
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I:\ Building \Permits\MEC- PermitApp.doc 01/19/07 2
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CITY OF TIGARD . i .
BUILDING DIVISION u PERMIT #: MEC200 00150
13125 SW Hall Blvd., Tigard, OR 97223 AIM DATE ISSUED: 3/26/2.000
Phone: (503) 639 -4171 ..�11 F I CI
Inspection Requests (24 Hrs.): (503) 639 -4175 ... -..!�i
INSPECTION WORKSHEET FOR DATE: 4/3/2008 TIME: 7:02AM PAGE: 23
SITE ADDRESS: 11945 SW PACIFIC H1NY 246 CLASS OF WORK:
SUBDIVISION: TIGARD PLAZA LOT #: 002 TYPE OF USE:
PROJECT NAME: DARING SEAFOOD STORE
DESCRIPTION: Installation of walk-in cooler. Project Value: $20,000
OWNER: TIGARD PROPERTIES INC, PHONE #:
CONTRACTOR: NW EAGLE MANAGEMENT CO INC PHONE #: 503 -B10 -2661
Inspection Request Scheduled For: Date: 4/3/2000 Pour Time:
.
Code # Inspection Description , j Confirm # Contact # Message
6%
6% Misc. inspection y -01 503-810 -2661 N
Corrections /Comments /Instruction`sJ(., °� t/ 067839 : SQ
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F - ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
It_ (Q- `4/3 0 2`i z4
Inspector: Date: Phone #: (503) 718-
CITY OF TIGARD `
BUILDING DIVISION PERMIT #: MEC2000.00160
13125 SW Hall Blvd., Tigard, OR 97223 i DATE ISSUED: 3/28/200:3
Phone: (503) 639 -4171 4 l 1 /
Inspection Requests (24 Hrs.): (503) 639 -4175 . -- -�
INSPECTION WORKSHEET FOR DATE: 411/2008 TIME: 7:01AM PAGE: 11
SITE ADDRESS: 11945 SW PACIFIC HWY 246 CLASS OF WORK:
SUBDIVISION: TIGARD PLAZA LOT #: 002 TYPE OF USE:
PROJECT NAME: ()AXING SEAFOOD STORE
DESCRIPTION: Installation of walk-in cooler. Project Value: $20,000
OWNER: TIGARD PROPERTIES INC, PHONE #:
CONTRACTOR: NW EAGLE MANAGEMENT CO INC PHONE #: 5031310 -2861
Inspection Request Scheduled For: Date: 4/1/2004 Pour Time:
Code # lfispection Description Confirm # Contact # Message
6% Mac. inspection ! 067664 -01 503. 1310.2861 N
Corrections /Comme s /In ructions:
-e_ Mc ---- 6
Mr .— L—G — a riC i fce . - 1 -7 7Lit-t °
•
4 = / S
4 � ^ / ` .
6:
A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ` l,��v Date: 14//k b Phone #: (503) 718- 7
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: MEC200R- 001 ;0 1
13125 SW Hall Blvd., Tigard, OR 97223
4. . ISSUED:1:a�2(10c3
Phone: (503) 639-4171 .. ' I � _ • Inspection Requests quests (24 Hrs.): (503) 639 -4175 .�.�'!+� l/
INSPECTION WORKSHEET FOR DATE: 3/31/2008 TIME: 7:01AM PAGE: 6
SITE ADDRESS: 11945 SW PACIFIC HWY 246 CLASS OF WORK:
SUBDIVISION: TIGARD PLAZA LOT #: 002 TYPE OF USE:
PROJECT NAME: DAXING SEAFOOD STORE •
DESCRIPTION: Installation of walk-in cooler. Project Value: $2.0,000
OWNER: TIGARD PROPERTIES INC, PHONE #:
CONTRACTOR: NW EAGLE MANAGEMENT CO INC PHONE #: 503 -810 -2861
Inspection Request Scheduled For: Date: 3/31/2.008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
685 Misc. inspection 067588-01 503.810 -2861 N
Corrections /Comments/ Instructions:
2 ) ( A- 1 t2- + (NJ cY\--0
OC7 c .-e Lei (0w 4 Q ,j ..A...sb(-e_.
l OC) . 47/ 7, / o (
n P,(Jkr L..‹..).._ c - o ,-0--- ig_12 C
6
❑ PA' S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
V FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
. k& I1/-
Inspector: G/ V Date: 3/3 1/0 b Phone #: (503) 718-7"-"‘r24