Permit d(N
a + CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00049
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/29/2008
PARCEL: 1S135DD-03301
SITE ADDRESS: 11945 SW PACIFIC HWY 246 ZONING: C - G
SUBDIVISION: TIGARD PLAZA LOT: 002 JURISDICTION: TIG
PROJECT: DAXING SEAFOOD STORE
Project Description: Install fire damper. Project Value: $100.00
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: BOILERS /COMPRESSORS HOODS:
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: WOODSTOVRS:
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 1/29/200E $72.50
[TAX] 12% State Surch 1/29/200E $8.70
Phone: Total $81.20
Contractor:
NW EAGLE MANAGEMENT CO INC
7516 NE 157TH AVE
VANCOUVER, WA 98682 REQUIRED ITEMS AND REPORTS
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 0 - • - 001 -0100. Y. - may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issue• By: ' �.A . 1 I Permittee Signature: L am •
Call 503.639.4175 by 7:00 a.m. for inspections that bu less day.
This permit card shall be kept in a conspicuous place on the job site u y it completion of the project.
Approved plans are required on the job site at the time of -ach inspection.
Mechanical Permit Application FOR OFFICE 115E ONLY
City of Tigard RDeacet ( 0 l i���/ f` g ccc '
Q Permit No.:
IA 13125 SW Hall Blvd., Tigard, OR • f Plan Review /�
= Phone: 503.639.4171 Fax: 503.5' 8. • . CEI VEp Date/By: Other Permit:.77�4, Ow - ee)5• 7
TI G n R D Inspection Line: 503.639.4175 Date Ready/By: NEN lift See Page 2 for
Internet: www.tigard or.gov JAN 2 9 2008 Notified/Method: Supplemental Information
TYPE &tflF TIGARD COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
1,3 New construction b Addition/all afitifiQpOJM®1ON 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: $ / al"
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. I Ea. Total
JOB SITE INFORMATION AND LOCATION / 194- SW Heating/cooling
Job site address: p , ■ J Air conditioning or heat pump
.. ' r 7 t ' M quires site plan showing placement) 14.00
City/State /ZIP: -T'Ge-4-64Z,b - D /2 Furnace 100,000 BTU (ducts /vents) 14.00
Suite/bldg. /apt. no.: Z¢8 Project name: Ap x i 06 f �- /'Qt) Gas Furnace 100,000+ BTU (ducts/vents) 17.90
Gas heat pump 14.00
Cross street/directions to job site: . - r2 I._ Duct work 10.00
rJ
�"J i- �� " ] DC �L c , �/ p , .+ 'eLL zLvir 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
DESCRIPTION OF WORK Water heater 10.00
/ ! c 7 LC / ( £6/ Gas ( vent foe 10.00
' V 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
•
Chimney/liner /flue /vent 10.00
❑ PROPERTY OWNER lyTENANT Other: 10.00 _
Name: D y` le S /,.)4. S l�-tr7! h. Environmental exhaust and ventilation
Address: .. g /1 9 4 5 S� /24. r G /i Range hood/other kitchen
equipment 10.00
City/State /ZIP: 'T/ 4-6-Q,j' O / . Clothes dryer exhaust 10.00
�3' 4 6 0 - 743. Fax:
Single-duct compartments, (bathrooms, y o
Phone:
( ( ) toilet corn ents, utili rooms ) 6.80
a APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Other: . 10.00
Business name: /z1 &f-Z,./...L .yn
A�4jy/ryj,,,c� Fuel piping
:
Contact name: / irg <'O� + - _ ! $5.40 for first four; $1.00 for each additional
Address: '7 T; / G ,< 6'7 -& -7,40. /4V' Furnace, etc.
Gas heat pump
City/State /ZIP: ki i C ,t/3 �t�i Wall /suspended/unit heater
Phone: (P 'D3 g / p _ ) 4,6 / Fax: :f,36 o) z;4.. -- / . j Water heater
Fireplace
E -mail:
Range
CONTRACTOR Barbecue
Business name: Clothes dryer (gas)
A Other:
Address:
' h'N) I 4-et Y 4 . MECHANICAL PERMIT FEES*
City/State /ZIP: Subtotal
Phone: ( ) Fax: ( )
Minimum permit fee ($72.50) 7a • AO
Plan review (25% of permit fee) -S
CCB lic.: / 4.4 (Sp-t• ' /p / / State surcharge (12% of permit fee) 3 - 9d
TOTAL PERMIT FEE a 1 . • A
Authorized signature: ` - This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: 3/7/4//r4 ( i Date: /� (23 ' Fee methodology set by Tri County Building Industry Service Board
1:\ Building \ Permits \MEC - PermitApp.doc 01/19/07 440- 4617T(11 /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.
I:\ Building\Permits\MEC- PermitApp.doc 01/19/07 2
CITY OF TIGARD , ,
BUILDING DIVISION PERMIT #: MEC2008_00019
13125 SW Hall Blvd., Tigard, OR 97223 / l DATE ISSUED: 1/29/2006
Phone: (503) 639 -4171 �a.u4 ( `
Inspection Requests (24 Hrs.): (503) 639 -4175 . ' "I � / /
INSPECTION WORKSHEET FOR DATE: 2/5/2008 TIME: 7 :01AM PAGE: 71
SITE ADDRESS: 11945 SW PACIFIC HWY 246 CLA ' - • • RK:
SUBDIVISION: TIGARD PLAZA LOT #: . 002 TYPE OF USE:
PROJECT NAME: DAXING SEAFOOD STORE
DESCRIPTION: Insl.all fire damper. Project Value: $100.00
OWNER: TIGARD PROPERTIES INC, PHONE #:
CONTRACTOR: NW EAGLE MANAGEMENT CO INC c PHONE #: 503- B10-28861
t
Inspection Request Scheduled For: Date: 2/ 008 Pour Time:
Code # Inspection Description Confirm # Contact # Mess g
699 Mechanical final 064538 -01 503-810-2861 Y
Corrections/Comments/Instructions:
h loi
cd ,
•
V -PAgg-- --- E PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
1 /() C e� Inspector: Date. Phone #: (503) 718
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2008 -00019
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 t2gt2o08
Phone: (503) 639 -4171 ` � '��! �' �� S
Inspection Requests (24 Hrs.): (503) 639 -4175 '"IL
INSPECTION WORKSHEET FOR DATE: 1/3x0/2 TIME: 7 :02AM PAGE: 22
SITE ADDRESS: 11945 SW PACIFIC HWY 246 CLASS OF WORK:
SUBDIVISION: TIGARD PLAZA LOT #: 002 TYPE OF USE:
PROJECT NAME: DARING SEAFOOD STORE
DESCRIPTION: Install fire damper. Project Value: $100.00
OWNER: TIGARD PROPERTIES INC, PHONE #:
CONTRACTOR: NW F_AGLE MANAGEMENT CO INC PHONE #: 503 - 010.3851
ri
Inspection Request Scheduled For: Date: 1130{2008 Pour Time: 4
0
Code # Inspection Description Confirm # Contact # Mess e g
630 Fire damper 064205.01 503. 810 -2861 Y
Correction /C ments /Instructions:
0 9 J -:, ke Ul- S
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Ag acc.�ss . Lc 04" c. (Z7 (---) - r- -y- -- 14_____.. v72:2, 0 - kb;
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r k - SS o PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
'\,..' (AA/ / 3 / � _
Inspector: Date: ) Phone #: (503) 718