Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00707
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/5/2007
PARCEL: 2 S 102 B D -00500
SITE ADDRESS: 12705 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND. LOT: 050 JURISDICTION: TIG
PROJECT: GENIE CAFE
Project Description: Install gas furnace, venting for water heater. (2) gas outlets.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS: 1
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:
WO
GAS PRESSURE: 50 + HP: CL DSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS LO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 2
> 10000 cfm:
Owner: FEES
FARID ADRANGI Description Date Amount
4289 ORCHARD WAY
LAKE OSWEGO, OR 97035 [MECH] Permit Fee 12/5/2007 $72.50
[TAX] 8% State Surcha 12/5/2007 $5.80
[MECH] Investigation F 12/5/2007 $72.50
Phone: Total $150.80
Contractor:
TNR HEATING
3809 NE 154TH
VANCOUVER, WA 98682 REQUIRED ITEMS AND REPORTS
Contact #: PRI 360- 904 -7020
Reg #: LIC 179265
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: �� ��� Permittee Signature: � � '
Call 503.639.4175 by 7:00 a.m. for inspections that ess 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 Application FOR OFFICE USE ONLY
Received
'' ' City of Tigard Date/By: ,2, O r Permit No. • _6)0 e2
q 13125 SW Hall Blvd., Tigard, OR 97 'st1 ECE I N
C
44�� Plan Review
Phone: 503.639.4171 Fax: 503.598. ` 9.') 2007 Date/By: Other Permit:
TI G A It D Inspection Line: 503.639.4175 DEC o 5 Date Ready/By: Juris: ®See Page 2 for
Internet: www.tigard- or.gov Notified/Method: '/ Supplemental Information
of. 11Gro a.. TYPE OF W t' :■ WI �
r. 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: $ g O J
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
' ❑ 1- and 2- family dwelling ❑ CommerciaUindustrial ❑ 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
n p S ..w � �t '
Air conditioning or heat pump
Job site address: f
J� � / (requires site plan showing placement) 14.00
City/ State/ZIP: ueGt .7 I- d -'--3 Furnace 100,000 BTU (ducts/vents) 14A0`
Furnace 100,000+ BTU (ducts/vents)
Suite/bldg. /apt. no.: Project name:
Gas heat pump 14.00
Cross street/directions to job site: Duct work ( —r .(500 7 7
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
Subdivision: 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
• Flue vent for water heater or gas
tr. '\r.,-cL Q✓ t ' `c....5""'° fireplace • 10.00
Log lighter (gas)
• Wood/pellet stove 10.00
Wood fireplace /insert 10.00
❑ PROPERTY OWNER 0-TENANT Chimney/liner /flue /vent 10.00
• Other: 10.00
' Name: /iy4‘., ( — z •"-°t 7 Environmental exhaust and ventilation
Range hood/other kitchen
Address: // 0 $ .. ✓ 5 •1.Kr•.v Lw4' �� equipment 10.00
City /State /ZIP: .. -7 U k_ c( 9-.1)-) Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (S 03) ' • 5 -f'-( S ate' Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name:
.en : -e C 0,---f" L Fuel piping
Contact name: $5.40 for first four; $1.00 for Bich additional
Address: Furnace, etc.
_ Gas heat pump .
City/State/ZIP: WalUsuspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
r ��
Business name:
�I / • Clothes dryer (gas)
k .� 4 - t� /Y Other:
Address: //h q / ) MECHANICAL PERMIT 1 E5
City/State/ZIP: �8r� /vL / , V �r'L c. q 8-6v5 (9-- !J 14 ri eaA ubtotal 1,9.5
Phone: ( (o) 9l T . 7V 0 Fax: ( ) /0 -// -- e' Minimum permit fee ($72.50) 7a „fib
Plan review (25% of permit fee)
CCB lic.: / - 1 7 .(p 6 C ` Illi n q I r ig a ( G State surcharge (8 %of permit fee) 6,(0 -t ! 'J 8-,
Authorized signature Thi perm app li ca tion expires if a permit is not obtain within 180
days after it has been accepted as complc ,), go
Print name: Date: • Fee methodology set by Tri -County Building Industry a ce o ar
I: B ME
uilding \Permiis�C- PermitApp.doc 01 /19/07 440.46171'(11 /02/COM/WEB) -j 16Q.g v
f1
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 #: MEC2007 -00707
13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 17J5/2007
Phone: (503) 639 -4171 a ' I'r� r
Inspection Requests (24 Hrs.): (503) 639 -4175 `'f L
INSPECTION WORKSHEET FOR DATE: 12/7/2007 TIME: 7 :00AM PAGE: 55
SITE ADDRESS: 12705 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND. LOT #: 050 TYPE OF USE:
PROJECT NAME: GENIE CAFE
DESCRIPTION: Install gas furnace, venting for water heater. (2) gas outlets.
�---
OWNER: ADRANGI, FARID PHONE #:
CONTRACTOR: TNR HEATING PHONE #: 360-904-7020
Inspection Request Scheduled For: Date: 12/7/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 061016 -01 503 -514 -5070 N
Corrections/Comments/Instructions:
(\) r
/77 7- i I
f .
14ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ` Date: ` 1 / - 1/ 1 Phone #: (503) 718- 1■V_L24