Permit C ITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00100
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/26/2008
PARCEL: 1 S135DA -01000
SITE ADDRESS: 08530 SW PFAFFLE ST ZONING: C -P
SUBDIVISION: METZGER ACRE TRACTS LOT: 020 JURISDICTION: TIG
PROJECT: DALTON'S CATERING
Project Description: Installation of compressor unit for exterior walk - in cooler. Project Value: $4,850
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: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 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
DAVE DALTON Description Date Amount
19210 SW MAREE CT
LAKE OSWEGO, OR 97035 [MECH] Permit Fee 2/26/200€ $139.20
[MECPLN] Plan Rev 2/26/200€ $34.80
[TAX] 12% State Surch 2/26/200€ $16.70
Phone: 503- 267 -4419 [MECH] Investigation F 2/26/200€ $139.20
Total $329.90
Contractor:
MANFORT HEATING & AIR CONDITIONING
PO BOX 30431
PORTLAND, OR 97230 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 720 -5105
Reg #: LIC 57455
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.
/46%'
Issued By: A/ i Permittee Signature:
maw
Call 503.639.4175 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.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard :, p E A ,, 6 ,g '�� Pemlit No.: ,,„,5,....
0 13125 SW Hall Blvd., Tigard, OR 97223 f� CEI1 ' ., H
I � C Phone: 503.639.4171 Fax: 503.598.1960 r i � Q � ' •
TI G n It D Inspection Line: 503.639.4175 Date Ready/By: ® See Page 2 for
Internet: www.tigard - or.gov FEB 2 6 2 008 Notified/Method: Supplemental Information
TYPE OF WO CIT} DF I IGARD COMMERCIAL FEE' SCHEDULE — USE CHECKLIST
JILDI G DIVISION Mechanical permit fees* are based on the value of the work
❑ New construction ❑ Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $ 1 °�
RESIDENTIAL EQUIPMENT / SYSTEMS FEES'
❑ 1- and 2- family dwelling ❑ CommerciaUindustrial ❑ Accessory building
M builder For special information use checklist.
M ulti -famil
❑ Multi-family ❑ ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: g c7 S .,,,,f ' � 4 - "-- � Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State /ZIP: 1167 , Q 977j11] Furnace 100,000 BTU (ducts/vents) 14.00
�/ Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: Project name: /r , (/ � 6457874-4L 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
Subdivision: Lot no.: Flue /vent for any of above '6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Watcr hcatcr 10.00
( ) 11 A �4,/� a 60O Gas fireplace 10.00
�`� ��L Lam" Flue vent for water heater or gas
4 9j13- 0 14-041 fireplace 10.00
/� Log lighter (gas) 10.00
�'� si4p /le fC Wood/pellet stove 10.00
Wood fireplace /insert 10.00
❑ PROPERTY OWNER I ❑ TENANT Chimney/liner /flue /vent 10.00
Other: 10.00
Name: ' t ,g -T/Lr V 1_' Environmental exhaust and ventilation
Address: g y o S ,,,1/4J - 14 P ' St. Range hood/other kitchen
equipment 10.00
City/State /ZIP: , 0 7fP1-1 6 71 22,3 Clothes dryer exhaust 10.00
'L Fa x: (O7��Q� 2 7 Single -duct exhaust (bathrooms,
Phone:
(�I) b31 l ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
? Other: 10.00
Business name:
Fuel piping
Contact name: $5A0 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
Fireplace _
E -mail:
Range
_ � � 'rW CONTRACTOR Barbecue
Business name: , � 'uf 471 /9 l/A ---' -' Clothes dryer (gas) -
/� Other
Address: 1 nb1 343 I MECHANICAL PERMIT FEES'
City /State /ZIP: ✓% 1 ' (1.4 q1'L Subtotal
Minimum permit fee ($72.50)
Phone: (z7) 724-- v Fax: ( ) Plan review (25% of permit fee)
CCB lie.: 4'' � J 0146 State surcharge (12% of permit fee)
AI- ' TOTAL PERMIT FEE
ef.., This permit application expires if a permit is not obtained within 180
Authorized signature: days after it has been accepted as complete.
Print name: • ' 37 M / /2..) Date: _2--- 2 - 1 - 4j1' • Fee methodology set by Tri- County Building Industry Service Board
I:\Building'PermitsUMEC- PermitApp.doc 01/19/07 440-4617T (I 1/02/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 #: MEC2008-00 RIO
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 212612000
Phone: (503) 639 -4171 A
Inspection Requests (24 Hrs.): (503) 639 -4175 __. " ' �..
INSPECTION WORKSHEET FOR DATE: 3/10/2008 IME: 7:00AM PAGE: 28
SITE ADDRESS: 08530 SW PFAFFLE ST CLASS OF WORK:
SUBDIVISION: METZGER ACRE TRACTS LOT #: 020 TYPE OF USE:
PROJECT NAME: DALTON'S CATERING
DESCRIPTION: Installation of compressor unit for exterior walk-in cooler. Project Value: $4,850
OWNER: DALTON, DAVE PHONE #: 503-267 -4419
CONTRACTOR: MANFORT HEATING & AIR CONDITIONING PHONE #: 503-720-5105
Inspection Request Scheduled For: Date: 3/10/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 066392 -01 503 639.7211 N
Corrections /Comments/ Instructions:
L% Zee I 0cYA v 5 -,t% (mss)
1
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b` \IP
41..pass El PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: \ Date: 3/ 0 /0 Phone #: (503) 718- 2- W 1