Permit ' w
CITY TIGARD MECHANICAL PERMIT
l A DEVELOPMENT SERVICES PERMIT #: MEC2005 -00224
� ' J I � 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/10/2005
PARCEL: 1 S134BC -00300
SITE ADDRESS: 12272 SW SCHOLLS FERRY RD ZONING: C -G
SUBDIVISION: GREENWAY TOWN CENTER LOT: JURISDICTION: TIG
Project Description: Gas line to cooking equipment. Valuation: $5001.00
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: A2 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS
FURN > =100K BTU: < =10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 10
Owner: FEES
BPP RETAIL LLC Description Date Amount
BY BURNHAM PACIFIC PROPERTIES [TAX] 8% State Surchar€ 5/10/200° $11.32
ATTN: JOHN WATERS [MECH] Permit Fee 5/10/200: $141.50
SAN DIEGO, CA 92101
Phone: Total $152.82
Contractor:
F &F PLUMBING & HEATING
6810 SE 45TH AVE. REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97206
Phone: 503 816 - 0708
Reg #: LIC 101473
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.
i
Issued By: AP Permittee Signature' _ _ 1 ' JtiP
Call 503 - 639 -4175 by 7:00 a.m. for inspectio - hat •usiness day.
This permit card shall be kept in a conspicuous place on the j, si until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanica4 Pero 1pl�i FOR OFFICE USE ONLY
City of Tigard ` �/ l'�� DateBy:.!) /i 0 / 04 - 6 6 Permit No.: 0 I
13125 SW Hall Blvd., Tigard, OR 97223 y / �`�
Plan Review
Phone: 503.639.4171 Fax: 5Q .1 6 /�. D Other Permit`:
Inspection Line: 503.639.4175 i °t� 2,,, , v f , I �� y 1 . i ao( Cr
Date Ready/By: Jura: El See Page 2 for
Internet: www.ci.tigard.or.us OF TIGIARD Notified/Method: 0 Supplemental Information
®UILr 4( DIV1S1 ®� _
TYPE OF WORK . COMMERCYAI .FEE* SCIERULE —USE CHECI{LIST
Mechanical permit fees* are based on the value of the work
❑ New construction Fr Addition/alteration/replacement
performed. Indicate the value (roue d d to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, • ent- ,-labo overhead, and profit.
. CATEGORY OF•CONSTRUCTION • - Value: $ ., 6O
1 - and 2-family dwelling Commercial/industrial RESIDENTIAL - NT / - FEES*
E] 1- g ❑ Accessory building
❑ Multi - family Master builder ❑ Other: For special information use checklist.
Description I Qty. I Ea. Total
JOB SITE INFORMATION AND LOCATION. '
OCATION. - - - Heating/cooling
Job site address: 1 ...72.... �� c �C l e, l� //<, / Air (requi conditioning res site plan show or heat ing pump
N�( placement) 14.00
City/ State/ZIP: %
I f3 41, G / Furnace 100,000 BTU (ducts/
Furnace 100,000+ BTU (ducts/vents) 14.00
Suite/bldg. /apt. no.: Project name: 17.90
�( /us Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
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. 10.00
Subdivision: Lot no.: Flue/vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OP WORK Water heater 10.00
//r 1 / � - Gas fireplace 10.00
CV "Q �/ �a l �,� S / / ti� Co Flue vent for water heater or gas
/ -f Q I N � / � � i tk (/) 441 .�L Log
fireplace 10.00
//�, � C-. ! 'I � e t 1 / Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
❑ PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 10.00
Other: 10.00
Name: Environmental exhaust and ventilation
Address: Range hood /other kitchen
equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT - _ ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name:
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
. City/ State/ZIP: WalVsuspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
Business name: F /.7i �� ,o Clothes dryer (gas)
Other
Address: Qj / o S MECHANICAL PERMIT FEES* ,t I,
City/ State/ZIP: v -i- N.) r' 0i\_ -I vz - ! 75 7 Subtotal.
Minimum permit fee ($72.50)
Phone: (SO `B f t — G 70 g Fax: ( )
Plan review (25% of permit fee)
CCB lic.: / O f (/ 3 0,.3 /0 6 State surcharge (8% of permit fee) / /, a
TOTAL PERMIT FEE / .:)..,y y
Authorized si l .lure: This permit application expires if a permit is not obtained within 180
4
I a / days after it has been accepted as complete.
Print name 7� i ( g Date: Fee methodology set by Tri- County Building Industry Service Board
i:IBuilding\Permits C- PemritApp.doc /03 440.4617T ( I 1/02/COM/WEB)
_ -
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
•
Total Valuation: Permit Fe
$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- PemvtApp.doc 12/03 2
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Construction Type ..... —"
Eneracode City of Tigard 1,, /1/1 -- Approved Plans
Accessibility — B Val 441—.4 Date /' / c . 60 /
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2005 -00224
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/10/2005
Phone: (503) 639 -4171 tt ,
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/16/200 TIME: 7 :09AM PAGE: 18
SITE ADDRESS: 12272 SW SCHOLLS FERRY RD CLASS OF WORK:
SUBDIVISION: GREENWAY TOWN CENTER LOT #: TYPE OF USE:
PROJECT NAME: MCMENAMINS
DESCRIPTION: Gas line to cooking equipment. Valuation: $5001.00
OWNER: BPP RETAIL LLC, PHONE #:
CONTRACTOR: F &F PLUMBING & HEATING PHONE #: 503. 816.0708
Inspection Request Scheduled For: Date: 5/16/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 006944 -01 503 - 8160708 Y
Corrections /Comments /Instructions:
, _ AB
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: giftk
Date: 6
J l t0 L/JPhone #: (503) 718-