Permit CITY OF TIGARD MECHANICAL PERMIT
a • COMMUNITY DEVELOPMENT Permit #: MEC2012 -00596
T [(A R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/20/2012
Parcel: 1 S134BC00100
Jurisdiction: Tigard
Site address: 12122 SW SCHOLLS FERRY RD
Project: Scotty's Sports Bar Subdivision: WINDSOR PLACE Lot: 32
Project Description: (1) gas lines to two outside hanging heaters
Contractor: ALL FUEL INSTALLATION & SERVICE LLC Owner: MICHAUD, STEVE
PO BOX 69 12122 SW SCHOLLS FERRY RD
TROUTDALE, OR 97060 TIGARD, OR 97223
PHONE: 503 - 674 -2350 PHONE: 503 - 313 -7120
FAX: 503 - 674 -2693
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 11/20/2012 $115.11
Class of Work: ALT Type of Const: Plan Review 11/20/2012 $28.78
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 11/20/2012 $13.81
Stories:
Project Valuation: $1,944.00
•
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressure: Units > 10000 cfm:
Furnaces Boilers & Compressors
Furnaces < 100K BTU: 0-3 HP:
Furnaces >= 100K BTU: 3 -15 HP:
Floor Furnaces: 15 -30 HP:
Unit Heaters: 30 -50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
•
Appliances
Vent Fans: Vent Systems: Total $157.70
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire /Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. /�
Issued By: Adli/ Permittee Signature: t(/I /4' PPUL A 4 t �l 7 z KX
` � Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
• 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 A0plicati ECEIV fOR Qrl',t.:l: ()SF . ONLY
L1
City Of Tigard NOV 1 /q �,/
v 9 20 2 Received
Date/By: (((2,421 / S Permit No. Al ga... I ., . - 06 59 _
"� 13125 SW Hall Blvd.. Tigard, OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 �/ J /By
Other Penult: ,- t C �; D I nspect i o n Line: 503,639.4I75 C) 1 1 y Tiu if k
• I
-Internet -wwwaIgazd.or.gov BUILDING Ut Y ISIV, • Data Ready /By: _ !lair 9J ple P I I
Notified/Method: II & Supplementer Information
•^ r•, !S , yir:.. , ijt , •:r �, nun:,... - ., .�,...
rA ii' 'i 4r J y: L,r .,. t•n, 1cL: ^! - . 1? -,, 7 .,• !m. °e 7 r fC� van 1.
.! , 1 , 4. vl' 1, ��•. :. -,:: _ �;}. ,r�. �' a : +M fl:' ,: , J i _iT: "('Vi � •� j .f Li 1 ,: 1 rll� r. "l.,a:c, �:; nl arc.: g ��� , nr rk- CJ�;1•l : _� u:u
1 r. ",`.,.,,a' � I 1 �„ -I'c: 1, , 0 .'Iw i : „ - 1 �'i� l;, _,i,v ,. , � er:l�J ,: �J., ua's r �:,.l:rvt . ;a`.. ,- -
' .,: 0>1_��tu' fir,: :�f'�.a ",,anF'G �! :J , �.1M9�• a r ': % �ti A � � f-.� t � � I �i 1 I .' 'a,. I �, _, u ,, I !J q O1 ' . F ^I. � - Zf
r 9. ]hi'::a'1al i l r ,I ' . " - ' --4 ' 1 . - .ptT,! 'J;_,. , ical permit ees* are based ,, ;I�e o ) I
' Ir v!✓ - 71 .,r rFi '. / - ` 1� %tJt:� A ..;:,.I,r l ., .l - �..3:AL "u:'ir.��� �. . i...l
Mechanical permit fees' are bas 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.
:TAN; - ~, r "- `; ' ' � . - Value' S $I 944.00
�',1i 11!" F' IjV^fl , •ii' ;� +'r��l1;f Jai• klr. fi J�C U!'•!, ?l3ili =[•' ro��l "r _r � .t1! •',4!','1•,I�, .,7i`.• ill:^:iyhTJ: lvn +, ' a
rl : ..•.d•_; •t - iia•,� I -• , -�, ,i _. . I , : r i,, _,.lui ,1• ii ,,e• - • .1 , _ __
W i • i .� ,„: ..::uw. , 11`j + dV �,• •a_:y,,- ,,.:r.,. :,E u,a:, - '
•:i_::7.,r,.:, :r..�uLJ .. Wi t ,;a�,J ,.c ‘' '.�• , . �W -' T-, : . .. - 4 ' ti r' l' -' .. , . vo "w „..it - .7 - u .{4� 11� 1', I:r
® Commcrcial/in For i tf m Use checklist
1 Y7
❑ 1- and 2- family dwelling
d uStrial ❑A building For spatial information use CNeotdtst
❑ Multi - family ❑ Master builder ❑ Other: Description
r I Qty. � Ea. Total
fi':•lPali l':i'; i 1 w , i 4',r! 1 ;Iti f r- ' •.' C CU ' t �- J _" ; ini �.'; ir ,.. , y;: y y . .
w 1 (, nl Y • I ` I k i,J;t . �LC r - s - ll ( _ ; ,(� St i�: ' t!'•� `� ' r t `' r � ;a lirlih �I' Heating/cooll
d;t: ?l „y,,.r..:.,r - -' , ,S;:: : JF:; r.wD:l1 i iGi ` . r i. •'t ; , i. �' -r� ,1�. ,�, n r . 2, , ,C� . ,4. . >�:
_...r., ,., ,�•'�,; �;.ha.I:.�•' � - - _' _ ° ' , Air conditioning
Job site address; 12122 SW Scholl's Perry Rd (requires site plan showing placement) 46.75
City /State/ZIP: Tigard, OR 97223 Furnace 100,000 BTU (duets/vents) 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: Project name: ! pump
(requires site plan showing placement) 61,06
Cross street/directions to job site: - Duct work 23.32
+ Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) _ 23.32
Unit heaters (fuel - type, not electric), -
in - wall. in-duct, suspended, etc. 2 46.75
Subdivision: Lot no.: Flue/vent for any of above 23.32
Other. 23,32
Tax map/parcel r a ! n� no.: Other fuel appliances:
, ' �.Y ,,i; �y' " Ih `i+ a?R� q, 1 n� S l '•• , J 7 i�::A:•: uA ��SF � +ti :1Ltii: i "F�= r.�111 }„ � : , •li , :: ._ ,,: � ��� = ii•f ,7 '_ l J sifts t s Pi
t, ..:I i. Uv:s1''�.,,„1 r ,.., („. 1 i , `•2• Iii,: (. . ,4. i N : 1ItJ :. r ' ;• . - ,
y t' b 1 § Water heater
�x� - .n,,..,, ,. d '.,: ' u , . 23,32
Install gas lines to two outside hanging heaters. No vents. Gas p / 33.39
Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace)inscrt 23.32
J r e ,e C 1 1 ,';f :4 Ill l,ni JL �. a, , Chimney/liner/flue/vent ' a W a .L ti ' a t 1� 1r ' , t •1 i A I ' y r t �1(. -' . lip �' ,l • 4„•,, Chimney /1 23.32
l� , ..a� , � w , mr [ u°�ifit l;3 L . _ f Other ■ 23.32
Name: Steve Michaud Environmental exhaust and vendladon:
Address: Same as Above Range hood/other kitchen
C equipment 33.39
ity /State/ZIP;
Clothes dryer exhaust 33.39
Phone: (503)313-7120 Fax ( ) Single -duct exhaust (bathrooms,
';ilia l t 1 J,exyyl;e a:r '.
toilet compartments, utility rooms) 23.32
;..��c :1 �'dlb•.I;f'trc, •'d 'll' c.. p ;iI ,t'�'� ;"� °'au 1.c
u vl:;.,.L,r,,, - »cliff'riu.: ,It.2 'i^41:1 's'L t ;�,- ---,, :,1,g.'41, l iJ • - n tl`` :'.. :r : �' i' Attic /crawlspace fans
k!`�- ^a,�JS.tk�,�t:�i.mlc�a;d�' • � a 23.32
Business name: See Below Other: 23.32
Fuel piping:
Contact name: Eric Camp 514.15 for first four, $4.03 for each additional
Address: Furnace, etc.
Gas heat pump
City/State./ZIP: WaWsusyendcd/tnlit heater 2 _
Phone: ( ) I Fax: : ( ) _Water heater
E -mail: allfuel(jcomcast.net Fireplace
�'I''j '1,� g? . S:i.+�^,rr ,'• r -err_ , 1 w,. ,�, ,� t Range
t h4 �' 1 a' 1 l, - ,,""�;. , , r 1 I - `. -. • ,y 1 iii`! 1„ •fit I1 4 :S ° " ■ r. �}�`�: `�t,,;tll .�,. + - °?j �ra �'ri'' i i4`i �' ;;''_ Barbecue •
Business name: All Fuel Installation and Service, I.I.C. Clothes dryer (gas)
Address: PO Box 69 t(m���� m F -- ,,,
l Jii4 I e 11 t" r l y'ti i "tlr� 5 �r �7� :m }Ira,,: 11 ,,,. I Y , -..17 . . 1 11^
City/State/ZIP: Troutdale, R 97060' c�•:i� `ta ,� ;i �„a9::1 P1p ; •,. .,s�tF r_,�:.::: ,
routdale, Subtotal 115.11
Phone: (503) 674-2350 Fax: (503) 674 -2693 Minimum permit fcc nit fee
Plan review (25% of permit fee)
CCB lie.: 169503 _ State surcharge (12% of permit fee) 13.81
- TOTAL PERMIT FEE 128.92
Authorized signature: G-----' . � i This permit applicadon expires if a permit is not obtained within 180 J
days after it has been accepted as complete,
I Print name: Eric Camp Date: 11/16/12 * Fee methodology set by Tri- County Building Industry Service Board
to suirdinglPetmhmEc.eermitapp.eoc 03/07/12 4404 617T(11/02/COM/WEBI
Mechanical Permit Application - City of Tigard
rage 2 = Supplemental Information
,
Commercial & Multi-Famil Fee Schedule:
'A,:31,1`117; , � , :�11 -:i ,.. , i tc�, :;:_�.� -- �:!5wCj4.`.�. � rtm�.. � •: 9n r ;� f I•
1i_ 4 ✓..� •: �•• _ r. q� .: i.l.,�t• "� 'V' - ,� �` ;:•i 1 �'' �:;. 7 g� 7 � IA
S.. • � — r� � I•4i'i' ..L (. �� µ` a 6'. I ��• •:..f_ {F L + , 5
$0.00 .—;i�,.. . r -t.i. y 4 .,. , 9 1, :. "' . i.ij ;'[ . � ��•V Iii- :i1::.17:,.i.�l:?L":Y1�i.
$ o $500.00 Minimum fee $69.06
$500.01 to $5,000.00 $69.06 for the first $500.00 and
$3.07 for each additional $100.00 or
• fraction thereof, to and including
$5,000.00.
_ $5,000.01 to $10,000.00 $207.21 for the first $5,000.00 and
$2.81 for each additional $100.00 or
fraction thereof; to and including
$10,000.00.
$10,000.01 to $50,000.00 $347.71 for the first $10,000.00 and
$2.54 for each additional $100.00 or
• fraction thereof, to and including
_ $50,000.00.
$50,000.01 to $100,000.00 $1,363.71 for the first $50,000.00 and
$2.49 for each additional $100.00 or
fraction thereof; to and including
$100,000.00. -
$100,000.01 and up $2,608.71 for the first $100,000.00 and
$2.92 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
•
•
1: Building \Pcamits\MEGPemdtApp_doc 03 /07/12 2