Permit b _
q CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2013 -00153
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/21/2013
Parcel: 2S113AA00200
Jurisdiction: Tigard
Site address: 16364 SW 72ND AVE B8
Project: Ron's Hotel & Restaurant Service Subdivision: ROSEWOOD ACRE TRACTS Lot: C
• Project Description: Replace (1) 3 -ton RTU, like for like
Contractor: CLIMATE CONTROL INC Owner: PACIFIC REALTY ASSOCIATES LP
16500 SW 72ND AVE ATTN: N PIVEN
TIGARD, OR 97224 15350 SE SEQUOIA PKWY #300
PORTLAND, OR 97224
PHONE: 503 - 453 -4822 PHONE: 503 - 624 -6300
FAX: 503 - 968 -7224
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/21/2013 $240.93
Class of Work: ALT Type of Const: IIB Plan Review 03/21/2013 $60.23
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 03/21/2013 $28.91
Stories: Info Process /Archiving - Sm $0.50 (up to 03/21/2013 $2.00
• 11x17)
Project Valuation: $6,135.00
•
Fuel • Air Handlers
Fuel Types: Natural Gas 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 $332.07
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
issuarice, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow e rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. o may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: /� / 1 b n I/ Permittee Signature: l ippr
/ IA it 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.
City of Tigard ECE�VEO Received ?
• 13125 SW Hall Blvd., Tigard, OR 97 2 Date/By: 0 1 .`b 3 Permit No.:jx 3/ �.
III
�
Phone: 503.639.4171 Fax: 503.598.1960 Plan Revie
q Other Permit:
TIC A R D Inspection Line: 503.639.4175 MAR O[ 2 U 2013 Date/B e Read y: w : �� j ( 3 `/ l
` J
Date /B
Internet: www.tigard
Notified/ Method: r w" S See Page 2 for
ITY T�GARp v / 3 Supplemental Information
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❑ New construction Addition/alteration /replacement Mechanical permit fees* are based on the value of the work
❑ Demolition performed. Indicate the value (rounded to the nearest dollar) of all
❑ Other:
mechanical materials, equipment, labor, overhead, and profit. _
- - .. - .. - , GTBCORY;OF,;.CON51F -11 I70Nf.`•' - ii : . Value: S (p 135 °�
Ai 1 -and 2- family dwelling ❑Commercial /industrial ❑Accessory building " � � •.. .?". ► r ,
❑Multi - family Master builder Other:
special information use checklist.
` , • :R- Description I Qty. Ea. I Total
r'- -:.. ==`,.' nfo L s_: doB a �N 1 �I � ) �N� °'S,� 4 ' YY7 r • - � :..�,.r .. e1..-..«-•. �,..... 1 .1::, .��ri;;.�; HattnR/rno11nR
lob site address: 1 (D3 5'W 7? hal A U& -t Air conditioning
(requires site plan showing placement) 46.75
City/State/Zlp: I cl
DaTi n pL c r q� Zz_1 Furnace 100,000 BTU (ducts/vents) 46.75
Suite/bldg. /apt. no.: l Project name: �yl s S V l
Furnace 100,000+ BTU (ducts/vents) 54.91
1, " Heat pump 61.06
Cross street/directions to job site: Duct work
23.32
) Hydronic hot water system 23.32
,.1 Residential boiler (radiator or
0 h dronic 23.32
Unit heaters (fuel -type, not electric),
in -wall, in duct, suspended, etc. 46.75
Subdivision: Lot Flue/vent for any of above 23.32
Tax map /parcel no.:
Other: 23.32
Other fuel appliances
t ta tkin(;.V.ZA5.s 1..��� R,O ertMe %rs: Water heater
-.�«, •C�'•h. ,tJ;,,; ,, 23.32
C e-1 e- r & 1 -) O01 7Q 4 ��� Flue vent for Gast .lace 33.39
water heats or gas
Ur) ( kE f / f I f .lace 23.32
Log lighter (gas) 23.32
- Wood/pellet stove 33.39
Wood fireplace/insert 23.32
:,'+ ; u PRO r • i s I :, +, r _ i ' F Chimn /liner/flue/vent
...�..•. -r : •..,ice. � Y�;;�,:i� -� / 23.32
Other: 23.32
Name: POY1 S 5� ICE t
Envlrownental exhaust and ventilation
-
Address: 1 6 3 Co H $ w-7 2 r d A-v ` Range hood/otha kitchen
equipment 33.39
City/State/ZIP: eD 2ri 2 Q�
ri(h q') ZZ V Clothes dryer exhaust 33.39
Phone: ( ) CV -oB 90 Fax: ( ) Single -duct exhaust (bathrooms,
V s toilet compartments, utility rooms) 23.32
' ' _ �'' . i ;;_e'+°0e1EY(30Me3,;8R8o .tom± Attic /crawispace fans 23.32
d3:1
Business name: 6.0 MATE- GI D n mot_ 1 (1L Fuel piping
sec 23.32
Contact name: 3 2O 4 t r
F
S 5I4.15 for first four; 54.03 for each additional
Address: I (19500 5w . fir p Al ,E
Furnace, etc.
City/State/ZIP: / Gas heat . um •
City/State/ZIP:
RD r Hand r 9 - 7 2.Z3 Wall/suspended/unit heater
Phone: (S y53 - 9BZ2- I Fax:: (S)3)9(o1a- 72 2.(/ Water heater
Fireplace
E -mail:
C'O a < <t nnc..4 -e. con4 -roL Inc . G 0rtr'� Range
,� ' -i "Y2 : .; a �:.:l. +--T ..-
.1;',..4`,':,.:: , :w '..,- t; �cNd..o., i w i :Or4 i• J ' j �•�5 Atigl ,S'. g F, : c
� , `�` q:,...,. S F.,e �78 ?r�f�, =�1 Barbecue
Business name: CLt wvi 4-r 4- - Co me I
,),tier:
Clothes dryer (gas)
Address: S O 4 t.... ) fl V _ y
City/State/ZIP: porr l a n C1-).2.2-Li u, :N c':i : _ .
C or •ZZ`/ ' . subtoo Subtotal
Phone: (57)3) L/5 y $ ZZ I Fax: (57)3) 9' b a _ -1 Z Z c/ Minimum permit fee ($90.00)
/ �1 l Plan review (25% of permit fee)
CCB lic.: IQ 1 State surcharge (12% of permit fee)
� TOTAL PERMIT FEE
Authorized signature: �/ This permit application expires if a permit Is not obtained within 180
days after It has been accepted as complete.
Print name: /e) (i fs I Date: 3/2 3 I • Fee methodology set by Tri-County Building Industry Service Board
I:' BuildinF `M rm
EC•Pei' 10/01/09 7T(Il /02 /COM'WEB)