Permit IICITY OF TIGARD MECHANICAL PERMIT
II
a. COMMUNITY DEVELOPMENT Permit#: MEC2014-00357
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/23/2014
Parcel: 2S113AC01201
Jurisdiction: Tigard
Site address: 7331 SW BRIDGEPORT RD 103
Project: Pizzasmith Subdivision: COUNCIL VIEW ACRES(LOTS 1-20) Lot: 18
Project Description: TI-demolish previous retail and build restaurant.
Contractor: SKYLINE PLUMBING LLC Owner: BV CENTERCAL LLC
24111 NE HALSEY STE 107 ATTN: FRED BRUNING
TROUTDALE, OR 97060 7455 SW BRIDGEPORT RD
TIGARD,OR 97224
PHONE: 503-793-6010 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/23/2014 $99.76
Class of Work: ALT Type of Const: IIB Plan Review 07/23/2014 $24.94
Occupancy Grp: A-2 Occupancy Load: 12%State Surcharge-Mechanical 07/23/2014 $11.97
Stories: 1 Misc Administration Fee 07/23/2014 $2.50
Info Process/Archiving-Lg$2.00(over 07/23/2014 $2.00
Project Valuation: $1,500.00 11x17)
Info Process/Archiving-Sm$0.50(up to 07/23/2014 $0.50
Fuel Air Handlers 11x17)
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 $141.67
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: 2 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 $090. You may o• ain a copy of the rules
or direct questions U calling 503.232.1987 or 1.800.332.2344. /
Issued By: Permittee Signature: //OP
d l► i>1Igi
Call 503.639.4175 by 7:00 a.m.for the next available inspe• io d, •
This permit card shall be kept in a conspicuous place on the job site until pl- io •f the project.
Approved plans are required on the job site at the time of each inspection.
I Permit Application i I u 1: 1 t 1 I I( I I ,1 O N E
Mechanical pp 1`��
City of Tigard v Received
13125 SW Hall Blvd.,Tigard,OR 9 � Plan Re '`1 `� *+�+ V=
II ■ r Other Permit:��Q r k-
Phone: 503.718.2439 Fax: 503.598.1960 Q,� DateBy:� • t 7 � �-- /v� � O {��(
I.Ili \R U Inspection Line: 503.639.4175 `,``` 14 Date Ready/By: Juris: B See Page 2 for
Internet: www.tigard-or.gov . NUv Notified/Method:7 1 (,� j, ire.. Supplemental Information
TYPE OF WORK"i vS 1)" �o� L•U CO .+t'RCIAL FEE* SCHEDULE— USE CHECKLIST
'((�, Mechanical permit fees°are based on the value of the work
❑New construction RrAddition/alter �tE'feplacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit
_ Value:S 11 V
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling 'Commercial/industrial ❑Accessory building For special information use checklist
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling: -
1 Air conditioning 46.75
Job site address: 33 I S.w R rl AQQ pO r ' RC , /03 Furnace 100,000 BTU(duds/vents) 46.75 47
City/State/ZIP: a . Ii"'' J I q 7.2 2 3 Furnace 100,000+BTU(ducts/vents) 54.91
�� / Heat pump 61.06
Suite/bldg./apt.no.: I Project name: I z i A5/4 1 tL Duct work 23.32
Cross street/directions to job site: fly' Hydronic hot water system 23.32
1 Residential boiler(radiator or
M j�t I.,f hydronic) 23.32
( �I'{_0+1 Unit heaters(fuel-type,not electric),
P A. (,f,' M in-wall,in-duct,suspended,etc. 46.75
Wf)C)bri‘ ' '2:41 5�/I H j Flue/vent for any of above 23.32
Subdivision: t PI- Lot no.: J t
Other: 23.32
) Other fuel appliances:
Tax map/parcel no.: ■ Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
�, ,--, Q ( --/-;, ( Flue vent for water heater or gas
A cI a. �a.7 4s�.,1 .CA 1 //v'. r t11;,�T-l/ fire s lace I 23.32
4 -e -e r 9- P I z Z/4 Ov-em i Ue r(.71-- Lo: ter :as to 23.32
Wood/. Ilet stove 33.39
L 4 -e V. j' - - €v— Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER I ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
X APPLICANT r,�'CONTACT PERSON Other: I 1 23.32
Business name: yfrryi /� /� /N G Fuel piping:! l $1415 for first four;$4.03 for each additional
Contact name: - -P A/ N Furnace,etc.
Address: c71... !/f/ A)E /-1 is e/ Gas heat pump
/ /�'- Wall/sus. nded/unit heater
City/State/ZIP: (fcy —d a 4', 0R , 97060 Water heater I
Phone:60 3) 7cr Fax:: Fireplace
L Range
E-mail:6'kyfiNC O/ci A.b// 9 & CVM CGST , Ai 7" Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: 'y/i t!�L,` der �i 2 MECHANICAL PERMIT FEES*
Address: l /V G ..41C1/4/6'.e ' �f Subtotal
City/State/ZIP: 'T_ C d ate -,K/ 706 0 Minimum permit fee($90.00)
75 3_G0(� �.- if 7 7 _ g 7 y Plan review(22/°of permit fee)
Phone:(,50?j) � Fax:(3Q � State surcharge(12%of permit fee)
CCB lie.: ! / �� 7 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained wilbin 180 Lyt.eic/ days after it has been accepted as complete.
Authorized signs. . ' Fee methodology set by Tri-County Building Industry Service Board
I Print name: ! 7- /y- / y I
' , I Date:
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
7331 SW BRIDGEPORT RD 103, TIGARD, OR,
97224
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2014-00357
Chip Barnett
Violation Summary:
Inspector Contractor