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Permit CITY OF TIGARD MECHANICAL PERMIT .._ ; r4. '` ,, I- DEVELOPMENT SERVICES PERMIT #: MEC2000 -00119 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 04/10/2000 PARCEL: 2S 101 AD -02400 SITE ADDRESS: 12753 SW 68TH AVE. 200 SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE BLOCK: LOT: 032 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: 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 OTHER UNITS: 1 FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Relocate supply and return ducts. Owner: FEES GEORGE F UNIVERSITY Type By Date Amount Receipt 414 N ME DIAN ST tt) Q�J1 E t,C_y1 , PRMT BON 04/10/20( $50.00 MANUAL NEWB OR 97132 Po 631 ).3 53 ^ 5PCT BON 04/10/20( $4.00 MANUAL 7 Total $54.00 Phone: 503 - 538 -8383 9 2-. g/ ,,// / Contractor: J /�', Q. � ( _ 1 ` C:bO T 1J-J 3 ((0/0 REQUIRED INSPECTIONS Duct Inspection Phone: Final Inspection Reg #: ' ORIGINAL This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questi•ns to 0 NC by calling (503)246 -9189. // Issue By: ildr Permittee Signature: 101 � / Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day Plan Che CITY Oi TIGARD Mechanical Permit Application Rec'd By_ 13125 SW HALL BLVD. Commercial and Residential Date Recd _ 10 - 200 TIGARD, OR 97223 Date to P.E. (503) 639 -4171, x304 Date to DST Print or Type Permit # 6C7 d -6n/ Incomplete or illegible applications will not be accepted Called N e of D velopm nUProject /�� ./� � Description 4 oA (G ^6 � AC lef"_."'fi/ Table 1A Mechanical Code Qty Price Amt Job Street Address / Suite# A) Permit Fee 16.00 Address 1 2 .753 S w 6$ 1) Fumace to 100,000 BTU including ducts & vents see footnote 1,2 9.65 Bldg# Cq /state zip 2) Fumace 100,000 BTU+ 73 � ' 7� 3 including ducts & vents see footnote 1,2 12.00 Name (or name of business) ' 1 3) Floor Furnace Owner 6t_eq - RA IJh!.4 i/ including vent see footnote 1,2 9.65 Mailing Address 4) Suspended heater, wall heater �1,� ��� r or floor mounted heater see footnote 1,2 9.65 914 P. / � t t I'I y 5) Vent not included in appliance permit 4.75 c ity/ , 'City/State . Zip Phone Check all that apply: *Boiler Heat Air 1",; , oR 17/32 For items 6 -10, see or Pump Cond Qty Price Amt Name (or name orsusiness) footnotes 1,2 Comp S . 6) <3HP;absorb unit to ' 5 67€0'-e ',1( Vi. 100K BTU 9.65 Occupant _ Mailing Address � ,CY 7) 3-15 HP;absorb unit (.i " / v tv/�s.� 7` 100k to 500k BTU 17.65 lt ate j Zip Phone 8) 15-30 HP; absorb S De 9-2/3z sm393e3 it 9) 30-50 BTU 24.15 absorb Contractor Name unit 1 -1.75 mil BTU 36.00 ©wk'-. -e.r 10) >50HP; absorb unit Prior to permit Mailing Address >1.75 mil BTU 60.15 issuance, a copy , Air handling unit to 10,000 CFM of all licenses City/State Zip Phone 7.00 are required if 12) Air handling unit 10,000 CFM+ expired in COT Oregon Const. Cont. Board Lic.# Exp. Date 11.85 database 13) Non - portable evaporate cooler Architect Na11B 7.00 0 Coes 5 4, 14) Vent fan connected to a single duct 4.75 Or Mailing Address ` � y/ y N /� m r 15) Ventilation system not included in appliance permit 7.00 Engineer city /State , zip Phone 16) Hood served by mechanical exhaust w s a 9 7/32 S57/20/1/ 7.00 Describe work to be done: 17) Domestic incinerators 12.00 New 0 Repair 0 Replace with like kind: Yes No O 18) Commercial or industrial type incinerator Residential 0 Commercial n 1OC o4_ S Q1 48.25 K� ' 7 19) Repair units Additional information or description of work: 1, 1.4 r rs 8.40 al J` .5 20) Wood stove /gas FP /other units/clothe dryer /etc. i 7.00 NOTE: For Commercial projects only; Units over 400 lbs. require 21) Gas piping one to four outlets structural gas calcs. See footnote 1 3.75 Type of fuel: oil 0 natural gas 0 LPG 0 electric O 22) More than 4 -per outlet (each) .75 /fq 75 gp Minimum Permit Fee $50.00 SUBTOTAL I hereby acknowledge that I have read this application, that the information _ 8% SURCHARGE � 4/ given is correct, that I am the owner or authorized agent of . - PLAN REVIEW 25% OF SUBTOTAL the owner, that plans submitted are in complidnce with Oregon State laws. Required for ALL commercial permits only TOTAL i / Sign . r/ • at Other Inspections and Fees: " G e 1 / 10 a) 1. Inspections outside of normal business hours (mininum charge -two Co arson Name . • hone hours) $50.00 per hour _ \ n (' �/ 7 2. Inspections for which no fee is specifically indicated (minimum . •`� 0g wr i e/ /'/• ACA✓ ZOiy charge -half hour) $50.00 per hour 3. Additional plan review required by changes, additions or revisions to Foonotes for commercial projects only: 1. Provide full schematic of existing and proposed gas line and pressure. plans (minimum charge - one -half hour) $50.00 per hour 2. Provide drawings to scale showing existing and proposed mechanical *State Contractor Boiler Certification required units. "Residential A/C requires site plan showing placement of unit I:\rnechperm.doc rev 7/19/99 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 rte, BUP Date Requested /( z /00 AM PM . BLD Location 12-) G3 6 R s L, Suite 220 MEC 7i1Y) -a01 I q Contact Person P/,U'1 Ph ,Sc —Z q �1 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS- PART FAIL �IECHANI ten j Post & Beam Rough In Gas Line S • ke Dampers t ) - ART FAIL RICAL Service Rough In UG /Slab • Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA /� ( - - l/ Approach /Sidewalk Date / 1 - L I or Inspector P Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. 4 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested / S S/C) AM PM BLD ( � Location ( 2 3 ,4L', Suite 2,00 MEC S ) - C)01 / Contact Person O aAi Ph S S '1— aol y PLM Contractor Ph SSO " 2-• 7/ SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation - FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling l e / T ui tar' (c( / 1 Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PAS$ PART FAIL aEtANIcAID Post & Beam Q. Smoke Dampers - * PART FAIL RICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Date ✓ ? v Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. •