Permit CITY T MECHANICAL PERMIT
°. . r . DEVELOPMENT SERVICES PERMIT #: MEC2000 -00146
" �'�ii DATE ISSUED: 05/15/2000
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S 101 AA -09100
SITE ADDRESS: 12259 SW 69TH AVE
SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE
BLOCK: LOT: 030 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: 3
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
GAS 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: 4
FURN > =100K BTU: < =10000 cfm: GAS OUTLETS: 12
> 10000 cfm: 1
Remarks: Mechanical TI
Owner: FEES
SPECHT PROPERTIES Type By Date Amount Receipt
15400 SW MILLIKAN WAY PRMT KJP 05/15/20( $104.85 0042148
BEAVERTON, OR 97006 PLCK KJP 05/15/20( $26.21 0002148
5PCT KJP 05/15/20( $8.39 0002148
Phone: 503-646-2202 Total $139.45
Contractor:
MACDONALD MILLER OF OREGON
5711 SW HOOD
PORTLAND, OR 97201 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 503 - 230 -8991 Mechanical Insp
Reg #: LIC 137340 Heating Unt Insp
Hood Inspection
Final Inspection
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 rule - dopted in the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through *AR a 52- 001 -0080. You may obtain copies of these rules or direct questions to OUNC by
calling (503)246- 918'.
Issue By: � Permittee Signature: 1 -tJ Qw
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
•
13125 SW HALL BLVD. . Commercial and Residential . _ o.
it►
. TIGAELD, OR 97223 � ( � 6C/ Date to. P.F, - r. mif
03) 639 -4171, x304 - Die to OF print or Type Pere a;1 r -00
Incomplete or illegible applications will not be accepted Called
Name at De r fProjen DeSaiption
775.,44j Co#Po jtTE CEsreA Table 1A Mechanical Code Cry Price Amt
Job Sines Adder summa A) Permit Fee _ _ _ _.. -,
Address /22 Sq Sit) 49 ni 1) Furnace to 100,000 BTU : 16.00
including ducts & vents see footnote 1.2 9.65 !(
9lck, . t 2) Furnace 100,000 BTU+
8 I ,drlrtiJ o g 97223 . including duds & vents see footnote 1,2 12.00
None (or name at business) 3) Floor Furnace
Owner 5,° , T PA oPERT I fs including vent see footnote 1,2 9.65 •
Mailing Address 4) Suspended heater, wall heater
or ffaor mounted heater see footnote 1,2 9.65
/S4/O0 Sw MI ea AN wa 5) Vent not included in appllance Permit 4.75
txtyrstats 0-P Phone Check all that apply: 'Boiler Heat. Air
• &E4 u Ar4N OR gwoo& 6/6- 2Z oZ For Items 6-10, see or Pump Conti Qty Price Amt
Name (cr naete at business) footnotes 1,2 Comp
//��
6) <IHP:absorb unit to
EN.4
R, S SA• oc a 110aum S 1.iNC. look BTU • 9.65
Occupant m9 Addrsae 7) 3-15 HP:absorb unit
9000 51J &" e J .- F i 6 W•11 100k to 500k BTU 17.65 •
City/Stabs Dp Phone 8) 15-30 HP: absorb •
dat rc.t k of 97oe 5 £734100 unit .5-1 ml BTU '. 24.15. •
9) 30-500 HP, absorb
Contractor Ne^1e . unit 1 -1.75 mil BTU 36.00
MAG Doa/AL0 - Attu-dr4 10) >50HP: absorb unit
Prior to pond Marling Address >1.75 mil BTU 60.15
issuance, a copy S71 1 SW 11 11 Air handling unit to 10,000 CFM
of all licenses C�Y�Smke Zip II I 7.00 I
•squired if a.'t'ifawi! OTC f 2%01 Leone 0" 81 .12) Air handling unit 10,000 CFM+
3d in COT Oregon Cann. Cant. Hoard Lisa p• Date 1 11.85 ,11 2
database /373 S/o lssl / 03 13) Non - portable evaporate cooler
Architect e
trams 4 s /f rG 4 r 'T 1 -« /3 14) Vent fan connected to a single duct T•00
/t
or Matto Address 4.75
/1 Z / • .te`' a+ t S / mo o^ 15) entilation system not included in
appliance permit , 7.00
Engineer. / OR 9 ?l 2-11-1111 16) Hood served by mechanical exhaust 3 7.00 II
Describe work to be done: �i 17) Domestic incinerators
12.00
New • Repair 0 Replace with like kind: Yes 0 No 0 18) Commercial or industrial type incinerator
Residential O Com 48.25
• 19) Repair units
Additional information or description of work 8.40
V, -1 7.00 ,�UU
NOTE For Commercial projects only Units over 400 Ibs. require 21) Gas piping one to four outlets .---(1) structural gas oaks. See footnote 1 4 3.75 1
Type of fuel: oil O natural gas 0 LPG 0 electric • 22) More than 4-per outlet (each) 4t5 .75 /AO v
Minimum Permit Fee 550.00 SUBTOTAL *"s
1 hereby acknowledge that I have read this application. thatthe information 7% SURCHARGE -- 4_ ,- i % .- i
given is coned. that I am the owner or authotb:ed agent of PLAN REVIEW 25% OF SUBTOTAL ,; i t i
Required for ALL commercial permits only � :` "='r /AD
the tenter, that plans submitted are in watt Oregon State taws. TOTAL ..111 . 7,-- , _,:._.
Signature of OwnerfAgent Date 1
Other Inspections and Fees:
2 ' - y/ / 8/00 1. Inspections outside of normal business hours (mininum charge -two
Contact Person Name Phone hours) $30.00 per hour
/� 2. Inspections for which no fee Is specifically Indicated (minimum
_ jJ_!_ /_i T _/Eli L Z 3 - - $ 9 9 / charge -half hour) 560.00 per hour
F lets for commercial projects only: 3. Additional plan review required by changes, additions or revisions to
1. .vide full schematic of emoting and proposed gas Itne and preseute• ply (minimum charge-one-half hour) 550.00 per hour
2. Provide drawings to scale showing iscstirg and proposed rnedtaNeal "State Contractor Boiler CetlUfwtion required •
"Residential A/C requires site plan showing ply of unit
tintechpemtdoc rev 7119/9 •
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
, �
BUP
Date Requested tQ / I/ 0 0 AM PM BLD
Location 17c.1 t -1 A- 1n Suite p� MEC 2.4900 -0 114 b
Contact Person (.' I in S Ph S7? � 2 q4 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 / 1
Insulation I� Li��'='t ..t
Drywall Nailing * i0, = %,Y. . L.� / , L:� / /..� . ,/1 • -: 1f:1� — & G' V 5
Firewall lam
Fire Sprinkler 1 � Ad l ' ` v A - �� WW1
/ /
Fire Alarm _ MW4rliP _ ^i—. i
Susp'd Ceilin g • � i / .
Roof _ / NW
Misc:
Final
PASS PART FAIL iA d_
PLUMBING E 1 y / �
Post & Beam /
Under Slab o /
Top Out lc /� �' I'
Water Service 0 )-p-o-gity
Sanitary Sewer
Rain Drains '^ n t / / U ) ? Q
�v ►i ` a_et r i&T----
Final
PASS PART FAIL
ANICA
Post & earn
Gas Line
Smoke Dam
Final !
PASS ART FAIL V
ELECT IC
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 j� I 40
Approach /Sidewalk Inspector Date / .� " ector Ext
Other p
Final
PASS PART FAIL DO NQT REMOVE this inspection record from the job site.