Permit C ITY OF TIGARD MECHANICAL PERMIT
r� DEVELOPMENT SERVICES PERMIT #: MEC1999 -00387
' ' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 09/30/1999
PARCEL: 2S1 01 AA -TTOOB
SITE ADDRESS: 12259 SW 69TH AVE
SUBDIVISION: TIGARD TRIANGLE OFFICE COMPLEX ZONING: MUE
BLOCK: LOT: OOB JURISDICTION: TIG
CLASS OF WORK: NEW FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: 2 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 2 DOMES. INCIN:
GAS 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: M 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 31
FURN > =100K BTU: 2 <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm: 2
Remarks: Mechanical shell
Owner: FEES
TIGARD CORPORATE CENTER LP Type By Date Amount Receipt
15400 SW MILLIKAN WAY PRMT DST 09/30/19c $303.75 99- 318743
BEAVERTON, OR 97006 PLCK DST 09/30/19c $75.94 99- 318743
5PCT DST 09/30/19c $21.26 99- 318743
Phone: Total $400.95
Contractor:
MACDONALD- MILLER COMPANY
1240SE12TH
PORTLAND, OR 97214 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 503 - 230 -8991 Mechanical Insp
Reg #: LIC 00063593 .Heating Unt Insp
PLM 37 -64PB Duct Inspection
S.D. Shut -down
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 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 questions to OUNC by
calling (503)246 -9 •9.
Issue By: /j��` /l Permittee Signature _ Mit ry
Call (503 639 -4175 by 7:00 P.M. for inspections needed the next business day
69 MON 14:39 FAX 503 598 1960 CITY OF TIGARD a 002
Plan Check # 4 -3 5
. CITY'OF TIGARD Mechanical Permit Application Recd By
13125 SW HALL BLVD. . Commercial and Residential Date Rec'dQ J -
TIGARD, OR 97223 e o /EQr'e T l 5 3/c Date to P.E. , - 1 7-
(503) 639 -4171, x304 - Date to DST al' Z'S A'%
Print or Type Permit # - 'u -'r 4 #1
Incomplete or illegible applications will not be accepted Called i � � �
.
Name of Development/Project Description
T/ GARA COR Pr is 4-r* c 'JreR Table 1A Mechanical Code Qty Price Amt
Job Street Address Suite* A) Permit Fee .� _
1) Fumace to 100,000 BTU E L. , tea - 16.00
Address /a2 s 9 SO G 9
inducing ducts & vents see footnote 1,2 9.65
eldgn Cayrstate Zip 2) Furnace 100,000 BTU+
tI T /b'RRJ D 97 2 2.3 including ducts & vents see footnote 1,2 2 12.00
Name (or name of business) 3) Floor Fumace
Owner S PEG H T PRo PER -r/GS including vent see footnote 1,2 9.65 .
Mating Address 4) Suspended heater, wall heater
or floor mounted heater see footnote 1,2 9.65
KYDO Ski /17/G IRot) W Pv 5) Vent not included in appliance permit 4.75
City /State Zip Phone Check all that apply: •Boiler Heat. Air
&VOA roN 02 9706 6y6- 22b Z For Items 6 -10, see or Pump Cond Qty Price Amt
Name (or name of business) footnotes 1,2 Comp '•
6) <3HP;absorb unit to A
• ant Mailing Address 100K BTU (,/ 9.65 (93
Occu
P 7) 3-15 HP :absorb unit
100k to 500k BTU 17.65
City/state Zip - Phone 8) 15-30 HP; absorb
unit .5-1 mil BTU 24.15 •
Contractor Name unit 30-50 HP; absorb
f7f000NRr;O /17/1- 10 >5t 1 0HPmilBTU 36.00
10) 0HP; absorb unit
Prior to permit Mailing Address >1.75 mil BTU
issuance, a copy C, so $W i- o b1) . 11 Air handling unit to 10,000 CFM 60.15
of all licenses 019/State Ztp Phone
7.00
are required if poIrrt tAw D p (t q ? Zp I Z30 $`l9 1 12) Air handling unit 10,000 CFM+
expired in COT Oregon Const. Cont Board Lic.# Date Z ,O
, Exo 11.85 22
database 137 3 bi p 2.2103 13) Non - portable evaporate cooler
Architect Name 7.00
L it S 14) Vent fan connected to a single duct
or Mailing Address -
// Z / J !� SA o 15) Ventilation system not included in
s appliance permit 1 7.00
Engineer City /State As Phone 16) Hood served by mechanical exhaust
447240/0 OR 97Zo s- 2z,1- / /1.1 7.00
Describe work to be done: 17) Domestic incinerators
12.00
New • Repair 0 Replace with like kind: Yes O No O 18) Commercial or industrial type incinerator
Residential 0 Commercial 48.25
19) Repair units •
Additional information or description of work 8.40
20) Wood stove/gas FP /other units/clothe dryer /etc.
* 31 7.00 ar i.
NOTE: For Commercial projects only; Units over 400 lbs. require 21) Gas piping one to four outlets �1
structural gas calm. See footnote 1 1 3.75
Type of fuel: oil 0 natural gas • LPG 0 electric• 22) More than 4 -per outlet (each) .75
Minimum Permit Fee $50.00 SUBTOTAL tOi'l.ia ;{ t,�',�`' r - l
I hereby acknowledge that I have read this application, that the information 7% SURCHARGE ;ir i • S �
given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL :..'�i-' `��•� +„
the owner, that plans submitted are in compliance with Oregon State laws. Required for ALL commercial permits only , 5Tl >=;. V 2
TOTAL ` ,:. t ,.. , ,b,; `'
Signature of Owner /Agent Date - 14G.i = <.+Y.:,<:,
loci.,
Other Inspections and,
/j/ y /,3 Al 9 1. Inspections ctions o outside ormal business hours (minimum charge -two
Contact Person Name Phone hours) $50.00 per r
2. Inspections for no fee Is specifically indicated (minimum
2 ' M / 7 - u/EL_L Lap - g5' charge -half hour) $60.00 per hour
Foonotes for commercial projects only 3. Additional plan review required by changes, additions or revisions to
1.. Provide full schematic of existing and proposed gas line and pressure. plans (mini charge - one -half hour) $50.00 per hour
2. Provide drawings to scale showing existing and proposed mechanical
units. 'State Contractor Boiler Certification required
'"Residential A/C requires site plan showing placement of unit
i
I:4nechperm.doc rev 7/19/99
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 ���
BUP
Date Requested !a -l((o ( AM PM BLD
Location / ? Sic) (o2 - Suite MEC (" 3 - OD 3k7
Contact Person t ,vl >'IS /-6;y4 Sek/ mc-8ohdd �Ph -? a ` � r PLM
Contractor Ph SWR
BUILDING Tenant/Owner and Cerrr a-- 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: 2� -
Final
PASS PART FAIL -
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service 1'1
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL -
Post & Beam ��
.;o flare"
Gas Line I
Smoke Dampers 2 _ /
Final f IC "
PASS PART FAIL
ELECTRICAL
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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk
Other Date (2- 1 f 197Inspector Ext
Final
PASS PART FAIL \ DO NOT REMOVE this inspection record from the job site. 7. c
p K 61