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Permit A - CITY OF TIGARD MECHAN I CAL PERMIT % h ; ,�,�, j ;�� DEVELOPMENT SERVICES DATE 07i`9 -0081 PARCEL: 2S101AA- 09800 SITE ADDRESS...: 12570 SW 69TH AVE #200 SUBDIVISION : MLP95 - -0013 ZONING: MUE BLOCK LOT °001 JURISDICTION: TIG CLASS OF WORK..:ALT FLOOR FURN ° 0 EVAP COOLERS: 0 TYPE OF USE :COM UNIT HEATERS..: 0 VENT FANS...: 0 OCCUPANCY GRP..:B VENTS W/0 APPL: 0 VENT SYSTEMS: STORIES . 2 BOILERS /COMPRESSORS HOODS • 0 FUEL TYPES 0 -3 HP • 0 DOMES. INCIN: 0 :GAS 3 -15 HP : 0 COMML. INCIN: 0 MAX INPUT: 800000 BTU 15 -30 HP • 0 REPAIR UNITS: 0 FIRE DAMPERS ?..: N 30 -50 HP . 0 WOODSTOVES..: 0 GAS PRESSURE...: M 50+ HP....: 0 CLO DRYERS..: 0 NO OF UNITS AIR HANDLING UNITS OTHER UNITS.: 0 FURN < 100K BTU: 8 <= 10000 cfm: 0 GAS OUTLETS.: 2 FURN > =100K BTU: 0 > 10000 cfm: 0 Remarks: Tenant improvement of 4116 sq. ft. office space Owner: FEES JT ROTH JR type amount by date recpt 12600 SW 72ND AVE PRMT $ 68.00 B 07/28/97 97- 297647 STE 200 PLCK $ 17.25 B 07/28/97 97- 297647 TIGARD OR 97223 5PCT $ 3.45 B 07 /28/97 97- 297647 Phone #: Contract or: TRI— COUNTY TEMP CONTROL /HEATNG 13651 SE AMBLER RD $ 88.70 TOTAL CLACKAMAS OR 97015 Phone #: 654 -3115 Reg #..: 000007 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Gas Line Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp applicable laws. All work will be done in accordance with Final Inspection 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 by 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 -9187. Issue By: i Permittee Signature: ii�,at„C ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 6 :00 p.m. for inspections needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + ++ + + + + + + + + + + + + + ++ Plan Che -5 C- CITY OF TIGARD : Mechanical Permit Applicatio Recd B 13125 SW HALL BLVD. Commercial and Residential ACt1 Date Recd TIGARD, OR 97223 t� Date to P.E. (503) 639 -4171, x304 • Date to DST Print or Type Permit # 6 t1 - 1 Incomplete or illegible applications will not be accepted called ti Name of Development/Project Description L LA p t , , L e,, Table 1A Mechanical Code QTY PRICE AMT Job Street,{ddress Suite# A) Permit Fee -0- -0- 10.00 (0 Address • 4 SW 6,91 ..3-Go Bldg# CitylState Zip B) Supplemental Permit 3.00 , i TAM 97ZZ 3 Name (or name of business) 1.) Fumace to 100,000 BTU 6.00 )4- �(,� Owner , ' 1 • ?dfl -1 .-N R • incl. ducts & vents � jj Marling Address Fumace 100,000 BTU + 7.50 t'Z4,0O Sw "YZ = Svt {<-2oO incl. ducts & vents 'I C' ( State Zip Phone 3.) Floor Furnace 6.00 go ( C � Ca • 9l Z _ (S°12L j incl. vent Name for name of business) 4.) Suspended heater, wall heater 6.00 • or floor mounted heater Occupant Mailin Address 5 .) Vent not incl. in 3.00 appliance permit City/State Zip - Phone 6.) Boiler or comp, heat pump, air cond. 6.00 to 3 HP; absorp unit to 100K BTU Contractor N811e / /' 7.) Boiler or comp, heat pump, air cond. 11.00 (Prior to 7-/Lt ' (, s v y % C.--, C. ° fC (7 3-15 HP; absorp unit to 500K BTU - issuance Mang Address 8.) Boiler or comp, heat pump, air cond. 15.00 applicant /3 6 S / S e '9 ( e - ' ( ' £ 15-30 HP; absorp unit .5-1 mil BTU must provide all City/State Zip - Phone 9.) Boiler or comp, heat pump, air cond. 22.50 contractor elq, cC(a ..•4, 0,t 9 43 -3 ffs 30-50 HP; absorp unit 1 -1.75 mil BTU license Oregon Const. Cont. Board Licit Exp. Oats . 654 7 A 1 0.) Boiler or comp, heat pump, air cond. '\ 37.50 information 70Z 6 R 3 > 50 HP; absorp unit 1.75 mil BTU for COT COT Business Tax or Metro # Exp. Date / 11.) Air handling unit to 4.50 database). / (� (p ► fr 1- 10,000 CFM , Architect � 12.) Air handling unit 7.50 tf.1 t_ e_s. 1 c 1 b� • 10.000 CTM + or Mailing Address 13.) Non portable 4.50 evaporate cooler Engineer Cj &tom - Zip Ph 14.) Vent fan connected 3.00 25 2 SO 15 to a single dud Z 6 Describe work New Q Addition 0 Alteration 0 Repair 0 15.) Ventilation system not 4.50 to be done Residential 0 Non - residential 0 included in appliance permit Additional Description of work 16.) Hood served by mechanical exhaust 4.50 Teo-0. r k - w..efavc,4..c -..1S 17) Domestic incinerators 7.50 Existing use of 18.) Commercial or industrialtype 30.00 building or property tl f A incinerator 19.) Repair units 4.50 Proposed use of �^ 20) Woodstove 4.50 building or property 13 f?t CO cam^^- '-tdc. 0 . t 21) Clothes dryer, etc. 4.50 Type of fuel - oil 0 natural gas IV LPG 0 electric 0 • 22) Other units 4.50 I hereby acknowledge that I have read this application, that the 23) Gas piping one to four outlets Z 2.00 informati iven is correct, that I am the ner or authorized agent of the o er, at plans submitt in pliance with Oregon State 24) More than 4 -per outlet (each) .50 laws. -(-Y Signs re of Owner/Ag t Date QTY.SUBTOTAL 12- 6,q . VV - SUBTOTAL � $ .a L S� r. z 6s ! 3115 Contact Person Name Phone 5% SURCHARGE ye. 'Zjt • PLAN REVIEW 25% OF SUBTOTAL / 7 . 9 � TOTAL 4 (/ i:klstlmechpmt.doc (rev 7/96) 'Minimum permit fee is 525 + 5% surcharg ( 6 1 1 2 . 6 - CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 j Date Requested: g I - - 1 I --1 y� A.M. P.M. MST: O Gc/� Jy Location: - to 9 <? 4 t Tenant: c Suite: Bldg: c:2-06 c:2c:2-06 G MEC: qi 00 ;PT Contractor: / Phone: �2.3 �- Bl -�t 3 ? PLM: Owner. Phone: / / ELC: /Jr / r W � n ' e. — c� 1 71 --e 7� l (g / rl. 7 ELR: ') 4/ C��it. SIT: BUILDING _BLDG (co ' /y. UMBING MEC . 7 ' AL ELECTRICAL SITE Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm Footing Roof UndFl/Slab Rough -In Ceiling Water Line Slab Framing Top Out Gas Line Rough -In UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt v pproved Approved Approved Approved Approved Appr /Sdwlk N^ • ed Not Approved Not A roved Not Approved Not Approved a FINAL FINAL FINAL A.Pwaiie.� / ,&.p/ / — 4. / $i i� - S reri°y �y f' �� . l . q ( i ,.4 iic/ /lezi /�.ef ,i 0/- . A.<7 Cl z7' Colt/57 c i L/ z v W Ca2 (L s9 _ &9 O' 0,2 Al ado /e To / 7Z / /Y I.J/t/ tli 0# ©vS77 'i ' is—fC/ 7 �v 6l UNe F 7Z / 4.es,/r" 5 4'.(4,0 ! O�0 /J7e74f P //-I 7// g 0 1 � S ' 11i c .\(' O Call for rein .: ' .. / O Reinspection fee of $ required before next inspection O U nable to inspect Inspector: Date: s/7/ Page of � 1 CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639 -4175 Business Phone: 639 -4171 Footing Rain Drain Cover /4 FINAL: Foundation Water Line Ceiling _L_e - Plumb. Post/Beam Mech. Shear /Sheath Framing ° -Mech. PIbg.Und /FIr /Slab Plbg. Top Out Insulation - Elect. Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr /Sdwlk Reins. Other: 02 / / /c7 Date: P ( A.M. P.W Entry: �S r4 Address: � 70 9 Tenant: te: MST: � BUP: Con /Own: 02C 3 0 p aZ 3 MEC: PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: e /11' (-) , :Lb1 City of Tigard Community Development ELECTRICAL INSPECTION / Permit 4v Date &NW. �h Address This Inst6'.lation Is Approved for Service c� L . 4 Inspector , � APPROVED _ DISAPPROVED /CALL FOR REINSP. CO