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Permit A j CITY OF TIGARD MECHANICAL PERMIT 61 4v91 DEVELOPMENT SERVICES PERMIT #: MEC2001 -00420 Atl- ,� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/26/01 PARCEL: 2S112DC -00100 SITE ADDRESS: 15705 SW 72ND AVE SUBDIVISION: OREGON BUS. PARK III ZONING: I -L BLOCK: LOT: 002 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: F1 VENTS W/O APPL: VENT SYSTEMS: STORIES: 1 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: FURN > =100K BTU: < =10000 cfm: GAS OUTLETS: > 10000 cfm: Remarks: Installation of a HVAC unit and a separate fan system. Note framing corrections required Owner: FEES PACIFIC REALTY ASSOCIATES Type By Date Amount Receipt 15350 SW SEQUOIA PKWY #300 -WMI PRMT CTR 12/26/01 $969.30 2720010000 PORTLAND, OR 97224 5PCT CTR 12/26/01 $77.54 2720010000 PLCK CTR 12/26/01 $242.33 2720010000 Phone: Total $1,289.17 Contractor: D L HOWARD CO INC 5340 SW DOVER LN PORTLAND, OR 97225 REQUIRED INSPECTIONS Mechanical Insp Phone: 246 -6764 Final Inspection Reg #: LIC 82769 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 Or gon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through R 952- 001 -0080. You may obtain copies of these rules or direct que o N / y in rcn1194a_0 1 Ri , Issue By: A / / , Permittee Signature( Call (503) 639 -4175 by 7:00 P.M. for inspections nee ed the next business day Mechanical Permit Application Datereceived: t t Permitno.: _,, ,� L y C ity of Tigard Project/appl. no Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: By:ig I Receiptno.: Phone: (503) 639 -4171 Fax: (503) 598 -1960 Case file no.: Payment type: R Land use approval: Building permit no.: T1 OF PERMIT 0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi -family ,"tenant improvement r 0 New construction 0 Addition/alteration /replacement 0 Other. N Job address: " /91[) 5 Sl o j'' , (e- . . Indicate equipment quantities in boxes below. Indicate the dollar N Bldg. no.: I Suite no.: value of all meth i N rofit. Value $ f- materials, equipment, labor, overhead, • C Tax map /tax lot/account no.: profit. I �) • • CO. - t { Lot: Block: I _Subdivision: - *See checklist for important application information and Project name: r-- t,4,17 (, 6 S Z 41../t3 t t..lt jurisdiction's fee schedule for residential permit fee. City/county: I ZIP: 1 a 21.:111111.1 1)11 FLUNG 1'ER\11 1 FII; SCHEDULE Description and location of work on premises: - Ar :1ND COMl1ERIC:11JINI)UST111:1L EQUIPl1ENTSCHLDULE Fee(ea) Total Est. date of completion/inspection: 1/670 j /0 'Z.,. -" Description Qty. Res. only Res. only Tenant improvement or change of use: Air unit CFM Is existing space heated or conditioned? Yes 0 No Air conditioning (site plan required) Is existing space insulated? ■ Yes 0 No _ Alteration of existing HVAC system 111EC11:1NICAI, (ONTR:1CI'0R Boiler/compressors State boiler permit no.: Business name: : L. t., c t.tJ titO d Ii,.IG, HP Tons BTU/H Address: ej - ¢Cj . 5- i .) t)'t -- Fire/smoke dampers/duct smoke detectors City: PO et-a" cm Ai() State: ZIP: eQ 7 2 z r Meat pump (site plan required) Phone: q Z -3 1,..5 FaxWZ - sj E-mail: Install/replace furnace/burner BTU/I4 Including ductwork /vent liner 0 Yes 0 No CCB no.: ? a 1 6 9 InstaWreplace/relocateheaters- suspended, City/metro lit. no.: Z Z.► _ wall, or floor mounted Name (please print): t'-- t f C O v‘,1 Vent for appliance other than furnace ReMger - Absorption units BTU/H Name: Chillers HP Address: ressors HP • onmeatal exhaust and ventilation: City: I State: I ZIP: Appliance vent Phone: Fax: E -mail: • Dryer exhaust Hoods, Type 1/ II/res. kitchen/hazmat hood fire suppression system Name: Exhaust fan with single duct (bath fans) Exhaust system art from heating Mailing address: apart g or AC Fuel piping and dlsldbudon (up to 4 outlets) City: I State: I ZIP: Type: LPG NG Oil Phone: Fax: E -mail: Fuel piping each additional over4 outlets Process piping (schematicrequired) • Name: Number of outlets Other listed appliance or equipment: Address: Decorativetireplace City: / .6. ' • , ZIP: • Insert -type Phone: ,[atr/�l��jr Woodstove/pelletstove Applicant's signs ,idwiffffi�i le Date: f ©D -when Name (print): '/ ( I X 1.[ r L S o • Permit fee $ Not e3: ,erisdictions accept credit duds. Please case jurisdiction for more information.. Notice: This permit application Mi fee $ CI Visa U ldastetCard expires if a permit is not obtained Plan review (at Credit card number: / / _ 40) $ Expires within 180 days after it has been State surcharge (8%) .... $ Name of cardholder as shown on credit card $ accepted as complete. TOTAL $ Cardholder signature Amount 4404617 (6/00/COM) CITYf OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour inspection Line: 639 -4175 Business Line: 639 -4171 BUP y _ Date Requested f — 3 AM PM BLD Location / 5 7 OS "") ,)- /no( Suite MEC 9 I o O `r Contact Person (� Ph `7 C 7 6 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab SIT Post & Beam Ext Sheath /Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm ��W �/� Susp'd Ceiling �� Q iJ Roof Misc: j _ /f (/ Final i7 P - p-acq PASS PART FAIL �l PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PAS `my _ FAIL 1 r � Rough In Gas Line Smoke Dampers • • PART FAIL CTRICAL 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 3 — 0 ? nspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CIT* OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Horar Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested _ AM PM BLD --A Location 15705 ) Z.12;1 // MEC ? 4 y o b Contact Person R c‘,4100..4. Ph (7 40 o 7 03 PLM Contractor Ph SWR • BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab , J61—(-/L' SIT Post & Beam Ext Sheath /Shear -- A <=� Int Sheath /Shear Framing i Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: ,/ Final PASS PART FAIL PLUMBING Post & Beam Under Slab Out //)\- Water Service Sanitary Sewer f j Rain Drains Final f PASS PART FAIL _ MECHANICAL Post ; ;eam ought as ine Smoke Dampers F. 4) 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 1 Approach /Sidewalk Date / Z 71 O 1 Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.