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Permit CITY TIGARD MECHANICAL PERMIT 1 DEVELOPMENT SERVICES PERMIT #: MEC2000 -00178 ' DATE ISSUED: 05/11/2000 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394171 PARCEL: 2S113AD -01900 SITE ADDRESS: 16640 SW 72ND AVE B -10 SUBDIVISION: ROSEWOOD ACRE TRACTS ZONING: I -L BLOCK: LOT: 009 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: 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: Mechanical for tenant improvements Owner: FEES PACIFIC REALTY Type By Date Amount Receipt 15350 SW SEQUIOA PKWY PRMT GEO 05/11/20( $50.00 0002082 SUITE 300 5PCT GEO 05/11/20( $4.00 0002082 TIGARD, OR 97223 Total $54.00 Phone: Contractor: PROTEMP ASSOCIATES INC 807 NE COUCH PORTLAND, OR 97232 REQUIRED INSPECTIONS Duct Inspection Phone: 233 -6911 Final Inspection Reg #: LIC 00038868 ELE 201JHA C py This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Code 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 o erect questions to OUNC by calling (503)246-918* ‘ kf____ Issue By: 4 = ' _/ ,%- Permittee Signature: i • Call (503) 639 -4175 by 7:00 P.M. for inspections needed e next bus "ss day Plan Check # CITY OF TIGARD Mechanical Permit Application Rec'd By 13125 SW HALL BLVD. Commercial and Residential Date Rec'd TIGARD, OR 97223 �.(�0-r1 Date to P.E. (503) 639 -4171, x304 ©6 TL LG 1�/ �' Date to DST Print or Type Permit # Mj� a 2eoo - d6/38� Incomplete or illegible applications will not be accepted Called Name of Development/Project Description �'�.-= c /SiO.v Z A.1/.'-.-Cr Table 1A Mechanical Code Qty Price Amt Job Street Address Suit A) Permit Fee • _ 16.00 Address ' 10 1) Fumace to 100,000 BTU ��y a Sw � D including ducts & vents 9.65 Bldg #estate zip 2) Fumace 100,000 BTU+ 7Z JO 0a , ?�? including ducts & vents 12.00 Name (or name of business) 3) Floor Fumace -� including vent 9.65 Owner 4 . �,, L 4 Suspended heater, wall heater MailingAddressf 4 - . ) c' or floor mounted heater 9.65 15 J CIi1/14A , 319 5) Vent not included in appliance permit 4.75 City/state Zip Phone Check all that apply: *Boiler Heat Air l (94 9 33 For items 6 -10, see or Pump Cond Qty Price Amt Nine -(9r name of business) footnotes 1,2 Comp /- -, ,.. / 5/ 'Oil - /i e- W/n11a' /.lic?G 1 6) Repair units V ' • Mailing Address 8.40 ccupant 7) <3HP;absorb unit to i, 1 100K BTU 9.65 City /State „Zip I Phone 8) 3 - HP;absorb unit 100k to 500k BTU 17.65 9) 15 30 HP; absorb Contractor Na // � 24.15 nTL�'I N. L / �L unit .5-1 mil BTU . SSCY. 10) 30 50 HP; absorb Prior to permit airing Address unit 1 -1.75 mil BTU 36.00 issuance, a copy i 0 7 / JL GallZ� 11) >SOHP; absorb unit >1.75 mil BTU of all licenses 9tyr�tate Zip Phone 60.15 are required if / 732t1Z 4,0D Oa 97, ,233 - (s91 12) Air handling unit to 10,000 CFM expired in COT Oregon Const. C ont. B oard Uc.# Exp. Date 7.00 database 3�5 Gi'$ 13) Air handling unit 10,000 CFM+ Architect Name 11.85 14) Non - portable evaporate cooler Or Mailing Address 7.00 15) Vent fan connected to a single duct 4.75 Engineer City /state Zip Phone 16) Ventilation system not included i n appliance permit 7.00 Describe work to be done: 17) Hood served by mechanical exhaust 7.00 New 0 Repair 0 Replace with like kind: Yes.O No 0 18) Domestic incinerators Residential 0 Commercial 0 Modification 12.00 19) Commercial or industrial type incinerator Additional information or description of work: • 48.25 20) Other units, including wood stoves �� 7.00 NOTE: For Commercial projects only; Units over 400 lbs., located on the 21) Gas piping one to four outlets roof, require structural Galas. prepared by licensed engineer. • 3.75 Type of fuel: oil 0 natural gas 0 LPG 0 electric 0 22) More than 4 -per outlet (each) .75 I hereby acknowledge that I have read this application, that the information Minimum Permit Fee $50.00 SUBTOTAL . ' / 47 given is correct, that I am the owner or authorized agent of 8% SURCHARGE the owner, that plans submitted are in compliance with Oregon State laws. PLAN REVIEW 25% OF SUBTOTAL • ( Required for ALL commercial permits only /' Si a of Owner /A ent Date TOTAL la / S 7-- V // / 9v C tact Perso N me PhtSne Other Inspections and Fees: t 1. Inspections outside of normal business hours (minimum charge -two hours) $50.00 per hour ■ /� Ijq\ A) 1 33 '''./ 1 2. Inspections for which no fee is specifically indicated (minimum charge -half hour) Foonotes for commercial projects only: $50.00perhour 1. Provide full schematic of existing and proposed gas line and pressure. 3. Additional plan review required by changes, additions or revisions to plans (minimum - - 2. Provide drawings to scale showing existing and proposed mechanical charge - half hour) $50.00 per hour State Contractor Boiler Certification required units. **Residential NC requires site plan showing placement of unit I:\mechperm.doc rev 11/1/99 CITY OF TIGARD BUILDING INSPECTION DIVISION ' • 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST BUP 6%r =i_c:: Date Requested ' /2-e 1 AM JJ PM P5 1 'A-% . s Location ib�92 9 k) 7Z 4 Suite / j '1a MEC bbd —DD /7 Contact Person Ph PLM Contractor Ph SWR tin. Tenant/Owner ' / ( ' 4 a/ LC Retaining Wall ELR Footing • Access: Foundation ' /�, — �. FPS Ftg Drain mil /'("v� Crawl Drain Inspecti e '/b SGT Slab C SIT Post & Beam _ Ext Sheath/Shear - . Int Sheath/Shear • - - Framing Insulation Drywall Nailing Firewall C.-- \ Fire Sprinkler Fire Alarm Susp'd Ceiling CS Roof Misc: --- PART,_ " FAIL • BING - - - - • . Post & Beam' Under Slab . Top Out " Water Service Sanitary Sewer Rain Drains Fin . Garb PART FAIL :I Lii'. �t!Tl l'» Post & Beam - Rough In Gas Line Smoke Dampers Final" AS 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 Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA ITV Approach/Sidewalk Date 37/2/0/ Inspector Ext Dther Final PASS PART FAIL DO NOT REMOVE this.inspection record from the job site.