The URL can be used to link to this page

Permit C ITY OF TIGARD MECHANICAL PERMIT • .; A y, DEVELOPMENT SERVICES PERMIT #: MEC1999 -00319 4.1 "I �! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/27/99 PARCEL: 2S 113AC -00101 SITE ADDRESS: 16655 SW 72ND AVE BLDG SUBDIVISION: COUNCIL VIEW ACRES NO. 2 ZONING: I -P BLOCK: LOT: 029 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: 1 BOILERS /COMPRESSORS HOODS: 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: REPAIR GAS PRESSURE: M 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN > =100K BTU: < =10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Remarks: Split service to (2) meters, run approx 70' new 1 1/4" line, pressure test. NOTE: Inspect for disconnection of existing units at test time. Owner: FEES PAC -TRUST Type By Date Amount Receipt 15300 SW SEQUIOA PKWY PRMT GEO 7/27/99 $50.00 99- 317166 TIGARD, OR 97223 5PCT GEO 7/27/99 $3.50 99- 317166 PLCK GEO 7/27/99 $12.50 99- 317166 Phone: Total $66.00 Contractor: PROTEMP ASSOCIATES INC 807 NE COUCH PORTLAND, OR 97232 REQUIRED INSPECTIONS Gas Line lnsp Phone: 233 -6911 Final Inspection Reg #: LIC 00038868 ELE 201JHA • 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 copi of -se rules or direct questions to OUNC by cal ' g (503)246 89. Issue By: 1 // - Permittee Signature: Call (5% ) 639 -4175 by 7:00 P.M. for inspections needed t next busine day CITY,OF TIGARD Mechanical Permit Application Plan Checic PP Recd By 1 3125 SW HALL BLVD. Commercial and Residential Date Rec'd TIGARD, OR 97223 Date to P.E. (503) 639 -4171, x304 • v* Date to DST 7 /i� y Print or Type ../ .1)1r. Permit # /Ylfc i - �3/�i Incomplete or illegible applications will not be accepted called N of Development/Project Description G // ON ,raptiw1 Table 1A Mechanical Code Qty Price Amt S Address suitex A) Permit Fee . ; , ,:j 'x: w,h; . 16.00 Job 1) Fumace to 100,000 BTU Address /466 SAJ 72 0 p ` , • including ducts & vents see footnote 1,2 9.65 Bldg# City /State Zip 2) Fumace 100,000 BTU+ Ate P ©a. including ducts & vents see footnote 1,2 12.00 Name (or name of business) 4 3) Floor Fumace including vent see footnote 1,2 9.65 Owner �� a U5 l 4) Suspended heater, wall heater Mailing Address • or floor mounted heater see footnote 1,2 9.65 5) Vent not included in appliance permit 4.75 city /State Zip Phone Check all that apply: *Boiler Heat Air For Items 6-10, see or Pump Cond Qty Price Amt N (or name of business) footnotes 1,2 Comp 6) <3HP;absorb unit to ,�'Z.1 � t o. CJi J/J C 1 100K BTU 9.65 Occupant Mailing Address 7) 3-15 HP;absorb unit ... /46. o 51..E 72 Pp 100k to 500k BTU 17.65 City /State Zip Phone 8) 15 HP; absorb /�;zfED (� '-'K � ' 9 mil BTU 24.15 Contractor N 9) ) 30--55 0 HP; absorb / unit 1 -1.75 mil BTU 36.00 �P ,J 10) >50HP; absorb unit Prior to permit Mailing Address _ >1.75 mil BTU 60.15 issuance, a copy 1907 A..dt Coz.ieu 11 Air handling unit to 10,000 CFM of all licenses c e Zip Phone 7.00 are required if �2 dz7' 4/1)0 0 5., 7724 .233 `R. / 12) Air handling unit 10,000 CFM+ expired in COT Oregon Const. Cont. Board licit Exp. Date 11.75 database 3 S'SC- g 13) Non - portable evaporate cooler Architect Name 7.00 14) Vent fan connected to a single duct or Mailing Address 4.75 15) Ventilation system not included in appliance permit 7.00 Engineer City/State Zip Phone 16) Hood served by mechanical exhaust 7.00 Describe work to be done: 17) Domestic incinerators 12.00 New 0 Repair,/ 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: l 8.40 20) Wood stove /gas FP /other units/clothe dryer /etc. 7.00 NOTE: For Commercial projects only; Units over 400 lbs. require 21) Gas piping one to four outlets r 9 7 r structural gas calcs. See footnote 1 3.75 Type of fuel: oil 0 natural gas7J LPG 0 electric O 22) More than 4 -per outlet (each) .75 Minimum Permit Fee $50.00 SUBTOTAL ,.;. 1.::, Wznei C,D I hereby acknowledge that I have read this application, that the information 7% SURCHARGE - :,:r t =;; "' 1, di- given is correc that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL tz "°; ;( r the owner, that plans submitted are in compliance with Oregon State laws. Required for ALL commercial permits only �N., ., "` ' I 2- TOTAL 's,3"" :, Signature of Olnmer /A ent Date . a ,'t f, J Jib Other Inspections and Fees: Ot1. Inspections outside of normal business hours (mininum charge -two Co Perso ame hours) $50.00 per hour 2. Inspections for which no fee is specifically Indicated (minimum JE JPc M ( U4/ �.�i. lR 11 charge -half hour) $50.00 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 (minimum 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 :4mechperm.doc rev 02/4/99 OVER - THE - COUNTER (OTC) PERMIT T. • COMMERCIAL MECHANICAL PERMIT CHECK LIST Description of Project: f PL i f _Pe Y V ' / f v do a 24,r f A ac „ ' �'l r .. l / / y 11,, O QrI h r., 7 1 .7 �� 1 f AT f JYlp A r Y)J' /'fi rc.� s / l.f+ ( I / O 7 7 n e Class of Work: ,9- L /- Floor Furnace: Evap Coolers: Type of Use: e - 74-- Unit Heaters: Vent Fans: Occupancy Grp: /5 Vents w/o Appl: Vent Systems: Stories: / Boilers /Comprsrs: Hoods: Fuel Types - 0 - 3 HP. Repair Units: '4-! / / / / 3 - 15 HP. Wood Stoves: Max Input: Btu: Air Handling Units Clo Dryer: Fire Dampers: < = 10000 cfm: Oth Units: Gas Pressure: H / M / L > 10000 cfm: Gas Outlets: (/) No. Of Units: Furn < 100k Btu: Furn > =100k Btu: NOTES: 9 ; COMMERCIAL INSPECTION ACTIONS [ 1 FEE MENU $ 5-d — Permit Fee Gas Line Inspection $ l j - Plan Review Mechanical Inspection $ 3 Sa 7% State Surcharge Cooling Unit Inspection $ Additional Permit Fee Shaft Inspection $ Additional Plan Review Fee Hood Inspection $ Inspection Fee Fire Suppr Inspection $ Miscellaneous Fee Duct Inspection / / Pe" Fire Alarm Inspection G G Fire Damper Inspection REMARKS: Miscellaneous Inspection Fire Alarm Inspection Final lnspection FOR OFFICE USE ONLY: TYPE OF USE OPTIONS (COM = commercial; CMS = commercial manufactured structure) CLASS OF WORK OPTIONS FOR ALL PERMITS (NEW = new ADD = addition; ALT = alteration; ACS = accessory; END = foundation; OTH = other, DEM = demolition; REP = repair, FPS = fire protection system. NOTE =USE OTH FOR FENCES, RETAINING WALL, DETACHED DECKS, SIGNS, AWNINGS, CANOPIES) i:\ovrcntr.doc (dst) 8/97 1 CITY OF TIGARD BUILDING INSPECTION DIVISION / ) tla MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 2 (, BUP Date Requested AM 1 L JY PM LD Location UPC 9 S Z il 4 A 1 / ' (Smite Z--- 1 ciniCi 31 7 Contact Person Ph PLM Contractor f - f ow ---o AS a c • Ph 1 OW-- SWR BUILDING Tenant/Owner ,/1 e..PSWC.' ELC Retaining Wall ELR Footing A - - -_- Foundation NOT REQUESTED FPS Ftg Drain FOUND DURING RESEARCH Crawl Drain j n; — SGN Slab _ NO INSPECTION(s) IN FILE � T Post & Beam / '� /b U — SIT Ext Sheath /Shear 5_,Q I Int Sheath /Shear r Framing ./1.. S .� - 7 -Z-• cc Insulation _ _ C -�J� Q n_�� Drywall Nailing /'�'t' , /"` Firewall Fire Sprinkler Fire Alarm I Susp'd Ceiling s . 3 `r0 7 c Roof Misc: Final PASS PART FAIL PLUMBING c9 ry -- 1 - :u -r - -A 2 ---r-C ) -- \ Post & Slab ,,,09(....L_;_- �� 1 tr•f■.12_ive--..r kZ/ ' , / (( Top Out (-4-..;/k.--•€ ` / Water Service StA--3 -- ------ 6 `�i . Sanitary Sewer Rain Drains - Final .19, PASS T FAIL ECHANIC PosT &B am 1 �/ Zr r ,- --.'.--- Rough Gas Line ' e • Dampers :-.7- - 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 ins pect - no access ADA (\ Approach /Sidewalk Date �/� v 0 I nspector \� V' EXt I Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.