Permit + C �T� ®� TI ���D MECHANICAL PERMIT
�`I� ®EVEL ®�MEIVT SERVICES PERMIT #: MEC2000 -00301
'� ��'' 13125 SW Ha {I B{vd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 07/31/2000
��s
PARCEL: 2 S 112AC -01200
SITE ADDRESS: 14865 SW 74TH AVE 170
SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: I -P.
BLOCK: LOT: 020 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: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
ELE 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: 1
GAS OUTLETS:
> 10000 cfm:
Remarks: Adding rooftop A/C - 1 air handling unit
Owner: FEES
FANNO ACRES BUS.PARK/KNHS DEV Type By Date Amount Receipt
26262 S MERIDIAN ROAD PRMT JMT 07/31/20C $50.00 00004108
AURORA, OR 97002 PLCK JMT 07/31/20C $12.50 00004108
5PCT JMT 07/31/20C $4.00 00004108
Phone: Total $66.50
Contractor:
SUPREME COMFORT HEATING
9425 SW COMMERCE CIR
WILSONVILLE, OR 97070 REQUIRED INSPECTIONS
Mechanical Insp
Phone: 682 -1985 Cooling Unt Insp
Reg #: LIC 21892 Duct Inspection
Final Inspection
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 -9189.
Issue By: ��j� -y� ; Q Permittee Signature: 1����
Call 503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
CITY OF TIGARD Mechanical Permit A lication Plan Check# � - yd�
P p Recd By � !�
�i3125�SW HALL BLVD. Commercial and Residential Date Reid � /i� /�rl
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DsT
Print or Type Permit #'� 2�' �m 3"`
Incomplete or illegible applications_will not be accepted � called
Name of DevelopmenUProjed DBSCrIptlOn
/= �Qit/ND /}GaFS ��tlN�SS P/P�� TablelAMechanicalCode Qty Price Amt
Job stye t A r s , Suae# A) Permit Fee " °�' �,_,, 16.00
Address (4��i�BID� �7c� 1) Furnace to 100,000 BTU
including ducts &vents see footnote 1,2
Bldg# �CRy /State zip 2) Furnace 100,000 BTU+
�� (�, p2 including ducts &vents see footnote 1,2 12.00
Name (or name of business) 3) Floor Furnace
OWner �,!} i �LFa c!L �}•G/Z.�r S G,L. G� including vent see footnote 1,2 9.65
Mailing Address � 4) Suspended heater, wall heater
or floor mounted heater see footnote 1,2 9.65
�. �bx l� g 5) Vent not included in appliance permit 4.75
CRy /State zip Phone Check all that apply: *Boiler Heat Air
Av2�� a� g7oa2 -- �� 1 � 7 � 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
�/¢G/f ',/�T 100K BTU 9.65
OCCUpant Mailing Ad dress 7) 3 -15 HP;absorb unit
100k to 500k BTU � � 17.65 (�•
City /State Zip .Phone 8) 'i 5 -30 HP; absorb
unit .5 -1 mil BTU 24.15
Name 9) 30 -50 1=1P; absorb
Contractor C �� �� � unit 'I -1.75 mil BTU 36.00
J �-P 10) >50HP; absorb unit
Prior to permit Mailing Address >1.75 mil BTU 60.15
issuance, a copy �4'�j `�• w• ��� �_-� ) � 11 Air handling unit to 10,000 CFM
of all licenses City /State I zip Phone � � 7.00 7.po
are required if � l I�DJ1Ui I � ,OIQ. � Zd ?O (.$Z �(�,85 12) Air handling unit 10,000 CFM+
expired in COT Oregon Const. Cont. Board Lic.# Exp. Date 11.85
database Z- l g� � � 1 �� 0 ( 13) Non - portable evaporate cooler
Architect Name 7.00
3 , / - t • G. P �i(�G /1$ !ti � 14) Vent fan connected to a single duct '
Mailing Address 4.75
Or q'T -� 15) Ventilation system not included in
b � � � � � '� �' appliance permit 7.00
Cit /State Zi Phon
engineer y p ,�� 16) Hood served by mechanical exhaust
S�}��/`�� GrL 4'x- " Z 399- 395' 7.00
Describe work to be done: 17) Domestic incinerators _
12.00
New • Repair O Replace with like kind: Yes O No O 18) Commercial or industrial type incinerator
Residential O Commercial ® � 48.25
19) Repair units
Additional information or description of work: � 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
structural gas talcs. � See footnote 1 3.75
Type of fuel: oil O natural gas O LPG O electric ® 22) More than 4 -per outlet (each) 75
Minimum Permit Fee $50.00 SUBTOTAL �_ ,�` ` „� ' :
I hereby acknowledge that I have read this application, that the information 8% SURCHARGE
given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL t�'�
Required for ALL commercial permits only � �
the owner, that plans submitted are in compliance with Oregon State laws. F �. u „
TOTAL �,
Signa � : of •� A•en Date \ �' � � � ,
- �� ,� � Other Inspections and Fees:
1. Inspections outside of normal business hours (mininum charge -two
Contact Person Name Phone hours) $50.00 per hour
2. Inspections for which no fee is specifically indicated (minimum
��, [ -• �V't)r -� �j0�-� d 2-- I 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
1:lmechperm.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 � � � AM PM BLD
Location 1 C� d �O � .SGT 7� Suite / 7 0 MEC �G v v— v U ,3 u
Contact Person Ph ��� -- �,.y 7� PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing
Foundation ACCe�� / � FPS
Ftg Drain � ��� U� (�/
Crawl Drain Inspection Notes: SGN
Slab SIT
Post &Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post &Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PAST FAIL
M_EC�9NICAL
Post & eam
Rough In
Gas Line
Smok Dampers
�' SS 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
Approach /Sidewalk Date ����i���� Inspector ± /��� Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record froev� the job site.