Permit CITY OF T MECHAN I CAL
A DEVELOPMENT SERVICES PERMIT
I!�d,111 PERMIT # ° MEC98 -0002
:,t' 13125 SW Hall Blvd., Tigard, OR97223 (503)639 -4171 DATE ISSUED: 01/02/98
PARCEL: 2S112DC -01500
SITE ADDRESS...: 15615 SW 74TH AVE #130
SUBDIVISION : FANNO CREEK ACRE TRACTS ZONING: I —P
BLOCK LOT -006 JURISDICTION: TIG
CLASS OF WORK..:ALT FLOOR FURN • 0 EVAP COOLERS: 0
TYPE OF USE....:COM UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:R VENTS W/0 APPL: 0 VENT SYSTEMS: 0
STORIES : 0 BOILERS /COMPRESSORS HOODS ° 0
FUEL TYPES 0 -3 HP : 0 DOMES. INCIN: 0
:ELE 3 -15 HP : 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15 -30 HP : 0 REPAIR UNITS: 0
FIRE DAMPERS ?..: 30 -50 HP....: 0 WOODSTOVES..: 0
GAS PRESSURE...: 50+ HP • 0 CLO DRYERS..: 0
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.: 1
FURN < 1OOK BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN ) =1O0K BTU: 0 ) 10000 cfm: 0
Remarks: refrigeration piping
Owner: FEES
CATTLEMAN'S FOODS type amount by date recpt
15615 SW 74 AVE PRMT $ 25.O0 B 01/02/98 98- 302208
SUITE 100,130 SPCT $ 1.25 B 01/02/98 98 -302208
TIGARD OR 97224
Phone #:
Contractor:
ABNEYS
35720 NE WILD HORSE MTN RD
$ 26.25 TOTAL
SHERWOOD OR 97140
Phone #: 503 -625 -6817
Reg #..: 000542
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Misc. Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
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 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.
____
A �
Issue By: � A �� Permittee Signature: ' � /„ ;;i %.(, �T ".... _
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Plan Check #
CITY OF TIGARD Mechanical Permit Application Recd By t = z - 9£S
13125 SW HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST
Print or Type P e r m i t
Called
Incomplete or illegible applications will not be accepted
Name.of Development/Project !. Description
74 714 � j t. "Svstv'I� 1iv^/� Table 1A Mechanical Code QTY PRICE AMT
Job Street Address Suite# A) Permit Fee -0- -0- 10.00
Address /5615 5 [. J 7414 I/ 'a / .5d
Bldg# City/State Zip 1.) Furnace to 100,000 BTU 6.00
`-/ �C/cY . / 0y g7.y2 - including ducts & vents
Name (or name of business) 2.) Fumace 100,000 BTU+ 7.50
•
Owner k j j Y;) c°,St;//e.. including ducts & vents
Mailing Address 3.) Floor Fumace
6.00
f.5 `i 145 c3 I_) 74 St including vent
City/State Zip Phone 4.) Suspended heater, wall heater 6.00
-ri S e v' CJ i! 97221 x/'&,8 `-674.4- or floor mounted heater
Name (or name of business) 5.) Vent not included in appliance permit 3.00
eale Th an St &vti f Set? cba cl
Occupant Mailing Address 6.) Boiler or comp, heat pump, air cond. 6.00
4."5 GO `74 ,4t Svlte- •!3 to 3 HP; absorb unit to 100K BUT
City/State /+� Zip 7.) Boiler or comp, heat pump, air cond. 11.00
/y /
1 f I' C 1 7 2Z4 3-15 HP; absorb unit to 500K BTU"
Contractor Name 8.) Boiler or comp, heat pump, air cond. 15.00
b e 1 ` , 15-30 HP; absorb unit.5 -1 mil BTU'"
Prior to permit Mailing Address den- Boiler or comp, heat pump, air cond. 22.50
issuance, a copy 5572 D /v E. td, /I ycnv sc. /� -6h i'cL 30-50 HP; absorb unit 1- 1.75mi1 BTU"
of all licenses City/State Zip Phone 10.) Boiler or comp, heat pump, air cond. 37.50
are required if Sl t'v to 0 c7 cI Q r fill() 666- 25 - 49/i > 50 HP; absorb unit 1.75 mil BTU"
expired in COT Oregon Const. Cont. Bon Lic.# Exp. Date 11.) Air handling unit to 10,000 CFM 4.50
database S9 8 3 g--2) - ti8
Architect Name 13.) Non - portable evaporate cooler 4.50
Or Mailing Address 14.) Vent fan connected to a single duct 3.00
Engineer City /State Zip Phone 15.) Ventilation system not included in 4.50
appliance permit
Describe work New 0 Addition 0 Alteration 0 Repair 0 16.) Hood served by mechanical exhaust 4.50
to be done Residential 0 Non - residential O
Additional Description of work: 17.) Domestic incinerators 7.50
18.) Commercial or industrial type 30.00
Incinerator
Existing use of 19.) Repair units 4.50
building or property
20.) Wood stove 4.50
Proposed use of 21.) Clothes dryer, etc. 4.50
building or property
22.) Ot rits P ; 4.50
Type of fuel - oil 0 natural gas 0 LPG 0 electric- 23.) Gas piping ofa t o four outlets 2.00
I hereby acknowledge that I have read this application, that the 24.) More than 4 -per outlets (each) .50
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with Oregon State QTY. SUBTOTAL
laws.
Signature of Owner /Agent Date 'SUBTOTAL z`7 � 00
5% SURCHARGE (- Z
Contact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL
TOTAL
i:lmechpmt.doc (rev 9 *Minimum permit fee is $25 + 5% surcharge
•
"Residential NC requires site plan showing placement of unit.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: / / — / 4 "— // q ,,, ( 7 ,,p A.M. P.M. MST:
/
Location: • l.`1 SW 7 `I /" l ()die gro C ` - /4 BUP:
Tenant: �d7..1.Q/rYt ,�{/n Suite: /30 Bldg: /4 MEC: 1 �oQ--.
Contractor: ��ie._") Phone: 6, 5 9 ' / 2 7 PLM:
Owner: Phone: ELC:
8)2A " ° +
Y ---/. ELR:
SIT:
BUILDING BLDG (con't) PLUMBING 1 CHANIC . 4 ELECTRICAL SITE
Site Post/Beam Post/Beam • os r ; eam 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 Low Volt
Approved Approved Approved ' Approved Approved
Appr /Sdwlk Not Approved Not Approved 1 of . pproved Not Approved Not Approved
FINAL FINAL (INAL) FINAL FINAL
•
•
O Call for reins •,- _ do +�. 0 Reinspection fee of $ required before next inspection 0 Unable to inspect
Inspector: Date: /`-- / '-/__ F g Page of