Permit CITY TIGAR MECHANICAL PERMIT
1 DEVELOPMENT SERVICES PERMIT #: MEC2000-00101
. c � DATE ISSUED: 5/5/00
�r 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S112DC -01400
SITE ADDRESS: 15865 SW 74TH AVE 100
SUBDIVISION: CREEKVIEW INDUSTRIAL PARK ZONING: I -P
BLOCK: LOT: 004 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: 6 DOMES. INCIN:
LPG 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: 6 AIR HANDLING UNITS
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Remarks: Mechanical TI.
Owner: FEES
PACIFIC AMERICAN PROPERTY Type By Date Amount Receipt
PACIFIC SANTA FE CORP PRMT DEB 5/5/00 $137.05 0001963
17700 SW UPPER BOONES FERRY SPOT DEB 5/5/00 $10.96 0001963
PORTLAND, OR 97224 PLCK DEB 5/5/00 $34.26.0001963
Phone: 503670 -5416 Total $182.27
Contractor:
•
CLIMATE CONTROL INC
16500 SW 72ND AVE
PORTLAND, OR 97224 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 453 -4822 Mechanical Insp
Reg #: LIC 62196 Heating Unt Insp
Duct Inspection
S.D. Shut -down inspection ORIGINAL
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 tain •pies of the e r 1 or direct questions to OUNC • ' calling (503)246 -9189.
Issue By: L P ; � i � / / , l ' ermittee S ,�"
/l
Call (503) 63• -4175 by 7:00 P.M. for inspections needed the next business day
• eITY"OF TIGARD Mechanical Permit Application RPlan 3- ecd B eck# TC
13125 SW HALL BLVD. Commercial and Residential � Date Recd �0 OC
TIGARD, OR 97223 om . (� Date to P.E. 3 00
(503) 639-4171, x304 �(J `� P n Date to DST g 1 / / !71
' Permit # ,40 -
• Print or Type Called 5 -6
Incomplete or illegible applications will not be accepted
Name of Development/Project Description
C Rekn li n e Table 1A Mechanical Code Qty Price Amt
Job Street Address Suite# A) Permit Fee net 16.00
Address 15 $ 65 S VJ 7y f k 1 b0 1) Furnace to 100,000 BTU G
including ducts &vents see footnote 1,2 9.65 �7
Bldg# City /State Zip 2) Furnace 100,000 BTU+
T I c r ad 0 A
97-j including ducts & vents see footnote 1,2 12.00
me (or name of business) J 3) Floor Furnace
Owner 1 FIC / opt` Owl"? including vent see footnote 1,2 9.65
Mailing Address 4) Suspended heater, wall heater
t�/� or floor mounted heater see footnote 1,2 9.65
7900 9ti) u�' T e 5) Vent not included in appliance permit 4.75
/State Zip Phone Check all that apply: *Boiler Heat Air
0 c A d D f 1 For items 6 -10, see or Pump Cond Qty Price Amt
Name (or name of bu ness) footnotes 1,2 Comp
6) <3HP;absorb unit to pp 5
6 K t? Q-t'1 I ( ll e- 100K BTU (r2 9.65 7
Occupant _ Mailing Address 7) 3 -15 HP;absorb unit
15 l) c SW . 7 4 f h *100 100k to 500k BTU 17.65
City /State Zip Phone 8) 15 -30 HP; absorb
I j /ri oK c -)aay unit.5 -1 mil BTU 24.15
J l 9) 30 -50 HP; absorb
Contractor Name unit 1 -1.75 mil BTU 36.00
C 11 ry A-te Co f\-1--RD I 10) >50HP; absorb unit
Prior to permit Mailing Address >1.75 mil BTU 60.15
issuance, a copy l b 500 SIA 7,)nd Ave 11 Air handling unit to 10,000 CFM
of all licenses City /State Zip Phone 7.00
are required if 0 4.1 1 A (Cl CR. 97 y ,405t.i';t--�� P 12) Air handling unit 10,000 CFM+
expired in COT re on Const. Cont. Board Lic.# l xp. Date 11.85
database 6 1 9 ` J 3 `/ 5as 13) Non - portable evaporate cooler
Architect Name 7.00
14) Vent fan connected to a single duct
4.75
or Mailing Address
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 0 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: 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 - 7 _1
°1
structural gas calcs. See footnote 1 3.75 ,,---1)
Type of fuel: oil 0 natural gas 54 LPG 0 electric O 22) More than 4 -per outlet (each) et .75 1 `'
Minimum Permit Fee $50.00 SUBTOTAL eget
I hereby acknowledge that I have read this application, that the information 8% SURCHARGE , 1 ti
given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL We
the owner, that plans submitted are in compliance with Oregon State laws. Required for ALL commercial permits only q
TOTAL NM* 0 ,,
• S ..5
ature of Owner /Agent Date N ` 0 /9 �} , ,, Other Inspections and Fees: gb
'^'v Nr, W ' U,� e,� 3 - aa- �0 . Inspections outside of normal business hours (mininum charge- � n ,
1
ontact Person Name Phpn- hours) $50.00 per.hour k d`
1/53- `f 2. Inspections for which no fee is specifically indicated (minimu
J/ . //�r (�rl;tGVIIM a s • charge -half hour) $50.00 per hour
Foonotes for commercial projects on 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 *State Contractor Boiler Certification required
units. * *Residential A/C requires site plan showing placement of unit
1:\mechperm.doc rev 7/19/99 •
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST
BUP
Date Requested 5/q 00 AM PM BLD
Location ( ' l- 7 '' Suite OLD LD MEC -06 / 01
Contact Person gvolo Ph S l q - g 1 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain •
SGN
Crawl Drain Inspection Notes:
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 • • RT FAIL
Post & Beam
Smoke Dampers
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
Approach /Sidewalk
- Other /cO(./inspector Date ! Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.