Permit CITY TIGARD MECHANICAL PERMIT
/ *ti 'I DEVELOPMENT SERVICE
�•� �I PERMIT #: MEC2000 -00272
Ag= DATE ISSUED: 07/10/2000
1 3125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S112DC -01400
SITE ADDRESS: 15865 SW 74TH AVE 105
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: 2
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 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: 4 AIR HANDLING UNITS
OTHER UNITS:
FURN > =100K BTU: 1 <= 10000 cfm: GAS OUTLETS: 5
> 10000 cfm:
Remarks: (5) rooftop units, exhaust & supply fans, (1) condensing unit
Owner: FEES
PACIFIC AMERICAN PROPERTY EXCH Type By Date Amount Receipt
PACIFIC SANTA FE CORP PRMT DLH 07/10/20C $94.75 0003585
17700 SW UPPER BOONES FERRY RD PLCK DLH 07/10/20C $23.69 0003585
PORTLAND, OR 97224 5PCT DLH 07/10/20C $7.58 0003585
Phone: Total $126.02
Contractor:
CLIMATE CONTROL INC
16500 SW 72ND AVE
PORTLAND, OR 97224 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 453 -4822 • Mechanical Insp
Reg #: LIC 62196 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 Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080.
You may obtain co••- of these rules or direct questions to OU by calling (503)246 -9189.
�- _ Permittee Signature:
Y: Qr����1 �� (n.- -
Issue By:
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
Plan Check # (0- 6 7 C-
CITY OF TIGARD Mechanical Permit Application Rec'd By ,e. �p
13125 SW HALL BLVD. Commercial and Residential Date Rec'd (0-_2, g - a
TIGARD, OR 97 000 - d o Date to P.E. 1-1-00
(503) 639 -4171, x304 �� �'' Date to DST l -7 -Dc
Print or Type Permit # M t"C zeal: 10Z71_
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Description.
Table 1A Mechanical Code Qty Price Amt
Job Street Address suite# A) Permit Fee
iji,VM `, '47 16.00
Address 1) Furnace to 100,000 BTU
14 � n 5 5b-) City/State Zip including ducts & vents V 9.65
13 2) Furnace 100,000 BTU+
including ducts & vents ' 12.00
N ee (or
k. name of bu�s�j ess) 3) Floor Furnace
Owner f i( 4 4+-✓ Ai
- -,c Q-v "cote& including vent 9.65
Mailing Address 4) Suspended heater, wall heater
/ or floor mounted heater 9.65
y fob SC�J �� _ �/ , 5) Vent not included in appliance permit 4.75
Cit State zip Phone Check all that apply: *Boiler Heat Air
/ ppY
a✓I• -T /All o- Cry- ?7ZL y For items 6 -10, see or Pump Cond Qty Price Amt
Name (or name of business) footnotes 1,2 Comp **
C Jq n e-X 6) Repair units 8.40
Occupant Mailing Address
13 865 61A) / 7) <3HP;absorb unit to
100KBTU 1 9.65
City /State Zip Phone 8) 3 -15 HP;absorb unit
TlU�1Rd (17224 100k to 500k BTU 17.65
Contractor Name J 9) 15 -30 HP; absorb
unit .5 -1 mil BTU 24.15
C I mry (041-g-01 10) 30 -50 HP; absorb
Prior to permit M iling Address Ave. nit 1 -1.75 mil BTU 36.00
issuance, a copy 0 D JrW 7 r d ✓t 11) >50HP; absorb unit >1.75 mil BTU
of all licenses City /State Zip Phone 60.15
are required if, r ( / ) d 0 g 5 5O332 12) Air handling unit to 10,000 CFM
expired in COT Oregon Const. Cont. Board Lic.# Exp. Date 7.00
database 6
114 13) Air handling unit 10,000 CFM+
Architect Name 11.85
V L 01 K 14) Non - portable evaporate cooler
Or Mailing Address 7.00
3 ° 13 5w aim Ave, 15) Vent fan connected to a single duct
Zip Phone 4.75
C ity /State
Engineer 7
PotztlAncl (7k q �n1 ��� L�5� 16) Ventilation system not included in
/ appliance permit 2 7.00
Describe work to be done: 17) Hood served by mechanical exhaust
7.00
New 0 Repair 0 Replace with like kind: Yes 0 No 0 18) Domestic incinerators •
Residential 0 Commercial (5i Modification 0 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 calcs. prepared by licensed engineer. 1 3.75
Type of fuel: oil 0 natural gas 'b LPG 0 electric 0 22) More than 4 -per outlet (each) 9 .75
I hereby acknowledge that I have read this application, that the information Minimum Permit Fee $50.00 SUBTOTAL HMV € ` '
. given is correct, that I am the owner or authorized agent of 8% SURCHARGE <e
PLAN REVIEW 25% OF SUBTOTAL . tr
the owner, that plans submitted are in compliance with Oregon State laws. z
Required for ALL commercial permits only I ,1
Si nature of Owner /Agent • Date TOTAL v w
s.
Contact Person Name Phone Other Inspections and Fees:
1/5.3 - g 2.2- 1. Inspections outside of normal business hours (minimum charge -two hours) $50.00 per hour
I� R e en V � 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 - one - half hour) $50.00 per hour
*State Contractor Boiler Certification required
Units. **Residential A/C requires site plan showing placement of unit
•
I: \mechperm.doc rev 11/1/99
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested r--// AM PM BLD
Location 15 S'' 2 y - Suite MEC 01,1/6-
Contact Person 47 4 .- /C Ph %'J7 4-4 2. 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 PART FAIL
MECI- Alm
Post & Beam
Rough In
Gas Line
Smoke Dampers
l PART FAIL
TRICAL
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
U Approach /Sidewalk
Other Date 9// f t� Inspector 7 )1/ Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.