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Permit i 4 CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES u�n��n�m.��x u�nn�o�" "�n�nx�o^�n�"� PERMIT # : MEC99-0016 ...24 6 1.E. /31258N/H808kxi Yi�nt�RQ7��8�8 H3B�/7l ` ^ ^ ^ ^ ^ ^ Blvd., Tigard, ` DATE ISSUED: 01/12/99 PARCEL: 2S101BD-00105 SITE ADDRESS...: 12805 SW 77TH PL SUBDIVISION....: ZONING: I—L BLOCK..........: LOT.............: JURISDICTION: TIG _ _ CLASS OF WORK.. NEW FLOOR FURN.... : 0 EVAP COOLERS: 0 TYPE OF USE.... :COM UNIT HEATERS.. : 3 VENT FANS... : 0 OCCUPANCY GRP..:S1 VENTS W/O APPL: 0 VENT SYSTEMS: 0 STORIES........: 0 BOILERS/COMPRESSORS HOODS.......: 0 ' FUEL TYPES 0-3 HP....: 0 DOMES. INCIN: 0 :GAS 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.: 0 FURN < 100K BTU: 0 <= 10000 ofm: 0 GAS OUTLETS.: 1 FURN >=100K BTU: 0 > 10000 cfm: 0 Remarks: Pacific Utility - installation of gas fired tube heaters Owner: --- — • FEES — PACIFIC UTILITY EQUIPMENT type amount by date recpt , 12805 SW 77TH PRMT $ 30.00 JSD 01/12/99 99-312099 TIGARI} OR 97223 PLCK $ 7.50 JSD 01/12/99 99-312099 5PCT $ 1.50 JSD 01/12/99 99-312099 Phone #: Contractor: HVAC INC ' 815 SE SHERMAN -- — $ 39.00 TOTAL PORTLAND OR 97214 Phone #: 239-4822 Reg #..: 50897 ' REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Gas Line Insp . Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp applicable laws. Al} work will be done in accordance with Final Inspection approved plans. This permit will expire if work is not started __ ._____ within 188 days of issuance, or if work is suspended for more _ _ _ than 188 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are __ _____ set forth in DAR 952-001-0010 through OAR 952-001-0080. You nay ____ ___ obtain copies of these rules or direct questions to ODNC by calling _ _ (503)246-9187. __ ___ __ _ af __� �mwm~- Issue By: _ ) Permittee Signaturex~��K � _B� k } y ?�/ �O'| +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ Call 639-4175 by 7:00 p.m. for inspections needed the next business day +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ • Plan Check # CV -et_ c CITY OF TIGARD Mechanical Permit Application Recd By .zD 13125 SW'HALL BLVD. Commercial and Residential Date Recd 0/ ( a 75' TIGARD, OR 97223 Date to P.E. (503) 639 -4171, x304 R 1 � 0 �T� / Date to DST /ll�f 1 �'� �! P r i nt or Type ✓ Permit # Al EC �9_ o a( C. Called Incomplete or illegible applications will not be accepted ame of Oevelopment/Project Description J { t� ►►tD.r� { Table 1A Mechanical Code QV PRICE AMT t. Job ` Street mss (� S u e # A) Permit Fee -0- -0- 10.00 - Address _ ba0 5 St.0 - 7i C � (� 1 kQ Bldg# - Ci v/State Zip 1.) Fumace to 100,000 BTU 6.00 1 l c ej,YcY E 9 including ducts & vents Name (or name of business) r O 2.3 2.) Furnace 100,000 BTU+ 7.50 Owner P o Gli{ r o J), m l including ducts & vents Mailing ddress '` ! 3.) Floor Furnace 6.00 including vent City /State Zip - Phone 4.) Suspended heater, wall heater 6.00 i G or floor mounted heater b me (or name of fbusiines ^ 5.) Vent not included in appliance permit 3.00 \--)0-0-}-.1A- tt �Zx - l� -t n. - 114 o r1 \1 _ Occupant Mailing Adyess 1 6.) Boiler or comp, heat pump, air cond. 6.00 to 3 HP; absorb unit to 100K BUT" City/State Zip Phone 7.) Boiler or comp, heat pump, air cond. 11.00 3-15 HP; absorb unit to 500K BTU" Contractor Nain A.Q. 8.) Boiler or comp, heat pump, air cond. 15.00 (Prior to `� v 15-30 HP; absorb unit.5-1 mil BTU issuance Mailing Address ((� 9.) Boiler or comp, heat pump, air cond. 22.50 applicant g S S E JVIevvvtc?M 30-50 HP; absorb unit 1- 1.75mi1 BTU" must provide all �ity /State p Zip Phone 10.) Boiler or comp, heat pump, air cond. 37.50 contractor ( crt u (-E-_9 i I4 Z 39 - K -2Z > 50 HP; absorb unit 1.75 mil BTU" license Oregon Const. Cont. Board Lic.# Exp. Date 11.) Air handling unit to 10,000 CFM 4.50 information 50 Tc9 7 (0 /o for COT COT Business Tax or Metro # Exp. Date 12.) Air handling unit 10,000 CFM 7.50 database). al 2 q 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 ' Addition 0 Alteration 0 Repair 0 16.) Hood served by mechanical exhaust 4.50 to be done Residential 0 Non - residential 0 Additional Description of work r 17.) Domestic incinerators 7.50 Foie_ h2��2F. p roi crn 18.) Commercial or industrial type 30.00 i1n (^^ - 1 4 .th t 7 4_ , .. c vp(,,2 q q- 1 cy0 S Incinerator Existing use of a 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.) Other units 4.50 Type of fuel - oil 0 natural gas ' LPG 0 electric 0 23.) Gas piping one to 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 g;D laws. Signature of Owner /Agent Date 'SUBTOTAL 21 k q p � _ L(Y 5% SURCHARGE / 9 Contact Person Name " Phone PLAN REVIEW 25% OF SUBTOTAL 1 V TOTAL g. i:ldstlmechpmtdoc (rev 9 *Minimum permit fee is 525 + 5% surcharge - Residential A/C w' requires site plan showing placement of unit (L 6 1 ) '' J OVER - THE - COUNTER (OTC) PERMIT COMMERCIAL MECHANICAL PERMIT CHECK LIST Description of Project: -- i' 1 no 6rwrc R i) u L • • Class of Work: Ais4A Floor Furnace: Evap Coolers: Type of Use: e-Cm • Unit Heaters: Vent Fans: Occupancy Grp: ' 1 Vents w/o Appl: Vent Systems: Stories: 1 Boilers /Comprsrs: Hoods: Fuel Types - 0 - 3 HP. Repair Units: CAS/ / / / 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: .1 No. Of Units: Furn < 100k Btu: Furn > =100k Btu: NOTES: $ 3p • — Permit Fee $ /So Plan Review Mechanical Inspect••n $ /gb 5% 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 Fire Alarm Inspection Fire Damper Inspection REMARKS: Miscellaneous Inspection Fire Alarm Ins ection final Inspection :TYPE DF US€ OPTIONS `. GOM �:comirrerciaE .GMS:�ciammerEFa : t >:::: >:: >::: >;:. >::;::::.:::>::: >:;:.;:::::::.;:::.;:::::<:: ><: •:::: >:::. >:::::.;::: ; ::;: >: >; >. .....:..:..:::.::.::..: ..:__.t : martu.acturedsttt,ctuze P)'IONS: t 000 S 0.0 .new, ADD .ad0 ALT; ;alteration FPfQ itwndat�on OTFt other DEME demottfion. REP repair FPS die proteetwn skstetn :NOT€ EFS€ O'#'H FOR �EIVCE$ is \ovrcntr.doc (dst) 8/97 • 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 / BUP ,/I�' _ 447 f 5YP Date Requested �/ //99 AM PM BLD Location /c,if 560 77 /' ie-ef - Suite MEC 9 � Contact Person 4 C & 6, / i 1/ r Ph PLM Contractor <-6 Ph SWR BUILDING Tenant/Owner ELC Retaining Wall _ c ELR Footing Access: /�� /� Foundation '' / FPS Ftg Drain SGN Slab Drain inspection Notes: /1 4 Post & Beam SIT Ext Sheath /Shear Int Sheath /Shear Framing . Insulation Drywall Nailing _ Firewall ��N_ I�� , �, ; -!,► Fire Sprinkler r s_'i►�` 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 ,�� P ,S.� PART FAIL ME AANICA ;IOW p(a- S moKe Dampers '1.1. litWir PART FAIL CTRICAL 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Date / /c7� / j Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639-4171 Requested AM PM D Location / 7✓ 27) 7 7 /2/ Suite Contact Person Ph q PLM Contractor Ph SWR � T Mawner ��. � ELC ''"' al • ELR Footing Access: Ft u Dra n G p�'>6e/ �-1� / �� I � � FPS g SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int S • - -th /Shear 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 FAIL MEC • • Rough In Gas Line ,. ampers SS PART FAIL ELECTRICAL 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 l Approach /Sidewalk � ( 99 Inspector _ __ i� Ext Other Date •Z /s p �� Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.