Permit A A r ` CITY OF T I GAiR D► MECHANICAL PERMIT
, DEVELOPMENT SERVICES PERMIT #: MEC1999 -00343
`` - 13125 SW Hall Blvd., T igard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/10/1999
PARCEL: 1S133AC-KNOW1
SITE ADDRESS: 10751 SW 130TH AVE
SUBDIVISION: KNOWLEDGE BEGINNINGS DAYCARE C ZONING: R -25
BLOCK: LOT: 001 JURISDICTION: TIG
CLASS OF WORK: NEW FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS: 16
OCCUPANCY GRP: E3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: 1 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 7 DOMES. INCIN:
GAS 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: N 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: M 50 + HP:
FURN < 100K BTU: 6 AIR HANDLING UNITS CLO DRYERS: 1
FURN > =100K BTU: 1 <= 10000 cfm: OTHER UNITS: 13
> 10000 cfm: GAS OUTLETS: 4
Remarks: Mechanical work associated with construction of new daycare facility.
Owner: FEES
Type By Date Amount Receipt
PRMT BON 11/10/19E $333.45 99- 319702
PLCK BON 11/10/19 $83.36 99- 319702
5PCT BON 11/10/19 $23.34 99- 319702
Phone: Total $440.15
Contractor:
REQUIRED INSPECTIONS
Gas Line Insp
Phone: Mechanical lnsp
Reg #: Heating Unt Insp
Cooling Unt lnsp
Duct Inspection
Misc. Inspection
Final Inspection
ORIGINAL
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 obta copies f of ' these rules or direct questions to OU by calling 503)246 -9189.
Issue By: - (,(/_,�/t+ -ea. V-- Permittee Signature: s �iL%
e
Call (503) 639 -4175 by 7:00 P.M. for inspections n ded the next business day
Plan Check # - 1/
CITY OF TIGARD Mechanical Permit Application Recd By 4
13125 SW HALL BLVD. Commercial and Residential Date Recd - �-- `/
TIGARD, OR 97223 Date to P.E. ' - t - "
(503) 639 -4171, x304 Date to DST '
Print or Type Permit # Ilier999--oa: 3
Incomplete or illegible apr\iivations will not be accepted Called
�If�f
Name of Development/Project Description ode
Ke,,,ko� , pG+t_ CS c,, t-.t ��,� Table 1A Mechanical Code Qty Price Amt
Job Street Address Suite# A) Permit Fee �e 16.00
1) Furnace to 100,000 BTU
ftql
Address 10151 5,\,.t. \ 4 including ducts & vents see footnote 1,2 (0 9.65 r 7
Bldg# City /State Zip 2) Furnace 100,000 BTU+
T & - O� ° \ - 1Z Zvi including ducts & vents see footnote 1,2 12.00 I?,
Name (or name of business) 3) Floor Furnace
including vent see footnote 1,2 9.65
Owner 1--V-A-,- t7sl __WvoM {r 4.-12_ 4) Suspended heater, wall heater
Mailing Address or floor mounted heater see footnote 1,2 9.65
9- 0. OSO)c $(..v0 5) Vent not included in appliance permit 4.75
City /State Zip Phone Check all that apply: *Boiler Heat Air
S k For items 6 -10, see or Pump Cond Qty Price Amt
C5e -e-v0 OR- q'1Z6i✓ 3£3S•AZRS footnotes 1,2 C
Name (or name of business) P
om
_ **
6) <3HP;absorb unit to /
Y-e- 1OwI,.G�� (r, csee.,,r- t...4. k t- tc,_,' -, 100K BTU 9.65 1ir,'7 5
Occupant Mailing Address 7) 3 -15 HP;absorb unit
104 to 500k BTU 17.65
City /State Zip Phone 8) 15 -30 HP; absorb
unit .5 -1 mil BTU 24.15
9) 30 -50 HP; absorb
Contractor Name unit 1 -1.75 mil BTU 36.00
57 "P2-4 c'D1J 10) >5OHP; absorb unit
Prior to permit ail�p Address >1.75 mil BTU
issuance, a copy n f�OX � j 39 , ' 11 Air handling unit to 10,000 CFM_ 60.15
of all licenses /State �� Z. Phone a 7.00
are required if TA 7 c i2- ` of -'- 0 79/ - 12) Air handling unit 10,000 CFM+
expired in COT or Const. Cont. c Board Lic.# Exp. Date 11.85
database ' 1 3 p /, 3 - fy - 13) Non - portable evaporate cooler
Architect Name 7.00
14) Vent fan connected to a single duct
\t- r ro
re-7- RC.>� 'F�NCr�e- a-- eAZlt - 4.75 �Vo
Or Mailing Address 15) Ventilation system not included in
ZvQ t ATt - 0Et4.4 g_ ',2 \p appliance permit 7.00
Engineer City/State Zip _Phone 16) Hood served by mechanical exhaust
` � o 7.00 7'
���� o� I t - 1 - 50 ■ 3(sL1 S; °y 17) Domestic incinerators
Describe work to be done:
12.00
New Repair 0 Replace with like kind: Yes 0 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.
13 7.00 co
NOTE: For Commercial projects only; Units over 400 lbs. require 21) Gas piping one to four outlets ?S �
structural gas talcs. See footnote 1 3.75 3
Type of fuel: oil 0 natural gasyt LPG 0 electricA 22) More than 4 -per outlet (each) .75 8
Minimum Permit Fee $50.00 SUBTOTAL a
n K R
I hereby acknowledge that I have read this application, that the information 7% SURCHARGE V , t $; I)2 , c4L
given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL s< (
the owner, that plans submitted are in compliance with Oregon State laws. Required for ALL commercial permits only g 3 -) o
TOTALS T.: 3�f
Signature of Owner /Agent Date 2
Other Inspections and Fees: ./---
1. Inspections outside of normal business hours (mininum charge -two
4 (4
Contact Person Name Phone hours) $50.00 per hour �4 Qib
2. Inspections for which no fee is specifically indicated (minimum
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
I:Unechperm.doc rev 02/4/99
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
1*9 - 003 4- 1
Date Requested 'i/Z 7/00 AM Y PM CP 21:06-060X1 Fes
•
Location (fl S I I ?)/D Suite 11 MEC (59q-PY)3c 3
Contact Person OW jA S Ph 5 - g L i PLM
Contractor Ph SWR
UILDIN r Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
SGN
Slab
Crawl Drain Insp b o No term 1 Le (R qq - a 2 3 04 it
Post & Beam Cc P i994'bDOOZ
- . � � 191€1 - � 6h �' t ` 5 n �� -'FLtS � 0i4 t get rr Stzt t, S j�
rams • L\ ` 5� 71/L � S `Q c5\ o ,e f , 't 1 l
r• ry V 14 -Q .4 �:�. �-� t,� s Qszr-•. c9, �Q
� rywa Nailing
Firew- !1'r1
ire AI
sp • el I •
-
Misc:
M^ina
j
S PART FAIL
PLUMBING •
Post & Beam
. Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PAS ART FAIL /
CHANT
Post & Beam
Rough In
Gas Line
Smoke Dampers
•ASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
a s PART FAIL
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 4/
�� G Inspector Ext7 _
Other
PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION j ®O
24 -Hour Inspection Line: 639 -4175 Business Lin e: _ 71 MSS
t p74,
Date Requested , 14 MPl0D * BLD
Location ID S Si 1 3t -144 Af - Suite C r l ^ D U3 4.3
Contact Person )(kin 14-S Ph Sqg " P
Contractor Ph SWR
gluLDI Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Slab
Crawl Drain Inspection Notes: 621`Y M/!a °11) P (11114 " ) + SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear 111 /v a T- T " ot 3
Framing {�
Insulation // OFF-
Drywall Nailing OFF- TES T
Firewall 1 - v ( „ t - O� Z (4) p i ( n
• ire Alarn
Susp'd Ceiling ! ,�1
Roof e 3 4 Z 1 V 3� )
Misc:
I � S PART FAIL
� 1 BING g c S�6 � Z � U c(f n l
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains 40 n
'' / ' 5 - 41, • --- i
Final
PASS ,2421[tT FAIL
(MECHANI
Post & Beam
Rough In f.
Gas Line
Smoke Dampers (-L U L - -'-- s
cEiala PASS ART FAIL
ELECTRIC +
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 Date �f (7/ dd Inspecto � — Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
04/28/2000 Activities for Case #: MEC1999 -00343
8:46:33 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECC007 Application received 08/05/1999 GEO RECD No Hold DEB 08/16/1999
MECC008 Permit created 08/16/1999 DEB DONE No Hold DEB 08/16/1999
MECC011 Routed to Plans Examiner 08/16/1999 DEB DONE No Hold DEB 08/16/1999
MECC013 Revised plans received 09/21/1999 RDP DONE No Hold RDP 09/21/1999
MECC014 Plan checked /Approved by P.E. 09/21/1999 09/21/1999 09/21/1999 RDP DONE No Hold RDP 09/21/1999
MECC015 Reviewed Plans Routed to DSTS 09/21/1999 RDP DONE No Hold RDP 09/21/1999
MECC705 Gas Line Insp 09/21/1999 09/21/1999 02/22/2000 RB PASS No Hold RB 03/07/2000 Gas Test approved. Wrong
gas size piping noted at meter
and various other locations.
Design letter submitted, but
needs to be revised. Approval
contingent to design letter
revision and observation letter
from design engineer. Asked
engineer to make on site
inspection and approve the gas
line installation as is.
MECC706 Mechanical Insp 09/21/1999 09/21/1999 02/24/2000 RB FAIL No Hold AKJ 02/24/2000 incomplete
MECC715 Heating Unt Insp 04/26/2000 RB PASS No Hold RB 04/27/2000
MECC720 Cooling Unt Insp 04/26/2000 RB PASS No Hold RB 04/27/2000 Air gap condensation lines to
floor drain.
MECC735 Duct Inspection 09/21/1999 09/21/1999 04/14/2000 RB FAIL No Hold RB 04/14/2000 ABOVE T -GRID CEILING
MECHANICAL.
1. Secure duct registers to
T -Grid. BUP1999 -00354 issues
#6.
2. Roof venting issue through
mech. fan /duct on opposite side
of draft stop- design needed.
3. Mechanical shut -down req'd
at final or before.
MECC750 Misc. Inspection 09/21/1999 09/21/1999 No Hold RDP 09/21/1999
MECC799 Final Inspection 09/21/1999 09/21/1999 04/26/2000 RB FAIL No Hold AKJ 04/26/2000 mech shut down test req
seal all thru hole penetrations in
all mech rooms
move sprinkler head away from
ductwork in n side of mech roorr
insp terminated
MECC016 DST Post - Review Completed 09/28/1999 BON DONE No Hold BON 09/28/1999
MECCO20 HOLD FOR 09/28/1999 BON HOLD No Hold BON 09/28/1999 On hold for conditions of
approval for planning and
' engineering (CUP1999- 00002).
Also, needs contractor
identified before issuing permit.
Page 1 of 2
04/28/2000 Activities for Case #: MEC1999 -00343
8:46:33 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECCO35 Hold Release to Ready Status 11/10/1999 DEB DONE No Hold DEB 11/10/1999 Okay to release by both PLN &
ENG. Must identify contractor
prior to issuance.
MECC090 (F) Issue permit 11/10/1999 BON DONE No Hold BON 11/10/1999
MECA715 Mechanical Insp 03/02/2000 RB FAIL No Hold AKJ 03/02/2000 need to retest gas line if any
line has been changed out
1) conn exhaust duct to fan
housing in east side bathroom
2) insul all metal ducts to a R8
value insul where req
3) seal all ducts w UL listed
duct tape
4) all mech rooms not ready
5) gas line installation is
contingent to the submittal of
the designers letter of approval
and an observation review letter
MECA705 Gas Line Insp 03/02/2000 RB FAIL No Hold AKJ 03/02/2000 see mech 3/2
MECC705 Gas Line Insp 03/06/2000 RB FAIL No Hold AKJ 03/06/2000 letters from eng or designer req
MECC706 Mechanical Insp 03/07/2000 RB PART No Hold AKJ 03/07/2000 hard lid areas
MECC705 Gas Line Insp 03/07/2000 RB PASS No Hold AKJ 03/07/2000 recd design letter and
observation letter from mech
and elec eng
MECC710 Mechanical Insp 04/19/2000 RB PASS No Hold AKJ 04/19/2000
MECC799 Final Inspection 04/26/2000 RB PART No Hold RB 04/27/2000 Air Gap condensation lines.
MECC799 Final Inspection 04/27/2000 RB PASS No Hold RB 04/27/2000 Case Final- OK.
MECC799 Final Inspection 04/27/2000 RB PASS No Hold AKJ 04/27/2000
MECC800 Case Finaled 04/27/2000 AKJ DONE No Hold AKJ 04/27/2000
•
Page 2 of 2
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