Permit !.., ,..
CITY OF TIGARD MECHANICAL PERMIT
A 'A'iAtt DEVELOPMENT SERVICES PERMIT #: MEC2000 -00309
,• 13125 SW Hall Blvd., T igard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/23/00
PARCEL: 2S 112DC -00200
SITE ADDRESS: 07342 SW KABLE LN
SUBDIVISION: SOUTHERN PACIFIC TIGARD INDUST ZONING: I -L
BLOCK: LOT: 003 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: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: • 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
> 10000 cfm: GAS OUTLETS:
Remarks: Mechanical for Commercial T.I.
Owner: FEES
PACIFIC REALTY ASSOCIATES Type By Date Amount Receipt
15350 SW SEQUOIA PKWY #300 -WMI PRMT CTR 8/23/00 $50.00 2720000000
PORTLAND, OR 97224 PLCK CTR 8/23/00 $12.50 2720000000
5PCT CTR 8/23/00 $4.00 2720000000
Phone: Total $66.50
Contractor:
MCKINSTRY CO
5400 NE COLUMBIA BLVD
PORTLAND, OR 97218 REQUIRED INSPECTIONS
Duct Inspection
Phone: 331 -0234 Final Inspection
Reg #: LIC 000409
PLM 37 -22
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 obtain copies of these rule or direct questions to OUNC by
calling (503)246 -918 •
Issue By: ,41,.."' / � —
� • Permittee Signature: !
Call (503) 639 -4175 by 7:00 P.M. for inspections neede the next business day
mail L,i ioL,n ft
: Rec'd By
"' OF TIGARD Mechanical Permit Application Date Rec'd 1=, 0
13125 SW HALL BLVD. Commercial and Residential Date to P.E.? -3../ Ot) 61
TIGARD, OR 97223 Date to DST ( s(90
(503) 639 -4171, x304 t 1 67 Permit # "Aft 2oOD age/
Print or Type Called
Incomplete or illegible applications will not be accepted
Name of Development /Project Description
T - 1 - 1,0, v , r r Corv�)U a.. Table 1A Mechanical Code Qty Price Amt
Job Street Address Suite#
A) Permit Fee "" °` •_ - ' 16.00
Address - ‘7 1- i4.4 . /.4.1 .kr4� / c. /ant 1) Furnace to 100,000 BTU
Bldg# n City /State Zip including ducts & vents 9.65
T r'', C - �)`�a..� 2) Furnace 100,000 BTU+
Name (or name of busines
including ducts & vents 12.00
Owner 3) Floor Furnace
Mailing Address including vent 9.65
city /state Zip Phone 4) Suspended heater, wall heater
or floor mounted heater 9.65
Name (or name of business) 5) Vent not included in appliance permit 4.75
T 1 Ito Lr- rotn100.-../3 Check all that apply: *Boiler Heat Air
Occupant Mailing Address For items 6 -10, see or Pump Cond* Qty Price Amt
footnotes 1,2 Comp *
City /State Zip Phone
6) Repair units
8.40
Contractor Name 7) <3HP;absorb unit to
100K BTU 9.65
c
7r1 ,/c4/1•C r y Co •
Prior to permit Mailing, Address 8) 3 -15 HP;absorb unit
100k to 500k BTU 17.65
issuance, a copy Vick) A) E.- C.0/1",),,40) / Vol 9) 15 -30 HP; absorb
of all licenses City /State Zip Phone
are required if ie"0 I S a /if \ Pi - Oa3 unit .5 1 mil BTU 24.15
expired in COT Oregon Const. Cont. Board Lic.# Exp. Date 10) 30 -50 HP; absorb
y nf) unit 1 -1.75 mil BTU 36.00
database 11) >50HP; absorb unit >1.75 mil BTU
Architect Name 60.15
or Mailing Address 12) Air handling unit to 10,000 CFM 7.00
13) Air handling unit 10,000 CFM+ 11.85
Engineer City /State Zip Phone 14) Non - portable evaporate cooler 7.00
.Describe work to be done: 15) Vent fan connected to a single duct 4.75
16) Ventilation system not included in 7.00
New 0 Repair 0 Replace with like kind: Yes 0 No 0 appliance permit
Residential 0 Commercial Modification 0 17) Hood served by mechanical exhaust 7.00
Additional information or description of work: 18) Domestic incinerators 12.00
19) Commercial or industrial type incinerator 48.25
NOTE: For Commercial projects only; Units over 400 lbs., located on 20) Other units, including wood stoves f 7.00
the roof, require structural calcs. prepared by licensed engineer. 21) Gas piping one to four outlets f
3.75
Type of fuel: oil 0 natural gas 0 LPG 0 electric 0 22) More than 4 -per outlet (each) .75
I hereby acknowledge that I have read this application, that the
Minimum Permit Fee $50.00
information given is correct, that I am the owner or authorized agent of SUBTOTAL
the owner, that plans submitted are in compliance with Oregon State 8% SURCHARGE `i
laws. PLAN REVIEW 25% OF SUBTOTAL '• "; Vi /I
J ) 0� � -7 -) Y -de, Required for ALL commercial permits only , ;. , ; `
IP
Signature of Owner /Agent Date TOTAL .� `: A
134, -, C3 rile= ,13) " 0 9 Other Inspections and Fees:
Contact Person Name Phone
1. Inspections outside of normal business hours (minimum charge -two hours) $50.00 per
hour
2. Inspections for which no fee is specifically indicated (minimum charge -half hour)
Footnotes for commercial projects only: $50.00perhour
1. Provide full schematic of existing and proposed gas line and 3. Additional plan review required by changes, additions or revisions to plans (minimum
pressure. charge- one -half hour) $50.00 per hour
2. Provide drawings to scale showing existing and proposed State Contractor Boiler Certification required
mechanical units. **Residential A/C requires site plan showing placement of unit
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 • Business Line: 639 -4171
•
•
BUP
�
/ Date Requested ( 0 ) AM PM BLD a/
Location /3 �/ Z 5 v1 / <4 60 \. Suite MEC Z1.44/ — 30 7
Contact Person Ph 5y, ¥V3 PLM
Contractor Ph SWR
UILDIN'G' 1.1 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
nn
Fire arm
Susp'd Ceiling ` (� //--;C?
Ro
Misc:
Lam=
•ART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains •
Final
PASS PART FAIL
HAN L--
Post & Beam
Rough In
Gas Line
Smoke Dampers
art
=p 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA / , /
Other Date /� �l�U Inspector / Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.