Permit CITY TIGARD
O F
PERMIT
t DEVELOPMENT SERVICES DATE PERMIT I SSUED : 1 1.1 MEC97-0457
PARCEL: 1S126DC -04800
SITE ADDRESS...: 09495 SW LOCUST ST #E
SUBDIVISION • LEHMANN ACRE TRACT ZONING: C —P
BLOCK • LOT •004 JURISDICTION: TIG
CLASS OF WORK..:ALT FLOOR FURN • 0 EVAP COOLERS: 0
TYPE OF USE •COM UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:B VENTS W/O APPL: 0 VENT SYSTEMS: 0
STORIES • 0 BOILERS /COMPRESSORS HOODS : 0
FUEL TYPES 0 -3 HP • 0 DOMES. INCIN: 0
3 -15 HP : 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15 -30 HP • 0 REPAIR UNITS: 1
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 ( 1O0K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Remarks : Clinical Research TI - relocate 6 existing supplies. Replace existing
grilles.
Owner: FEES
CLINICAL RESEARCH type amount by date recpt
9495 SW LOCUST PRMT $ 25.00 JSD 11/19/97 97- 301084
TIGARD OR 97223 SPCT $ 1.25 JSD 11/19/97 97- 301084
Phone #:
Contractor:
OREGON HEATING & A/C INC
PO BOX 397
$ 26.25 TOTAL
DUNDEE OR 97115
Phone #: 538 -2953
Reg #..: 125815
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
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 by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952 -00110 through OAR 952-001 -0080. You may
obtain copies of these rules or direct questions to OIRVC by calling
(503)246 -9187.
Issue By: _� Permittee Signature: � fp
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Plan Check #
CITY OF TIGARD Mechanical Permit Application Recd By
13125 SW HALL BLVD. Commercial and Residential Date Recd / /
TIGARD, OR 97223 Date to P.E.
(503) 639 -4 x304 Date to DST
Print or Type Permit # �}?.,�7� , p ��`7
Called
Incomplete or illegible applications will not be accepted
Name of Development/Project Description
• Table 1A Mechanical Code CITY PRICE AMT
Job Street Address Suite# A) Permit Fee -0- -0- 10.00
Address y./qc 5w /-66/6 ` ,t,o pile 57X f
Bldg# City/State Zip 1.) Furnace to 100,000 BTU 6.00
176/0.0 d/L including ducts & vents
Name (or name of business) 2.) Furnace 100,000 BTU+ 7.50
Owner 446/4 446 ?IcAL C jt'l61L • including ducts & vents
Mailing Address - 3.) Floor Furnace
9 .5W c-O i 6.00
including vent
.5:5f/State Zip Phone 4.) Suspended heater, wall heater 6.00
/GA•200 ilie y ,�` �3 ,„2,../.5.-.„21:5-
9 or floor mounted heater
Name (or name of business) 5.) Vent not included in appliance permit 3.00
471k/ e(IAiio4L p_6iS6AA.0 41
Occupant Mailing Address 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 Name 8.) Boiler or comp, heat pump, air cond. 15.00
OI?.F64)/t) / f hA7 /IV1 c 4A eM)))7c'LV�V(& / ve_ 15-30 HP; absorb unit.5 -1 mil BTU"
Prior to permit Mailing Address 9.) Boiler or comp, heat pump, air cond. 22.50
issuance, a copy IUD, (5,74* .597 30-50 HP; absorb unit 1- 1.75mi1 BTU"
of all licenses City /State Zip Phone 10.) Boiler or comp, heat pump, air cond. 37.50
are required if TJIiA/pc6 @115 c38-2953 > 50 HP; absorb unit 1.75 mil BTU"
expired in COT Oregon Cone. Cons. Board Lic.# Exp. gate 11.) Air handling unit to 10,000 CFM 4.50
database P-5' - sir /& /z3 /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 0 Addition 0 Alteration ® Repair 0 . 16.) Hood served by mechanical exhaust 4.50
to be done Residential 0 Non - residential el
Additional Description of work: 17.) Domestic incinerators 7.50
geco(9 (log EH/.512N6 514 //U65, APIA e6
18.) Commercial or industrial type 30.00
r
�=)V51 JA) 0 44 I tC. w IV J1J W eA16 .5 Incinerator
Existing use of 4.9.) Repair units / 4.50 /, r-p
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 0 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 l
laws.
Signatu o OwnerlAgent Date •SUBTOTAL L1 5.'
r t // 817 5% SURCHARGE ,�/
Contact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL 2'
57ku S-ropO� �.?s -295'3 �i 2 ^(
TO TAL ��� )
L. i:Vnechpmt.doc (rev 9 *Minimum permit fee is $25 + 5% surcharge
/ /• / ,. 2 7 -Residential NC requires site plan showing placement of unit.
2/10/00 Activities for Case #: MEC97 -00457
4:22:44 PM •
•
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECC007 Application received 11/19/97 JSD PASS JD 11/19/97
MECC008 Permit created 11/19/97 JSD PASS JD 11/19/97
MECC706 Mechanical lnsp 11/19/97 11/20/97 GS FAIL J'H 11/20/97 1. Need vent for bathroom
exhaust.
MECC090 (F) Issue permit 11/19/97 JSD PASS JD 11/19/97 George Steele okeyed the
issuance without
permits /review.
MECC750 Misc. Inspection 11/19/97 GS NOTE J'H 11/19/97 Unable to inspect, permit not
yet applied for.
MECC706 Mechanical lnsp 11/24/97 GS PASS J *H 11/24/97 Ceiling cover rough in
approved.
MECC799 Final Inspection 6/25/98 1/26/00 RB PASS AKJ 1/26/00
MECA750 Misc. Inspection 1/24/00 1/24/00 No Hold JMT 1/24/00 1/24/00 inspection request
(research) sent to Hap •
MECC800 Case Finaled 1/26/00 AKJ DONE No Hold AKJ 1/26/00
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 - Hour Inspection Line: 639 -4175 Business Line: 639-4171
q7
Date Requested a .s AM EM BLD
Location C i t , q S . L „ , L4 �� Su it e CO 97 -00 4 -/.s
Contact Person Ph PLM
Contractor Ph SWR
(UILDING” Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam 6 p Ext Sheath /Shear
Ina Sheath /Shear ( _ O O 1
Framing
V (. /0 a S
r� U
Insulation
Drywall Nailing V �� _ _ 1 I _
Firewall /` ,
Fire Sprinkler ( _ QU A q
Fire Alarm
Susp'd Ceiling
Roof
Misc:
•.
F ART FAIL
ING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
P RT FAIL
M ANI
Post & Be arrr'
Roug
Line I
Gas Li
\
Smoke Dampers
na
PART FAIL
LI 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 ` (�7� `�
Approach /Sidewalk Date 1 2- ( VV Inspector ► t./` Ext I
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.