Permit CITY OF TIGARD MECHAN I CAL
DEVELOPMENT SERVICES PERMIT
14- I 13125 SW HaII Blvd., Tigard, OR 97223 (503) 639 -4171
PERMIT # ME C98 -051 ¢
DATE ISSUED: 11/10/98
PARCEL: 1S136AD- 06100
SITE ADDRESS...: 11419 SW PACIFIC HWY
SUBDIVISION • ZONING: C -G
BLOCK • LOT • JURISDICTION: TIG
CLASS OF WORK..:ALT FLOOR FURN • 0 EVAP COOLERS: 0
TYPE OF USE •COM UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:A3 VENTS W/0 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: 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: 1 (= 10000 cfm: 0 GAS OUTLETS.: 1
FURN ) =100K BTU: 0 ) 10000 cfm: 0
Remarks: Add furnace and gas piping.
Owner : FEES
BUSTERS type amount by date recpt
11419 SW PACIFIC HWY PRMT $ 25. GEO 11/10/98 98- 310718
TIGARD OR 97223 SPCT $ 1.25 GEO 11/10/98 98- 310718
Phone #:
Contract or:
REITMEIER MECHANICAL INC
7051 SW SANDBURG ST STE 400
$ 26.25 TOTAL
TIGARD OR 97223-8011
Phone #:
Reg #..: 000632
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Final Inspection
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 by 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 rules or direct questions to OUNC by calling
(503)246 -9187.
Issue By: Ar ,, � Permittee Signature: C
i
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + ± + + + + + + + + + + + + + + ++
rran t.,nticn if
CITY OF TIGARD Mechanical Permit Application Rec'd By
13125.8W HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST
�,p
Print or Type Permit *NO'? Qtl'
Called
Incomplete or illegible applications will not be accepted
we of Development/Prolect Description
16l.I.StE RS Table 1A Mechanical Code CITY PRICE AMT
Job Street Address Surte# A) Permit Fee -0- -0- 10.00
Address 11449 ,S &J auw Y Bldg.* City/State Zip 1.) Furnace to 100,000 BTU 6.00
1 c M1) c2L 971z 3 including ducts & vents I
Name (or name of business) 2.) Furnace 100,000 BTU+ 7.50
Owner A- including ducts & vents
Mailing Addre 3.) Floor Furnace 6.00
including vent
City/State Zip I Phone 4.) Suspended heater, wall heater 6.00
or floor mounted heater
Name or name of business) 5.) Vent not included in appliance permit 3.00
, /Ar
Occupant Mailing Addre 6.) Boiler or comp, heat pump, air cond. 6.00
to 3 HP: absorb unit to 100K BUT
City/State Zp I 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
(Prior to R E/I F. i&t / FGt( 15-30 HP: absorb units -1 mil BTU"
issuance Mailing Address ��^ ,5(44 E 9.) Boiler or comp, heat pump, air cond. 22.50
applicant , 7653 .t ,c i . DO 30-50 HP: absorb unit 1- 1.75mil BTU
must provide all �/S e p Phone 10.) Boiler or comp, heat pump, air cond. 37.50
contractor ! hinAD b2 9 7.14.. �i 603.0245 > 50 HP: absorb unit 1.75 mil BTU"
license Oregon ConsLrit. Board LAS Exp. Date 11.) Air handling unit to 10,000 CFM 4.50 •
information ( 3 Z Z
for COT COT Busness ax or Metro 0 Exp. Date 12.) Air handling unit 10,000 CFM 7.50
database).
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 Zp Phone 15.) Ventilation system not included in 4.50
appliance permit
Describe work New X 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 17.) Domestic incinerators 7.50
18.) Commercial or industrial type 30.00
Incinerator
Existing use of 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 J$ 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
laws.
Signature of Owner /Agent Data 'SUBTOTAL (Li{ 1 //-,0-96 5% SURCHARGE .
Q.
ct erson Name Phone PLAN REVIEW 25% OF SUBTOTAL
, o3 - O 2. I) 5 TOTAL .91:),ZC
i:Ndt\m
sechpmtdoc (rev 9 'Minimum permit fee is 525 + 5% surcharge ?
'"Residential NC requires site plan showing placement of unit.
02/22/2000 Activities . for Case #: MEC98 -00510
2:17:33 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECC007 APPlication received 11/10/1998 GEO RECD GEO 11/10/1998
MECC008 Permit created 11/10/1998 GEO DONE GEO 11/10/1998
MECC799 Final Inspection 11/13/1998 GS PASS GES 11/13/1998
MECCO50 (F) Ready to issue 11/10/1998 GEO PASS GEO 11/10/1998 Per Bob Poskin, no plan check
required.
MECC090 (F) Issue permit 11/10/1998 GEO PASS GEO 11/10/1998
MECC705 Gas Line Insp 11/10/1998 11/13/1998 GS PASS GES 11/13/1998
MECC706 Mechanical Insp 11/10/1998 . 11/13/1998 GS PASS GES 11/13/1998
MECC725 Heating Unt Insp 11/10/1998 GEO 11/10/1998
MECC800 Case Finaled • 11/13/1998 GS PASS GES 11/13/1998
•
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Li e: 39 -4171
BUP
G 1 , p
/ f Date Requested IF /3 98 AM PM BLD
Location A mn / �►L, Suite 6 7e5 �S7
Contact Person Ph PLM
•
Contractor ad' p Ph'03 5- SWR
BUILDING Tenant/Owner ,� 6,13( ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post Beam AFT /D 41
Ext Shh eath /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
PAS P4T FAIL
Post
ou
e' Gas Line)
Smoke Dampers
in
AS 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA �i
Approach /Sidewalk Date // — / ' 9 � Inspector � V r Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.