Permit CITY OF TIGARD
MECHANICAL
�,I' � ,,•;� DEVELOPMENT SERVICES PERMIT #t r'ERMIT mEC97- 420
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 10/30/97
PARCEL: 1 S 1 36D- 02042:00
SITE ADDRESS—; 11525 SW PACIFIC f -!WY
SUBDIVISION ° VILLA RIDGE ZONING: C-C
BLOCK LOT :007 JURISDICTION: TIG
CLASS OF WORK..:ALT FLOOR FURN ° 0 EVAP COOLERS: 0
T PE O7 USE.. , . :COM UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP.. :B 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 HANDL I NG UNITS OTHER UNITS.: 5
FURN < 100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > 1 00Z0K BTU: 0 > 10000 cfm: 0
Re marks : Fast Signs tenant improvement
Owner: - - -- - - - FEES -- -
FLOYD SKLAVER type amount by date recpt
11525 SW PACIFIC HWY PRMT $ 22.50 DRA 10/28/97 97-300473
TIGARD OR 97224 PLCK $ 5.63 DRA 10/28/97 97- 300473
5PCT $ 1. 13 DRA 10/28/97 97- 300473
Phone #k: PRMT $ 10.00 5 10/30/97 97 -3005
20
PLCK $ 2.50 B 10/30/97 97 -30052
0
Contractor: ---------- ------------- •- -------- - - ---- 5PCT $ 0.50 B 10/30/97 97- -30052
0
ANCTIL SHEET METAL CO
4320 N WILLIAMS AVE - __ - - - - -- - -- -- - --
42.26 TOTAL
PORTLAND OR 97217
Phone #: 503- 281 -0752
Reg #.. : 008897
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 188 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 -3%10 through OAR 952 -001 -0080. You may
obtain copies of these rules or direct questions to OUNC by calling /
(503)246 -9187. _
1'
Issue By: Permittee Signature; 1 11
•
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
L +++++++++++++++++++++++++++++++++++++++++++++++++++++++- I- + + +-I-- i- + + + + + + ++ ++- F• + + + + + ++
c- Pf-IG,7-7(.. 0.- a ‘ 5 - 01..
Plan Che
CITY OF TIGARD Mechanical Permit Application Recd B 00k) •
1312 SW�I-IALL BLVD. Commercial and Residential Date Rec• /O- •Q 7
TIGA - D, OR 97223 Date to P.E. - ID -Zq-' 7 /,
(503) 639 -4171, x304 D ate to DST __���j����u� A
Print or Type Permit# i[�L
Called (' d' GlU2A --
Incomplete or illegible applications will not be accepted i .Ser,,,
Name ofoevele
f3rr .5itipyCJ / Si�SS t.tOw Table 1A Mechanical Code QTY PRICE AMT
Job Street Address (ltt 1 Suites A) Permit Fee -0- -0- 10.00
• Address 115 25 S.tJ rgrA
Bldg# city /StateL 1.) Furnace to 100,000 BTU 6.00
11( p.0 t, _ 1214 including ducts & vents
Name (or name of business) 2.) Furnace 100,000 BTU+ 7.50
owner p S LAVEAt - including ducts & vents
Marling Add ss l 3.) Floor Furnace 6.00
115'Z4 S.0. 1 \E, `C- \ c, RP.&.. including vent
City/State Zip Phone 4.) Suspended heater, wall heater 6.00
GvA.ax 1 V� . `12 ,i .. or floor mounted heater
Name (or name of business) z1 C 5.) Vent not included in appliance permit 3.00
occupant Mailing Address n- "_r_ ' -�, t ` Ph > 6.) Boiler or comp, heat pump, air cond. 6.00
t� S Pitta sc. w to 3 HP; absorb unit to 100K BUT"
City /State Zip one \ \\ 7.) Boiler or comp, heat pump, air cond. 11.00
'\ l ) 1, ' g 3-15 HP; absorb unit to 500K BTU"
Contractor N e 8.) Boiler or comp, heat pump, air cond. 15.00
L 1 1 \ 4-- 15-30 HP; absorb unit.5 -1 mil BTU"
Prior to permit Ma g ��� AAddddd "' ress 9.) Boiler or comp, heat pump, air cond. 22.50
issuance, a copy 4320 A. lU■%, -1 i l" .` . 30-50 HP; absorb unit 1- 1.75mil BTU" •
of all licenses Zip Phone 10.) Boiler or comp, heat pump, air cond. 37.50
are required if ` ' bi-. 9) - I > 50 HP; absorb unit 1.75 mil BTU"
expired in COT Oregon Const. Cont. Board .ic.# Exp. g 11.) Air handling unit to 10,000 CFM 4.50
database S T) S' g g
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 I 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 •
Additional Description of work: 17.) Domestic incinerators 7.50
a13"
( • t 41-f 18.) Commercial or industrial type 30.00
,t .C>LP rV - 2 , SA � S 1 • "( k ?A. Incinerator
Existing use of • 19.) Repair units 4.50
building or property 4�t.L 1 ��Sr.\t
20.) Wood stove 4.50
Proposed use of 21.) Clothes dryer, etc. 4.50
building or property 2,67t•11. g✓uZS>air -
22.) Other units -g. ✓. .. 4.50 gQ. go
Witt Type of fuel - oil 0 natural gas 0 LPG 0 electric 0 23.) Is 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 ( 1 3
information given is correct, that I am the owner or authorized agent of -> �0
the owner, that plans submitted are in compliance with Oregon State QTY. SUBTOTAL ,,a7QP
laws. Signature of Owner /Agent Date SUBTOTAL
lO ho �/ 5% SURCHARGE 1 ��
�7
matt Person N me hone PLAN REVIEW 25% OF SUBTOTAL - I3
TOTAL
��(� 281 -CDSZ
i:Vrtec pmt.doc (rev 9 'Minimum permit fee is $25 + 5% surcharge
"Residential NC requires site plan showing placement of unit. 40. 66
r4
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Page No. 1 CASE HISTORY FOR CASE NO.: MEC97 -0420
FAST SIGNS
11525 SW PACIFIC HWY
12/01/97
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
---- --- -- - ----- ---
MECC007 Application received / / / / 10/28/97 RECD DRA 10/29/97 BON
MECC008 Permit created / / / / 10/29/97 DONE B 10/29/97 BON
MECC011 Routed to Plans Examiner / / / / 10/29/97 SENT B 10/29/97 BON
MECC015 Reviewed Plans Routed to DSTS / / / / 10/30/97 APPR RDP 10/30/97 RDP
MECC016 DST Post- Review Completed / / / / 10/30/97 PASS JSD 10/30/97 JD
MECCO50 (F) Ready to issue / / / / 10/30/97 PASS JSD 10/30/97 JD
MECC090 (F) Issue permit / / / / 10/30/97 PASS B 10/30/97 BON
MECC706 Mechanical Inop 10/30/97 / / 10/31/97 PASS GS 11/06/97 J *H
MECC799 Final Inspection- 10/30/97 / / 10/31/97 PASS GS 11/06/97 J *H
MECC800 Case Finaled / / / / 10/31/97 PASS GS 11/06/97 J *H
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•
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CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Phone: 639-4171
Date Requested: /0 — 3 / – 9 7 A.M. P.M. \ A., MST:
f r.) .. 1,/61,..,,c) . 4 {0...tr
Location: / I 5 . Sib() BUP:
Tenant: 4C14,t ) ,eLt r Suite: Bldg: MEC: GI 7-64,10
Contractor: 1211 its..a.6 Phone: :.D...() — 09 I R PLM:
Owner: Phone: ELC:
ELR:
BUILDING BLDG (con't) PLUMBING ---.-- CIIIANI . ELECTRICAL SIT: SITE
Site Post/Beam Post/Beam Post/Beam Cover/Service Sewer/Storm
Footing Roof UndFl/Slab Rough-In Ceiling Water Line
Slab Framing Top Out Gas Line Rough-In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved • pprov.. Approved Approved
Appr/Sdwlk Not Approved Not Approved ercr... ' Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
A
D
0 Call for reinspection CI Reinspection fee of $ required before next inspection 0 Unable to inspect
Inspector:
,..-"IY-1° Date: / CD' 3 1 - 9' 7 Page of
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