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Permit
CITY OF T MECHANICAL � `IA DEVELOPMENT SERVICES PERMIT " -'� PERMIT # • MEC97 -0463 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/ 09 / 97 PARCEL: 1S135DD -03301 SITE ADDRESS...: 11945 SW PACIFIC HWY #250 SUBDIVISION : HOFFARBER TRACTS NO.1 ZONING: C -G BLOCK • LOT -002 JURISDICTION: TIG CLASS OF WORK..:ALT FLOOR FURN • 0 EVAP COOLERS: 0 TYPE OF USE •COM UNIT HEATERS..: 0 VENT FANS...: 0 OCCUPANCY GRP..:B2 VENTS W/0 APPL: 0 VENT SYSTEMS: 0 STORIES • 0 BOILERS /COMPRESSORS HOODS • 0 FUEL TYPES 0 -3 HP • 0 DOMES. INCIN: 0 :ELC 3 -15 HP • 1 COMML. INCIN: 0 MAX INPUT: 0 BTU 15 -30 HP • 0 REPAIR UNITS: 0 FIRE DAMPERS''..: N 30 -50 HP • 0 WOODSTOVES..: 0 GAS PRESSURE...: 50+ HP : 0 CLO DRYERS..: 0 NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.:27 I FURN < 100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0 FURN > =100K BTU: 0 > 10000 cfm: 0 Remarks : Mechanical TI - Roof Top Condensing unit only Owner: FEES MILT BROWN type amount by date recpt 11945 SW PACIFIC HIGHWAY PRMT $ 25.00 GEO 11/25/97 97-301241 TIGARD OR 97223 PLCK $ 6.25 GEO 11/25/97 97- 301241 5PCT $ 1.25 GEO 11/25/97 97- 301241 Phone #: PRMT $ 121.50 DRA 12/09/97 97 -3015 47 PLCK $ 30.38 DRA 12/09/97 97 -30154 7 Contractor: 5PCT $ 6.08 DRA 12/09/97 97 -30154 7 SHEPLER REFRIGERATION PO BOX 12146 $ 190.46 TOTAL PORTLAND OR 97212 Phone #: 282 -7255 Reg #..: 000923 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 Misc. Inspection applicable laws. All work will be done in accordance with Final Inspection 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 ,0- Permittee Signature: ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for inspections needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ i m� o �4 coper°� OVER - THE - COUNTER (OTC) PERMIT COMMERCIAL MECHANICAL PERMIT CHECK LIST Description of Project: C9A/Defgeti4 jh✓i r (l ) mJ) 2-1 covr,OGZ Class of Work: At.- Floor Furnace: Evap Coolers: Type of Use: G►oe" Unit Heaters: Vent Fans: Occupancy Grp: /YI Vents w/o Appl: Vent Systems: Stories: 1 Boilers /Comprsrs: Hoods: Fuel Types - 0 - 3 HP. Repair Units: / / / / 3 - 15 HP. Wood Stoves: Max Input: Btu: Air Handling Units Clo Dryer: Fire Dampers: < = 10000 cfm: Oth Units: 14. Gas Pressure: H / M / L > 10000 cfm: Gas Outlets: No. Of Units: Furn < 100k Btu: Furn > =100k Btu: NOTES: $ /a 0 Permit Fee Gas Line Inspection $ Plan Review Mechanical Inspection $ Va 5% State Surcharge Cooling Unit Inspection • $ Additional Permit Fee Shaft Inspection $ Additional Plan Review Fee Hood Inspection $ Inspection Fee Fire Suppr Inspection $ Miscellaneous Fee Duct Inspection Fire Alarm Inspection S V 5 1' Fire Damper • • - - •. REMARKS: cellaneous Ins • - AAI S Fire Alarm Inspection 114 Jam" Final Inspection /N " i .yz.ti F> GLASS OF WORK ©NS FOR ALL PERMITS ({ E�1v new AD = addition ALT ;alteiation ACS accessory;::' : ` '.; ": ;::. ;;:: >::.;::' : ; :.. FND =foundation; 0TH = other, DEM d emolition; REP repair:FPS : ttre protection system: I�EOTE ; t75E 0TIi,FOR FENCES ; :::RET',41tVit+tG NfAL�: DE'AG#:iED'DECIfS: 51GNS� �AwNINGS; .CAHl7RtES) :: ,:: . ; : "�.;� ::. u. \ovrcntr.doc (dst) 8/97 • 1 CITY OF TIGARD MECHANICAL ./411k .,� DEVELOPMENT SERVICES PERMIT 1 : PERMIT L 13125 SW Hall Blvd., Tigard, OR 97223 (503)639.4171 DATE ISSUED: 11/25/97 977 -0463 PARCEL: 1S135DD -03301 SITE ADDRESS...: 11945 SW PACIFIC HWY #250 SUBDIVISION • HOFFARBER TRACTS NO.1 ZONING: C —G BLOCK LOT :002 JURISDICTION: TIG CLASS OF WORK..:ALT FLOOR FURN : 0 EVAP COOLERS: 0 TYPE OF USE •COM UNIT HEATERS..: 0 VENT FANS...: 0 OCCUPANCY GRP..:B2 VENTS W/O APPL: 0 VENT SYSTEMS: 0 STORIES • 0 BOILERS /COMPRESSORS HOODS • 0 FUEL TYPES 0 -3 HP • 0 DOMES. INCIN: 0 :ELC 3 -15 HP • 1 COMML. INCIN: 0 MAX INPUT: 0 BTU 15 -30 HP • 0 REPAIR UNITS: 0 FIRE DAMPERS ?..: N 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 : Mechanical TI - Roof Top Condensing unit only Owner: FEES MILT BROWN type amount by date recpt 11945 SW PACIFIC HIGHWAY PRMT $ 25.00 GEO 11/25/97 97-301241 TIGARD OR 97223 PLCK $ 6.85 GEO 11/25/97 97-301241 SPCT $ 1.25 GEO 11/25/97 97-301241 Phone #: Contractor: SHEPLER REFRIGERATION PO BOX 12146 $ 32.50 TOTAL PORTLAND OR 97212 Phone #: 282-7255 Reg #..: 000983 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 -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:_ 4 /'�/i_ �.i Permittee Signature• ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for inspections needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ - E i Plan Checg //- 7Q- CITY OF TIGARD t Mechanical Permit Application Rec'd By tSBtl 131 SW HALL BLVD. Commercial and Residential Date Rec'd 11 - TIGARD, OR 97223 Date to P.E. I) " 1 7 Date to DST 1 I t5t 4 1 1 (503) 639 -4171, x304 Permit # pAerA 7 0 Li1g3 Print or Type Called 11 - n ---17 Incomplete or illegible applications will not be accepted Name o f D velopment/Project Description 54 '� ,..57 . Table 1A Mechanical Code CITY PRICE AMT Job Stred Address Suite* A) Permit Fee -0- -0- 10.00 Address i19 ReAC I Bldg# City/ tats Zip 1.) Furnace to 100,000 BTU 6.00 i t ,9,) . .v 1 (� .• /x70153 including ducts & vents . Name (or a of b usine ) 2.) Furnace 100,000 BTU+ 7.50 Owner 5 , h C including ducts & vents Mailing Address / / 3.) Floor Furnace 6.00 (-1... s 0 / t'( y,-v� f/ . 2 4 1 including vent SileState Zip - Phone 4.) Suspended heater, wall heater 6.00 /' �4 6 - 0r g2 3 C J gr{SP -f or floor mounted heater Narft r n of business) 5.) Vent not included in appliance permit 3.00 ,_T4, cv � y ,57 J , Occupant Mailing Address 6.) Boiler or comp, heat pump, air cond. 6.00 A 6 r c. & 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" 1 Contractor Nance 8.) Boiler or comp, heat pump, air cond. 15.00 f � h c p /--- RA-- J,1 .' 7 C , 15-30 HP; absorb unit5-1 mil BTU" Prior to permit , r Mailing Add )4 / 9.) Boiler or comp, heat pump, air cond. 22.50 issuance, a copy e � � r 30-50 HP; absorb unit 1- 1.75mi1 BTU" of all licenses c e state rt Zip Phone 10.) Boiler or comp, heat pump, air cond. 37.50 are required if /6 ,1 J t// ,. I f 7 /1 , O I %a 50 HP; absorb unit 1.75 mil BTU" • expired in COT Oregon c9 t . Cont. Board gc.# Exp. Date 11.) Air handling unit to 10,000 CFM 4.50 database aC -T 4 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 Alterationlf Repair 0 16.) Hood served by mechanical exhaust 4.50 to be done Residential 0 Non - residential 0 Additional Descripti o work: 17.) Domestic incinerators 7.50 18.) Commercial or industrial type 30.00 Incinerator Existing use of p 19.) Repair units 4.50 building or property Tor) C ,,r` 20.) Wood stove 4.50 Proposed use of , ^ 1 �� s � 21.) Clothes dryer, etc. 4.50 building or property . 22.) Other units 4.50 • Type of fuel - oil O natural gas 0 LPG 0 electric X 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 Date *SUBTOTAL As' .� ///d % ? 5% SURCHARGE I PS Contact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL (0 241 Ai d v rri lP � �rf O. gJ ci 2 ai 6V - TOTAL ; r 5D i:\rnechpmt.doc , (rev 9 'Minimum permit fee is $25 + 5% surcharge "Residential NC requires site plan showing placement of unit. Page No. • 1 CASE HISTORY FOR CASE NO.: MEC97 -0463 MILT BROWN 11945 SW PACIFIC HWY Unit: 250 11/18/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd - Code Sent Done Done Date By MECC007 Application received / / / / 11/24/97 RECD B 11/24/97 BON MECC008 Permit created / / / / 11/24/97 DONE B 11/24/97 BON MECCOII Routed to Plans Examiner / / / / 11/24/97 SENT B 11/24/97 BON MECCO15 Reviewed Plans Routed to DSTS / / / / 11/25/97 APPR RDP 11/25/97 RDP MECC016 DST Post- Review Completed / / / / 11/25/97 DONE B 11/25/97 BON MECCO50 (F) Ready to issue / / / / 11/25/97 PASS B 11/25/97 BON MECC075 (F) .Reprint Permit / / / / 12/09/97 Bob Poskins amended issued permit to add DONE DRA 12/09/97 DST bold cases to permit that were missed on original plan review. MECC090 (F) Issue permit / / / / 11/25/97 PASS GEO'11/25/97 DST MECC090 (F) Issue permit / / / / 12/09/97 DONE DRA 12/09/97 DST MECC706 Mechanical Insp 11/25/97 / / 12/11/97 Units 11 & 12 test approved. PART RC 12/11/97 J *H • MECC706 Mechanical Insp / / / / 12/16/97 System #10 pressure test PART RC 12/17/97 J *H MECC730 Cooling Unt Insp / / / / 12/17/97 Refrigeration lines approved at 300 # PASS TLP 12/18/97 J *H test. MECC750 Misc. Inspection / / / / 12/09/97 Inspections on cases pursuant to MEC RC 10/01/98 JT Code section 1122.2 per Bob P. Per RC's inspection of 120997: 1. System 14 36 -ft. from S to N from 5.24 app. 2. System 24 16 -ft. from S to N on west. • 3. Wall vacuum tested by contractor - app. 4. System 13 approved. MECC799 Final Inspection 11/25/97 / / 10/02/98 PASS RC 10/07/98 JT MECC800 Case Finaled / / / / 10/02/98 PASS RC 10/15/98 J *H • • CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 �Of / �U Q BUP Date Requested AM PM BLD / Location uite� MEC - �7- c 5 3 Contact Person - h PLM Contractor ,.,gQ /I Ph SWR BUILDING - _ t/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain L - 77 spection Notes��„ , �, J � ki Slab max-{' /V O �2 -y-� SIT Post & Beam - 30 - Ext Sheath /Shear J Int Sheath/Shear Framing J .% I • 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 PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers PART FAIL 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 Approach /Sidewalk Date r } 0 p Inspector s Ext Other p Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. <'..-il5:7) CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 Date Requested: P G 7 7 0 5( P.M. MST: Location: l � ,() ea �', �(,( • ! BUP: Tenant: y r Suite: a.57) Bldg: MEC: l 7 _ o0 Contractor: _./1_ - ._ _I ! •/ / /I ,' 2 if • I d�� PLM: Owner: -1 / / 1 ' Phone: ELC: &e7_L eig d l . ELR: SIT: BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE Site Post/Beam Post/Beam • os r : eam 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 AO-intde , UG Slab Shear /Sheath Fire Spklr /Alm Crawl/Found Dr .... Ugiv2w2 Low Volt Approved Approved C � nlai � Approved Approved Appr /Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved FINAL FINAL FINAL FINAL FINAL I G- e,c7T /O / M ( 1 6S 7 ? 7 7 rT• , 111F 0 Call for re' . -._ ) n _0 Reinspection fee of $ required / before next inspection 0 Unable to inspect f --- 1 Inspector: Date: ( 2 1 ? Page of I CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 Date Requested: I Q — 7 — 9 7 A.M. P.M. MST: Location: sW P „ . ,L�.,. ` :v !a - BUP: Tenant: Suite: Bldg: MEC: Y7-4: 6!3 Contractor: hone: PLM: Owner: Phone: ELC: C \c, V _ Ocler, / .9 -6 7, ELR: Rt,„/i �.c` ,. 12 1 OD SIT: BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer/Storm Footing Roof UndFUSlab 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 Approved Approved Approved Appr /Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved FINAL FINAL FINAL FINAL FINAL ' A t ., , 314). 0 Call for rein on 0 Reinspection fee of $ required before next inspection 0 Unable to inspect Inspector: Date: t� q Page of ., . , _ 1 "- '' , -I CITY OF TIGARD BUILDING INSPECTION DIVISION ° Y 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 Date Requested: 12- - I 6 0 '.M. ' MST: Location: P �� � 1 ' / Tenant: , / ' l & I Suit- . Bldg: MEC: 9 / - 0 4 63 Contractor: , ∎ • 1 / __ A , i., s • Phone: CeLtr PLM: I Owner: ' I Phone: ELC: 1 I 1 d/ libl' �V ELR: 000 SIT: BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE Site Post/Beam Post/Beam os earn Cover /Service Sewer /Storm Footing Roof UndFl/Slab Rough -In Ceiling Water Line Slab Framing Top Out Gas Line 7 Rough -In UG Sprinkler Foundation Insulation Sewer Hood/Duc [� Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C �� , UG Slab Shear /Sheath Fire Spklr/Ahn Crawl/Found Dr Heat Pump Low Volt Approved Approved • pprov _ Approved Approved Appr /Sdwlk Not Approved Not Approved ' . • pproved Not Approved Not Approved FINAL FINAL FINAL FINAL FINAL O Call for re' tion O Reinspection fee of $ required before next inspection O Unable to inspect 4 / Inspector: l..0 C , v Date: I s- 1 b 1 Page of