Permit CITY OF T MECHANICAL
���. :, DEVELOPMENT SERVICES PERMIT
n ��� I PERMIT
--- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PERM I T # • MEC98 -0016
DATE ISSUED: 02/03/98
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.. :U2 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 : 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 : Safeway - replace existing tower
Owner: FEES
TIGARD PROPERTIES type amount by date recpt
2106 SE OCHOCO ST PRMT $ 25.00 DRA 02/03/98 98- 303013
MILWAUKIE OR 97222 PLCK $ 6.25 DRA 02/03/98 98- 303013
5PCT $ 1.25 DRA 02/03/98 98- 303013
Phone #:
Contract or:
SHEPLER REFRIGERATION
PO BOX 12146
$ 32.50 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 Cooling Unt Insp
applicable laws. All work will be done in accordance with Shaft Inspection
approved plans. This permit will expire if work is not started Misc. Inspection
within 180 days of issuance, or if work is suspended for more Final Inspection
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 952401 -0810 through OAR 952 -001 -0880. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
Issue = : /# • ! Permittee Signature:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Plan Check # / -/ d.
CITY OF TIGARD Mechanical Permit Application Rec'd By d
13125 SW HALL BLVD. Commercial and Residential Date Rec'd / - i4 8.--
TIGARD; OR 97223 Date to P.E. 0/ Z.e,
(503) 639 -4171, x304 Date to DST I lZs VIS
Print or Type Permit # //lee / y ov��
Called Z " ?j -4I
Incomplete or illegible applications will not be accepted
ev menUProject Description
` Table 1A Mechanical Code 0TY PRICE AMT
Job Street Address ` , Suttee A) Permi Fee - 0 - -0- 10.00
Address 1 j % qt,, , 7.2
1.) Furnace to 100,000 BTU 6.00
Bldg# Gltyystate Zip_ including ducts & vents
Name (or name of business) '' 2.) Furnace 100,000 BTU+ 7.50
Owner including ducts & vents
Mailing Address 3.) Floor Furnace 6.00
including vent
City /State Zip - 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
Occupant Mailing Address 6.) Boiler or comp, heat pump, air cond. 6.00
to 3 HP; absorb unit to 100K BUT
City /State Zip I Phone 7.) Boiler or comp, heat pump, air cond. 11.00
3-15 HP; absorb unit to 500ITU" I
Contractor \ / w 8.) Boiler or comp, heat pump, air cond. 15.00
. _t 4C/ 15-30 HP; absorb unit.5 -1 mil BTU"
Prior to permit Ma dd q . r 9.) Boiler or comp, heat pump, air cond. 22.50
yo6 i'
issuance, a copy _ I . W 1 1„1:014,4s 30-50 HP; absorb unit 1- 1.75mi1 Mr'
of all licenses
Phone 10.) Boiler or comp, heat pump, air cond. 37.50
are required if ro,}' :, �� % / ►n > 50 HP; absorb unit 1.75 mil BTU"
expired in COT Oregon Con Cont. Board Lic.# Exp. ate r''''' • 11.) Air handling unit to 10,000 CFM 4.50
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 Zip Phone 15.) Ventilation system not included in 4.50
appliance permit
Describe work New 0 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
I��� t / 18.) Commercial or industrial type 30.00
ICICe/ I xt r1;14) loLVC Incinerator
Existin u of G
g s� /f 19.) Repair units 4.50
building or property V CMG --7 S j TW- C
20.) Wood stove 4.50
Proposed use of 21.) Clothes dryer, etc. 4.50
building or property C.
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 pla submitted are in compliance with Oregon State QTY. SUBTOTAL C>. laws.
Si! . - !re of • j er /Agent / Date *SUBTOTAL (, Z'
i 5% SURCHARGE
�i,.i, P ,i
/ WI; I
Conte Person Nam : ti PLAN REVIEW 25% OF SUBTOTAL /
g - / 17 TOTAL ( 7
i:lrrtechpmt.doc (rev 9 %� t / 'Minimum permit fee is $25 + 5 % surcharge 4
2 .../ Z S "Residential A/C requires site plan showing placement of unit \\
Page No. 1 CASE HISTORY FOR CASE NO.: MEC98 -0016
TIGARD PROPERTIES
11945 SW PACIFIC HWY Unit: 250
11/18/98
Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
•
MECC007 Application received / / / / 01/18/98 PASS GEO 01/20/98 JSD
MECC008 Permit created / / / / 01/18/98 PASS JSD 01/20/98 JSD
MECC011 Routed to Plans Examiner / / / / 01/18/98 PASS JSD 01/20/98 JSD
MECC016 DST Post - Review Completed / / / / 02/03/98 DONE B 02/03/98 BON
MECCO50 (F) Ready to issue / / / / 02/03/98 PASS B 02/03/98 BON
MECC090 (F) Issue permit / / / / 02/03/98 DONE DRA 02/03/98 DST
MECC706 Mechanical Insp 01/20/98 / / / / 01/20/98 RDP
MECC730 Cooling Unt Insp 01/20/98 / / / / Ensure that the unit drains are 01/28/98 RDP
connected to the sanitary system, and
that the water supply has backflow
protection
MECC731 Shaft Inspection 01/20/98 / / / / 01/20/98 RDP
MECC750 Misc. Inspection 01/20/98 / / / / 01/20/98 RDP
MECC799 Final Inspection 01/20/98 / / 10/08/98 7/31/98 sent inspection request to PASS RC 10/08/98 JT
Hap /research
•
MECC800 Case Finaled / / / / 10/08/98 10/08/98 JT
•
•
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested � � {
AM PM BLD
Location f / ,� M/ c' / g Suite MEC c 7 ®d 1 �o
Contact Person (f PLM
Contractor Ph SWR
BUILDING Tenant/Owner eCe ' f U.1 .c ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes:
Slab —y� �� SGT
SIT
Post & Beam J I
Ext Sheath /Shear r /�.G�J ✓G�J !l�/Ll2�C� D
Int Sheath /Shear l®
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
PA FAIL
MECHANICAL
PosT&&ea --
Rough In
Gas Line
$,rs.
e Dampers
•ASS 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
O t he oach /Sidewalk
Date V 61/v Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.