Permit •
Alb
CITY OF TIGARD MECHANICAL PERMIT
PERMIT #: MEC1999 -00445
' w � i � � DEVELOPMENT SERVICES DATE ISSUED: 10/25/1999
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1 S135DD -03301
SITE ADDRESS: 11945 SW PACIFIC HWY 242
SUBDIVISION: HOFFARBER TRACTS NO.1 ZONING: C -G
BLOCK: LOT: 002 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: 1 BOILERS /COMPRESSORS HOODS: 1
FUEL TYPES 0 - 3 HP: 'DOMES. INCIN:
ELE 3 - 15 HP: • COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: < =10000 cfm: OTHER UNITS: 1
> 10000 cfm: GAS OUTLETS:
Remarks:
Owner:. FEES
TIGARD PROPERTIES INC Type By Date Amount Receipt
2106 SE OCHOCO ST PRMT BON 10/25/19E. $50.00 99- 319310
MILWAUKIE, OR 97222 PLCK BON 10/25/19E • $12.50 99- 319310
5PCT BON 10/25/19E $4.00 99- 319310
Phone: Total $66.50
Contractor:
KO -CHUNG WU'S HEATING & REFRIGERATION
2324 SE 122ND AVE
PORTLAND,. OR 97233 REQUIRED INSPECTIONS
Hood Inspection
Phone: 503 - 257 -9785 Duct Inspection
Reg #: LIC 106929 S.D. Shut -down
Final Inspection
ORIGINAL
This permit is issued subject to the regulations contained in the 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 in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080.
You may obt ' copies oft ese rules or direct questions to OUNC by calling (503)246 -9189.
Issue By: I / I Permittee Signature: C., le
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
Plan Che r 2a
CITY OF TIGARD Mechanical Permit Application Recd By ,lam
13125 SW HALL BLVD. Commercial and Residential Date Recd e0
TIGARD, OR 97223 Date to P.E. U - et -
(503) 639 -4171, x304 Date to DST 49
Print or Type Permit # in.Feifff
Incomplete or illegible applications will not be accepted Called I.D -
Name of Development/Project Description
Table 1A Mechanical Code Qty Price Amt
Job Street Address Suite# A) Permit Fee • - ` ', 16.00
t 4/ 4.0 t /' J _ _2112_ 1) Furnace to 100,000 BTU
Address �/ 94 + �' including ducts & vents see footnote 1,2 9.;,;,
Bldgit City/State zip _ 2) Furnace 100,000 BTU+
�- ®� including ducts & vents see footnote 1,2 12.00
Name (or nane of busines a 3) Floor Furnace
// �► JO. Ty Q &DCD including vent see footnote 1,2 9.65
Owner . - --r 4) Suspended heater, wall heater
• Mailing Address ,•,....
or floor mounted heater see fonote 1,2 9.65
� 5 ) Vent not included in appliance permit ot 4.75
City /State 1 Zip Phone Check all that apply: 'Boiler Heat Air
lq I Li-l) -l) AU r � )t e. 0 q � ! 7 - For items 6 -10, see or Pump Cond Qty Price Amt
Name (or name of business) footnotes 1,2 Comp
N 6) <3HP;absorb unit to
„.Z..,'`, .9A2sr� /4 100K BTU 9.65
Occupant Mailing Address ) 7) 3 -15 HP;absorb unit
_�Q 2 fl1 100k to 500k BTU - 17.65
City /State Zip Phone 8) 15-30 HP; absorb
51�� unit .5 -1 mil BTU 24.15
9) 30-50 HP; absorb
N ame
Contractor /ceo- -c ocsio , iJ4 Inc unit 1 -1.75 mil BTU 36.00
v t te I Al - ; Q ,l ., 10) >50HP; absorb unit
Prior to permit Mailing Address >1.75 mil BTU 60.15
issuance, a copy a1 acA. .lam lam..._ko{ , ,/ 11 Air handling unit to 10,000 CFM
of all licenses City/State Zip Phone 7.00
are required if / n, S p f d DA 0 ..)_17.- ce 12) Air handling unit 10,000 CFM+
expired in COT v regon Const. Cont. Board Licit Exp. Date 11.85
database l0 j 9-1-7 ,4 /.2 - ®b 4, 13) Non - portable evaporate cooler
Architect Name 7.00
14) Vent fan connected to a single duct
• 4.75
or Mailing Address
15) Ventilation system not included in
appliance permit 7.00
Engineer City/State Zip Phone 16) Hood served by mechanical exhaust
l 7.00
Describe work to be done: 17) Domestic incinerators
12.00
New 0 Repair 0 Replace with like kind: Yes O No O 18) Commercial or industrial type incinerator
Residential 0 Commercial Alt 48.25
19) Repair units
Additional information or description of work: 8.40
20) Wood stove /gas FP /other units/clothe dryer /etc.
7.00
NOTE: For Commercial projects only; Units over 400 lbs. require 21) Gas piping one to four outlets
structural gas calcs. See footnote 1 / 3.75
Type of fuel: oil 0 natural gas p LPG O electric O 22) More than 4 -per outlet (each) .75
Minimum Permit Fee $50.00 SUBTOTAL �
•I hereby acknowledge that I have read this application, that the information 8% SURCHARGE . ,,; 1,'y
given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL a
Required for ALL commercial permits only ,,. '
the owner, that plans submitted are in compliance with Oregon State laws. TOTAL _
Signature of Owner /Agent Date
Other Inspections and Fees: 4
1. Inspections outside of normal business hours (mininum charg -twol0
Contact Person Name Phone hours) $50.00 per hour
/ 2. Inspections for which no fee is specifically indicated (minimum
��/ e 1 S 9 7(42 ,� charge -half hour) $50.00 per hour
Foonotes for corn ial projects only: 3. Additional plan review required by changes, additions or revisions to
1. Provide full schematic of existing and proposed gas line and pressure. plans (minimum charge -one -half hour) $50.00 per hour
2. Provide drawings to scale showing existing and proposed mechanical
*State Contractor Boiler Certification required
units.
"Residential NC requires site plan showing placement of unit
I:\rnechperm.doc rev 7/19/99
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
/ BUP
Date Requested / tS AM V PM BLD
Location Suite f9J-i- MEC 060 q(K
Contact Person (-{)f3— Ph � OZ �Z3�y PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing k. Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling _ / C
Roof
0 y sc 7 tvp, •
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS • FAIL Azz'
m
S Dampers P u - � O cGe
4 pAs„ 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
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA / j 911 /� Approach /Sidewalk Date //
Other Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
--.:�CITY OF T HARD BUILDING INSPECTION • fitSION MST
24 Inspection Line: 639 -4175 Business , 39-4 r 9- 417/
Date Requested 1 d --- S 1 / at �BUP
.” AM - M _ BLD
Location t 19 q S eetz(---(1te, 41,0 /Suite a f• 7 , r . % 4' l — DO y ' S
Contact Person )ZI off bK -� �?�iK.. s�- Ph �-3 Il 570 y 1' PLM -4-4/
Contractor I\'D,:pl-- g".2-3 Zp) Ph ,. l 7— g 7 c--& SWR
BUILDIN Tenant/Owner �,! .,i - S t �J�,�.". tr.., 1 ELC
Rning Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: �
S
Slab AI ►",i ,�eSS / 41.L1 / /up— SIT
Post & Beam 4r-116pe_ / _ U [ __ Q S
Int Ext Sheath /Shear �E(,! - /( O� _ I - � 1
F amingth /Shear .Cdl•C '6 W ( 4JSSI —(y r) -ic.4T- 6- c, - we
_s
S
Insulation `� )_ _ _„ /10/- - 4 : L� Y �
Drywall Nailing �.;$ {'� t
Firewall _ ,''� ( ��x
ire Sprin '
Fire • arm A — /
Susp'd Ceiling �) ^ l vV vv1
Roof
Misc: k- -AAA, !^ Li�/�y \ " ` L-�/�- •
Final /1/\ ( C l q 'I"l O U f 4 S ( + 4)0 J
PASS 'ART�FAIL /
PLUMB ' f` t `p T-5? t -- a Le---,
4140 Post & Beam
Under Slabs ■Q v■,. ( .'\..5 `r .12.- •
Top Out
Water Service
Sanitary Sewer rl - QQ QQ
Rain Drains 1 � C. 1�.: _______4
Final
PASS
?EZRA PAR FAIL
(/ 8 JL - r
host & Beam ��\ + �
Rough In X J--r 5
Gas Line
S i o e Dampers — C-A �,__, 1
tiolp PART FAIL C1,("-
— RICAL
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 f r reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date 5 q Inspector `� `` '�j
Other ► v` Ext I' 7
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
' � 21/'01 S.E. 3RD AVENUE • PORTLAND, OREGON 97214 • (503) 238 -5700
V I P IV 850 CONGER • EUGENE, OREGON 97402 • (503) 683 -9333
iTHE SAFETY COMPANY 2600 AIRPORT WAY, SOUTH • SEATTLE, WASHINGTON 98134 • (206) 340 -4300
*
CERTIFICATION - INSTALLATION /INSPECTION
Customer Name FO + �y
Address // V ,,.7� •iii. AWiti. f •
e '.
SYSTEM
Model(s) and serial numbers .r94 ( / IP-fa) " 6 4 Y
Number of nozzles and Part No.". 1.itigifoi 1- oitiewiwr
Number of detector(s) and degree rating 6 1- & ---.).
f .".J
Energy shut -off devices — type and size g,/ ( aelf /44/
Other accessory equipment provided (pull station, electric switches, etc.) At Li�IrAve/ �"7
, f
COOKING /VENTILATING EQUIPMENT
Number of duct(s) and size
Hood size and plenum size IC-.
Cooking Appliances and size of cooking surface. (NOTE: List appliances from left to right and indicate those
being protected.)
1. /- 4.
2. ! 5.
3. 6.
TO BE COMPLETED BY INSTALLER
❑ YES ❑ NO
The fire suppression system is installed in accordance TO BE COMPLETED BY CUSTOMER
with the manufacturer's instructions, NFPA Standard
96 and 17 (current issue), and all applicable state and
local codes. Exceptions to other provisions of NFPA 96 ❑ YES ❑ NO
that were observed are noted below. I understand that it is the recommendation of ANSUL
Exceptions: and of the National Fire Protection Association
Standard 96 and 17 that the fire suppression system be
inspected and maintained every 6 months to ensure
continued efficiency and reliability and that failure to
do so may result in failure of the system to operate
properly.
CUSTOMER NAME AND TITLE
❑ YES ❑ NO
All electrical work or work provided by others to SIGNATURE
complete this system installation has been completed. DATE
INSTALLER NAME
SIGNATURE / , '
/, r f
DISTRIBUTOR �/ #ir/�/ .1 ,-
r
ADDRESS /4, t• Vi . __
DATE '