Permit CITY OF T MECHAN I CAL
n^ . , i DEVELOPMENT SERVICES PERMIT #PERMIT MEC98 -1003
DATE ISSUED: 10/21/98
PARCEL: 2S1O2CB -02500
SITE ADDRESS...: 13090 SW PACIFIC HWY
SUBDIVISION • FREWINGS ORCHARD TRACTS ZONING: C —G
BLOCK ° LOT •007 JURISDICTION: TIG
CLASS OF WORK..:ALT FLOOR FURN : 0 EVAP COOLERS: 0
TYPE OF USE •COM UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:M VENTS W/0 APPL: 0 VENT SYSTEMS: 0
STORIES • 1 BOILERS /COMPRESSORS HOODS : 0
FUEL TYPES 0 -3 HP • 0 DOMES. INCIN: 0
:GAS 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.: 3
FURN < 1O0K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Remarks: Adding 3 supply air ducts.
Owner: FEES
FOODMAKER INC. type amount by date recpt
4500 KRUSE WAY PRMT $ 25.00 DEB 10 /21/98 98- 310172
SUITE 270 PLCK $ 6.25 DEB 10/21/98 98- 310172
LAKE OSWEGO OR 97035 SPCT $ 1.25 DEB 10/21/98 98- 310172
Phone #:
Contract or:
ALLIED MECHANICAL CONT
1300 NE 48TH AVE
STE 1000 $ 32.50 TOTAL
HILLSBORO OR 97124
Phone #: 693 -7553
Reg #..: 005807
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 Duct 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 952401 -0010 through OAR 952- 001-0080. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
Issue : ,004-1
Cy__
13 Permittee Signature: a[�
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + ++++++ +++ + ++ + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + ++ + + + + + + + + + + + + + + ++
CJ
id l 7C
Plan C 11
CITY OF TIGARD Mechanical Permit Application RecB 31
13125 SW HALL BLVD. Commercial and Residential Date Recd /0"e9/
TIGARD, OR 97223 ��� - e�� Date to P.E.
R,., (503) 639 -4171, x304 �� V ' Date to DST IQ [1.44gge
Print or Type
Permit #,W !9'- /403
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Description
JUG • (Ps • T}-W • 5pc Table 1A Mechanical Code Qty Price Amt
Job Street Address G., Sucre# A) Permit Fee • - ' 10.00
Address ‘3010 6.W. FaCtrC Rim' 1) Furnace to 100,000 BTU
including ducts & vents 6.00
Bldg# City/State a� Zip 2) Furnace 100,000 BTU+
f(C.W PR- tf- / � 97 Z Z 3 including ducts & vents 7.50
Name ( name of business) 3) Floor Furnace
i vt
Owner r0 grt- _ (PC, including vent 6.00
Mailing Address SJ �7 G 4) Suspended heater, wall heater
4S-DD , - 56-�ole or floor mounted heater 6.00
Z70 5) Vent not included in appliance permit
City /State Zip Phone 3.00
UtV E c6L) c), al - ¶703 Ota-A-ta3D CHECK ALL `Boiler Heat Air
Name (or name of business) THAT APPLY: or Pump Cond Qty Price Amt
rv1E A5 DUOS- Comp ••
6) <3HP; absorb unit to
Occupant Mailing Address 100K BTU 6.00
7) 3 -15 HP;absorb unit
City /State Zip Phone 100k to 500k BTU 11.00
8) 15 -30 HP; absorb .
Contractor Name 1
unit .5 -1 mil BTU 15.00
All 1 cU A t°_ Li o-h G ca. I unit 0 1 -5.75 mil BTU 22.50
Prior to permit Mailing Address - RR v 10) >50HP; absorb unit
issuance, a copy (3 e o /t! [ Lt d'-h' A
` e >1.75 mil BTU 37.50
of all licenses City/State Zip Phone 11) Air handling unit to 10,000 CFM
are required if I-(-i I t S, m °It 71 2_4 took 3 -- 7 5 4.50
expired in COT Oregon Const. Cont. Board Licit Exp. Date 12) Air handling unit 10,000 CFM+
database (r) .c-5 7 '7 7.50
Architect Name 13) Non - portable evaporate cooler
CF'e-ti-ke (r ic' 4.50
or Mailing Address l)t7p� 14) Vent fan connected to a single duct
3.00
loq 40 t.L' e. 33K 'FLAW Zoe 15) Ventilation system not included in
Engineer City/State Zip P ) appliance permit 4.50
13n.1. ,k, A- 'I i5 0 137,7 - , 0 t 16) Hood served by mechanical exhaust
Describe work to be done: 4.50
/ 17) Domestic incinerators
New 0 Repair ei Replace w h like kind: Yes'6 No O 7.50
Residential 0 Commercial Or 18) Commercial or industrial type incinerator
30.00
Additional information or description of work: 19) Repair units
4.50
20) Wood stove
4.50
- 21) Clothes dryer, etc.
4.50
Type of fuel: oil 0 natural gas 0 LPG 0 electric O 22) Other units
4.50
I hereby acknowledge that I have read this application, that the information 23) Gas piping one to four outlets
given is correct, that I am the owner or authorized agent of 2.00
the owner, that plans submitted are in compliance with Oregon State laws. 24) More than 4 -per outlet (each)
'1 .50
Signature of • er/ • ent Date
we Minimum Permit Fee $25.00 SUBTOTAL -- .. a
4 ) 3 , ‘ If r 9_ • Ze .16 5% SURCHARGE I
. Contact Person Name' Phone PLAN REVIEW 25% OF SUBTOTAL - 2.(
Required for ALL commercial permits only - . - ( p
TOTAL .
'State Contractor Boiler Certification required ��
"Residential A/C requires site plan showing placement of unit
I:\rnechperm.doc rev 07/20/98
OVER- THE - COUNTER (OTC) PERMIT
COMMERCIAL MECHANICAL PERMIT CHECK LIST
Description of Project: /irpi 3 dsoppu 4. at
Class of Work: Floor Furnace: Evap Coolers:
Type of Use: Conn Unit Heaters: Vent Fans:
Occupancy Grp: M . Vents w/o Appl: Vent Systems:
Stories: l► Boilers /Comprsrs: Hoods:
Fuel Types - 601'5 0 - 3 HP. Repair Units:
/ / / / 3 - 15 HP. Wood Stoves:
Max Input: Btu: Air Handling Units Clo Dryer:
Fire Dampers: < = 10000 cfm: Oth Units:
Gas Pressure: H / M / L > 10000 cfm: Gas Outlets:
No. Of Units:
Furn < 100k Btu:
Furn > =look Btu:
NOTES:
$ Permit Fee
Gas Line Inspection $ ig,A � Plan Review
Me han $ j p.s / , 5% State Surcharge
Cooling Unit Inspection $ Additional Permit Fee
Shaft Inspection $ Additional Plan Review Fee
Hood Inspection $ Inspection Fee
Fire Suppr Inspection $ Miscellaneous Fee
Duch pe •
Fire Alarm Inspection
Fire Damper Inspection REMARKS:
Miscellaneous Inspection
Fire Alarm Inspection
Fin In spectio
OR
: >TYPE:OF:USE::.OP.,TI.OAt.S.. Gl7M:;- :;EOmmercfa #� <:CM : -.
FND = T iundstion '?:0TH:= othe >:OEivt > =::d ! , :. :r
RETAINING:.WAL
!?Et:. S Gt�t3 : >. >AwNINGS: <:GA
i. \ovrcntr.doc (dst) 8/97
•
1
Page No. 1 CASE HISTORY FOR CASE NO.: MEC98 -1003
FOODMARER, INC.
13090 SW PACIFIC HWY
12/28/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
•
MECC007 Application received / / / / 10/21/98 OTC DEB 10/21/98 DRA
MECC008 Permit created / / / / 10/21/98 DONE DEB 10/21/98 DRA
MECCOII Routed to Plans Examiner / / / / 10/21/98 DONE DEB 10/21/98 DRA
MECCO14 Plan checked /Approved by P.E. / / / / 10/21/98 Only 1 set of plans submitted. Per Bob APPR RDP 10/21/98 DRA
he is giving the stamped, approved set
to the applicant and the applicant will
bring in another set for Bob to stamp &
keep.
MECC015 Reviewed Plans Routed to DSTS / / / / 10/21/98 DONE RDP 10/21/98 DRA
MECC090 (F) Issue permit / / / / 10/21/98 DONE DEB 10/21/98 DRA
MECC706 Mechanical Insp 10/21/98 / / 11/24/98 Need to do test on hoods. PASS RC 11/24/98 J *H
Exhaust fans in bathrooms inoperable.
MECC735 Duct Inspection 10/21/98 / / 12/07/98 PASS RB 12/07/98 J *H
MECC799 Final Inspection / / / / 12/07/98 NOTE: PASS RB 12/07/98 J *H
1. Permit required for hot water heater.
2. Provide installation standards at
hot -water heater.
All issues referenced by RC report dated
112498 completed.
Mechanical above t -grid okay; ducts etc.
All issues referenced by this permit
(MEC98 -1003) and RC 112498 report are
considered completed.
MECC800 Case Finaled / / / / 12/07/98 PASS RB 12/07/98 J *H
•
I(
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
3 #35 24- -Hour Inspection Line: MO Business Line: 639 -4171
0 -2
Date Re u ested .- ! a� 3 - - 7f AM PM /461,3 () BUP
4 BLD
� h
Location 30 4. 0 I _�, // _ �% __�, Suite %e - /ed 3
Contact Person '/ / a1 / Ph 6r3- 755,9 PLM
Contractor /// / � // .-/ / _.,/ _ _ .! Ph SWR
BUILDING Tenant/Owner . J4 / 77-/ 6 ,e4( ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: ph e l Slab SGN
S IT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear i I 1 � —
Framing '
Insulation 1
Drywall Nailing
Firewall
Fire Sprinkler � IA. _ �_ 1 _� _ _
Fire Alarm l 1
Susp'd Ceiling L IL A ct - A----,c—
Roof - ' ' /'
Misc: .R!
Final 1 y
PASS PART FAIL ,
PLUMBING 1 A s `_` f fZ_, - o......,.\ '
Post & Beam n / dA Under Slab , � V�f _ ∎� �� , X V2A/4 P
Top Out
Water Service C--(N/1----■C L 3 -e—SL. •
Sanitary Sewer o
Rain Drains
Final
PASS PART _ FAIL V ' �/� \4---✓■-a � Q �.. _ \ — cOr'CIJZ
CHANICAL _
Post &geam ' ] '
Rough In
Gas Line
Smoke Dampers AA ( P---4 Q
t -1
S ,—_3 f -
.
—Final
SS ART FAIL S TL---i (VY) e C--c31 C" l) 0
ECTRICAL
Service ,111 t 7q 4r ■r •
Rough In 1 • 1
UG /Slab _ 1■A
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 C p
Other Date ) v r Inspector � v E
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job. site.
L