Permit r
CITY OF TIGARD
MECHANICAL
PERMIT
.�A �,n �1�j DEVELOPMENT SERVICES PERMIT ISSUED: 03/13/98 8 -0088
PARCEL: 25102CC -00500
SITE ADDRESS...: 13500 SW PACIFIC HWY #54
SUBDIVISION • ZONING: C —G
BLOCK • LOT • JURISDICTION: TIG
CLASS OF WORK..:ALT FLOOR FURN : 0 EVAP COOLERS: 0
TYPE OF USE •COM UNIT HEATERS..: 0 VENT FANS...:16
OCCUPANCY GRP..:B VENTS W/0 APPL: 0 VENT SYSTEMS: 0
STORIES • 1 BOILERS /COMPRESSORS HOODS • 0
FUEL TYPES 0 -3 HP • 1 DOMES. INCIN: 0
:GAS 3 -15 HP • 0 COMML. INCIN: 0
MAX INPUT: 1500000 BTU 15 -30 HP • 0 REPAIR UNITS: 0
FIRE DAMPERS ?..: 30 -50 HP • 0 WOODSTOVES..: 0
GAS PRESSURE...: M 50+ HP • 0 CLO DRYERS..: 0
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.: 0
FURN < 100K BTU: 1 <= 10000 cfm: 1 GAS OUTLETS.: 0
FURN > =100K BTU: 0 > 10000 cfm: 0
Remarks: Companion Pet Clinic TI
Owner: FEES
ELLIOTT & ASSOC. type amount by date recpt
50 SW PINE STE 200 PRMT $ 74.50 B 03/13/98 98- 304103
PORTLAND OR 97204 PLCK $ 18.63 B 03/13/98 98- 304103
5PCT $ 3.73 B 03/13/98 98- 304103
Phone #:
Contractor:
ANCTIL SHEET METAL CO.
4320 N WILLIAMS AVE
$ 96.86 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 Heating Unt Insp
applicable laws. All work will be done in accordance with Duct Inspection
approved plans. This permit will expire if work is not started S. D. Shut —down
within 180 days of issuance, or if work is suspended for more Misc. Inspection
than 180 days. ATTENTION: Oregon law requires you to follow rules < <RE INSPECT ION) >
adopted by the Oregon Utility Notification Center. Those rules are Final Inspection
set forth in OAR 952 - 0011010 through OAR 952- 001 -0080. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
4%7si /,/
Issue By: e Permittee Signature ►���.��%/1��
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + ++ + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + ++ + ++ + + + + + + + + + + + + + + + + ++
Plan Check - C.-
CITY OF TIGARD Mechanical Permit Application Recd By
13125 SW HALL BLVD. Commercial and Residential Date Rec'd 1
TIGARD, OR 97223 Date to P.E. o7/05
(501) 639 -4171, x304 Date to DST it
Print or Type Permit # /71 L C ' d-o
Called - ;r /2
Incomplete or illegible applications will not be accepted
Name of DevelopmenVProject ; Description
Co' ^I P tZf C 1 .11..J1 Table 1A Mechanical Code QTY PRICE AMT
Job Street Address sure _ 7 A) Permit Fee -0- -0- 10.00
Address
_to c�„� -►tom
Bldg# City /State Zip 1.) Furnace to 100,000 BTU 6.00
i including ducts & vents
Name (or name of business) t 2.) Furnace 100,000 BTU+ op 7.50
Owner a_ L,LL`O •[\-- \.- -kS -• including ducts 8 vents
Mailing Address _ 3.) Floor Furnace 6.00
``7� ► Z St 2 C 0 including vent
Ciy/ste Zip Phone 4.) Suspended heater, wall heater 6.00
1 1•�4'Z 22 - (� ) or floor mounted heater
N (or nam of business n 5.) Vent not included in appliance permit 3.00
C t3� v - V�II•J C
Occupant Mailing Address 6.) Boiler or comp, heat pump, air cond. ( 6.00
( D -Pihc . to 3 HP; absorb unit to 100K BUT"
Ciy/State �!1/ Zlp P one 7.) Boiler or comp, heat pump, air cond. 11.00
CY - 3-15 HP; absorb unit to 500K BTU"
Contractor N r �f�'rL CU 8.) Boiler or comp, heat pump, air cond. 15.00
`
15-30 HP; absorb unit.5 -1 mil BTU"
Prior to permit Mailing Address 9.) Boiler or comp, heat pump, air cond. 22.50
issuance, a copy _ L.)\\.Li S 30-50 HP; absorb unit 1- 1.75mi1 BTU"
of all licenses e Zip Phone 10.) Boiler or comp, heat pump, air cond. 37.50
are required if Clrit Oa_ C OW 201 - c51L > 50 HP; absorb unit 1.75 mil BTU"
expired in COT Oregon nst. Con Board Lic.# Exp. Tat 11.) Air handling unit to 10,000 CFM 4.50
database p 9 \ l
Architect Na e 13.) Non - portable evaporate cooler 4.50
t l tT ' _ t � k `
or Mailing Address 14.) Vent fan connected to a single duct 1'^ 3.00
Engineer City /State Zip - Phone 15.) Ventilation system not included in � 4.50
appliance permit
Describe work New 0 Addition 0 Alteratio 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 1
18.) Commercial or industrial type 30.00
Incinerator
Existing use of 19.) Repair units 4.50
building or property
RO)q
20.) Wood stove 4.50
Proposed use of 21.) Clothes dryer, etc. 4.50
building or property
22.) Other units 4.50
Type of fuel - oil 0 natural gas ad 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 plans submitted are in compliance with Oregon State QTY. SUBTOTAL
laws.
Signature of Owner /Agent Date *SUBTOTAL Z , J
jj
-all 'MAW .. i ��� 5% SURCHARGE Z
Con•:ct `erson Name Phone ` PLAN REVIEW 25% OF SUBTOTAL 1$ ! c L J
...--4rz_vi..) qt.-m-11\1G_ GC>I -o7 TOTA 7 6/6, DD (�j
..
i:\mec.5pmt.doc (rev 9 *Minimum permit fee is $25 + 5% surcharge (f
"Residential A/C requires site plan showing placement of unit.
Page No. 1 CASE HISTORY FOR CASE NO.: MEC98 -0088
ELLIOTT & ASSOC.
13500 SW PACIFIC HWY Unit: 54
06/18/98
Action Description Reg/ Scbd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
- --- - -- -- ---- -- - --
MECC007 Application received / / '/ / 03/09/98 PASS BON 03/10/98 JSD
MECC008 Permit created / / / / 03/10/98 PASS JSD 03/10/98 JSD
MECCO11 Routed to Plans Examiner / / / / 03/10/98 PASS JSD 03/10/98 JSD
MECC015 Reviewed Plans Routed to DSTS / / / / 03/10/98 APPR RDP 03/10/98 RDP
MECC016 DST Post- Review Completed / / / / 03/12/98 DONE B 03/12/98 BON
MECCO50 (F) Ready to issue / / / / 03/12/98 PASS B 03/12/98 BON
MECC090 (F) Issue permit / / / / 03/13/98 PASS B 03/13/98 DST
MECC705 Gas Line Insp / / / / 04/09/98 PASS TLP 04/10/98 J *H
MECC706 Mechanical Insp 03/10/98 / / 04/09/98 PASS TLP 04/10/98 J *H
MECC725 Heating Unt Insp 03/10/98 / / 04/30/98 PASS TLP 04/30/98 J *H
MECC735 Duct Inspection 03/10/98 / / 04/30/98 PASS TLP 04/30/98 J *H
MECC745 S.D. Shut -down 03/10/98 / / 04/30/98 PASS TLP 04/30/98 DGW
MECC750 Misc. Inspection 03/10/98 / / 04/21/98 Nitrous Oxide system okay. PASS TLP 04/22/98 J *H
MECC799 Final Inspection 03/10/98 / / 04/30/98 PASS TLP 04/30/98 DGW
MECC800 Case Finaled / / / / 04/30/98 PASS TLP 04/30/98 J *H
•