Permit CITY TIGARD O MECHANICAL PERMIT
41iA DEVELOPMENT SERVICES / PERMIT #: MEC2000 -00057
�` 1 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639- 41t�//' DATE ISSUED: 2/25/00
'� PARCEL: 2S102CB -03000
SITE ADDRESS: 12990 SW PACIFIC HWY V
SUBDIVISION: FREWINGS ORCHARD TRACTS ZONING: C -G
BLOCK: LOT: 021 fill JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: (EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
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:
> 10000 cfm: GAS OUTLETS: 1
Remarks: Gas piping for conversion of water heater.
Owner: FEES
ARTHUR TRAIN Type By Date Amount Receipt
12990 SW PACIFIC HWY PRMT DEB 2/25/00 $50.00 00- 321851
TIGARD, OR 97223 5PCT DEB 2/25/00 $4.00 00- 321851
Total $54.00
Phone: 620 -0260
Contractor:
OWNER
REQUIRED INSPECTIONS
Gas Line Insp
Phone: Final Inspection
Reg #:
•
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 -0 010 thro gh OAR 952 -00 -0080. You may obtain copies of these rules or direct questions to OUNC by
cal ' g (503)246-9189. ,PF
I sue By: A L #4 ,3 4 , /aft,,, / % 4 • Permittee Signature: x z2
Call (503) • • • -4175 by 7:00 P.M. for inspections needed the next business day
Plan eck
CITY OF TIGARD Mechanical Permit Application Recd y
13125 SW HALL BLVD. Commercial and Residential Date Rec'd RN - d5 7- e'
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST
Print or Type Permit # l''Y - CMS)
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Description
, ` ko-s \ :t , Table 1A Mechanical Code Qty Price Amt
S Address ' Suite# A) Permit Fee 16.00
Job 1) Furnace to 100,000 BTU
Address ss l r7Qp d 64-1 f 9Crp,C ` / '"7 including ducts & vents see footnote 1,2 9.65
Bldg# City/State Zip 2) Furnace 100,000 BTU+
6/9 5. 3 including ducts & vents see footnote 1,2 12.00
Name (or name of business) 1J 3) Floor Furnace
Owner 12.- including vent see footnote 1,2 9.65
Mailing Address 4) Suspended heater, wall heater
or floor mounted heater see footnote 1,2 9.65
5) Vent not included in appliance permit 4.75
City/State Zip Phone Check all that apply: 'Boiler Heat Air
For Items 6 -10, see or Pump Cond Qty Price Amt
Name (or name of business) footnotes 1,2 Comp
6) <3HP;absorb unit to
S 100K BTU 9.65
Occupant Mailing Address 7) 3 -15 HP;absorb unit
100k to 500k BTU 17.65
City /State Zip Phone 8) 15 -30 HP; absorb
unit .5 -1 mil BTU 24.15
9) 30 -50 HP; absorb
Contractor Name unit 1 -1.75 mil BTU 36.00
,S W 10) >50HP; absorb unit
Prior to permit Mailing Address >1.75 mil BTU 60.15
issuance, a copy 11 Air handling unit to 10,000 CFM
of all licenses City/State Zip - Phone 7.00
are required if 12) Air handling unit 10,000 CFM+
expired in COT Oregon Const. Cont. Board Lic.# Exp. Date 11.75
database 13) Non - portable evaporate cooler
Architect Name 7.00
.6' 14) Vent fan connected to a single duct
Or Mailing Address 4.75
15) Ventilation system not included in
appliance permit 7.00
Engineer City/State Zip Phone 16) Hood served by mechanical exhaust
7.00 -
Describe work to be done: 17) Domestic incinerators
12.00
New Q Repair 0 Replace with like kind: Yes 0 No y 18) Commercial or industrial type incinerator
Residential* Commercial 0 � 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 I 3.75 Q
d
Type of fuel: oil 0 natural gas LPG 0 electric O 22) More than 4 -per outlet (each) .75
Minimum Permit Fee $50.00 SUBTOTAL 50,00
I hereby acknowledge that I have read this application, that the information % /r% SURCHARGE 1/ , ®0
given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL
the owner, that plans submitted are in compliance with Oregon State laws. Required for ALL commercial permits only
TOTAL gpC
Signat of owner /Agent Date .
; 25- ; ,C9 7 Other Inspections and Fees:
1. Inspections outside of normal business hours (mininum charge -two
Contact Person Name Phone hours) $50.00 per hour
te-oz-t-A- � Rd - cv . 60 2. Inspections for which no fee is specifically Indicated (minimum
�` charge -half hour) $50 per hour
oonotes for commercial 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
units. State Contractor Boiler Certification required
"Residential A/C requires site plan showing placement of unit
l:knechperm.doc rev 02/4/99
3/6/00 Activities for Case #: MEC20O0 -00057
8:52:06 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECA007 Application received 2/25/00 DEB DONE No Hold DEB 2/25/00
MECA008 Create Permit 2/25/00 , DEB DONE No Hold DEB 2/25/00
MECA705 Gas Line lnsp 2/25/00 2/25/00 No Hold DEB 2/25/00
MECA799 Final Inspection • 2/25/00 2/25/00 2/28/00 TLP PASS No Hold AKJ 2/29/00
MECA060 (F) Issue permit 2/25/00 DEB DONE No Hold DEB 2/25/00
MECA800 Case Fineled 2/29/00 AKJ DONE No Hold AKJ 2/29/00
Page 1 of 1
.. CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
�i BUP
Date Requested 2 75 t� ® AM PM BLD
Location 1 o qq0 P l-1 C L/i Suite MEC ZODQ —(X)S�
Contact Person -2. Ph —COOS
Contractor Ph SWR
BUILDING Tenant/Owner (j /D(A.,! ,/ 7-1041A.---' ELC
Retaining Wall ELR
Footing 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 / 61 //41
' 7— Fire Sprinkler 'P ���� (J ��
Fire Alarm / -
Susp'd Ceiling A..) C k — • L _ ! At - 7 .S r -
Roof .
Misc: '
Final
PASS PART FAIL �
eLUMBIN� 6 i 2 'z) - - G_ 7 (JU
Post & Beam / ,�
Under Slab t `
Top Out
Water Service
Sanitary Sewer
Rain Drains_
Fin
(tsA�91� PART FAIL
HANI
Post & Beam
Rough In
Gas e LITIL
Smoke Dampers 0 - �- ,
Fina
ei%;gj 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 ,
Otheoach /Sidewalk l �� Ins pector , 7 6 k1 Ext
Date —/
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.