Permit ,.
CITY OF T CHANICAL
%p A „ DE VELOPMENT SERVICES PERMIT
�a; I'j PERMIT : MEC98 -0349
” � .. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394171 DATE ISSUED: 08 / 19 / 98
PARCEL: 2S11OAA -00700
SITE ADDRESS...: 14030 SW PACIFIC HWY
SUBDIVISION • ZONING: C —G
BLOCK • LOT . JURISDICTION: TIG
CLASS OF WORK..:OTR FLOOR FURN • 0 EVAP COOLERS: 0
TYPE OF USE •COM UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:B2 VENTS W/O APPL: 0 VENT SYSTEMS: 0
STORIES • 0 BOILERS /COMPRESSORS HOODS • 0
FUEL TYPES 0 -3 HP . 0 DOMES. INCIN: 0
:GAS 3 -15 HP • 1 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.: 0
FURN < 1O0K BTU: 1 <= 10000 cfm: 0 GAS OUTLETS.: 1
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Remarks : Installation of 1 furnace, 1 a/c unit and gas piping.
Owner: FEES
UNOCAL CORPORATION type amount by date reept
76 BROADWAY PRMT $ 29.00 DEB 08/19/98 98- 308393
SACRAMENTO CA 95818 PLCK $ 7.25 DEB 08/19/98 98- 308393
SPCT $ 1.45 DEB 08/19/98 98- 308393
Phone #:
Contract or:
SUNSET FUEL CO
PO BOX 42287
$ 37.70 TOTAL
PORTLAND OR 97242
Phone #: 503 -234 -0611
Reg #..: 000023
REQUI RED INSPECTIONS
This permit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
applicable laws. All work will be done in accordance with Heating Unt Insp
approved plans. This permit will expire if work is not started Cooling Unt Insp
within 180 days of issuance, or if work is suspended for sore Misc. Inspection
than 180 days. ATTENTION: Oregon law requires you to follow rules Final Inspection
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952401-0010 through OAR 952401-0080. You say
obtain copies of these rules or direct questions to DUNE by calling
03)246 -9187.
•
Issu By: Pe it tee Si gnat�_�re:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
r
Plan
CITY OF TIGARD Mechanical Permit Application Recd Byck
13125'SW HALL BLVD. REMi nercial and Residential RECEIVED Date Recd 9 -i PP
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 2 -• _ - c338 AUG 1 1998 Date to DST
F1 / yp�p(�,ij Type T e Permit #Hte99 3
, -.. • "
� �V °
Incomple t8 rnprin r 1ii illegible applications will rfstfl its: ee ilf'_caT Called
Name of Development/Project Description
Table 1A Mechanical Code Qty Price Amt
Job Street Address Suite# A) Permit Fee Mir + = 10.00
Address / 1 --/Die) 5 w. PAci Pc i4 Wei 1) Furnace to 100,000 BTU Q�
including ducts & vents 1 6.00 to •
Bldg# City /State Zip 2) Furnace 100,000 BTU+
including ducts & vents 7.50
Name (or name of business) 3) Floor Furnace
Owner Ins co 11146e,4; n CQ • including vent 6.00
Mailing Address J 4) Suspended heater, wall heater
n rr L/ or floor mounted heater 6.00
• I (- 103 D s• W QRCr rl L NWT 5) Vent not included in appliance permit
City /State Zip Phone 3.00
Af d ae, 517P3 CHECK ALL Boiler Heat Air
N a a (or name of business) THAT APPLY: or Pump Cond Qty Price mt
Comp •
_ 6) <3HP;absorb unit to -- . -
Occupant Mailing Address 100K BTU 6.00
7) 3 -15 HP;absorb unit s
City/State Zip I Phone 100k to 500k BTU 11.00
I 8) 15 -30 HP; absorb
unit .5-1 mil BTU -- . 15.00
Contractor Name 9) 30-50 HP; absorb
StArt, t P CO unit 1 -1.75 mil BTU -- - 22.50
Prior to permit !piling Address 10) >50HP; absorb unit
issuance, a copy ( • p, Say_ . //Q a e 7 - >1.75 mil BTU 37.50
of all licenses 4ty /State Zip Phone 11) Air handling unit to 10,000 CFM
are required if Yortl And oe- c /7(94. 23Y-041/1 4.50
expired in COT Oregon Const. Cont. Board Lic.# Exp. Date t✓ 12) Air handling unit 10 CFM+
database a3 7 /d -19-00 7.50
Architect Name 13) Non - portable evaporate cooler
4.50
or
M ailing Address 14) Vent fan connected to a single duct
3.00
15) Ventilation system not included in
Engineer City /State Zip Phone appliance permit 4.50
16) Hood served by mechanical exhaust
Describe work to be done: 4.50
17) Domestic incinerators
New Repair 0 Replace with like kind: Yes 0 No 0 7.50
Residential 0 Commercial l4 ' • 18) Commercial or industrial type incinerator
30.00
Additional information or description of work: ' 19) Repair units
IT4514 « Gorr ter // , lC e 4.50
20) Wood stove
/1// J /r f Otia I fi/O r 4.50
21) Clothes dryer, etc.
4.50
Type of fuel: oil 0 natural gas}S. LPG 0 electric 0 22) Other units
4.50
I hereby acknowledge that I have read this application, that the information 23) Gas piping one to four outlets ( 11111 , given is correct, that I am the owner or authorized agent of .00 t
the owner, that plans submitted are in compliance with Oregon State laws. 24) More than 4 -per outlet (each)
.50
Signature of Owner /Agent Date
'SUBTOTAL , , 1 �;a. c 9- 6j
5/o SURCHARGE , -, n Z � j
Contact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL d -- I
Required for ALL commercial permits only .,
TOTAL
w1AlTS � :Z _ J
O o ## rs r t D � R u
o R EG, rz r r u
S? TRft L. et t `Minimum permit feels $25 + 5% surcharge n 1
pEO 4 l .7.s}At f•- £ - yaz=} , ...11- a8 , ^� "Residential A/C requires site plan showing placement of unit G ,, I D
IAmechprm3.doc rev 06/23/98 x , / 2.12. 4 „,,,q .0 � D
t// ,
2/S. Ki;.1 ;` -i i''- ' ` ;_,�n..r 1.. ,i c ,� • (
�_ / C11
Ali
sunse
FUEL COMPANY
2944 S.E. POWELL BLVD. P.O. BOX 42287 PORTLAND, OR 97242-0287 TELEPHONE 234-0611 FAX # 503-234-0380
N
4-• v • ..1
0 3 S t
%.A \
tr (o v
,r
) •
1- ‘ 0 30
(xtc-m) 6\13
• _ _
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
�1 // BUP
5 1530 Date Requested
y: PM BLD
Location ..i . I Suite �� 'o
Contact Person / Ph Z 3 V - 06 / / PLM
Contractor Ph
SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Ina Sheath /Shear 1, 9vs/
Framing ���J l/
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
PASS PART FAIL
7 ,<N HANICAL
(( Post eam
Rough In
Gas Line
Smoke Dampers
ASS PART FAIL
CTRICAL
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
Approach /Sidewalk
Other Date \A- 6-1§3 Inspector Z-e Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•