Permit CITY O F T I G A R D MECHAN I CAL
,d, tl DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE O3/2O/98 -0105
PARCEL: 2511OAB -00200
SITE ADDRESS...: 14411 SW PACIFIC HWY
SUBDIVISION - CANTERBURY PLACE ZONING: C —G
BLOCK..........: LOT °1 -3 JURISDICTION: TIG
CLASS OF WORK..:ALT FLOOR FURN ° 0 EVAP COOLERS: 0
TYPE OF USE -COM UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:A3 VENTS W/0 APPL: 0 VENT SYSTEMS: 0
STORIES • 0 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.: 1
FURN < 1O0K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Remarks : SuperPlay Pizza tenant improvement.
Owner: FEES
G C KOLVE CO type amount by date recpt
14389 SW PACIFIC HWY PRMT $ 25.00 JSD 03/20/98 98- 304288
TIGARD OR 97224 5PCT $ 1.25 JSD 03/20/98 98- 304288
Phone #:
•
Contract or:
NORTHWEST WATER WORKS
14415 SE LUSTED RD
26.25 TOTAL
SANDY OR 97055
Phone #: 668 -0375
Reg #..: 113197
REG.UIRED 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 Final Inspection
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 wore
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 952- 001 -0010 through OAR 952- 001- , 1 a.:'. You lay
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
Issue By: W 01 � Permittee Signature:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
' Plan Check # /7
CITY OF TIGARD Mechanical Permit Application Recd By ;4/01 7/"."--
g I
13125 SW HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST /
Print or Type Permit # ( C :6 /iCt - n0 �
Called G t 7/
Incomplete or illegible applications will not be accepted
Name of Development/Project Description
< - 4 ,.' & , r ' / N Table 1A Mechanical Code Q PRICE AMT
Job Stree Address f �1 Suite# A) Permit Fee -0- -0- 10.00
Address /v-/p f Ncticri
Bldg# City /State Zip 1.) Furnace to 100,000 BTU 6.00
,'!c - (�.e ,,..e, 0 g - including ducts & vents
Name (or name of business)") 2.) Furnace 100,000 BTU+ 7.50
Owner 44 till. - e,L9fLtsic5 including ducts & vents
Mailing Address 3.) Floor Furnace 6.00
/4' / ,c' S,[_eL. U (7 including vent
City/State Zip Pho� a 4.) Suspended heater, wall heater 6.00
sc.ptdy or 9 7e:T; : /6G F-63 or floor mounted heater
Name (or nit of business) / � 5.) Vent not included in appliance permit 3.00
Occupant Mail Address i 6.) Boiler or comp, heat pump, air cond. 6.00
to 3 HP; absorb unit to 100K BUT
. City/State Zip I Phone 7.) Boiler or comp, heat pump, air cond. 11.00
3-15 HP; absorb unit to 500K BTU"
Contractor Name 8.) Boiler or comp, heat pump, air cond. 15.00
Alo 7 q toe�c-f iLia.,-k,i-- caAr 15-30 HP; absorb unit.5 -1 mil BTU"`
Prior to permit Mailing Addr s 9.) Boiler or comp, heat pump, air cond. 22.50
issuance, a copy / / 6 SL , t, c . / <A "d , 1 Q04,_ 30-50 HP; absorb unit 1- 1.75mil BTU"
of all licenses city /sta Zip Phone ca , 10.) Boiler or comp, heat pump, air cond. 37.50
are required if ..7r - f` o " f-65. / > 50 HP; absorb unit 1.75 mil BTU"
expired in COT Oregon Const Cont. Board Licit Exp. Date 11.) Air handling unit to 10,000 CFM 4.50
database '7 '*/6 /,3U ` 9 �
Architect Name / ( -5 / 9 13.) Non - portable evaporate cooler 4.50
or Mailing Address 14.) Vent fan connected to a single duct 3.00
Engineer City/State Zip 1 Phone 15.) Ventilation system not included in 4.50
appliance permit
Describe work New 0 Addition f2r Alteration 0 Repair 0 16.) Hood served by mechanical exhaust 4.50
to be done Residential 0 Non - residential 0
Additional Description of work: 17.) Domestic incinerators 7.50
•
18.) Commercial or industrial type 30.00
Incinerator
Existing use of 19.) Repair units 4.50
building or property
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 jiJ LPG 0 electric 0 \ 23.) Gas piping one to four outlets J 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 2 /
//. / � -e / ,// 3 -2.0-7? 5% SURCHARGE ( - '
Contact Person Name r Phone L < PLAN REVIEW 25% OF SUBTOTAL
•
TOTAL _� '
i:\rnechpmt.doc (rev 9 'Minimum permit fee is $25 + 5% surcharge
"Residential NC requires site plan showing placement of unit.
a \ 9-7- - ° 3 (° V
Page No. 1 CASE HISTORY FOR CASE NO.: MEC98 -0105
G C KOLVE CO
14411 SW PACIFIC HWY
06/12/98
Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MECC007 Application received / / / / 03/20/98 PASS JSD 03/20/98 JSD
MECC008 Permit created / / / / 03/20/98 PASS JSD 03/20/98 JSD
MECC090 (F) Issue permit / / / / 03/20/98 PASS JSD 03/20/98 JSD
MECC799 Final Inspection / / / / 03/30/98 PASS GS 03/30/98 J *H
MECC800 Case Finaled / / / / 03/30/98 PASS GS 03/30/98 J *H
■
• • - r=. CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: 3- 3- - P A.M. P.M. "/ 7 r 3
Location: / / i/ / "Cf..e.-- , e. v. BUP: 9 %- C) ,�' C l /
Tenant: -�, a s . Suite: Bldg: MEC: 99=o /O.$
Contractor: / /� ( Phone: PLM:
Owner: Phone: ELC:
ELR:
SIT:
BUILDING 't) PLUMBING ELECTRICAL SITE
Site Post/Beam Post/Beam o e am Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp . Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
• •proved Approved rov Approved Approved
Appr /Sdwlk Not • pproved Not Approved Not Approved Not Approved Not Approved
FIN FINAL CFOrAhTh FINAL FINAL
•
CI Call for reinspection CI Reinspection fee of $ required before next inspection U Unable to inspect
Inspector: ,. t Date: 3 3 e=s ?I
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