Permit CITY O TIGARD
MECHANICAL
^ .�� `1 � i �� �
DEVELOPMENT SERVICES SERV sCES PERMIT #PERMIT MEC98 -0261
DATE ISSUED: 07/06/98
PARCEL: 2S11ODC -02200
SITE ADDRESS...: 15660 SW PACIFIC HWY #5
SUBDIVISION • WILLOW BROOK FARM ZONING: C —G
BLOCK • LOT •011 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 • 0 BOILERS /COMPRESSORS HOODS • 0
FUEL TYPES 0 -3 HP • 0 DOMES. INCIN: 0
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.: 0
FURN < 1O0K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 1
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Remarks: Add gas piping to an existing tenant occpy.
Owner: FEES
TIGARD PROMENADE PARTNERS type amount by date recpt
3752 HOLIDAY CT #225 PRMT $ 25.00 GEO 07/06/98 98- 307078
LA JOLLA CA 92037 5PCT $ 1.25 GEO 07/06/98 98- 307078
Phone #:
Contract or:
WHITES MECHANICAL SERVICES INC
5340 NW CROENI ROAD
$ 26.25 TOTAL
HILLSBORO OR 97124 -8514
Phone #: 690 -3489
Reg #.. : 64455
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 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 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 952-091-9910 through OAR 952 - 091-0080. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
Issue By: 6A Permittee Signature ��. " I • 1
++++++++++++++++++++++++++++++++++++++++++++++++ + ++ + +++ + + + + + + +++ + + + ++ + + ++ + + ++ ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + ++ + + + + ++ + + + + + ++ + + + + + + + + + + ++
Plan Check #
CITY OF TIGARD Mechanical Permit Application Rec'd By
13125 SW HALL BLVD. Commercial and Residential Date Rec'd
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST
Print or Type
Permit #fl �g -C;?c (
Called
Incomplete or illegible applications will not be accepted
Name of Development/Project Description
Table 1A Mechanical Code QT'/ PRICE AMT
Job Street Address !! Suite, A) Permit Fee -0- -0- 10.00
Address / -. 0 H 7� V
Slap cit�sfate Zip a 1.) Furnace to 100,000 BTU 6.00
�t including ducts & vents
Name me of business) ➢ s 2.) Furnace 100,000 BTU+ 7.50
Owner (� J including ducts & vents
Mailing Addre
1 , " ''.� - . 1 , ,,. ; -.
► � .r � . i including vent
Cnyi a Zp Phone 4.) Suspended heater, wall heater 6.00
or floor mounted heater
Narf 01 business) 5.) Vent not included in appliance permit 3.00
Occupant Mailln A d ,-, �. '' c L 6.) Boiler or comp, heat pump, air cond. 6.00
- t W' .L.1' ' r to 3 HP; absorb unit to 100K BUT''
cltyi a Zip Phone 7.) Boiler or comp, heat pump, air cond. 11.00
ei 6 /'t 1 i )e 3-15 HP; absorb Jnit to 500K BTU"
Contractor Name 8.) 8.) Boiler or comp, heat pump, air cond. 15.00
f' ,�) 4, t ! ` M 14 > e e. , 15-30 HP; absorb unit.5 -1 mil BTU"
Prior to permit Mailing gd tj cu , qj . r ,� p 9.) Boiler or comp, heat pump, air cond. 22.50
issuance, a copy 5 r 1 �, 30-50 HP; absorb unit 1- 1.75mi1 BTU"
of all licenses cnyi �ate , ,Z Ph n is. 10.) Boiler or comp, heat pump, air cond. 37.50
are required if t L. O ti IT 101 > 50 HP; absorb unit 1.75 mil BTU"
expired in COT O C t. wt. B a • lc Exp. / 11.) Air handling unit to 10,000 CFM 4.50
database
Architect Name 12.) Air handling unit 7.50
10,000 CTM+
or Mailing Address 13.) Non - portable evaporate cooler 4.50
Engineer City/State Zp Phone 14.) Vent fan connected to a single duct 3.00
Describe work New 0 Addition i® Alteration 0 Repair 0 15.) Ventilation system not included 4.50
to be done Residential 0 Non - residential 0 in appliance permit
Additional Description of work: 16.) Hood served by mechanical exhaust 4.50
r W Gks ' f f i 0 17. Domestic incinerators 7.50
Existing use of 7 18.) Commercial or industrial 30.00
building or property type incinerator
19.) Repair units 4.50
Proposed use of 20.) Wood stove 4.50
building or property
21.) Clothes dryer, etc. 4.50
•
Type of fuel - oil`O natural gases 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 2.00
given is correct, that I am the owner or authorized agent of
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 a 6 )
_
5% SURCHARGE ( �
Co erson Nam Phone PLAN REVIEW 25% OF SUBTOTAL NEM 11111
Required for all commercial permits only.
( ,, el:,(A t<� TOTAL �r
'Minimum permit fee is $25 + 5% surcharge
"Residential A/C requires site plan showing placement of unit.
I:\mechprmt.doc rev 4/15/98
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CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
1 I
?frig BUP
0 Date Requested 7 - q - q d AM PM BLD
Location 5 • • 0 S ou.J. uite MEC
Contact Person, White . �^ A� „ `�y�” - ',e/Le L r C j(oo - 69'� ' PLM
W
Contractor hite S /" -drag u: UAL,- Ph &TO —34g? SWR
BUILDING Tenant/Owner P g US ack _ ELC
Retaining Wall ELR
Footing Access: $ Jet LL SEE Yo FPS
Foundation 11 I MP COOL Z r � 11-* PI t.(E- Pr(4 O
Ftg Drain SGN
Crawl Drain Inspection Notes: SUMO.) n
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing A!c<
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
MECHANICAL
Post & Beam , 1 11
Smo e Dampers
F F'
-
PART FAIL
RICAL
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 Date �� Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
I _