Permit CITY OF T MECHANICAL
..• t�n,,, ,i , DEVELOPMENT SERVICES PERMIT
" � L 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE I ISSUED: 07/ 15 /977 - i 50
PARCEL: 2S112DA -01300
SITE ADDRESS...: 06640 SW REDWOOD LN
SUBDIVISION • MLP96 -0002 ZONING: I —P
BLOCK • LOT • JURISDICTION: TIG
CLASS OF WORK..:ALT FLOOR FURN • 0 EVAP COOLERS: 0
TYPE OF USE •COM UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:B VENTS W/0 APPL: 0 VENT SYSTEMS:12
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: 1000000 BTU 15 -30 HP • 0 REPAIR UNITS: 0
FIRE DAMPERS ?..: Y 30 -50 HP • 2 WOODSTOVES..: 0
GAS PRESSURE...: M 50+ HP • 0 CLO DRYERS..: 0
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS. :21
FURN < 1O0K BTU: 2 <= 10000 cfm: 3 GAS OUTLETS.: 1
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Remarks: Shell building sechanical /TI
Owner: FEES
PACTRUST REALTY type amount by date recpt
SEQUOIA PKWY PRMT $ 234.00 TAT 07/15/97 97- 297121
PORTLAND OR 97201 PLCK $ 58.50 TAT 07/15/97 97- 297121
5PCT $ 11.70 TAT 07/15/97 97- 297121
Phone #:
Contract or:
HUNTER—DAV I SSON
3410 SE 20TH AVE
$ 304.20 TOTAL
PORTLAND OR 97202
Phone #: 234 -0477
Reg I*..: 000016
REQUIRED 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 lint Insp
within 180 days of issuance, or if work is suspended for more Shaft Inspect ion
than 180 days. ATTENTION: Oregon law requires you to follow rules Duct Inspect ion
adopted by the Oregon Utility Notification Center. Those rules are Fire Damper Insp
set forth in OAR 952 -001 -0010 through OAR 952- 001 -0080. You say Final Inspect ion
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
Issue By: / L. % ,, 41111,1sA.d Permittee Signature•
/
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 - 4175 by 6:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Plan Ch -''
CITY OF TIGARD Mechanical Permit Application Recd B�v �J�, S�
t
13125 SW HALL BLVD. Commercial and Residential Date Recd 5-1 5=97
TIGARD, OR 97223 ��� r .\ Date to P.E. 5 -23 --f? (503) 639 -4171, x304 'ft�i -} (`. ` Date to DST /- 9 - glice
Print or Type Permit# MEGg7- 0l5O
Called
Incomplete or illegible applications will not be accepted
Name of DovelopmenuProject Description •
Pe 04 IDF_vc L M fD, OFF/CL & .- Table 1A Mechanical Code QTY PRICE AMT
Job Street Address Suite* A) Permit Fee -0- -0- 10.00 '
Address CP yo S .w (z EDwmD '_thin. /0 -
Sago City/State zip 1.) Furnace to 100,000 BTU 6.00
- I) &A-Lb 97 z Z V including ducts & vents
p k Q N ( or nam of business) 2.) Furnace 100,000 BTU+ 7.50
Owner q .._... including ducts & vents '1/ K
Mailing Address 3.) Floor Furnace 6.00
including vent
City/State Zip Phone 4.) Suspended heater, wall heater 6.00
or floor mounted heater
Name (or name of business) 5.) Vent not included in appliance permit 3.00
Occupant Mailing Address 6.) Boiler or comp, heat pump, air cond. 6.00
to 3 HP; absorb unit to 100K BUT
City /State Zip Phone 7.) Boiler or comp, heat pump, air cond. 11.00
3-15 HP: absorb unit to 500K BTU"
Contractor N8fe 8.) Boiler or comp, heat pump, air cond. 15.00
(Prior to hi U N i L-, AV/ S$ 6 L) f U C- 15-30 HP: absorb unit5-1 mil BTU"
issuance Mailing Address I 9.) Boiler or comp, heat pump, air cond. 22.50 1
applicant 3y / el SE Z 0 0 A-uz - 30-50 HP: absorb unit 1- 1.75mi1 BTU" !� �f5
must provide all City/State Zip - Phone 10.) Boiler or comp, heat pump, air cond. 37.50
contractor (217 --AMp, 04_ 9 7Zo C.- Z3 /-a z( 7 7 > 50 HP; absorb unit 1.75 mil BTU"
license Oregon Const Cont. Board Lic.a Exp. Date 11.) Air handling unit to 10,000 CFM 4.50 • en
information 0/ CO /Z � l;,
for COT COT Business Tax or Metro If Exp D e 12.) Air handling unit 10,000 CFM 7.50
database). /S (D Z O
Architect Name 13.) Non - portable evaporate cooler 4.50
t/UN7E2-1 Au i SSCN, ! LA--
or Mailing Address 14.) Vent fan connected to a single duct 3.00
31/ /o S E Z6 -Air«- _
Engineer City tate Tip Phone 15.) Ventilation system not included in 4.50 Q
- 7O ( TI-A�a /I LJ(7Z6 23--CS'
1 /7[ appliance permit 2 t
Describe work New G Addition 0 ( AReration 0 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
ll 1 C A � 'C f - /O n - ((� �/�� 17 18.) Commercial or industrial type
Incinerator 30.00
)"� C• -
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 ✓`f"�
Type of fuel - oil 0 natural gas 0 LPG 0 electric 0 23.) Gas piping one to four outlets / 2.00 (' A oc)
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 ^ V
/� -9 - 5% SURCHARGE i'7V A,,
on Name Phone PLAN REVIEW 25% OF SUBTOTAL 5d
v ��
TriL1e FI Z� Z3/ -O �7 T
iNdst\rnechpmtdoc (rev 9 'Minimum permit fee is $25 + 5% surcharge
"Residential NC requires site plan showing placement of unit.
Page No. 1 CASE HISTORY FOR CASE NO.: MEC97 -0150
PACTRUST REALTY
06640 SW REDWOOD LN
05/13/98
Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
- - -- - -- -- - - - - -- ---
MECC007 Application received / / / / 05/15/97 RECD DRA 05/23/97 JDA
MECC008 Permit created / / / / 05/23/97 PASS JDA 05/23/97 JDA
MECC015 Routed to Plans Examiner / / / / 05/23/97 PASS JDA 05/23/97 JDA
MECC017 Plan Review Ltr. to Ofc. Svcs. 05/27/97 / / 05/27/97 PEND RDP 05/27/97 RDP
MECCO25 Reviewed Plans Routed to DSTS / / / / 07/09/97 APPR RDP 07/09/97 RDP
MECC090 (F) Issue permit / / / / 07/15/97 PASS TAT 07/15/97 TAT
MECC705 Gas Line Insp 05/27/97 / / 07/16/97 PASS TLP 07/20/97 J*H
MECC705 Gas Line Insp / / / / 07/21/97 PASS TLP 07/30/97 J*H
MECC706 Mechanical Insp / / / / 07/29/97 Mechanical cover 1st floor approved PASS TLP 07/30/97 J*H
MECC710 Mechanical Insp 05/27/97 / / 07/16/97 PASS TLP 07/20/97 J *H
MECC715 Heating Unt Insp 05/27/97 / / 07/16/97 PASS TLP 07/20/97 J*H
MECC720 Cooling Unt Insp 05/27/97 / / / / 05/27/97 RDP
MECC740 Duct Inspection 05/27/97 / / 07/16/97 PASS TLP 07/20/97 J*H
MECC740 Fire Damper Insp 08/11/97 / / 08/11/97 Label all fire damper access panels. PASS TLP 08/11/97 J*H
MECC799 Final Inspection 05/27/97 / / 08/11/97 See Case Final Note. PASS TLP 08/11/97 J *H
MECC800 Case Finale& / / / / 08/11/97 Pending: All fire damper access panels PASS TLP 08/11/97 J*H
to be labeled.
•