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Permit •CITY OF T ME I CAL ���� DEVELOPMENT SERVICES PERMIT 1Oi29E98 -0482 Tigard, (503)639-4171 PARCEL: 2S11OCD -00114 ' SITE ADDRESS...: 11755 SW QUEEN ELIZABETH ST SUBDIVISION - KING CITY NO. 2 ZONING: BLOCK • LOT . JURISDICTION: KIN 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: 0 STORIES • 1 BOILERS /COMPRESSORS HOODS • 1 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.: 1 FURN < 1O0K BTU: 0 <= 10000 cf m: 0 GAS OUTLETS.: 0 FURN > =1O0K BTU: 0 > 10000 cfm: 0 Remarks : Installation of fire place, hood, exhaust fan and change location of furnace. Owner: FEES MOOKI DENTAL LAB type amount by date recpt 11870 SW KING JAMES PLACE PRMT $ 25.00 DLH 10/29/98 98- 310393 KING CITY OR 97224 PLCK $ 6.25 DLH 10/29/98 98- 310393 5PCT $ 1.25 DLH 10 /29/98 98- 310393 Phone #: Contractor: AIR COMFORT INC 6800 NE 59TH PLACE • $ 32.50 TOTAL PORTLAND OR 97182 Phone #: 287 -2888 Reg #..: 000588 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 Hood Inspection approved plans. This permit will expire if work is not started Final Inspection 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 - 001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -9187. P / Issue By: Permittee Signature: 14 a lp - ir . +++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ + + + + + + + + ++ Call 639 - 4175 by 7:00 p.m. for inspections needed the next b'_ ness day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Plan Che /® 0 CITY OF TIGARD Mechanical Permit Application Recd By 13125 SW HALL BLVD. Commercial and Residential Date Rec'd l s TIGARD, OR 97223 Date to P.E. OG - ?7 (503) 639 -4171. X304 u v g -0/0 , Date to DST 01 W r Print or Type P Permit # �q• �ifa • Incomplete or illegible applications will not be accepted Called a , io-' -ps, Name of Development/Project Description • / tn/J/ el L Dental ,jj Table 1A Mechanical Code Qty Price Amt Job Street Address 4.4.12 4 Suites► A) Permit Fee ' "' 10.00 Address // 75 541. 1) Fumace to 100,000 BTU including ducts & vents 6.00 Bldg# City/State 5$ Zip 2) Furnace 100,000 BTU+ y/ �, ` a- 9°7 including ducts & vents 7.50 Name (or name of usine / 1 3) Floor Fumace n Owner //Y1 HOO t £y 8r V including vent 6.00 Mailing Address . 4) Suspended heater, wall heater 132 ]�o�D / -, G / • or floor mounted heater 6.00 V / 5) Vent not included in appliance permit City /State • Zip Phone 3.00 h z L CHECK ALL • /yam ✓ / /� /� �� / 4'7 94P 2 //) THAT APPLY: B or st Pump Cond Qty Price Amt Na , "a� (or name of business) / il00 o 2 /4=7.& Comp 6) <3HP;absorb unit to Occupant Mailing Address Ad d, /� )�/� '5» i _ . 100K BTU 6.00 / /P6 � /'y / .10P105 I'CS 7) 3-15 HP;absorb unit City /State Zip Phone _ 100k to 500k BTU 11.00 A;2q ally, 0, 57 t7-71 -7 ( r �j 2 -,�,�� n G 8) 15 -30 HP; absorb Contractor Nam unit .5 -1 mil BTU 15.00 //ff 9) 30 -50 HP; absorb • /7A/ G ���, � /� unit 1 -1.75 mil BTU 22.50 Prior to permit Mailing Address�� .U'1. 1 0) >50HP; absorb unit issuance, a copy A /Yv � /. >1.75 mil BTU 37.50 of all licenses City/State 9 Zip Phone d'fI 11) Air handling unit to 10,000 CFM are required if J , s-?J ;20 ? 4.50 expired in COT Oregon Const. Cont. Boar Ex p. Date 12) Air handling unit 10,000 CFM+ database .'S 0.3.5 1 f /(17QQ 7.50 Architect Na e ! , - , ' 13) Non-portable evaporate cooler 4.50 Mny Add / . A J � 14) Vent fan connected to a single duct Or 3 d. 3til ...t. Orr 3.00 9 7. 1 Ventilation system not included in Engineer RS- City /State9�� LL 9 , 7 4 Pho 5.03 -- '-.pliance permit 4.50 rGta/►Y�/ O 4 , e Z � 3 3 - 3 - / /�• od served by mechanical exhaust Describe work to be done: ' O 4.50 - 7) Domestic incinerators New er Repair 0 Replace with like kind: Yes 0 No 0 _ 7.50 Residential 0 Commercial 18) Commercial or industrial type incinerator 30.00 Additional information or description of work: 19) Repair units - 6 Lt - NC,F,�;- E/i• l.v�� Pt -- 4.50 s 20) Wood stove 4.50 21 Clothes dryer, etc. _ 4.50 Type of fuel: oil 0 natural gas U / LPG 0 electric O 22) her units �� //LQ'C) 4.50 I hereby acknowledge that I have read this application, that the information 23) Gas piping one to four outlets given is correct, that I am the owner or authorized agent of 2.00 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 , % --''. Minimum Permit Fee $25.00 SUBTOTAL =k t. ; qt � ain&,,,,x, Z 78 5% SURCHARGE ; Contact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL '' 4 =: ,;.: ' ,, c J /7 v / 1j -k r / / ij zg 7 -, g g g Required for ALL commercial permits only ' -', .Ws TOTAL *State Contractor Boiler Certification required "Residential NC requires site plan showing placement of unit 42 I:\rnechperm.doc rev 07/20/98 OVER - THE - COUNTER (OTC) MINS PLAN REVIEW • COMMERCIAL MECHANICAL PERMIT CHECK LIST Description of Project: /2 Pi ite- ✓ /'6"0 ay, /`4 i «,u6 t, vta 66407. M Y1 1. I L l �►r� o c)y i. 4i' FDY / Io A 1�1 .//e Y1 i 2 �C• a d / //.7 5.o. "2 i2-e e..egA L M / . (4, ali .pv Class of Work: ,A67 Floor Furnace: Evap Coolers: Type of Use: eepi Unit Heaters: Vent Fans: Occupancy Grp: 6 Vents w/o Appl: Vent Systems: Stories: / Boilers /Comprsrs: Hoods: G Fuel Types - 0 - 3 HP. Repair Units: / / / / 3 - 15 HP. Wood Stoves: Max Input: Btu: Air Handling Units CIo Dryer: Fire Dampers: < = 10000 cfm: Oth Units: 1 Gas Pressure: H / M / L > 10000 cfm: Gas Outlets: No. Of Units: Furn < 100k Btu: Furn > =100k Btu: NOTES: - ,!,hest ;) l r ���f ) ::;<::;: ;;•;. >.;:: >:.:. G'1'I ... O ...A .:.. ExNS ::> � :: - <:::::><:.>:>:::: :::�OII�MER�EA�1NS.P.:.:�•:,::.:::.;;:;:.; >::.>::>::>::>:«.;:>:;.:: �:::.•.;;>;:>::>::>:: :::..: ................:...:...; �..,.:; .:.:: :.:::::::::::::::..:.: . -- _ _ $ �� Permit Fee as Line Inspection $ (p ?' Plan Review ' ,Mechanical Inspection 5% State Surcharge Cooling Unit Inspection $ Additional Permit Fee Shaft Inspection $ Additional Plan Review Fee f�000d Inspection $ Inspection Fee Fire Suppr Inspection $ Miscellaneous Fee Duct Inspection Fire Alarm Inspection Fire Damper Inspection REMARKS: Miscellaneous Inspection Fire ansQection Final Inspection' F R >: FICE` TYPE:: :;USE'O T ial, C erciiiit .. anufac r ed. structi re :::> :<::` > <'.< ? ° » <> : >: ° > > >'.:> > < :' >': >: »: > ::: »,.: °` ' >• :: »: » °. UF... P.: IONS{ C�JM<: �: �onifiercra� �:: ...hAS.�: >:caimrt�.:..:.::�..:. , � �. ):.;:::.;:::;:.:;;::.;;:;. ::.:::.::..:::.:.::.::::::.::: :::::::.;;;::::.;...�::.:.:.::; �::.:;•,;: : G :ASS OF WORK OPTIONSF F.ND..= foundation :0TH;= .ott►er DEM = demoli ion :: REP= repafr FPS fire. protection. system. NOTE USE ©Th F'OR FENCES, RE'FAINit� DETACHED::€]EGICS : SIGNS; i4v1�NINGS `CAf�R1E5 }`• .., . :.:.:. � :.. • ; ^ : . i:\ovrcntr.doc (dst) 8/97 1 • Page No. 1 CASE HISTORY FOR CASE NO.: MEC98 -0482 MOOKI DENTAL LAB 11755 SW QUEEN ELIZABETH ST 03/02/99 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By MECA715 Mechanical Insp / / / / 11/04/98 PASS RC 11/05/98 J *H MECC007 Application received / / / / 10/27/98 RECD ? 10/29/98 DRA • MECC008 Permit created / / / / 10/29/98 DONE DEB 10/29/98 DRA MECC014 checked /Approved by P.E. / / / / 10/27/98 APPR RDP 10/29/98 DRA MECC015 Reviewed. Plans Routed to DSTS / / / / 10/27/98 DONE RDP 10/29/98 DRA MECCO50 (F) Ready to issue / / / / 10/29/98 DONE DEB 10/29/98 DRA MECC090 (F) Issue permit / / / / 10/29/98 DONE DLH 10/29/98 DST MECC705 Gas Line Insp 10/29/98 / / / / 10/29/98 DRA MECC706 Mechanical Insp 10/29/98 / / 10/30/98 See reports, 2 permits, notes not FAIL RC 11/02/98 J *H separated. MECC706 Mechanical Insp / / / / 11/04/98 PASS RC 11/05/98 J *H MECC732 Hood Inspection 10/29/98 / / / / 10/29/98 DRA MECC799 Final Inspection / / / / 02/22/99 1. NEED 6 " AIR FROM EXTERIOR TO AIR PART RC 02/25/99 ROC COMPRESSOR 2. FIREPLACE INOPE3R. 3. NEED 1" CLEARANCE FROM B VENT 4. REMOVE CLOSIBLE VENT COVER FROM COMBUSTIBLE AIR INLET 5. HOOD NOT INSTALLED MECC799 Final Inspection / / / / 02/25/99 HOOD NEEDS INSP FAIL RC 02/25/99 ROC MECC799 Final Inspection / / / / 02/26/99 prey corr bt rc dated 2 -25 -99 pass PASS GS 02/26/99 GES MECC800 Case Finaled / / / / 03/02/99 03/02/99 JT • • • • CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP 9, e 2, 'S � `0t Date Requested � W91 AM )C PM BLD Location // Z5$ �Gl.61iX) ..Z Suite MEC gr --®Y�I Contact Person c( Ph c:= /6/,7-- PLM Contractor Ph SWR 1LDIN� Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab (41.4•O W/ - � � e— SIT 9 aodP Post & Beam Ext Sheath /Shear • Int Sheath /Shear -� _ Framing C -�� . r /��LAL; / ..,--v Insulation ,% Q Drywall Nailing _� .ldc�,.. - e �"-c/( i ! ._ "' _/ _ - ,. y 4 Firewall ., Fire Sprinkler A- t.4/4.4_ V Fire Alarm �- �' /J ' �J Susp'd Ceiling J ` `) , v'.�, -. r,4, �+ P.LI�GU�' 2 �? -a�L.e e.---r" ., t�t-c Roof i % U Misc: _ Curial) / PASS) PART FAIL PLUMBING Post & Beam • r 5�- Under Slab „„ .p. i, .......e.4.4.....6 /► -- +'iC,va r "r.-t� /J _,�v Top Out , Water Service ,► (_...1../7'-'-217: ---<r\- -"t-4 7,� /-,,- . ,ifs i►.e Sanitary Sewer r-- Rain Drains ...Z Final PASS PART FAIL -� , ' , I CHANICA lb pe." ej Post & Beam C.),--frk.A(/ eOttl,,eil Rough In �_ � _ 9 /� ...2-41 / Gas e Dampers �� " r Smoke D - SS >ART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PART FAIL SIT Backfill/Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Date Z ? (- ' 7 Inspec /� Ext — {AAS PART. FAIL DO NOT REMOVE this inspection record from the job site.