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Permit CITY OF TIGARD MECHANICAL PERMIT ,1, 114' DEVELOPMENT SERVI � � PERMIT #: MEC1999 -00267 `� r�' �! 13125 SW Hall Blvd., Tigard, OR 972 c 1 DATE ISSUED: 6/21/99 PARCEL: 1 S134BC -00200 SITE ADDRESS: 12164 SW SCHOLLS FERRY RD . SUBDIVISION: ZONING: C -G, BLOCK: • LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: M VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS FURN > =100K BTU: < =10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Install roof top gas pack. Owner: FEES MELVIN MARKS Type By Date Amount Receipt 111 SW COLUMBIA BLVD 5PCT DST 6/21/99 $2.50 99- 316289 PORTLAND, OR 97201 PRMT DST 6/21/99 $50.00 99- 316289 Total $52.50 Phone: Contractor: AIR RITE CONTROL, INC. 1623 SE 6TH ST PORTLAND, OR 97214 REQUIRED INSPECTIONS Mechanical Insp Phone: 238 -0388 Heating Unt Insp Reg #: LIC 063302 Duct Inspection Final Inspection • This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other 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 in the Oregon Utili • • ' = on Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. Y. may obtain •opies of . hese rules or direct questions to OUNC by calling (503)246- 9189. Iss. By: � � a , Permittee Signature: • _ , ► ` 0� Call (503) 639 -4175 by 7:00 P.M. for inspections needed the ne • usine s d OPP Plan C CITY OF TIGARD Mechanical Perm Application Recd 13125 SW HALL BLVD. Commercial and Residential Date Reed la - _q . TIGARD, OR 97223 _ Date to P.E. (503) 6394171, X304 T e �[ Pei?"' ( 5 Date to ST 7 Print or yp Incomplete or illegible applications will not be accepted Called Name of Development/Project Description �� °'°'f T� o.,► 11i.l i A Pw Fee Mechanical Code Qty Price And s Surtea ) e 16.00 Job ��� 1) Furnace to 100,000 BTU Address � .w [. Su4 (GS , including ducts & vents see footnote 1.2 1 9.65 q b Mgt City/State tp 2) including g 100,000 ds .8. vents see footnote 1,2 • 12.00 Name (or name of business) 3) Floor Furnace including vent, see footnote 1,2 9.65 Owner IV1GL ' Mg1244 • l��s'i k--- "2 � 4 S heater, wall heater 1Nalung Address or floor mounted heater see footnote 1,2 9.65 ill 5- , rrf, • 00(.....E 8.. 5) Vent not included in appliance permit 4.76 City/State Zip Phone _ . Check all that apply: 'Boiler Heat Air e 2. i C 4 . / ? d/Z 9720/ For sterns 6-10, see or Pump Cond Qty Price And Name (or name of business) footnotes 1,2 Comp 6) ©HP ;absorb unit to �� ��Wq�-� 4o • -3e 100K BTU 9.65 Occupant t" . s 7) 3-15 HP;absorb unit • S. r,.l. SCA-faLL Foizel 1Zz, 100k to 500k BTU 17.65 - City/State Tip Phone 8) 15-30 HP; absorb - r (2 , OR. crIZZ unit .5-1 mil , , 24.15 - 9) 30-50 HP; absorb Contractor Name unit 1 -1.75 mil BTU 36.00 4:R- ?....; L _ e_e›...} izai- .it/C. 10) >50HP; absorb unit Prior to permit MaWng Address >1.75 mil BTU 60.15 issuance. a copy i(72_3 S .6 . e .,° n AVL 11 Alr handling unit to 10,000 CFM of all licenses City/State Zip Phone 7.00 are required if ° g,aT .#y JT) nsZ 9721 Lt- 23S-a 12) Air handling unit 10,000 CFM+ expired in COT own Cont. Cont. la oar d lk.i Exp. Date Q 11.75 database (p S ®Z „ l2J Z4 e ( 13) Non - portable evaporate cooler Architect Name m ; 7.00 14) Vent fan connected to a single duct 4.75 or Malang Address . 15) Ventilation system not included in • appliance permit 7.00 Engineer C atD Zip Phone 16) Hood served by mechanical exhaust • 7.00 Describe work to be done: 17) Domestic incinerators 12.00 New 0 Repair 0 Replace with like kind: Yes O No 0 1 8) Commercial or industrial type incinerator Residential 0 Commercial* . - 48.25 ommercial* 48.25 19) Repair units 8.40 Additional information or description of work: ` Mnl Ste, !,L -7-.0 f- Go? Gig -FA GbL 20) Wood stove/gas FP /other units/clothe dryer/etc. 7.00 NOTE: For Commercial projects only; Units over 400 lbs. require 21) Gas piping one to four outlets 2 structural as talcs. See footnote 1 _ I 3.75 _ J 9 Type of fuel: oil 0 natural gases LPG 0 electric O 22) More than 4 - per outlet (eat .75 J • Minimum Permit Fee $50.00 SUBTOTAL : -: - 7,4 '�'� ° rC I hereby acknowledge that I have read this application, that the information 5% SURCHARGE ; . = a =a'4 , : 10 given is coned, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL q=gi in the owner, that plans submitted are compliance with Oregon State laws. Required for ALL commercial permits only k-s€ TOTAL a �� �-� Signature of Ouirtner/Agent Date _ :::;::%., . to 1 11 ) 9 ca Other Inspections and Fees: . 1. Inspections outside of normal business hours (minimum charge-two Contact Person Phone hours) $50.00 per hour A1?-IZ. -%i SC-■ / '.3 z - Q a? 2. Inspections for which no fee Is specifically indicated (minimum J G3 O charge -half hour) $50.00 per hour Foonotes for commercial projects only: 3. Additional plan review required by changes, additions or revisions to 1. Provide full schematic of existing and proposed gas line and pressure. plans (minimum charge - one -half hour) $50.00 per hour 2. Provide drawings to scale showing existing and proposed mechanical units. 'State Contractor Boiler Certification required . '"Residential NC requires site plan showing placement of unit l :lmechperm.doc rev 02/4199 ZOoIJ fI2N9IL JO ILIA 096T 86S COS %V3 90 :TT fIII.L 66 /LT /90 03/24/2000 Activities for Case #: MEC1999 -00267 8:53:02 AM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MECC007 Application received 06/21/1999 DST DONE No Hold DST 06/21/1999 MECC008 Permit created 06/21/1999 DEB DONE No Hold DST 06/21/1999 Per Bob P, no plan review required. MECC706 Mechanical lnsp 06/21/1999 06/21/1999 No Hold DST 06/21/1999 MECC715 Heating Unt Insp 06/21/1999 DST No Hold DST 06/21/1999 MECC735 Duct Inspection 06/21/1999 06/21/1999 No Hold DST 06/21/1999 MECC799 Final Inspection 06/21/1999 06/21/1999 07/13/1999 RB FAIL No Hold ST 02/04/2000 provide access to roof a/c unit 2/4/00- inspection request to • Hap MECC090 (F) Issue permit 06/21/1999 DST DONE No Hold DST 06/21/1999 MECA799 Final Inspection 03/02/2000 RB FAIL No Hold AKJ 03/02/2000 no one home, left note to arrange insp MECC799 Final Inspection 03/09/2000 TLP PASS No Hold AKJ 03/09/2000 • MECC800 Case Finaled 03/09/2000 AKJ DONE No Hold AKJ 03/09/2000 • Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 3/9 DO AM PM BL B Location ' 2 ICP 9 Sr 1 S cutitAt Suite 44139-002(07 Contact Person Ph 53/ - l LU y a p PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: 1� - � Foundation V Wa� 6).eic a Ut.C.-/-1 FPS Ftg Drain SGN Slab Crawl Drain Inspection Notes: ()AU 04 ; Post & Beam SIT Ext Sheath /Shear Int Sheath /Shear Framing 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 Post Beam aL Rough In Gas Line Smoke Dampers 6411 PART FAIL E 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 Date 3 / Vd0 Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested ?' 13 AM! v /J� - PM BUD Location I � _�I �1 /1 Suite F �> MEC 1 (/ - �-(1) Contact Person Zl Ph 2 O X PLM Contractor W c th.. Ph �1 SR �JI '' BUILDING Owner Z ,&�44 4 � ) t.C�/ ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear ' Framing r! �� S S 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 FAIL • os :earn Rough In Gas Line S • e Dampers •ASS PART ELECTRICAL 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 n Other Date )) /CC( Inspector Ex Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.