Permit C ITY OF T I G A R D MECHANICAL PERMIT
j DEVELOPMENT SERVICES PERMIT #: MEC2000 -00341
l l 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/23/00
PARCEL: 1 S 134BC -00401
SITE ADDRESS: 12442 SW SCHOLLS FERRY RD 200
SUBDIVISION: ZONING: C -N
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
ELE 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 _ OTHER UNITS: 1
FURN > =100K BTU: < =10000 cfm: 1 GAS OUTLETS:
> 10000 cfm:
Remarks: Mechanical work for commercial TI.
Owner: FEES
SISTERS OF PROVIDENCE IN OR Type By Date Amount Receipt
BY STEVE FOSTER PRMT CTR 8/23/00 $50.00 2720000000
PO BOX 13993 5PCT CTR 8/23/00 $4.00 2720000000
PORTLAND, OR 97213
Total $54.00
Phone:
Contractor:
GOHMAN MECHANICAL INC
412 S BEAVERCREEK
602 REQUIRED INSPECTIONS
OREGON CITY, OR 97045 Mechanical Insp
Phone: 650 -1588 Duct Inspection
Reg #: LIC 119952 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 sus•ended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted i - - Oregon
Utility Notification Center. Those rules are set forth in OAR 952 -001 0019 hrough •= ' 952 - 001 -0080.
You may obtain co ies of these rules or direct questions to OUN - -y c* • 0 - 16-9189.
Issue By: Permittee Signature: % j • - � bole.
Call (503) 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 ..b.
13125 SW HALL BLVD. Commercial and Residential Date Rec'd /2 : /rz)
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 fr CC> Date to DST
Print or Type Permit # /YE -6 1 9 3y/
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Description
" e., "DL- P-, Table 1A Mechanical Code Qty Price Amt
•
Job Street Address Suite# A) Permit Fee 16.00
Address 1ZLJ q2- `• t>41 Y Y •t•2�•II r 1) Furnace to 100,000 BTU
\\ including ducts & vents see footnote 1,2 9.65
Bldg# [ry/State Zip 2) Furnace 100,000 BTU+
sum including ducts & vents see footnote 1,2 12.00
Name (or name of business) 3) Floor Furnace
Owner including vent see footnote 1,2 9.65
Mailing Address 4) Suspended heater, wall heater
or floor mounted heater see footnote 1,2 9.65
5) Vent not included in appliance permit _ 4.75
City /State Zip Phone Check all that apply: *Boiler Heat Air
•
For items 6 -10, see or Pump Cond Qty Price Amt
Name (or name of business) footnotes 1,2 Comp ••
6) <3HP;absorb unit to
100K BTU 9.65
Occupant Mailing Address 7) 3 -15 HP;absorb unit
100k to 500k BTU 17.65
City /State Zip Phone 8) 15 -30 HP; absorb
unit .5-1 mil BTU 24.15
9) 30 -50 HP; absorb
Contractor Name / unit 1 -1.75 mil BTU 36.00
� o�M ��e.-44-Nec ( D 10) >50HP; absorb unit
Prior to permit Mailing Address SJT16L- >1.75 mil BTU 60.15
issuance, a copy H/Z f.' e,4Je.cL -a. (02 1 11 Air handling unit to 10,000 CFM
of all licenses City /State �Z Zip Phone �-c C 1
7.00 /
t
are required if £ t r) i i'T' 1 -1 tjb l 5 U o 12) Air handling unit 10,000 CFM+
expired in COT Oregon Const. Cont. Board Lic.# Exp. Date 11.85
database (1 C Z 1 -72 `? - a 13) Non - portable evaporate cooler
Architect Name 7.00
14) Vent fan connected to a single duct
or Mailing Address 4.75
15) Ventilation system not included in
appliance permit 7.00
Engineer City /State 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 wjth like kind: Yes C9' No O 18) Commercial or industrial type incinerator
Residential 0 Commercial _ 48.25
19) Repair units
Additional information or description of work: 8.40
20) Wood stove /gas FP /other units /clothe dryer /etc. 40
I 7.00
NOTE: For Commercial projects only; Units over 400 lbs. require 21) Gas piping one to four outlets
structural gas calcs. See footnote 1 3.75
Type of fuel: oil 0 natural gas 0 LPG 0 electric er 22) More than 4 -per outlet (each) .75 r
Minimum Permit Fee $50.00 SUBTOTAL •
I
hereby acknowledge that I have read this application, that the information 8% SURCHARGE
given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL
the own , that plans submitted are in compliance with Oregon State laws. Required for ALL commercial permits only
TOTAL
Sig re of gent )3) to
Ot her Inspections and Fees:
� P
�r �5 3 ) 1. Inspections outside of normal business hours (mininum charge -two
o ct Person Name Phone hours) $50.00 per hour
2. Inspections for which no fee is specifically indicated (minimum
O rTZ � 5-1) / C( 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
*State Contractor Boiler Certification required
units.
**Residential A/C requires site plan showing placement of unit
I:\mechperm.doc rev 7/19/99
1
9/12/00 Activities for Case #: MEC2000 -00341
11:13:22 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECC007 Application received 8/23/00 DLH DONE No Hold BLD 8/23/00
MECC008 Permit created 8/23/00 DLH DONE No Hold BLD 8/23/00
MECC•10 Mechanical lnsp 9/11/00 RB PART No Hold RB 9/11/00 1. Duct inspection OK, except
where does bathroom exhaust
terminate?
2. Flex duct, once installed, to
be viewed at T -Grid ceiling
inspection and before hard lid
at bathroom.
MECC735 Duct Inspection 9/11/00 RB PART No Hold RB 9/11/00 See mechainical inspection this
date,
MECC799 Final Inspection No Hold BLD 8/23/00
MECC090 (F) Issue permit 8/23/00 DLH DONE No Hold BLD 8/23/00
MECA075 (F) Reprint Permit 9/11/00 ZZZ DONE No Hold ZZZ 9/11/00
•
J
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 1 Btlisiness Line: 639 -4171
BUP
Date Requested /0 — ) AM PM BLD
Location /Z 'IV Z 5 w 5C40 -re rJ-7 Suite All ° ,/ MEC 1 i — oa 3 (%(
Contact Person Ph Cry /SfJ" PLM
Contractor Ph SWR
BUILDING Tenant/Owner 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
Insulation
Drywall Nailing itio M ,6 e. <t
Firewall
prin
Fire rm /� • (�
�p'd Ceilici? UT U ' Bd 3Z 3 (� /�/4SS
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
P PART FAIL
M ECHANIC
st & Beam
Rough In
Gas Line
Smoke Dampers
- . • - ART FAIL
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
,,,,J /D( O
Approach /Sidewalk Date AQKL, Inspector Ext 3 1Z ,
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
I-
II OF TIGARD BUILDING INSPECTION DIVISION
a MST / .
244iour Inspection Line: 639 -4175 Business Line: 639 -417
Date Requested 9 / AM PM - BLD
Location / Z al-- 5 �cAG�l .�^ cite G v 74
M .Zvv
EC - 00 3(-1/
Contact Person /7 Ph 7, 3 37/Y' PLM
Contractor Ph • SWR .
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access: l � 5 / FPS
Founndas tion .
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
•
Int Sheath /Shear DNAdr !� Framing t��' L/ L )(� \----
Insulation
Drywall Nailing 1 21 , 1,:41 , -. (l /1./1 , _Al L&
Firewall
Fire Sprinkler �� .42-/V 1 /1/1 I t'"\ r•._ /,' ? �- J�1 \ ece.. ,L
Fire Alarm il� P .�� U
Susp'd Ceiling S � �� � -
Roof
Misc: ,, 1�,,- ' 4
Final A` v V k- -- �/1 l 4-Al S -C- PASS FAIL 11 --- -) c
PLUMB! AAAA 5 ' , i..„-,/> c., c�1v-- pk _ __ L, 4----L,
Undt& Slab � V ," L.-42k Under Slab A L�N '�/�/`.5 '�1�. -.
Top Out . n
Water Service T V / / ��
Sanitary Sewer -q�
Rain Drains T' t r J2-- 1
Final �� °
P RT FAIL
HAN 1
Post & Beam \ &' C ..
gouah fr
Gas Line
Smoke Dam rs
Final
PASS ART FAIL
ELECTRIC
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 G , � w Z
Approach /Sidewalk Date / /� k /v 0 Inspector " "" ExC
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.