Permit CITY TIGARD MECHANICAL PERMIT
I& DEVELOPMENT SERVICES PERMIT #: MEC99 -00135
AO-
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/16/99
PARCEL: 2S112DA -00300
SITE ADDRESS: 15230 SW SEQUOIA PKWY 100
SUBDIVISION: 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: A3 VENTS W/O APPL: 0 VENT SYSTEMS: 2
STORIES: 0 BOILERS /COMPRESSORS HOODS: 2
FUEL TYPES 0 - 3 HP: 0 DOMES. INCIN: 0
GAS 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
FURN < 100K BTU: 0 AIR HANDLING UNITS OTHER UNITS: 0
FURN > =100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS: 0
> 10000 cfm: 0
Remarks: Installation of hood ventalation system for kitchen.
Owner: FEES
PACTRUST Type By Date Amount Receipt
15350 SW SEQUIOA PKWY PRMT GEO 4/16/99 $32.50 99- 314601
SUITE 300 PLCK GEO 4/16/99 $8.13 99- 314601
TIGARD, OR 97223 5PCT GEO 4/16/99 $1.63 99- 314601
Phone: 624 -6300 Total $42.26
Contractor:
PACIFIC STAINLESS PRODUCTS
10100 SW ALLEN BLVD
BEAVERTON, OR 97005 REQUIRED INSPECTIONS
Mechanical Insp
Phone: 641 -7060 Shaft Inspection
Reg #: Hood Inspection
Duct Inspection
S.D. Shut -down
Final 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
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080.
You may obtain opie of th e rules or direct questions to OUNC by calling (5.3)246- 9,189.
Issue By: Permittee Signature: 6 l�
Call (50 39 -4175 by 7:00 P.M. for inspections needed the /et business day
CITY OF TIGARD Mechanical Permit Application Plan Check# 3 -gam Redd By
13125 SW HALL BLVD. Commercial and Residential Date Redd
TIGARD, OR 97223 Date to P.E. - - ; -- 9. •
(503) 639 -4171, x304 Q Date to a T - i -7
�' '
Print or Type j P P / 9 -CAS _ 7 Permit # .e 9-+ 3 ;'
Incomplete or illegible a • plications will not be accepted a V
Name of Development/Project Description
1 » ∎AO (4.. Table 1A Mechanical Code Qty Price And
Job saeetAddrea, Suite* A) Permit Fee �� -`:.: ;_:_ri,_ - 10.00
Address 6 2 z E611061 t I /00 1) Furnace to 100,000 BTU
inducing ducts 8 vents see footnote 1,2 6.00
Bldg C ZIP fl 2) Furnace 100,000 BTU+
1 , 91222 including ducts & vents see footnote 1,2 7.50
Name (or name of tnrahess 3) Floor Furnace
Owner t ike__.7t-tLTST including vent see footnote 1,2 8.00
Making Address 4) Suspended heater, wall heater
/ S . SO a� S or floor mounted heater see footnote 1,2 6.00
Ckmr -3 F z -+�t�d �t t'T.44+G 5) Vent not included in appliance permit
J / 6 w r bl-• ZIP Phone
1. 624- Chec all that apply: 3.00
, , � � pply: 'Boiler Heat Air
Name (or name of business) For items 6 -10, see or Pump Cond Qty Price And
footnotes 1,2 Comp _ �*
Occupant M Address tkS 6) <3HP;absorb unit to
I 100K BTU 6.00
/.; 2 -- - M) f � 11®to. 7) 3-15 HP;absorb unit
ciry/srare - phone 100k to 500k BTU 11.00
` 1,9444__b OQ ,7 8) 15-30 HP; absorb
Contractor unit .5 -1 mil BTU 15.00
P Name IFie c . w!a!, - J (� u) 30-50 HP; absorb
/` �`I.� -CC'S unit 1 -1.75 mil BTU 22.50
Prior to permit Mairehg Address 10) >50HP; absorb unit
issuance, a copy /01 QC St,L) ' - CLe >1.75 mil BTU 37.50
of all licenses City/State zip (-��,/ 11) Alr handling unit to 10,000 CFM
are required ti�T(�d�, � / kayo 4.50
expired in COT �c Cant. Board tx.0 Exp Dete 12) Air handling unit 10,000 CFM+
database (L /(0 /01
,- 7.50
Architect Name 13) Non - portable evaporate cooler /f,0
iME- co - • 4.50 �l
or Mailing Address 14) Vent fan connected to a single duct
3.00
15) Ventilation system not included in
Engineer CitYBtate zip Phone appliance permit 4.50
16) Hood served by mechanical exhaust y ;
Describe work to be done: _ 4.50 I
17) Domestic incinerators
New Repair 0 Replace with Ike kind: Yes 0 No 0 7.50
R . ential 0 Commercial 18) Commercial or industrial type incinerator
30.00
Apaclitional information or description of work: 19) Repair units
f co a V6xer'4 -1A-7 5 77�M 7-2 r 4.50
. TG' ig AZ. 20) Wood stove
NOTE: For Commercial projects only; Units over 400 lbs. require 4.50
structural • - calcs. 21) Clothes dryer, etc.
Type of fuel: oil 0 natural gas 0 LPG 0 electric 0 4.50
22) Other units
I hereby acknowledge that I have read this application, that the information 4.50
given is correct, that I am the owner or authorized agent of 23) Gas piping one to four outlets
th - ; • at plans submitted are in compliance with Oregon State laws. See footnote 1 2.00
I\ 24) More than 4 -per outlet (each)
of Date .50
�� 3 / z 4 199 - _=
Minimum Permit Fee 525.00 SUBTOTAL
1 : i
Con , ct Person Name Phone
5% SURCHARGE !' "'° - ,, - A.`A
GYr ( -,4060 `�s PLAN REVIEW 25% OF SUBTOTAL O - -. t ' 'a ,
I 1..
Foonotes for commercial projects only Required for ALL commercial permits only
T
1. Provide full schematic of existing and proposed L - �'
P gas line and pressure. TOTA t x F. r . . ° in a4,
2. Provide drawings to scale showing existing and proposed mechanical 4kiiTAQIfi IA
units. 'State Contractor Boiler Certification required
"Residential A/C requires site plan showing placement of unit
I:lmechperm.doc rev 02/4/99
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Z00 UNV9I,L AO ,LLI9 0961 965 co S %v.3 60 :01 3fa 66 /Z0 /£0
6 /6 /99 • Activities for Case #: MEC99 -00135
•
9:27:06 PM -
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECC007 Application received 3/24/99 GEO RECD DRA 3/31/99
MECC008 Permit created , - 3/31/99 DEB MEMO DRA 3/31/99 Still no direction received as to
. • whether we need to have a
copy of the Wa County Health
Dept plan review approval letter .
for this type of permit: There
was not one attached at intake. •
MECC011 Routed to Plans Examiner 3/31/99 DEB DONE DRA 3/31/99
MECC014 Plan checked /Approved by P.E. DRA - 3/31/99
•
MECC015 Reviewed Plans Routed to DSTS • DRA 3/31/99
MECC799 Final Inspection • DRA 3/31/99
MECC012 Plan Review Ltr. to Ofc. Svcs. 4/1/99 4/1/99 RDP PEND RDP 4/1/99
•
MECC013 Revised plans received No Hold RDP 4/9/99
MECC014 Plan checked /Approved by P.E. 4/9/99 4/9/99 No Hold RDP 4/9/99 •
MECC015 Reviewed Plans Routed to DSTS No Hold RDP 4/9199
MECC706 Mechanical Insp 4/9/99 4/9/99 NOTE No Hold RDP 4/9/99 The gas line is a separate
permit
MECC731 Shaft Inspection 4/9/99 4/9/99 No Hold RDP 4/9/99
MECC732 Hood Inspection ' 4/9/99 4/9/99 4/19/99 RC PASS No Hold AKJ 4/19/99
MECC735 Duct Inspection 4/9/99 4/9/99 No Hold RDP 4/9/99 -
MECC799 Final Inspection 4/9/99 4/9/99 5/6/99 RC PASS No Hold AKJ 5/6/99
MECC745 S.D. Shut -down No Hold RDP 4/9/99
MECCO50 (F) Ready to issue 4/15/99 DRA DONE " No Hold DRA 4/15/99
MECC090 (F) Issue permit 4/16/99 GEO DONE No Hold GEO - 4/16/99
MECC706 Mechanical Insp 4/19/99 4/19/99 4/19/99 RC PASS No Hold AKJ 4/19/99
MECC800 Case Finaled 5/6/99 AKJ DONE . No Hold AKJ 5/6/99
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