Permit T
C ITY OF MECHANICAL
4,,L'o DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171
PERMIT # : MEC98 -0400
DATE ISSUED: 10/21/98
PARCEL: 2S112DD- 01600
SITE ADDRESS...: 15495 SW SEQUOIA PKWY #130
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...: 3
OCCUPANCY GRP..:B VENTS W/0 APPL: 0 VENT SYSTEMS: 0
STORIES • 1 BOILERS /COMPRESSORS HOODS • 0
FUEL TYPES 0 -3 HP • 0 DOMES. INCIN: 0
:GAS 3 -15 HP : 1 COMML. INCIN: 0
MAX INPUT: 0 BTU 15 -30 HP • 0 REPAIR UNITS: 0
FIRE DAMPERS ?..: N 30 -50 HP • 0 WOODSTOVES..: 0
GAS PRESSURE...: M 50+ HP • 0 CLO DRYERS..: 0
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.: 0
FURN < 100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 1
FURN ) =100K BTU: 1 ) 10000 cfm: 0
Remarks : Installation of (1) 5 ton gaspack with associated duct work, 3 exhaust
fans and gas piping.
Owner: FEES
PACTRUST type amount by date recpt
15350 SW SEQUOIA PKWY STE 300 PRMT $ 39.50 GEO 10/21/98 98- 310184
PORTLAND OR 97224 PLCK $ 9.88 GEO 10/21/98 98- 310184
SPCT $ 1.98 GEO 10/21/98 98- 310184
Phone #:
Contractor:
PRECISION AIR
16633 SW RIGERT
51.36 TOTAL
BEAVERTON OR 97007
Phone #: 642 -4286
Reg #..: 011990
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 Duct Inspection
within 180 days of issuance, or if work is suspended for more Misc. Inspection
than 180 days. ATTENTION: Oregon law requires you to follow rules Final Inspection
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952-081 -0010 through OAR 952-001-0080. You say
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
Issue By: / /`� Permittee 'ignature 4/1�/L
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + ++ + + + + + + + + + + + + + + + + + + + + + + + ++
Plan Check / "4R$
CITY OF fIGAR! Mechanical Permit Application Read By CR
13125 SW HALL BLVD. Commercial and Residential 1 l ► AO Date Read � g
TIGARD, OR 97223 Ititb 6uP9e 33 ' ,00h , Da to P.E. 9 '5 f (503) 639 -4171, X304 Date to DST /0 /3- S I
ra Print or Type Permit # /-(ec.98.0 00
0 Incomplete or illegible applications will not be accepted Called /B °v
Name of Development/Project Description
A atc ,,j2 d(d_z_,,,:seid T able 1A Mechanical Code Qty Price Amt
L A Permit Fee Street Address i a9S Zeit ) erm ee d'= 10.00
/ cSai V zip 5 , / 3 1) Furace to 100,000 BTU
Address Bld c, 'P l� � /l ! including ducts & vents 6.00
,, 2) Furnace 100,000 BTU+
i.; „, • ae including ducts & vents 7.50
Na r name of business) 3) Floor Furnace
Owner S! including vent 6.00
Mailing Address 4) Suspended heater, wall heater
or floor mounted heater 6.00
5) Vent not included in appliance permit
City /State Zip I Phone 3.00
CHECK ALL *Boiler Heat Air
Name (or name of business) THAT APPLY: or Pump Cond Qty Price Amt
V �i Comp
��" 'La Ban ??Zile.) daZzdiff6,4/ 6) <3HP;absorb unit to ••
Occupant ailing A do dress 100K BTU 6.00
(511---r.) 7) 3 -15 HP;absorb unit
City /State Zip I Phone 100k to 500k BTU I 11.00 /7-*
I 8) 15 -30 HP; absorb
unit .5 -1 mil BTU 15.00
Contractor 9) 30 -50 HP; absorb
Ll5 fCl$(i /472) v /C-1 unit 1 -1.75 mil BTU 22.50
Prior to permit Mejlin1 address ! Ar 10 >50HP; absorb unit
issuance, a copy � t /° (o c3. 7 ( � " t, >1.75 mil BTU 37.50
of all licenses /S tate ( �, 7-‘, v;,3 ip,i Phone p 11) Air handling unit to 10,000 CFM
are required if �j _a aa"w/[ V/7 ' 7 ° "/{a�0 6 4.50
expired in COT on Coast. Cont. BoarerLic Exp. Date 12) Air handling unit 10,000 CFM+
database / 9YQ '7 7.50
Architect Name j �� �� 13) Non - portable evaporate cooler
� � 1.-/ 501,er� (/� )(1.4 4.50
or Mailing Address 14) Vent fan connected to a single duct
3.00 g"
15) Ventilation system not included in
Engineer City/State Zip I Phone appliance permit 4.50
16) Hood served by mechanical exhaust
Describe work to be done: 4.50
17) Domestic incinerators
New Repair 0 Replace with like kind: Yes 0 No 0 7.50
Residential 0 Commercial A- 18) Commercial or industrial type incinerator
30.00
Additional information or description of work: 19) Repair units
-- 72J 4_,2 i�7 G,�CL�J - 4.5
20) Wood stove
Ci 6309- 4.50
••• -Q--pc:›`t�- ..-Q--ces /�ak-� 21) Clothes dryer, etc.
...1 4.50
Type of el: oil C'I `n• ural ga f• LPG O electric O 22) Other units
4.50
I hereby acknowledge that I have read this application, that the information 23) Gas piping one to four outlets y
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
Si. • . . 4 Owner /Age • Date
i Minimum Permit Fee $25.00 SUBTOTAL ,
� ✓ qf 5% SURCHARGE
• • nct Person Name ' one PLAN REVIEW 25% OF SUBTOTAL F'' , '' / S iS
Required for ALL commercial permits only " I
( '' V� � �lJy `&__, 6 C,f-,, TOTAL
*State Contractor Boiler Certification required
**Residential NC requires site plan showing placement of unit
I:\mechperm.doc rev 07/20/98
4/11/00 Activities for Case #: MEC98 -00400
3:40:50 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECC007 APPlication received 9/14/98 GEO RECD DRA 9/15/98
MECC008 Permit created 9/15/98 DEB DONE DRA 9/15/98
MECC011 Routed to Plans Examiner 9/15/98 DEB DONE DRA 9/15/98
MECC014 Plan checked /Approved by P.E. 10/19/98 RDP APPR RDP 10/19/98
MECC015 Reviewed Plans Routed to DSTS 10/20/98 JHF APPR JHF 10/20/98
MECC705 Gas Line Insp 10/19/98 10/22/98 RB PASS RB 10/23/98 #340401 Label gas line at
meter 2# gas.
MECC706 Mechanical lnsp 10/19/98 10/22/98 RB PART RB 10/23/98 1418 pm Provide sediment
traps down - stream of shut -off,
. at roof top unit and at unit
heater in storage.
MECC725 Heating Unt lnsp 10/19/98 10/22/98 RB PART RB 10/23/98 See mechanical this date.
MECC735 Duct Inspection 10/19/98 _ 10/22/98 RB PART RB 10/23/98 Support vertical wye of rigid
trunk line to unit on roof- T -Grid
mech.
MECC799 Final Inspection 10/19/98 10/23/98 TLP PASS J *H 10/24/98
MECCO50 (F) Ready to issue 10/20/98 DEB DONE CTR 10/20/98
MECC090 (F) Issue permit 10/21/98 GEO PASS DST 10/21/98
MECC800 Case Finaled 10/24/98 TLP PASS J *H 10/24/98
•
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Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Reqrstee /0 x.23 - 1 d AM PM BLD
Locatior, / 5 2 ( -fa FJ uite )9D MEC V---7)1/06
[ sntact Person Ph PLM
Contractor � > ) - ea 4 -7i► 4 }� Ph 11°4 L'42 SWR
BUILDING Tenant/Owner AJ IT Vat.) L1 n_fl>1 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
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
ICAL
Rough In
Gas Line
Smoke Dampers
PART FAIL
RICAL
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 other Date 76/71/ Inspector E
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 - 4171
/0 a' Y Date Requested , a ? /C M
4 AM PM BLD
L cation IS
(Sl/l,J f r - �� 01/4, Suite /2a . ��1f - Q �t�l�
Contact Person Ph 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
lnt Sheath /Shear r I s q
Framing y AL 4. ' _ • S � �� \ . Arlo
Insulation , 4 / -- -
Drywall Nailing � . -1 _.......a...__ S ( '
Firewall II Fire Sprinkler ' ' _ b. AA '
Fire Alarm C, 1
Susp'd Ceiling -
Roof
Misc: . " � p
Final c1 �/•�* ( - �` �tt�` )
P ASS PART FAIL ^� `
PLUMBING o � • i ' ■
Post & Beam �1
Under Slab �� d 61,‘ - . 4 --\--- c v Yv\x_ (52n •
Top Out
Water Service
Sanitary Sewer `A -1c j / "AA--c- , 4- i t \ ".
Rain Drains -1" C Z (�
Final 1 S 4 .4 r--- - 34 046 1
PASS PART FAIL
CH L V /gyp • (7. C6tit /1,/t/2,12/e- Post & Beam .�`
•
as Line
Dampers
I LIMP
4 • ASS PAR 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 `� Z
Approach /Sidewalk Date 1 q I Inspector
' V EXt ' 9
Other p
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.