Permit CITY OFTIGARD
, ,,,l , ,,. „ DEVELOPMENT SERVICES MECHANICAL
`� �� ���I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PERMIT #PERMIT T • MEC98 -0187
DATE ISSUED: 05/29/98
PARCEL: 25112DD -01600
SITE ADDRESS...: 15575 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.. :B VENTS W/0 APPL: 0 VENT SYSTEMS: 0
STORIES • 0 BOILERS /COMPRESSORS HOODS • 0
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 cfm: 0 GAS OUTLETS.: 0
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Remarks: Relocate ductwork and grilles
Owner: FEES
PACTRUST type amount by date recpt
15115 SW SEQUOIA PRY PRMT $ 25.00 B 05/28/98 98- 306098
STE 200 PLCK $ . 6.25 B 05/28/98 98- 306098
TIGARD OR 97224 5PCT $ 1.25 B 05/28/98 98- 306098
Phone #:
Contractor:
PROTEMP ASSOCIATES INC
807 NE COUCH
$ 38.50 TOTAL
PORTLAND OR 97232
Phone #: 233-6911
Reg #..: 000388
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Duct Inspect ion
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance with
approved plans. This per.it 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 by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952 - 001-0010 through OAR 952- 001 -0080. You lay
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
�r
Issue By: Permittee Signature: Ifikatik 6 ^11 - r.�"!/�
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + ++ + + + + + + + + + ++
/ Plan Check # 5 - 1DC
CITY OF TIGARD Mechanical Permit Application 6 u / Redd By
13125 SW HALL BLVD. Commercial and Residential ,0 Date Recd 7
1 TIGARD, OR 97223 VS> " Date to P.E.
(503) 639 -4171, x304 � 4�
Date to DST 5 . : •�
Print or Type
42% .,_-/- a fi t, -
Permit # 0 I
Called
Incomplete or illegible applications will not be accepted
Name of Development/Project Description
A/27Au.L N /'El/.{)GA-12, Table 1A Mechanical Code QTY PRICE AMT
Job Street Address P Suites A) Permit Fee -0- -0- 10.00
. Address / 5i4) -C W()14/ /00
Bldg# City/State Zip 1.) Furnace to 100,000 BTU 6.00
1. rxTi, � r 7 72z4 including ducts & vents
Name (or name of business) 2.) Furnace 100,000 BTU+ 7.50
Owner A4c7eu S including ducts & vents
Mailing Address tit- 3.) Floor Fumace 6.00
/5:5410 r/4.) 5c16 4,10/A. Pr-el 3c.3:2) including vent
City/State Zip phone 4.) Suspended heater, wall heater 6.00
j..2/2.7 4 1 zzq (,Z4h1 � or floor mounted heater
Name (or name of business) 5.) Vent not included in appliance permit 3.00
Occupant Mailing Address 6.) Boiler or comp, heat pump, air cond. 6.00
to 3 HP; absorb unit to 100K BUT"'
City /State Zip Phone 7.) Boiler or comp, heat pump, air cond. 11.00
3-15 HP; absorb unit to 500K BTU"
Contractor Name 8.) Boiler or comp, heat pump, air cond. 15.00
r7p Ih:60(:., 15-30 HP; absorb unit.5 -1 mil BTU"
Prior to permit Mailing Address 9.) Boiler or comp, heat pump, air cond. 22.50
issuance, a copy 007 ] /VF ft,/,te e( 30-50 HP; absorb unit 1- 1.75mil BTU**
of all licenses City/State Zip Phone 10.) Boiler or comp, heat pump, air cond. 37.50
are required if ,L - A-0 Oa- g7Z3Z 233 ZAii > 50 HP; absorb unit 1.75 mil BTU"
expire
d i n COT 3 6 3 Cont. Board Lie. Exp. D` 11.) Air handling unit to 10,000 CFM 4.50
Architect Name / / 12.) Air handling unit 7.50
10,000 CTM+
or Mailing Address 13.) Non - portable evaporate cooler 4.50
Engineer City /State Zip Phone 14.) Vent fan connected to a single duct 3.00
Describe work New 0 Addition 0 Alteration, Repair 0 15.) Ventilation system not included 4.50
to be done Residential 0 Non - residential in appliance permit
Additional Description of work: 16.) Hood served by mechanical exhaust 4.50
17.) Domestic incinerators 7.50
Existing use of 18.) Commercial or industrial 30.00
building or property type incinerator
19.) Repair units 4.50
Proposed use of 20.) Wood stove 4.50
building or property
21.) Clothes dryer, etc. 4.50
Type of fuel - oil 0 natural gas 0 LPG 0 electric 0 22.) Other units 4.50
I hereby acknowledge that I have read this application, that the information 23.) Gas piping one to four outlets 2.00
given is correct, that I am the owner or authorized agent of
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 'SUBTOTAL Z
C�a, 6//16 5 %SURCHARGE * ""� ""--�� ` I Co )4fe.A.,,..._et
ct Person Name Phone PLAN REVIEW 25% OF SUBTOTAL ,-,.
��,� Required for all commercial permits only.
,1440 9 �Ar l it3 2-35-6'11i TOTAL x
,f
4 v..
'Minimum permit fee is $25 + 5% surcharge
"Residential A/C requires site plan showing placement of unit.
I:\mechprmt.doc rev 4/15/98
• OVER - THE - COUNTER (OTC) PERMIT
/ COMMERCIAL MECHANICAL PERMIT CHECK LIST
Description of Project: Ic- l ni..10 r iz., L AJ:c
• Class of Work: A1- Floor Furnace: Evap Coolers:
Type of Use: Co Unit Heaters: Vent Fans:
Occupancy Grp: ' Vents w/o Appl: /I Vent Systems
Stories: Boilers /Comprsr Hoods:
Fuel Types - 0 - 3 HP. Rep irUnits:
/ / / / 3 - 15 HK od Stoves:
Max Input: B Air H dling Units Clo Dryer:
Fire Dampers: < 10000 cfm: Oth Units: t
Gas PressuH / M / L > 10000 cfm: Gas Outlets:
No. Of U s:
Furn 100k Btu: .
Fu > =100k Btu:
NOTES:
Nt .ESC Ak....fNS....E+C'flUN::A .M 8 ..... <>::>:» ::::: »:: >::::<::: ><:::_:
$ i — Permit Fee
Gas Line Inspection $ 6 Plan Review
Mechanical Inspection $ 174 5% State Surcharge
Cooling Unit Inspection $ Additional Permit Fee
Shaft Inspection $ Additional Plan Review Fee
Hood Inspection $ Inspection Fee
Fire Suppr Inspection $ Miscellaneous Fee
Duct l,=•- ••
Fire Alarm Inspection
Fire Damper Inspection REMARKS:
Miscellaneous Inspection
Fire Alarm ,s•ection
in: Inspecti •
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TY
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CITY OF TIGARD Dil 10a
Approved —
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Conditionally Approved . [ I: . ......„...
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For only the wor sAies Oed itx
SOQ LeCer to: Follow [ I
Attach [.. Jill f-2•7: /L
Job Address: Ls5 5L4 - • e,.....• DO § \\. j ,
AO
By: Date:
CITY OF TIGARD BUILDING INSPECTION DIVISION MST g
.ash Inspection Line: 639 -4175 Business Line: 39 1 d
.ash 6S > Date Requested //- " AM PM BLD
Location 15575 S4 / Suite /e zgef
Contact Person / Ph •= — 3 /9S PLM lC70
Contractor Ph SWR
UI LDI — Tenant/Owner C 'M /31-77.1 ELC
/ Retaining Wall ELR
Footing Access: ! Vv Q
Foundation
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab P ce.A.Ape SIT FeaSfif 17 #
Post & Beam /y� ` A e ,
Ext Sheath /Shear 0a Q ��1(/ uv� 6t /�'-LJ
Ina She /Shear / „ � M 4)711./e ` �� 1
Framing Gt/, l� � vK.L GC„/� V/a/A-
Insulation
Drywall Nailing
Fir- . -
-� ' e Sprinkler
Fire • arm
Susp'd Ceiling
Roof • � ,/J C / ��/`��/
roc► PART FAIL
BING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PAS FAIL
ECHANICAL
Pos eam
Rough In
Gas Line
= Dampers
Fi ' -
�� C PART FAIL
TRICAL
Service /IZ ����CL� u��?
Rough In � /� , _ `
UG /Slab Q� / �:1
Low Voltage �p /
?6 23
Fire Alarm /� / U ( r
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ I 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: 42•4 [ ] Unable to inspect - no access
ADA ,1
Approach /Sidewalk Date 17 - 3 6-- / Inspector gAr Ext
Other �
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
L - —