Permit 4 .
CITY TIGARD MECHANICAL PERMIT
�i DEVELOPMENT SERVICES PERMIT #: MEC2000-00144
c � l � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/24/00
PARCEL: 2S112DD -01601
SITE ADDRESS: 15755 SW SEQUOIA PKWY 100
SUBDIVISION: ZONING: I -P
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS: 1
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML.INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: , AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
> 10000 cfm:
GAS OUTLETS:
Remarks: Mechanical TI. Installation of one vent fan, moving existing supplies and registers.
Owner: FEES
PACIFIC REALTY Type By Date Amount Receipt
15350 SW SEQUOIA PKWY PRMT DEB 4/24/00 $50.00 1655
TIGARD, OR 97224 5PCT DEB 4/24/00 $4.00 1655
Total $54.00
Phone: 624 -6300
Contractor:
THOMAS H. FORCE BUILDER
PO BOX 1194
TUALATIN, OR 97062 REQUIRED INSPECTIONS
Mechanical lnsp
Phone: 524 -4919 Duct Inspection
Reg #: LIC 14091 Final Inspection
\c0 \\*..
O
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 r. are set forth in OAR
952 - 001 - 010Jhr uugh OAR 952 - 001 -0080. You may obtain copies of these rule ;e u- tions to OUNC by
calling 503)246 -918 . ���� _
� //�/ ��l/
Issue __ / Per mittee Signature: y t � 7 '
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
, Plan Ch
' CITY OF TIGARD Mechanical Permit Application Recd By
13125 SW HALL BLVD. Commercial and Residential Date Recd e- .9-4e.,0
TIGARD, OR 97223 Date to P.E. _ a"
(503) 639 -4171, x304 Date to DST ,-
Print or Type Permit# } . 40 /Vie
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Description i
Table 1A Mechanical Code Qty Price Amt
Job • Street Address Suite# A) Permit Fee 16.00
Address /5 ei) d 'GQUCI ia. ADD 1) Furnace to 100,000 BTU
Bldg# City /State Zip including ducts & vents 9.65
2) Furnace 100,000 BTU+
d _C Ok- 77 c a including ducts & vents 12.00
Name (or name of business) 3) Floor Furnace
Owner f�7` , / L including vent 9.65
Mailing Address 4) Suspended heater, wall heater
15 Je � u9� D ,( 4 ) 7 or floor mounted heater 9.65
/ / 5) Vent not included in appliance permit 4.75
City /State Zip Phone Check all that apply: 'Boiler Heat Air
�� ��2 3 ��/ For items 6 -10, see or Pump Cond Qty Price Amt
Name (or name of business) footnotes 1,2 Comp "
�C J
nflr-O N , �! � 6) Repair units 8.40
� MMa ai ilin ng g Address
Occupant 7 t � N IV to dr C� y 7) <3HP;absorb unit to 9.65
jt/ 100K BTU
• C; /State /�r� tail
Phone 8) 3 -15 HP :absorb unit
10 1 , i �9jZ.. Z � .04 100k to 500k BTU 17.65
Contractor ame 9) 15 -30 HP; absorb
/? ar a-- py� unit .5 -1 mil BTU 24.15
Address i"/�/" 10) 30 -50 HP; absorb
Mailing Prior to permit g unit 1 -1.75 mil BTU 36.00
issuance, a copy / /D /$ �1rX11Gf�°fi �L�- 11) >50HP; absorb unit >1.75 mil BTU
of all licenses City /State Zip Phone 2 60.15
are required if 9Zh� ;S� � 12) Air handling unit to 10 ,000 CFM
expired in COT Oregon Const. Cont. Board Lic.# Exp. Date 7.00
database i 17 -6 ° 13) Air handling unit 10,000 CFM+
Architect Name 11.85
14) Non - portable evaporate cooler
or Mailing Address 7.00
15) Vent fan connected to a single duct //
Engineer
C ity /State Zip 1 Phone 4.75 .
16) Ventilation system not included i n
appliance permit 7.00
Describe work to be done: 17) Hood served by mechanical exhaust
ylAn _ 7.00
New illE Repair O Replace with like kind: Yes 0 No 0 18) Domestic incinerators
Residential 0 Commercial 0 Modification 12.00
19) Commercial or industrial type incinerator
Additional information or description of work: 48.25
20) Other units, including wood stoves
( 7.00
NOTE: For Commercial projects only; Units over 400 lbs., located on the 21) Gas piping one to four outlets
roof, require structural calcs. prepared by licensed engineer. 3.75
Type of fuel: oil 0 natural gas 0 LPG 0 electric 0 22) More than 4 -per outlet (each) .75
I hereby acknowledge that I have read this application, that the information Minimum Permit Fee $50.00 S UBTOTAL , f �
given is correct, that I am the owner or authorized agent of 8% SURCHARGE y.DO
the owner, that • - d are in compliance with Oregon State laws. PLAN REVIEW 25% OF SUBTOTAL
= _ Required for ALL commercial permits only
- Signature • •• ner /Airaily • Date TOTAL • . • q,00
tact Person Nam- Phone Other Inspections and Fees:
1. Inspections outside of normal business hours (minimum charge -two hours) $50.00 per hour
_ 2. Inspections for which no fee is specifically indicated (minimum charge -half hour)
Foonotes for commercial projects only: $50.00perhour
1. Provide full schematic of existing and proposed gas line and pressure. 3. Additional plan review required by changes. additions or revisions to plans (minimum
2. Provide drawings to scale showing existing and proposed mechanical charge - one - half hour) $50.00 per hour
units. State Contractor Boiler Certification required
**Residential A/C requires site plan showing p lacement of unit
U
6
I: \mechperm.doc rev 11/1/99
05/26/2000 Activities for Case #: MEC2000 -00144
12:54:14 PM
• Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECC007 Application received 04/24/2000 DEB DONE No Hold DEB 04/24/2000
MECC008 Permit created 04/24/2000 DEB DONE No Hold DEB 04/24/2000 No plan required, per Bob P.
MECC706 Mechanical Insp 04/26/2000 TLP PASS No Hold TLP 05/16/2000
MECC735 Duct Inspection 05/16/2000 TLP DONE No Hold TLP 05/16/2000
MECC799 Final Inspection 05/16/2000 TLP PASS No Hold AKJ 05/16/2000
MECC090 (F) Issue permit 04/24/2000 DEB DONE No Hold DEB 04/24/2000
MECC800 Case Finaled 05/16/2000 AKJ DONE No Hold AKJ 05/16/2000
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