Permit - -- CITY OF TI G A R D I"II:::CIiANI:(::fll...
DEVELOPMENT SERVICES I :'l• Fi .
�!i�ll PERMIT I #........ a, r I'�II::.C`:)E�- 0143
=_.. 13125 SW HaII Blvd., Tigard, OR 97223 (503) 639 -4171 DATE :I: SSUEI) : 04/27/98
PARCEL: PS.L .I.4lrkc— f!)45( *)
SITE ADDRESS—on :1.e350 SW :iI:::I EINIA WAY
SUBDIVISION......: PICKS LANDING NO..l. ZONING: Fi•- •4.5 PD
BI_.00K ................ ° I_.C7'T............. -t'322 JURISDICTION: T :l :o
CLASS OF WORK...: ALT FLOOR F URN......: 0 EVAP COOLERS: 0
TYPE: OF USE:........:Sl= UNIT HEATERS..: 0 VENT F°ANS.... n 0
OCCUPANCY (:)File',...: R3 VENTS W /C) Ale'I e'L.: ('3 VENT SYSTEMS: (%)
ST(JRI:E::S............: (0 BOILERS/COMPRESSORS H(:)fI)Gi.............: 0
FUEL. TYPES- •• -._— _....__- • 0-3 HP.......: 0 DOMES. I :Nc:I :N: 0
:GAS 3- 15 H1- '.......: f!) COMML... INCIN : (2)
MAX INPUT: (2) BTU 15-30 F•11 :'......: 0 REPAIR UNITS: ('3
FIRE DAMPERS?..: 30••°501 HF'......: 0 WOOI)STOVE :S...: (
GAS PRESSURE...: 50+ i••If'.......: '3 CL..O DRYERS...:: (2)
NO.. OF UNI :TS_.__..__.._______. AIR HANDLING UNITS OTHER till :.F S.: G
FURN < 1(00K BTU: 0 <::= 1(0000 cfm:: 1 GAS OUTLETS.: 0
F•t.1RN ):::: :L00K BTU:: (7 > 3.00000 cfm: C
Remarks: Installing air handling unit to 10,%1:: CFM
MARY L WRIGHT type amount by date recpt
10350 :S50 SW SERENA WAY f••'RIYIT $ 25..00 B 04/27/98 98- 305263
TIGARD OR 97224 ;: PC sus 1.25 B 04/27/98 93....305263
Phone On
Contract for ::
B & T GAS SERVICE: INC
KEITH •rEASI)Al...E:
8528 SW 190TH AVE $ 26.25 TOTAL
BEAVERTON OR 97007
Phone 0: 642-7243
Reg $4....: (1300911
_..___..__..____ REQUIRED INSPECTIONS -----
This permit is issued subject to the regulations contained in the Mechanical I ns:> p _.____ _
Tigard Municipal Code, State of Dre. Specialty Codes and all other Final Inspect i. on
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started __•.,_._
within 188 days of issuance, or if work is suspended for more
than 188 days. ATTENTION: Oregon law requires you to follow rules _
adopted by the Oregon Utility Notification Center. Those rules are _..._._
set forth in OAR 952 -.i.1 -8818 through OAR 952-881 -0888. You may :_.:_...______.....__
obtain copies of these rules or direct questions to Otlh. by calling ' ._. •
(583)246 -9187. _._.._. __ .............._.._....._._... _._._....__
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+4.1 • a•+. 4. 4•+• + + + +•+• + + + + + + +4.4-+ + + + + + +• +• + +• +++++•+•++++•+•++++++++++++++++++ • +• + +•a•+••+•• +• + + + + + + +•+••+••a
Cal.I. 639- -4175 by 7 :12)0 p.m. for inspections needed the next business day
+. 4—. a•+•+•+•++++++++++++++++++++++++++++++++++++•• +• + + + +•+ + + + + + + + + + +-o + ++ +• +• +•a4 +••a + + +•+- ++
, City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLIWEEION Permit # P'I1?--C16 D(q)
Tigard, OR 97223
(503) 639 -4171 APR . 7 ,996
me of Development 1 i �rl l/It;,1 fl , tr� • •.. _.
Anne.
( LC n1 f - I Table 3A Mechanical Code QTY PRICE AMT
Job 10350 oW Sfe . (lam 1) Permit Fee -0- -0- 10.00
Address ��
4 T �I+R. D. 9 `? . 5 2) Supplemental Permit 3.00
Neme ar name Cl business / Furnace to 100,000 BTU
,, UAL a r A AI g 1) incl. ducts & vents 6.00
■ o ••• Furnace 100,000 BTU +
Owner O. l� , ■ / MC 2) incl. ducts & vents 7.50
Floor Furnance
A 3) incl. vent 6.00
'ame or name o 7r-r . Suspended heater, wall heater
` 4) or floor mounted heater 6.00
M•dn
ass P one Vent not inc!. in
Occupant 5) appliance permit 3.00
-
Qty/blete vv Repair of heating, retrig.
6) cooling, absorption unit 6.00
Name _ Boiler or comp, heat pump, air cond.
y� C ast/ t(,Ylr_, 7) to 3 HP; absorp unit to 100K BTU 6.00
o •• Boiler or comp, heat pump, air cond.
Contractor t R `s / q0J� 8) 3-15 HP; absorp unit to 500K BTU 11.00
y,state Boiler or comp, heat pump, air cond.
_0 e-t f-O&D I 226U7 9) 15-30 HP; absorp unit .5-1 mil BTU 15.00
State HeputrMien No. / Tea No. Boiler or comp, heat pump, air cond.
009/10 10) 30-50 HP; absorp unit 1 -1.75 mil BTU 22.50
I hereby acknowle•ge that I have read this application, that the Boiler or comp, heat pump, air cond.
information given is correct, that I am the owner or authorized 11) > 50 HP; absorp unit 1.75 mil BTU 37.50
agent of the owner, that plans submitted are in compliance with Air handling unit to
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4.50 , 50
Board, that the number given is correct. (If exempt from State Air handling unit
registration, please give reason below.) 13) 10,000 CTM + 7.50
Non portable
14) evaporate cooler 4.50
Vent fan connected
15) to a single duct 3.00
Ventilation system not
16) included in appliance permit 4.50
Senaaae (owner or agent) Date Hood served by
17) mechanical exhaust 4.50
Descnbe work new 0 addition 0 alteration 0 repair 0 Commercial or industrial
to be done residential 0 non - residential 0 18) type incinerator 30.00
Existing use of Other i.e., woodstove, water
building or property 19) heater, solar, clothes dryers, etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property • - '
21) More than 4 -per outlet (each) 2.00
Type of fuel - oil 0 natural gas 0 LPG 0 electric 0
NOTICE
Mipjn'ium Fee $25.00 SUBTOTAL a
PERMITS BECOME VOID IF WORK OR CONSTRUCTION r
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE 1.05
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL
AFTER WORK IS COMMENCED.
TOTAL 96t5
Special Conditions
Date issued by
14 : LLOOIMOSTStMECHPMT •
6. -o
•
0 ALSO -4
15o'
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: p r — ` 9 / — q (f A.M. P.M. MST:
Location: 10350 SW &, ? , BUP:
Tenant: Suite: Bldg: MEC:c/ f3 - 0(.43
Contractor: K,Q B...A / B &T Grua, Phone: to 42_77143 PLM:
Owner: Phone: ELC.
ELR:
`` SIT:
BUILDING BLDG (con't) PLUMBING C �i CHANICAI,2 ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFIISlab Rough -In Ceiling Water Line
' Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm F ..11. ce Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr p Low Volt
Approved Approved ; pproved Approved Approved
Appr /Sdwlk Not Approved Not Approved • ed Not Approved Not Approved
FINAL FINAL INAL FINAL FINAL
•
•
!r
/l/� S � %
Co 5 & 1E0 ��
O Call for re' , • �^' El Reinspection fee of $ • required before next inspection CI Unable to inspect
Inspector: ---• Date: 677770 Page of
• 6/13/00 Activities for Case #: MEC98 -00143
2:34:28 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECA007 Application received 4/27/98 B RECD BON 4/27/98
MECA008 Create Permit 4/27/98 B DONE BON 4/27/98
MECA799 Final Inspection 6/9/98 TLP PASS TLP 6/9/98
MECA715 Mechanical Insp 4/27/98 6/9/98 TLP PASS TLP 6/9/98
MECA060 (F) Issue permit 4/27/98 B PASS BON 4/27/98
MECA800 Case Finaled 6/9/98 TLP PASS J *H 6/10/98
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