Permit CITY OF TIGARD M E PERMIT AL
,� DEVELOPMENT SERVICES PERMIT # ° MEC98 -0328
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 DATE ISSUED: 08/27/98
PARCEL: 2S101DC -03900
SITE ADDRESS...: 07150 SW SANDBURG ST
SUBDIVISION • SALEM FREEWAY SUBDIVISION ZONING: C —P
BLOCK LOT °004 JURISDICTION: TIG
CLASS OF WORK..:ALT FLOOR FURN • 0 EVAP COOLERS: 0
TYPE OF USE °COM UNIT HEATERS..: 0 VENT FANS...: 2
OCCUPANCY GRP..:B VENTS W/0 APPL: 0 VENT SYSTEMS: 0
STORIES ° 2 BOILERS /COMPRESSORS HOODS ° 0
FUEL TYPES 0 -3 HP • 6 DOMES. INCIN: 0
:ELC 3 -15 HP 3 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.: 6
FURN < 100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =100K BTU: 0 > 10000 cfm: 0
Remarks : Mechanical TI
Owner: FEES
PACIFIC WESTERN BANK type amount by date recpt
PO BOX 15144 PRMT $ 112.00 B 08/27/98 98- 308651
WORCESTER MA 01615 PLCK. $ 28.00 B 08 /27/98 98- 308651
5PCT $ 5.60 B 08/27/98 98- 308651
Phone #:
Contract or:
AMERICAN HEATING INC
1339 SE GIDEON
STE 1 $ 145.60 TOTAL
PORTLAND OR 97202
Phone #: 239 -4600
Reg #..: 000331
REQUI RED INSPECTIONS
This permit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Duct Inspect i o n
applicable laws. All work will be done in accordance with Fire Damper Insp
approved plans. This permit will expire if work is not started S.D. Shut—down
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- 001 -0010 through OAR 952- 001 -0080. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
Issue By: e Permittee Signature. I � _ dr 1
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Plan Check # (P/'7 c_
CITY OF TIGARD Mechanica - ermit Application Recd By -
13125 SW HALL BLVD0 Commercial . d Residential Date Recd 2 1F - 5' (..._
TIGARD, OR 97223 A) ( Date to P E. q 7 -1- /' I)
(503) 639 -4171, x304 ■10� tt � U ('��( Opp / Date to DST P 2- G �4Yr sgt /��/ Print or Type \ "���\ Per`mlt # M-�$ b3 z
(�� Called
Incomplete or illegible applications will not be accepte 2
N e of Developmenroiect Description
Km t/P
K r DeV e SsiV (.. . LnSu r a. nC -& Table 1A Mechanical Code QTY PRICE AMT
Job Street AdWess Suite# A) Permit Fee -0- -0- 10.00
Address - 7150 .it A) Sam' b►ty - lb
Bldg# Crty/State u Zip 1.) Furnace to 100,000 BTU 6.00
1 et4 .ret including ducts & vents
Name (or name of business)) / 2.) Furnace 100,000 BTU+ 7.50
Owner P4 /P �E Ese�� including ducts & vents
Mailing Addss 3.) Floor Furnace 6.00
/ n/ /3o/ / -/ q9 including vent
City/State Zip I Phone 4.) Suspended heater, wall heater 6.00
ze02 eis 7'E AO <1 O /G IS or floor mounted heater
Name (or name of business), 5.) Vent not included in appliance permit 3.00
I lb A.64AAA..inr-
Occupant Mailing Address 6.) Boiler or comp, heat pump, air cond. 6.00
to 3 HP: absorb unit to 100K BUT"
City/State Zip I Phone 7.) Boiler or comp, heat pump, air cond. 11.00
3-15 HP; absorb unit to 500K BTU" j 3 3 -
Contractor Name 8.) Boiler or comp, heat pump, air cond. 15.00
1\f /lil.c�� fl y 11 u 15-30 HP; absorb uniLS -1 mil BTU"
Prior to permit Mailing Address �/'' ,r 9) Boiler or comp, heat pump, air cond. 22.50
issuance, a copy ) � J 3 9 „59._, G � l 7/ (,1 em 5� 30-50 HP; absorb unit 1- 1.75mi1 BTU"
of all licenses - C � dy/St � a � te , Zip Phone 10.) Boiler or comp, heat pump, air cond. 37.50
are required if 71>v"f aitl4 DR 972-02 ZY:1- > 50 HP; absorb unit 1.75 mil BTU"
expired in COT Oregon Gong, Cont. Board Lie # Exp. Date L „." - 11.) Air handling unit to 10,000 CFM 4.50
database 331 . ( R DD
Architect Na e c 13.) Non - portable evaporate cooler 4.50
Ar V m M,1 , Mme
O r Mailing Address ') (,°" 14.) Vent fan connected to a single duct 3.00
Engineer rty /State Zip Phone 15.) Ventilation system not included in 4.50
V s '- 74 zi(S- 7100 appliance permit
Describe work New 0 Addition 0 Alteration`A Repair 0 16.) Hood served by mechanical exhaust 4.50
to be done Residential 0 Non - residential.
Additional Description of work: 17.) Domestic incinerators 7 50
18.) Commercial or industrial type 30.00
Incinerator
Existing use of 19.) Repair units 4.50
building or property ` GeD
20.) Wood stove 4.50
Proposed use of 21.) Clothes dryer, etc. 4 50
building or property ah
22.) Other units) ►+t't I / 0 4 50 21
Type of fuel - oil 0 natural gas, LPG 0 electric 0 23.) Gas piping one to four outlets l 2.00 /
I hereby acknowledge that I have read this application, that the 24.) More than 4 -per outlets (each) .50
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with Oregon State QTY. SUBTOTAL
laws.
Signature of Owner /Age 2t Date 'SUBTOTAL 12
L itik■U ". T+I Q g . s -qg 5% SURCHARGE �
Contact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL < ,
/gn/� G"M A/F� �V/��1 CJ TOTAL a
Ornechpmt.doc (rev 9 'Minimum permit fee is 525 + 5% surcharge i���
"Residential A/C requires site plan showing placement of unrt.
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
/,-2 � - / ` Slate Requested / 13--em AM X PM BLD
Location 1/5D S G()LS I;tir,u� Suite MEC alir 0 - 0 _
Contact Person Wi/ Ph 2--5? PLM
Contractor Ph SWR
BUILDING Tenant/Own 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
PASS PART FAIL
/MECHANICAL-
l- ost & beam
Rough In
Gas Line
�S p ce Dampers
F.
PAS PART FAIL
CTRI
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 Hail, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA f —?61
Other och /Sidewalk Date f ( - ` Inspector RO A 9 C /�
,e Ext
Final
PASS PART FAIL . DO NOT REMOVE this inspection record from the job site.