Permit CITY TIGARD MECHANICAL PERMIT
i I i � DEVELOPMENT SERVICES All PERMIT #: MEC1999 -00382
I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 63 DIY 1 apE ISSUED: 9/20/99
PARCEL: 2S113AB -00600
SITE ADDRESS: 16160 SW UPPER BOONES FERRYRD
SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: I -L
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Remarks: Mechanical TI
Owner: FEES
PACIFIC REALTY ASSOC Type By Date Amount Receipt
15350 SW SEQUOIA PKWY PRMT DEB 9/20/99 $50.00 99- 318473
. STE 350 PLCK DEB 9/20/99 $12.50 99- 318473
TIGARD, OR 97223 5PCT DEB 9/20/99 $3.50 99- 318473
Phone: 503-624-6300 Total $66.00
Contractor:
PROTEMP ASSOCIATES INC
807 NE COUCH
PORTLAND, OR 97232 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 233 -6911 Mechanical Insp
Reg #: LIC 00038868 Heating Unt Insp
ELE 201JHA Duct Inspection
Final Inspection
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 • ca rv- enter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080.
You ay obtain copies of th-se rules or direct questions to OUNC by c fling (503)246 -9189.
Iss a By: � I , /, 1i Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for inspections needed t e next usiness day
Plan Check #
CITY OF TIGARD Mechanical Permit Application Recd By bfik..)
13125 SW HALL BLVD. Commercial and Residential Date Recd - - 9
TIGARD, OR 97223 Date to P.E. e i"*-'q
(503) 639 -4171, x304 Date to DST • -
Print or Type Permit # 1 - Z
Incom Incomplete or illegible applications will not be accepted Called 'aQ I7`�/
P 9 PP P �r 055
Name of Development/Project Description
4.17 CPC Table 1A Mechanical Code Qty Price Amt
Job Stre t Address A) Permit Fee 16.00
1) Furnace to 100,000 BTU q6<- Address / o sw vPPFa B F S 'm
including ducts & vents see footnote 1,2 / 9.65
Bldg# City/State Zip 2) Furnace 100,000 BTU+
C /i44R_v OZ 972 including ducts & vents see footnote 1,2 12.00
Name or name business) 3) Floor Furnace
Owner � �av5T including vent see footnote 1,2 9.65
Mailing Address 4) Suspended heater, wall heater
or floor mounted heater see footnote 1,2 9.65
/-‹ g 51A/ ( //d OKWY. 5) Vent not included in appliance permit _ 4.75
Crty /state Zip Phone Check all that apply 'Boiler Heat Air
For items 6 -10 see or Pump Price Amt
� 1�1� 2 517=1i For Cond Qty
Na (or name of business) footnotes 1,2 Comp
6) <3HP,absorb unit to
Occupant Mailing Address P 100K BTU / 9 65 q�`
P 7) 3 -15 HP;absorb unit
!l /C.,+D Si- iPPEa gOOV65 r &1 100k to 500k BTU 17.65
City /State Zip I Phone 8) 15 -30 HP; absorb
- D is 9722�f unit .5 -1 mil BTU 24.15
9) 30 -50 HP; absorb
Contractor Na unit 1 -1 75 mil BTU 36.00
KOT ASOG. _Z, -Ce. 10) >50HP; absorb unit
Prior to permit Mailing Address >1.75 mil BTU
60.15
iss a copy 'O 7-t/c G OC /Gjt/ 11 Air handling unit to 10,000 CFM
of all licenses crt /State Zip Phone 7.00
ire required if 15-a7-444-)O a• 77,,n4 233 - 12) Air handling unit 10,000 CFM+
e;.pired in COT Oregon Const. Cont Board Lic # Exp. Date 11.85
database 3 Ccs{ 13) Non - portable evaporate cooler
Architect Name 7.00
14) Vent fan connected to a single duct
Or Mailing Address 4.75
15) Ventilation system not included in
appliance permit 7.00
Engineer City /State Zip Phone 16) Hood served by mechanical exhaust
7.00
Describe work to be done: 17) Domestic incinerators
12.00
New." Repair 0 Replace with like kind: Yes 0 No 0 18) Commercial or industrial type incinerator
Residential 0 Commercial 48.25
19) Repair units •
Additional information or descnption of work: 8 40
20) Wood stove /gas FP /other units /clothe dryer /etc.
7.00
NOTE: For Commercial projects only; Units over 400 lbs. require 21) Gas piping one to four outlets S
structural gas calcs. See footnote 1 / 3 75
Type of fuel oil 0 natural gas-W LPG 0 electric 0 22) More than 4 -per outlet (each) 75
Minimum Permit Fee $50.00 SUBTOTAL , ' ' ' go
I hereby acknowledge that I have read this application, that the information 7% SURCHARGE i 6
given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL ' •
the owner, that plans submitted are in compliance with Oregon State laws. Required for ALL commercial permits only
TOTAL // Jf
Signature of Owner /Agent Date Cam
g Other Inspections and Fees:
/ / 1. Inspections outside of normal business hours (minimum charge -two
C ntact Pe n Name P o ne / hours) $50.00 per hour
/, 2. Inspections for which no fee is specifically indicated (minimum
( )C -tS/11 j/ /114 i/ 073..s' charge -half hour) $50.00 per hour
Foonotes for commercial projects only: 3. Additional plan review required by changes, additions or revisions to
1. Provide full schematic of existing and proposed gas line and pressure. plans (minimum charge -one -half hour) $50.00 per hour
2. Provide drawings to scale showing existing and proposed mechanical
units. 'State Contractor Boiler Certification required
"Residential A/C requires site plan showing placement of unit
l:\mechperm doc rev 7/19/99
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP q c ? ` ?" °0 37 -r
/ - Date Requested l de; ('? AM PM BLD
Location / (Pt ( 1.1 i � 614( uite MEC ! / 9�7) 3
t
Contact Person i' L , r'e_evt/ Ph v'U PLM
Contr. • r Ph SWR
,!J R. s Tenant/Owner ELC
e ainin • Wall ELR
Fo • • • 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:
=. PART FAIL
• 1 - :ING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
I PART FAIL
ECTRICAL a
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 rQ ld I Ins Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.