Permit CITY TIGARD MECHANICAL PERMIT
AN DEVELOPMENT SERVICES PERMIT #: MEC2000 -00248
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/19/00
PARCEL: 2 S 113A B -00600
SITE ADDRESS: 16160 SW UPPER BOONES FERRYRD BLD.0
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: 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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: 3 OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Commercial TI
Owner: FEES
ACTRUST Type By Date Amount Receipt
5350 SW SEQUOIA PKWY
300 PRMT KJP 6/19/00 $50.00 0003109
ORTLAND, OR 97224 PLCK KJP 6/19/00 $12.50 0003109
5PCT KJP 6/19/00 $4.00 0003109
Phone: Total $66.50
Contractor:
ROTEMP ASSOCIATES INC
07 NE COUCH
ORTLAND, OR 97232 REQUIRED INSPECTIONS
Mechanical Insp
Phone: 233 -6911 Final Inspection
Reg #: LIC 00038868
ELE 201JHA
IMRE
P
1)
4
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 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 -9189.
Issue By: Permittee Signature: 1
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
BUP - Building Permit ELC - Electrical Permit
J Inspection Description Date Passed By 4 Inspection Description Date Passed By
Footing /Setback Underground cover
Foundation walls Wall cover
Footing drain Ceiling cover
Waterproof bsmt walls Electrical rough -in
Slab Electrical service
Crawl drain Electrical final
Underfloor insulation
Post/beam structural
Shear walls /anchors ELR - Restricted Energy Permit
Roof nailing I Inspection Description Date Passed By
Firewall Low voltage
Tilt -up panel Electrical final
Masonry/Reinforcement
Framing
MFG - Structure set -up MEC - Mechanical Permit
Insulation iI Inspection Description Date Passed By
Drywall nailing Post/beam mechanical
Suspended ceiling Gas line _
Engineered soils Mechanical rouh-in
Welding Lab Final Fire clan A♦ 7 4 `� ' I
Concrete Lab Final — I
Duct work
Bolting Lab Final Smoke detector
Fireproofing Lab Final � _�
Mechanical final
Structural observation Nov
Final inspection
PLM - Plumbing Permit
Inspection Description Date Passed By
BUP - Fire Protection System Permit Plumbing underslab
- 4 Inspection Description Date Passed By Crawl drain
Sprinkler underfloor /slab Post/beam plumbing
Sprinkler rough -in Plumbing top -out
Sprinkler final RP /backflow preventer
Fire alarm final Rain drain
Storm drain
Water service
SIT - Site Permit Sanitary sewer
Inspection Description Date Passed By Culvert/catch basin
Footings Pump /fill septic tank
Foundation walls Plumbing final
Sprinkler supply lines
Sprinkler underfloor /slab
Catch basin/Manhole SWR - Sewer Permit
Engineered soils 4 Inspection Description Date Passed By
Engineering acceptance Sanitary sewer
Final inspection Final inspection
INSPECTION RECORD - BUP, PLM, SWR, ELC, ELR, MEC SIT PERMITS
CITY TIGARD MECHANICAL PERMIT
° 'r DEVELOPMENT SERVICES PERMIT #: MEC2000 -00248
r jl 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 06/19/2000
PARCEL: 2S113AB -00600
SITE ADDRESS: 16160 SW UPPER BOONES FERRYRD BLD.0
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: 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: WOODSTOVES: . ..
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: 3 OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Commercial TI
Owner: FEES
PACTRUST Type By Date Amount Receipt
15350 SW SEQUOIA PKWY PRMT KJP 06/19/20( $50.00 0003109
#300 PLCK KJP 06/19/20( $12.50 0003109
PORTLAND, OR 97224 5PCT KJP 06/19/20( $4.00 0003109
Phone: Total $66.50
Contractor:
PROTEMP ASSOCIATES INC
807 NE COUCH
PORTLAND, OR 97232 REQUIRED INSPECTIONS
Mechanical Insp
Phone: 233 -6911 Final Inspection
Reg #: LIC 00038868 ___ -
ELE 201JHA - -- ..
ORIGINAL
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 C- -r. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -00 -0080.
You may obtai . =o• of these rules or direct questions to OUNC by c- ' t (503)2 :9.
Issue By: Permittee Signature: . ��
Call (503) 639 -4175 by 7:00 P.M. for inspections needed t e next bus ess day
Plan Check #
CITY O' TIGARD Mechanical Permit Application
Rec'd By
13125 SW HALL BLVD. Commercial and Residential Date Rec'd
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 1 10/00313 Date to DST (o
3 LAT Print or Type Permit # MtC, 7_. ,2
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Description
/t<c-.t g f TaPe Table 1A Mechanical Code Qty Price Amt
Job Street Address Suite# A) Permit Fee 16.00
Address /(..1100 Sl.✓ u?PcQ 3 A. 1) Furnace to 100,000 BTU
Bldg# City/State Zip including ducts & vents 9.65
G «!n (/ � c 2) Furnace 100,000 BTU+
9722' -/ including ducts & vents 12.00
Name (or name of business) 3) Floor Furnace
Owner 7 1 t includinhc vent 9.65
M- - 4) Suspended heater, wall heater
53 5q * olx pKu r 143 or floor mounted heater 9.65
5) Vent not included in appliance permit 4.75
Zip
one Check all that apply: *Boiler Heat Air
Pepea4V0 Cie 17g241 For items 6 -10, see or Pump Cond Qty Price Amt
Name (or name of business) footnotes 1,2 Comp "
6) Repair units
8.40
Occupant Mailing Address
P 7) <3HP;absorb unit to
100K BTU 9.65
City /State Zip I Phone 8) 3 -15 HP :absorb unit
100k to 500k BTU 17.65
Contractor Name 9) 15 -30 HP; absorb
unit .5 -1 mil BTU 24.15
gQTgi.1P /4_550e. �' / C . 10) 30 -50 HP; absorb
Prior to permit Mailing Address unit 1 -1.75 mil BTU 36.00
issuance, a copy 'o7 ,,./E C f>t /4111 11) >50HP; absorb unit >1.75 mil BTU
of all licenses /State � Zip Phone 60.15
are required if r 41,j0 OA 97230 023D - j, 12) Air handling unit to 10 CFM
expired in COT Oregon Const. Cont. Board Lic # Exp Date SZ� 7.00 `2--1
database 3v 2r 05 / t 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 I 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
7.00
NevL ' Repair 0 Replace with like kind: Yes 0 No 0 18) Domestic incinerators
Residential 0 Commercial ,,E.r' Modification 0 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 SUBTOTAL
given is correct, that I am the owner or authorized agent of 8% SURCHARGE
the owner, that plans submitted are in compliance with Oregon State laws. PLAN REVIEW 25% OF SUBTOTAL ,,
Required for ALL commercial permits only
O
Signat of Owner /A ent Date TOTAL
�c�. G / / 3/00
Co act Pef�on Name /Pho Other Inspections and Fees
//// 1 Inspections outside of normal business hours (minimum charge -two hours) $50.00 per hour
-/ /y[J�vT X33 - �9t < 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
State Contractor Boiler Certification required
units. **Residential NC requires site plan showing placement of unit
l:\mechperm.doc rev 11/1/99
OVER - THE - COUNTER (OTC) PERMIT
COMMERCIAL MECHANICAL PERMIT CHECK LIST
Description of Project:
Class of Work: T Floor Furnace: Evap Coolers:
Type of Use: C-0 Unit Heaters: Vent Fans:
Occupancy Grp: Vents w/o Appl: Vent Systems:
Stories: Boilers /Comprsrs: Hoods:
Fuel Types - 0 - 3 HP. Repair Units:
/ / / / 3 - 15 HP. Wood Stoves:
Max Input: Btu: Air Handling Units .Clo Dryer:
Fire Dampers: < 10000 cfm: Oth Units:
Gas Pressure: H / M / L > 10000 cfm: Gas Outlets:
No. Of Units:
Furn < 100k Btu:
Furn >_ 100k Btu:
NOTES:
COMMERCIAL INSPECTION ACTIONS FEE MENU
Gas Line I r • n $ ' Permit Fee
M anica I� - '= $ a 5 Plan Review
Cooling Unit Inspection $ 8% State Surcharge
Shaft Inspection $ Additional Permit Fee
Hood Inspection $ Additional Plan Review Fee
Fire Suppr Inspection $ Inspection Fee
Duct Inspection $ Miscellaneous Fee
Fire Alarm Inspection
REMARKS:
Fire Damper Inspection
Miscellaneous Inspection
Fire Alarm Inspection
Fi - Insp-ctio
FO ' OF FICE "USEuONLY
protec system NOTE USE.OTH FOR FE
BALL, DETACHED,DECKS, SIGNS,AWNINGS, 4CANOPIES) -.
I: /dst/forms /otcmech.doc 9/99
i:\dsts\forms\otc-mech.doc9/99 j