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Permit . ' N Altib CITY OF TIGARD MECHANICAL PERMIT PERMIT #: MEC2001 -00203 - 13125 a 5 �llj � DEVE H BMENg Tigard, 2 ) 639 -4171 DATE ISSUED: 6/15/01 PARCEL: 2S103AA -00101 SITE ADDRESS: 10865 SW WALNUT ST SUBDIVISION: ZONING: R -4.5 BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: El VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: ELE 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: OTHER UNITS: 12 FURN > =100K BTU: <= 10000 cfm: > GAS OUTLETS: 10000 cfm: Remarks: Classrooms at west end - HVAC unit retrofit - Owner: FEES SCHOOL DISTRICT NO 23 J Type By Date Amount Receipt 13137 SW PACIFIC HWY PRMT CTR 6/11/01 $967.60 2720010000 TIGARD, OR 97223 PLCK CTR 6/11/01 $241.90 2720010000 5PCT CTR 6/11/01 $96.76 2720010000 Phone: Total $1,306.26 Contractor: STREIMER SHEET METAL WORKS INC 740 N KNOTT STREET PORTLAND, OR 97227 REQUIRED INSPECTIONS Mechanical lnsp Phone: 503 - 288 -9393 Duct Inspection Reg #: LIC 2365 S.D. Shut -down 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 Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain opies of these r les or direct questions to OUN by calling (503)246 -9189. Issue By: a.„ . i " L Permittee Signature. \ 3_ 1\ 1 Call (503) 639 -4175 by 7:00 P.M. for inspections need d he next business day lA of _� i9'Yeir e tl.G9.Y $ e 11II1]Yt L�pp��J]�Gprf- nq .`.... E ti ', , ' . __. f < : P ! �!11! a e e Date re zived: (p - 11 - 0( Permit no.: I /0/ - CO 2 O Project /app!. no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639 -4171 Date isiucd: By: Receipt no.: Fax: (503) 598 - 1960 Case fie no.: Payment type: Land use approval: Buildir,g permit no.: r :-.'w tf � ' x °: ° rl j ' r PERII [IT' •. ;: y / 1 #�.. z p JS �� .(' - ..: i _ �� P L., o .. . 4 v ! i Y z . _. : ,_ ) 0 1 & 2 family dwelling or accessory [ommercial/industrial G Multi - family 0 Tenant improvement 0 New construction 0 Addition /alteration/replacement 0 Other: • 5 ' '_i . _.... , iOB SITE i1NiTORivU\TION .7'= ` ! t ' „ I1Mi IER.E[AL : V \LCATION ;SCIIPI)UJ E: Job address: /D 8G S ..31......J L,� /yk t y Indicate ec uipment quantities in b below. Indicate the dollar Bldg. no.: I Suite no.: value of al , mechanical materials, equipment, labor, overhead, Tax map /tax lot/account no.: profit. Valle $ 4 er 7/ 7 . zsi:. . Lot: I Block: I Subdivision: *See checklist for important application information and Project name: C w e - - /t SsAoe/ jurisdictior.'s fee schedule for residential permit fee. City/county: _ ZIP: yJ-g % S 2 Eik � i\111 - .1' . DWELLING PERMIT FEE SCHEDULE Description an. ocation of work on premises: 4/est A \D COMh'lF[1ICr1L![NDUSIRLIL EQ�JR'M \ i SCFITDULI{ G ar. l oA/4..r' fli'A Fee(ea) Total Est. date of completion/inspection: A �c a✓/ o !L Description Qty. Res. only Res. only Tenant improvement or change of use: T� r „.. S„, - 13YAC: on Is existing space heated or conditioned ?A i Yes 0 No dLn' umt CFM • Air conditic s ite plan required) Is existing space lnsulated ?caYes 0 No Alteration cf existing HVAC system . - . v_. . , ”, : �tE '.C Boiler /compressors Business name: } - else/- F eel- � r Slate boilerpermit no.: ]3P Tons BTU/H Address: 7 r 4/. ,r - Fire /smokeiampers/ductsmoke detectors City: Pri /a,1 1 I Srate I ZIP: 9 Heat pump site plan required) Phone: 5 y,Pj, ?,f I Fax: J33 (A � 7 I E- mail:Rs_L InstaWrepltcefmnace / burner BTU/H CCB no.: P-3 ,‘ S .r - . Ge/IF� Including dictwork/ventliner O Yes No rr7I[►rep i ce/relocate heaters - suspen i ed, City /metro lic. no.: 704/.3 wall, or floc.' mounted Name (please print): / u.GJ" Vent for api lance other than furnace • ..s .. ., 5 CO` I CT P ERSON efrig on: • Absorption units BTU/H Name: P Z-t.hGf"' Chillers HP Address: 7 4/0 Al it J't Col .resole HP — . nme nta[ exhaust ant ye , i on: City: , -/d. I Stated- I ZIP: .. "7? - 7 Appliance %ent Phone :So7• 9c- ar F Fax: 37) E - mail: Dryer exhaust r ' 0 11 INER , ' oods, TypV U II/res. kitchen)hazmat . hood fire suppression system Name: / G ,,,,,/ /7 /4t /h - r._A..s l D at Exhaust fan with single duct (bath fans) Mailing address. ( c"r j •• o z..... .r 4or. 1/4r7' Exhaust system apart from heating or AC pipin[. and distribution (up to 4 outlets) City: � ty : . , -,/ I s tated r. I - s .7 � .2 -, Type: LPG NG Oil Phone: . • p/ Fax Se3•VV-10 E • _ _ Fuel pipin _ each additional over 4 ou t ets " ?F \GL; E,11 ' �cess laag( schemancre q uired Name: /(.4 �e C. Number of cutl • Outer lisl ap ance or egmpment: Address: g9p0 .12.,-• 1/.../, /3 Decorative. ireplace City: 73/d Staterl- ZIP: c 3 Insert -typ; Phone:se3 ) r/ F � • Fa x: 91 /Yo E - mail: oodstov pet e t s t o v e Other: Applicant's signature::,�.�� Date: d 0/ i , , ,--- Name (print): ' ,,,,, L c Yo[ all j srisdich accept credit cards, please call jurisdiction for mole m5ormatioa Permit fee $ :5 7 - eO D Visa 0 MasterCard Notice: This permit app ication Minimu f ee $ Credit card number: / / expires if a permit is nol obtained Plan review (at %) $ `// , 4a Expires within 180 days after it lax been State surcharge (8 %) .... $ ' 1 Name or cardholder as shown on credit card accepted as complete. TOTAL $ / 06. „ gi ll � Cardholder signature .-:mount 440 (6100 /COM) al a% r.... ra. - - - - - - '- - - - - - ��9 / p CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection LLne: 639 -4175 Business Line: 639 -4171 .' BUP Date Requested 7 q 7 AM PM _ BLD Location / () G, $4 6t 4.67 s !' Suite MEC Cam/ —0 0 2�3 • Contact Person ... 4vv / w► Ph 7l) 3 71( PLM Contractor C. ' " Ph SWR BUILDING Tenant/Owner p / {a. I ( wa/ 1 (La?„ 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 Drywall on `mil _ /4 � � _ © � C . mil Drywall Nailing �l•() !u l Fire wall n _ Fire Sprinkler L) 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 T FAIL • Post & Beam Rough In • • Gas Line Smo ampers • ASS PART FAIL TRICAL 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 41fr Approach /Sidewalk Date - 711)/q Inspecto Ex t Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.