Permit 1 . , • •
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.• CITY OF TIGARD MECHANICAL
� DEVELOPMENT SERVICES PERMIT
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� �� PE RMIT •t... _ ...: MEC97-0273
== 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 08/06/97
' • PARCEL : 1 S 13 5DD -0330 1
SITE ADDRESS ..: 119 SW PACIFIC HWY 4303
SUBDIVISION....: HOFFARBER TRACTS N0.1 ZONING: C--0
BL0CK........... LOT.,.......0... :2 • ' JURISDICTION: TIG
CLASS OF WORD... g REP FLOOR FURN....: 0 EVAP COOLERS: 0
TYPE OF USE.... :SF UNIT HEATERS..: 0 VENT FANS... a 0
OCCUPANCY GRP.. :R3 VENTS W/O APPL: 0 VENT SYSTEMS: 0
STORIES........: 0 BOILERS /COMPRESSORS HOODS ° 0
FUEL •TYPES- .---- --° --- - -. - - - -• • 0- -3 HP....: 0 DOMES. .T. NC I N : 0
. . 3 - -15 HP - 0 COMML. I NC I N: 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.: 0
FU RN ( 100K BTU: 0 t= 10000 cf rn : 1 GAS OUTLETS.: 0
FJRN 1=100K BTU: 0 > 10000, cfm: 0 .
Remar -ks: Replacing existing air conditioning unit with new unit same size I/ air .
conditioning units cannot be placed inside setback
Owner: - - - -- •- - - - - - -- FEES ------ - - - - -- --
TIGARD PLAZA OFFICES • type 'amount by date recpt
11945 SW PACIFIC HWY PRMT $ 25.00 TAT 07/28/97 97-297655,
STE 303 SPCT $ , ' 1.25 TAT 07/28/97 97-- 297655
TIGARD OR 97223 ..
Phone #: '
Contractor; - •--- • - -• - -- .
WYNN' S REFRIGERATION /HEATING
3730 N SUTTL I S RD --------------------- - - - - -- -- . -. - - -- - --
$ 26.25 TOTAL
PORTLAND OR 97217
Phone tit 735 - -7808
Reg #.. 34727
----'----- REQUIRED INSPECTIONS --- - - - - --
This percit is issued subject to the regulations contained in the Mechanical Insp _
Tigard Municipal Code, State of are. Specialty Codes and all other C o o l i n g lint Insp
applicable laws. All work will be done in accordance with Final I n s p e c t i o n
approved plans. This permit will expire if work is not started —
within IN days of issuance, or if Work is suspended for more —
than IN days. ATTENTION: Oregon law requires you to follow rules _ _
adopted by the Oregon Utility Notification'Ceirter. Those rules are • _ __
set forth in OAR 952- N1 -2ZlA through GAR 952-N1-0N. • You oay .. _ —__ _
obtain copies of these rules or direct questions to OUNC by calling ' __ '
M3)246- 9187.•
Issue B y o CLIA\AAL P e r m i t t e e S i g T i a t u r e :. ,Q 0 O_�,�p /11_ _
f-F-hf--r--r-++ + +- +++ ++ +-I--r--l--i- -• i-+++ ++++++- t++++- F:-+- h- I-++ + + +-r-4.444- 4- + +-M=r++ ++ +i= •-1-++ +-F--0--4•-1--.4. -4- -1-_F.
Call 639 -4175 by 6:00 p.m. for inspections needed the next business day
- -'-' r•-:••- h- I--- i- i-•- h- r-- r•- F- t••- h- ra-- F• t•- I-- S•- F- 4•-}--{-- F- 6•- F•' r- r•-l-- h- F•- F•- I-- I--- F- F- h-- h- F- F- F-•- i-- I-- I-}•- t-- h- hr- }•-h+-f-t-••F-F-r••4••>--I--i -r-i--h-h-F-r--N++-r-
Plan Check #
CITY OF TIGARD Mechanical Permit Application Reed By
13125 SPIV HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 • Date to DST �5 273
Print or Type
Called Permit # mCg7
Inc mplete or illegible applications will not be accepted
Name of Deve ulopa is Z C` Table I A
77 �/ Table IA Mechanical Code OTT PRICE AMT
Job Street Ad turf A) Permit Fee -0- -0- 10.00
Address /jq- SW, c3
Baer: C 1St= Zip 1.) Furnace to 100,000 BTU 6.00
'r • ," Q 4. 97223 including ducts & vents
Name or name of busuie 2.) Furnace 100,000 BTU+ 7.50
Owner / (7/f / i'f _ �j including ducts & vents
Mailing Address 3.) Floor Furnace 6.00
'Z( 6 5€ _ dr Q/' , s (• including vent
City/ We Zip Phone 4.) Suspended heater, wall heater 6.00
/f (/' 1� Ale. 4 a, , Y;cf /!3 or floor mounted heater
Name or name of business) q7 �2- 5.) Vent not included in appliance permit 3.00
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"
Contractor Name / 8.) Boller or comp, heat pump, air cond. 15.00
(Prior to , w ,,.., /„. ,e4, 4, P. r /✓S 15-30 HP: absorb unit5-1 mil BTU"
issuance Mailing Address n / 9.) Boiler or comp, heat pump, air cond. 22.50
applicant J730 /v,,,s�1tf j _ C1 ( 30-50 HP: absorb unit 1- 1.75mi1 BTU"
must provide all C 1S Zip Phone 10.) Boiler or comp, heat pump, air cond. 37.50
contractor FA 1 t 9 4 _ g7 ?/7 75 M21 # > 50 HP: absorb unit 1.75 mil BTU"
license Oregon mss. Cont Board 1.(c.# Exp. Qate 11.) Air handling unit to 10,000 CFM i 4.50
information c75€ 72 _ 7 Jx 9
for COT COT Business Tax or Metro # Exp. 12.) Air handling unit 10,000 CFM 7.50
database).
Architect N8R1O 13.) Non - portable evaporate cooler 4.50
or Mailing Address 14.) Vent fan connected to a single duct 3.00
Engineer city/state Zip Phone 15.) Ventilation system not included in 4.50
appliance permit
Describe work New 0 Addition 0 Alteration 0 Repair 0 16.) Hood served by mechanical exhaust 4.50
to be done Residential 0 Non - residential 0
Additional Despription of work Domestic incinerators 7.50
14/1/5 € OW- 2 -f TeN ffeaf Or e
TO`L veto r7 . ( 7 f2 - - N � - j- 18.) Commercial or industrial type 30.00
YC, [ l / t �' Incinerator
Existing use of / 19.) Repair units 4.50
building or property �L�.,S (des At't�a- I
20.) Wood stove 4.50
Proposed use of 21.) Clothes dryer, etc. 4.50
building or property .�i n^-&-
22.) Other units 4.50
Type of fuel - oil 0 natural gas 0 LPG 0 electric,' 23.) Gas piping one to four outlets 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.
Si qpiTtGre of eNAgent Date *SUBTOTAL a
5 %SURCHARGE , Co tact Person Namee P ;X2..(51/9
PLAN REVIEW 25% OF SUBTOTAL
TOTAL �l0 `�
i :\dstknechpmtdoc (rev 9 'Minimum permit fee is $25 + 5% surcharge 25
"Residential NC requires site plan showing placement of unit.
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Re_questeA AM PM BLD
• qJ /
Location / j / `7 Suite 3 v ,3 MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
•
Retaining Wall ELR
Footing
Foundation Access: 05- FPS
Ftg Drain -' `�-� -� .� ¢�1o2t.c i "/ SGN
Crawl Drain Inspection Notes:
Slab r —+ C tiles' SIT
Post & Beam
Ext Sheath /Shear ` "'t i2 h 4 CC E55 / Z/ ! p U
Int Sheath /Shear r - r s /
Framing l�az.� (�> /t! k� ! . �C - /
Insulation
Drywall Nailing �/t'/�Ol� /l/f//� /36�Q 7 3 5 247, C
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
P T FAIL
E CHANICA
eam
Rough In
Gas Line
Smoke Dampers -
F'_..
/� VPART FAIL
RICAL
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 g//e/9e O� Other Date Inspector � .�� Ext
Final
PASS = PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF- TIGARD BUILDING INSPECTION DIVISION MST •
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested. _ AM PM BLD C,� 7 -7 .
I
Location / "7`75 Suite 3 v 3 MEC 6 T( - 0a /,3
Contact : Ph PLM
Contractor Ph SWR
• BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing
_Z. ` "� -,' � � . ,:� �.� �. �., -
9 .`1 :.t• � .�i.le'�`+R:� ! 2 �� e} y � � � r • �d �
Foundation , "c; :r `3 � r . ,f, ; � : 1; ', � FPS
Ftg Drain ? ±'t i'f' ...Rf Q C. •41,�.z,:,;i:.4. ::; - ; ; •.. - 4'", -) �r [ " r u •
Crawl Drain Inspection Notes: / SGN
Slab r U - --/,ir 64.--1# Alm/ SIT
Post & Beam �' ,� / �� S , �,
Ext Sheath /Shear c2 L - - C C f S ,..t 6.
Int Sheath /Shear -,---L.---------- /� _ � /
Framing 4�11Ae 4 15 r retell.cgb e Id-6177,9'
d-61 7
Insulation °�
Drywall Nailing �.Q®iI ' if/,�6� �� 7 / d 0
•
Firewall -
Fire Sprinkler
Fire Alarm 6/C 97- C5 2 V
Susp'd Ceiling �J
Roof •
• Misc:
Final n
P ASS PART FAIL / F Al �e y
PLUMBING e--0........, Post &Beam Under Slab
Top Out " '"
Water Service • i .-(../ . -_
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam - `c
Rough In
Gas Line
Smoke Dampers . s`:)
Final / A ;
PASS PART FAIL 2 •
ELECTRICAL
Service -
Rough In
UG /Slab
Low Voltage
Fire Alarm `
Final k, _
PASS PART FAIL
-
SITE N.
Backfill /Grading - •
Sanitary Sewer 0
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 D Inspector
Other Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•