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Permit ' • . � , A CITY � ,, MECHANICAL DEVELOPMENT �������U/� PERMIT � ���- -�--' SERVICES' PERMIT � ��E ' 99 0060 " ��1"��� � � 13126SWH@8Bh«i Tigard; ' ' ^ r ' ' ' � c 4 — Blvd., - � ' ' - DATE ISSUED: 02/11/99 . ' PARCEL: 2S110AB-00200 . CITE ADDRESS...: 14357 SW PACIFIC HWY . SUBDIVISION..: CANTERBURY PLACE � ZONING: C-C BLOCK.........,: LOT....... ^1-3 � JURISDICTION: TIC ___________ ________--___-________ _________________________________ . CLASS OF WORK..:ALT FLOOR FURN....: 0 . EVAP COOLERS: 0 - TYPE OF USE.��. :COM UNIT HEATERS..: 0 . VENT FANS...: 0 ' ' OCCUPANCY GRP..:B VENTS W/O.APPL: 0 VENT SYSTEMS: 0 STORIES... ^ 0 BOILERS/COMPRESSORS HOODS.......: 0 FUEL TYPES---------'--- ' 0-3 HP....: 1 DOMES INCIN: 0 • :GAS • 3-15 HP....: 0 COMML. INCIN: 0 MAX INPUT: 0 BTU 15-30 HP....: 0 REPAIR UNITS: 0 FIRE DA RS? : 30 5� HP 0 W OODSTOVES 0 n�c .~ _ ,, ,,: GAS PRESSURE...: 50+ HP....: 0 CLO DRYERS..: 'N ' NO. OF UNITS---------- AIR HANDLING UNITS OTHER UNITS.: 0 • FURN < 1017.1K BTU: 1 • <= 10000 cfm: 0 GAS OUTLETS.: 1 FURN >=100K BTU: m 0 � >' 10000 cf: � � , Remarks: Installation of new gas pac on roof (370 lb) with gas piping. ` • Owner, --- :- -- - --------- FFES ------- - JERRY KOLVE� � tvpe amount by date recpt 14389 SW PACIFIC HWy PRMT $ 25.00 DEB 02/11/99 99-312843 T7GARD op 97224 • ' 5PCT $ 1.25 DEB 02/11/99 99-312843 ' PLCK $ 6.25 DEB 02/11/99 99-'312843 ^ Phone #: ' � ' � � . ' � Contractors ---------------------- - ' ROBBEN & SONS HEATING . , . 2300 SE 7TH AVE �----------------------�--'--�----- P 0 BOX 14867 • $ 32.50 TOTAL ' PORTLAND OR 97214 ' ' • Phone .#: 233-5841 ' ' Reg #..: 0018 � ' . � , , -----H- ` REQUIRED INSPECTIONS ------- This permit is issued subject to the regulations contained in the Gas Line Insp ' Tigard Municipal Code, State of Ore. Specialty Codes and all other . Mechanical Insp applicable laws. All Work will be done in accordance with • Heating Unt Insp ___ appro This permit will expire if work is not started Cool ing Unt Insp __ ' _ within 180 days of issuance, or if work is suspended for oorn Misc. Inspection __,__�____ . than 180 days. ATTENTION: 'Orogon.}aw requires you to follow rules Final Inspection . _____________ adopted by the Oregon Utility Notification Center. Those rules are __________ ^______ ____ , __ set Yu?th in OAR 952-001-0019 through OAR 952-0011080. You aay - _____________ ______ ___ obtain copies of these rules or direct questions to OUNC by calling (503)246-9187, • -_ ` � _-__-- ` Issue' B : Permittee Signatur , �. . ' -- . � . .� �` � � ^� . ` . ' � -1-4-44-1-4-1-4-4-+++++++++++.144-4-44++++++++++4.4-1-1-1-1-1-4-1-4-1-1-1-++++++++.4-4-4t+71-4-1-4-4-4-1-++4.-+F+++.4. Call 639-41�5 by 7 00 f i ti needed the next business day a y : p.m. or nspec ons nee e e n x us 4-1-4-1-4-1-1-144-4-4-1-4-1-+++4+++++++++++++++++4-1-4"F+++-1-1-4-1-4-!++++++.4-1-4-4-4-1-4-1-1-1-1-41-1-4 � ������������������������������������������������������������������ „ • . • . • . . . CITYYOF TIGARD Mechanical Permit A lication Plan Che Pp Rec'd By 13125 SW HALL BLVD. Commercial and Residential Date Rec'd � - / -1 17 TIGARD, OR 97223 Date to P.E. (503) 639 -4171, x304 Date to DST • - Print or Type Permit # M,Le_990 Incomplete or illegible applications will not be accepted Called yame of Development/Project Description ,�f , . / ,,c1b 7 12/ 4 . Table 1A Mechanical Code Qty Price Amt Job Street Address n n Suite# A) Permit Fee 10.00 Address /43 5, V.W 0 guy 1) Furnace to 100,000 BTU Bldg C Zip including ducts & vents see footnote 1,2 I 6.00 2) Furnace 100,000 BTU+ / /lrn. /1, including ducts & vents see footnote 1,2 7.50 Nar (or namesi ess 3) Floor Furnace Owner Sf? / 2 22 o L UE- including vent see footnote 1,2 6.00 Mailing Addres 4) Suspended heater, wall heater / S ir_ � T /Vet`, or floor mounted heater see footnote 1,2 6.00 5) Vent not included in appliance permit C /State Zip Phone 3.00 Check all that apply: *Boiler Heat Air Name r name of siness) For items 6 -10, see or Pump Cond Qty Price Amt footnotes 1,2 Comp - i 2 NRE- 6) <3HP;absorb unit to Occupant Mailing Address ley 100K BTU 1 6.00 /a s 7� Cv. i C / 7) 3 -15 HP;absorb unit Zip Phone 100k to 500k BTU 11.00 oe/ /1/) 8) 15 -30 HP; absorb unit .5 -1 mil BTU 15.00 Contractor . Name [ 9) 30 -50 HP; absorb n G Gi. . e S p.. -.S f zS 7, unit 1 -1.75 mil BTU 22.50 Prior to permit Address 10) >50HP; absorb unit issuance, a copy ,- ,rap X / q,c3 67- >1.75 mil BTU 37.50 of all licenses cityfst to Zip Phone 11) Air handling unit to 10,000 CFM are required if /2( 44.,.,3 Z r 11. 2,33- #' 4.50 expired in COT Oregon Const. Cont. aL oad Lic.# Exp Date 12) Air handling unit 10,000 CFM+ database /88 /A -0 / -t O - 7.50 Architect Name 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 9 appliance permit 4.50 16) Hood served by mechanical exhaust Describe work to be done: 4.50 17) Domestic incinerators New ® Repair 0 Replace with like kind: Yes 0 No 0 7.50 Residential 0 Commercial Br; 18) Commercial or industrial type incinerator 30.00 Additional information or description of rk: /261) 19) Repair units ,C3 S is L(, /1 .(.) CAS a c 0w 20) Wood stove 4.50 NOTE: For Commercial projects only; Units over 400 lbs. require 4.50 structural gas talcs. 21) Clothes dryer, etc. Type of fuel: oil 0 natural gas itk LPG 0 electric 0 4.50 22) Other units I hereby acknowledge that I have read this application, that the information 4.50 given is correct, that I am the owner or authorized agent of 23) Gas piping one to four outlets the owner, that plans submitted are in compliance with Oregon State laws. See footnote 1 I 2.00 24) More than 4 -per outlet (each) Sig . : of • er/ I Date .50 , AP 2C) - : _I G0?-/e5 -7 f Minimum Permit Fee $25.00 SUBTOTAL A5 G C P erson ame Phone /. A 5 o �� �.©©// 5% SURCHARGE di- T a P /3 £rc_ n 3 -S '4./ PLAN REVIEW 25% OF SUBTOTAL . Foonotes for commercial projects only: Required for ALL commercial permits only b 4 ? 1. Provide full schematic of existing and proposed gas line and pressure. TOTAL 4,`-,4.',': 2. Provide drawings to scale showing existing and proposed mechanical &4 units. *State Contractor Boiler Certification required "Residential NC requires site plan showing placement of unit I:lmechperm.doc rev 02/4/99 1/25/00 Activities for Case #: MEC99 -00060 4:18:36 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MECC007 Application received 2/11/99 DEB RECD DST 2/11/99 MECC008 Permit created 2/11/99 DEB DONE DST 2/11/99 MECC014 Plan checked /Approved by P.E. 2/11/99 JHF APPR DST 2/11/99 MECC799 Final Inspection 12/8/99 MRS PAS MRS 12/8/99 MECC705 Gas Line Insp 2/11/99 12/8/99 MRS PASS MRS 12/8/99 MECC706 Mechanical Insp 2/11/99 12/7/99 MRS FAIL MRS 12/7/99 no one home MECC725 Heating Unt Insp 2/11/99 DST 2/11/99 MECC730 Cooling Unt Insp 2/11/99 DST 2/11/99 MECC750 Misc. Inspection 2/11/99 DST 2/11/99 MECC090 (F) Issue permit 2/11/99 DEB DONE DST 2/11/99 MECA800 Case Fineled 12/17/99 JMT DONE No Hold JMT 12/17/99 Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 6 -4171 BUP / Date Requested /)-4( 'Q AM PM BLD Location r 35 ) a -�I'" (C- 4w _ �' -x Go Contact Person / e'O 1- * c 5U v�-S ' h a 33 SZS'/ \ PLM Contractor ` Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes:c _ ' s SGT Slab `' �./l1 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 PAS P T FAIL MECHANIC ost & Beam Rough In A �S p�� Gas Line ( I ^� Smoke Damp ers W (grab SS 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 Approach /Sidewalk 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 / I r AM PM BLD Location / 'f 7 51 -4- 19 a-&--4 1 1-c-: , gW LI Suite MEC 9 0- Ceta 0 Contact Person (I2 SAS WI Ph - 3 S PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Slab Crawl Drain Ins/ pye�{ti . . S(! n �� _ Post & Beam r SIT Ext Sheath /Shear pen g"-°( 40 c6nwnq - 1411€4t- 30 - lash. Int Sheath /Shear Framing Insulation 2 0 — g "Q ') Drywall Nailing (� Firewall Fire Sprinkler Fire Alarm / Susp'd Ceiling Roof Misc: Final I PASS PART FAIL PLUMBING -' , 1.--"/ Post & Beam / f�. Under Slab 411 _ C ,, / Top Out -/ p1 ' Water Service Sanitary Sewer / 1 �/ Rain Drains Final ti PASS PART FAIL MECHANICAL r7 ) Post & Beam `/ � •. .�y 1 E ;�f. -- �e�Dampers `i PART FAIL • .�- / p TRICAL ; / / 6 Service Rouh In UG /Slab Low Voltage Fire Alarm Final • PASS PART FAIL :.• SITE r 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 'r- ADA — « ) " 21 ./ 1 Approach /Sidewalk D ate • - -- Inspector Other Ext., • Final PASS PART FAIL . DO NO REMOVE this inspection record from the job site.