Permit CITY OF T MECHANICAL
� 4, DEVELOPMENT SERVICES PERMIT
Ali; PERMIT # • MEC97 -0099
- = 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 04/22/97
PARCEL: 25112DA -01400
SITE ADDRESS...: 06650 SW REDWOOD LN #E
SUBDIVISION ZONING:
BLOCK • LOT . JURISDICTION:
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/0 APPL: 0 VENT SYSTEMS: 0
STORIES • 0 BOILERS /COMPRESSORS HOODS • 0
FUEL TYPES 0 -3 HP : 0 DOMES. INCIN: 0
:ELC 3 -15 HP ° 0 COMML. INCIN: 0
MAX INPUT: 100 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
FURN < 1O0K BTU: 1 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Remarks : RAC (FURNACE & DUCTWORK) 420 sq. ft. recording studio /voice over booth
Owner: FEES
PACTRUST PACIFIC REALTY type amount by date recpt
15115 SW SE_QtJOIA PKWY PRMT $ 25.00 JMH 04/22/97 97- 293579
SUITE 200 PLCK $ 6.25 JMH 04/22/97 97- 293579
PORTLAND OR 97224 -7199 5PCT $ 1.25 JMH 04/22/97 97- 293579
Phone #:
Contract or:
PROTEMP ASSOCIATES INC
807 NE COUCH
PORTLAND OR 97232
Phone #: 233 -6911 $ 32.50 TOTAL
Reg #.. : 038868
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Duct Inspection
applicable laws. All work will be done in accordance with Final Inspection
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.
Permittee Signature: Sri 0 I .e
Issued B y: � - �__ _`
Call for inspection — 639 -4175
Plan Check # 1 -f-glie--
CITY OF TIGARD Mechanical Permit Application Recd By .J 4,(1..
13125 SW HALL BLVD. Commercial and Residential Date Recd ti. - 2.Z - Q 7
TIGARD, OR 97223 Date to P E. Lt- 2.2. -q 7
(503) 639-4171, x304 Date to DST q-z2-g7 m
/ r E
Permit # C ?7 q 7
Print or Type Called
Incomplete or illegible applications will not be accepted
Name of DevelopmenvProlect Description
Table 1A Mechanical Code OTY PRICE AMT
Job Street Address Suite# A) Permit Fee -0- -0- 10.00
Address (p(p2J , ig;tp 0£__
Bidg# - City /State Zip B) Supplemental Permit 3.00
/2/2.7Z19.A.16 9700
Name (or name of business) 1.) Furnace to 100,000 BTU 6.00 690 :2
Owner aCTR -ST l2EALa'-`/ incl. ducts & vents I
Mailing Address 2.) Furnace 100,000 BTU + 7 50
/ 5350 SW S_4(2UUTA PK4.0/e 3 incl. ducts & vents
e ity /State Zip Phone 3.) Floor Furnace 6.00
,( ): F�iP�/ilv0 I ,0 R_ 970 (o/3" (� incl. vent
. 1r (, Name (or name of business) 4.) Suspended heater, wall heater 6.00
4I !71 i I r"71li-x+2 (3l I WEAL_ 6-CU (Jt 0 or floor mounted heater
Occupant Mailing Address t;., 5.) Vent not incl. in
� 60� 5 12E i l m
l 3.00
Oil ' 4 .. O Vli-NE appliance permit
) 4, r City/State 0 • Zip Phone 6.) Boiler or comp, heat pump, air cond. 6.00
rdzrt.A/.t ne Cj7224 to 3 HP; absorp unit to 100K BTU
Contractor Name 7) Boiler or comp, heat pump, air cond. 11.00
(Prior to P /7P 4-4,sc /.4 -775--_,S 3-15 HP; absorp unit to 500K BTU
issuance Mailing Address 8.) Boiler or comp, heat pump, air cond. 15.00
applicant 007 NE (otjo'/ 15-30 HP; absorp unit .5-1 mil BTU
must provide all City/State Zip Phone 9.) Boiler or comp, heat pump, air cond. 22.50
contractor {'277An1/), 02 g7z32_ 233 I/ 30-50 HP; absorp unit 1 -1 75 and BTU
license Oregon Const. Cont. Board Lic # Exp. Date 10.) Boiler or comp, heat pump, air cond. 37.50
information 3 VZ' 8 9g > 50 HP; absorp unit 1.75 mil BTU
for COT COT Business Tax or Metro # Exp Data 11.) Air handling unit to 4.50
database). 4 i 55 g' b 10.000 CFM
Architect Name 12.) Air handling unit 7.50
10.000 CTM +
or Mailing Address 13.) Non portable 4.50
evaporate cooler •
Engineer City/State Zip - Phone 14.) Vent fan connected 3.00
to a single duct
Describe work New 0 Addition 0 Alteration g Repair 0 15.) Ventilation system not 4.50
to be done Residential 0 Non - residential }$(• included in appliance permit
Additional Description of work 16.) Hood served by mechanical exhaust 4.50
17) Domestic incinerators 7 50
Existing use of 18.) Commercial or industrialtype 30.00
building or property incinerator
19) Repair units 4 50
Proposed use of 20) Woodstove 4.50
building or property
21) Clothes dryer. etc 4.50
Type of fuel - oil 0 natural gas 0 LPG 0 electric, 22) Other units 4.50
I hereby acknowledge that I have read this application, that the 23) Gas piping one to four outlets 2.00
information given is correct. that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with Oregon State 24) More than 4 -per outlet (each) .50
laws.
0 � v - OL - R 7
Signature Agent Date QTY.SUBTOTAL
I ati A-01+ ,733 -bQ // 'SUBTOTAL 25.00
Contact Person Name Phone 5% SURCHARGE 1.i5
PLAN REVIEW 25% OF SUBTOTAL Z,
TOTAL �v
3d .5
i•\dstvnechpmt.doc (rev 7/96) - Minimum permit fee is 525 + 5% surcharge
•
•
OVER- THE - COUNTER (OTC)
COMMERCIAL MECHANICAL PERMIT CHECK LIST
Permit #: Date: Z Z -9 7
Project Name: ,p-jAE Rc Jf D,-2 57tiLW)
Site Address: /peso 5 / ,Erg (_49(9,0 Z„.9.7 fArr
Description of Project: ,c)ppz i ,/em) 50(..(w) srrin/n w /N:us .
Class of Work: MA Floor Furnace: Evap Coolers:
Type of Use: COM 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: NI o < = 10000 cfm: Oth Units:
Gas Pressure: H / M / L > 10000 cfm: Gas Outlets:
No. Of Units:
Furn < 100k Btu: it
Furn > =100k Btu:
NOTES:
COMMERCIAL INSPECTION ACTIONS . I E : FEE MENU •
Permit Extension , Permit Fee
Gas Line Inspection Plan Review
Mechanical Inspection 5% State Surcharge
Heating Unit Inspection Supplemental Permit
Cooling Unit Inspection Additional Permit Fee
Shaft Inspection Additional Plan Review Fee
Hood Inspection Inspection Fee
Fire Suppr Inspection Miscellaneous Fee
Duct Inspection
Fire Alarm Inspection
Fire Damper Inspection REMARKS:
Miscellaneous Inspection
Fire Alarm Inspection
Final Inspection
FOR OFFICE USE ONLY: -
TYPE OF USE OPTIONS (COM = .commercial; CMS = commercial manufactured structure) •
CLASS OF WORK OPTIONS FOR ALL PERMITS (NEW .= new ADD = addition: ALT = alteration: ACS= accessory;
FND = foundation: OTH = •:other, DEM = demolition: REP = repair, FPS = fire protection system. NOTE =USE OTH FOR. FENCES.
RETAINING WALL, DETACHED DECKS, SIGNS, AWNINGS, CANOPIES)
i:\ovrcntr.doc (dst) 2/97
•
1
CITY OF TIGA'RD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: 'i' 1 1 l I I A.M. P.M. MST:
Location: 12 (p so R p BUP: % — 7 °C
Tenant: �v11./c ' 4 2i' 1 o /:� ° i L� uite: Ids" Bldg: MEC: 91 00 { 7
rr..II • q
Bea W L(24,....., Phone: S g66 K .c i I PLM:
Owner: Phone: ELC:
2 _AP__)2 ' (1.) S—" -AA.. ZOd ELR:
tifl / /
:
SIT:
B G :ID OW. PLUMBING . ►1`lCN:\_ ELECTRICAL SITE
Site Post/Beam T Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof y a p UndFUSlab Rough -In 1.......6 '' Ceiling Water Line
Slab Framing Top Out Gas Line e ____-- Rough -In UG Sprinkler
Foundation Insulation — Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved :.. - . Approved Approved
Appr /Sdwlk Approved , Approved Not Approved Not Approved Not Approved
FINAL t ' • 1 FINAL FINAL
EXPIREV
CC (5
/. /
0 Call f o r ; - Alf O Reinspection f e e of $ - a uir - .. fore ne tion A Unable to inspect
Inspector: Date: Pa_: of