Permit I
CITY OF T MECHANICAL
%,I DEVELOPMENT SERVICES PERMIT
I � I� � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PERMIT # ° MEC 97 -0040
DATE ISSUED: 02/25/97
l3g PARCEL: 2S103DD -00800
SITE.ADDRESS ° ° °: 2' W PACIFIC HWY
SUBDIVISION....: ZONING: C -G
BLOCK ° LOT °
CLASS OF WORK., ° : ALT FLOOR FURN • 0 EVAP COOLERS: 0
TYPE OF USE °COM UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP ° ° :E3 VENTS W/O APPL: 0 VENT SYSTEMS: 0
STORIES ° 0 - BOILERS /COMPRESSORS HOODS ° 0
FUEL TYPES 0 -3 HP....: 0 DOMES. INCIN: 0
: /GAS/ / / 3 -15 HP ° 1 COMML. INCIN: 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
FURN < 100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =100K BTU: 0 > 10000 cfm: 0 •
Remarks: INSTL BOILER /HEAT PUMP /A -C // REPLACE EXISTING GAS PACKAGE UNIT.
O:n;n � e r . ,_._,..- ._ ,..........._ -. _- -. - -- FE - • -
EMPIRE ENTERPRISES INC type amount by date recpt
% E. S. LEE REAL ESTATE PRMT $ 21.00 TAT 02/25/27 97- 290803
5PCT $ 1.05 TAT 02/25/97 97- 290803
BEAVERTON OR 97005
Phone #: 293 -7486 •
Contractor: - -- - -----
HEATING SPECIALIST INC, THE
9300 NE HALSEY
PORTLAND OR 97220 ,
Phone #: 257 -7000 $ 22.05 TOTAL
Reg #° ° : 000566 .
. REQUIRED INSPECTIONS -- - -- - --
This perait is issued subject to the regulations contained in the. • Gas Line . Insp -
Tigard Municipal Code, State of Ore. Specialty Codes and all other • Mechan i ca 1. Ins p
applicable laws. Rll work will be done in accordance with , Misc. Inspection
approved plans. This • permit. will expire if work is not started:... Final Inspect ion .
within 180 days of issuance, or if work_ is suspended for flare .
than 180 days. .
Permittee Signatre: ,, /g 7 , 4
4 / j
I s s uu e d B y : -- -- i . 1, .41 `i ' --- — —
Cal/ for inspection -• 639 -4175
CITY OF TiGARD Mechanical Permit Application ocd a..
. ,.13125 SW HALL BLVD. Commercial and Residential a Oats Re cd
TIGARD, OR 97223 Data to P E.
(503) 639 -4171, x304
' 03t0 to OST
a ____ - :I
. Print Or Typ
■ i -/ Incomplete U 5 /Pt) Incomplete or illegible applications will not be accepted Cot
Remo al oo•eroty wevProiset OGT.arpOa't - .... - .. - . �
Table Ifrc'vni ccto OTY PRICE ANT
• Job &ma'am= I s.e.ai A) Perms Fes -0- -0 10.00
Address O S I S .SCIJ , „L
� . U za 9) SuPPrernental Perrot! 3.00 ...
Ti a,r& 9 2_2.3
•
r++eno for nano of omasctsw t 1.) Furnace 10 103.000 ITTU 6.00
• Owner "Dr43, _ 1L.. -,-, :d. duck & vacs
maenp fo • 7-50
4 g•oU Sw GI (- c' r Z • Dr 9 bd. du r 100.0 0 H1TJ
- - - 6 " tort 9-t o - C(9.7` 3.) F FtM u• 6.00
irei. vin
. a for morns of moss t
Rew 4.) Stapacctal trczXr, tY• rt ttpatr t - 0
Or 0 00C frt7.-rnW he.: eau-
Occupant ^ WAN Ansen S.) Vast ma nct co 3.00
atanoo rem;
_ ,
C.cirSolco ZS, Phones 6.) BoIL•r or arm. th at q. ax cad 6.00
e to 31-tP: sszsnrp trt7 b 7001 BTU
The Heating Specialist, Inc. 3-15 . 7.) r" 1 -4 11.00 II_o
moral g Spec r HP: r.* -cou trot ha W3K STU
Ca tractor ""' " ffiM ' S 8.) Bolter a ca rr.2t
camp, • rod 15 9300 NE Halsey
_ 15-30 MP: - rjith �$ .S•-1 rrtal 87U
C:arent l =sty Portland Or' 972 57 9 ' ) 257-7000 or corm. Not tram. it 1-1.5 -�
Portland, .Or . 30-501-6›: a u� 1 -1.75 rose BTU
Pro w Corm Cora. ttoora C.C.S g 10.) der or comp. haat pump, oar cared 37.50
56628 I r/97 '50HP:abarp Laid 1.75 mil 8
car euartau Tait a Yxoa a Ea. coca 11.) At ttan7Etg tad b
4.50
Metro 1370 + - `+'/ .3 .7 10.003 CF?A
Architect "a*° 1Z) Ai forsting end- 7.50
or +v "mass 10.000 CTM .
13.) Flom poii 650
Erlgin er ro ct , 14.) Vent far, 3.00
to a s:n r &x
Ocmcriat trot New 0 Addmtian 0 caeration 0 Repair 0 15.) Vertu mean not 4,50
to bet done Readaencist 0 rtOn- reselential O
induced it appas cermt
ILdriesenal Ocsc of aiorle 16.) Hood screed by
- C - -x ' 77 mechanical e>3'.:va 4.50
5 0-4 /��� ye- A=e�t -'` 17) Dom75L eYSimtcs 7.50
b �U/ ustirg trss of 18.) Co orricact ac ndtr cl • 30.00 '
tee>Smetg or property tYOe incinerator
19.) Clothes arms. ez I 4.50
•
Proposed use of 20) Other urxts
bur3O-rg cr _ 4.50
Type of feel • oil 0 tuwral s et LPG 0 electric O • 21) Gas pdp4,7 ono to for ankts - 2.00
I herepy adcteu1edge Stet Mare read d1a application. that :he 22) More ttman 4-per curet (eat) .50
1f mrttiort given a coma. that I am the CTNITEX or atrtftoriesq agent of
the .weer, oust ohms subrrulded are at ocrrp&anoe try Oregon Statee QTY. SUBTOTAL
I tastes.
Signature of OwnerfAgent . Date 'SUBTOTAL f
.100
�uz�c e� ,?- -2</ -5 7 -i 5% SURCHARGE
1.0 s
Coat= Parson Herne Phony PLAN REviaY 2.p OF SUBTOTAL
X57 7oc7d
TOTAL ] ,.20 5
nesavnecherreatec 'iRrtirnutt F•nnit fey es 52; ,- 5'%s StaChargc
.rav 7M
•
RECEIVED
FEB 2 5 1997 -
COMMUNIY DEVELOPMENT
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested �/ AM PM BLD
Location /.3//.- ._.1 ( �`' /l,/�l�l, •Hl.(/L1 Suite / 44350 97- OD 16
Contact Person // Ph PLM
Contractor / irt � s Ph 7- - 70 � 4 SWR
BUILDING Tenant/Owner //dz/2//7, 7 2 ELC
Retaining Wall O ELR
Footing AC
Foundation NOT REQUESTED '/C FPS
�l ;
Crawl In; FOUND DURING RESEARCH - '=' _ — SGN
Slab NO INSPE ION(S) FF O U U IN FILE T'3 - SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing I %e ge �cG
Insulation ' '/�
Drywall Nailing ' Cif S �'t'/
Firewall ' -/ C Q ✓ S� _ - .�1
Fire Sprinkler ;ot/(�C
Fire Alarm
Susp'd Ceiling '
Roof
Misc:
Final
PASS PART FAIL — - - " - .� --' d
PLUMBING � 4tit kAnea, 2 / (
Post & Beam
Under Slab
Top Out
Water Service 7
Sanitary Sewer
Rain Drains
Final
PA -PART FAIL
MECHANICAL
Pos
In
Gas Line
Smoke Dampers
anal
PASS PART FAIL
ELECTRICAL
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
Date Inspector
Other nspecor E
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
i BUP
Date Re uested y'1 N C q AM ' l PM K BLD
Location I ��' �is �Q6 . PIA) Suite 1'( MEC cir7
Contact Person 2WL 164° 0-/ Ph & - SZ7(42 PLM
Contractor Ph SWR
BUILDING TO . ► Owner (.QnAh, ELC
Retaining Wall ELR
Footing Access:
Foundation z � D '- �a��• FPS
/06°
Ftg Drain SGN
Crawl Drain Inspection Notes: Old i 1 �� Y - I fps �
Slab Old 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
PASS P417 FAIL
IeeEcHAIllc 1?
Post & Beam
Rough In
Gas Line
Smoke Dampers
PART FAIL
E 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 (�
Inspector Date v ' \ Ito Ext
C
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.