Permit (44) C ITY OF TIGARD MECHANICAL PERMIT
, DEVELOPMENT SERVICES PERMIT #: MEC2000 -00166
L '�I I� 13125 SW Hal Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 08/04/2000
PARCEL: 2S115AB-01900
SITE ADDRESS: 16200 SW PACIFIC HWY E
SUBDIVISION: ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS: 1
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: 1 < =10000 cfm: 1
> 10000 cfm: GAS OUTLETS:
Remarks: Mechanical for tenant remodel.
Owner: FEES
BIT HOLDINGS LTD PARTNERSHIP Type By Date Amount Receipt
BY FORUM PROPERTIES INC PRMT JMT 08/04/20C $50.00 0004226
FIVE CENTERPOINTE DR STE 290 5PCT JMT 08/04/200 $4.00 0004226
LAKE OSWEGO, OR 97035
Total $54.00
Phone:
Contractor:
BEWLEY MECHANICAL
5591 SW ARCTIC DR
BEAVERTON, OR 97005 REQUIRED INSPECTIONS
Mechanical Insp
Phone: 626 -8986 Heating Unt Insp
Reg #: LIC 000635 Duct Inspection
Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 through OAR 952 - 001 -0080. You may obtain copies o 1- - rules or direct questions to UNC by
calling (503)246-9189. f
Issue By: � Q Permittee Sign. • - �--�
Call (50 ) 639 -4175 by 7:00 P.M. for inspections d the n business day
Plan Check # q -115-t-
CITY OF TIGARD Mechanical Permit Application Recd By Y
13125 SW HALL BLVD. Commercial and Residential Date Recd 1 1 - 2-7 - 2 -tex )
TIGARD; OR 97223 Date to P.E. 7 - `1'+13
(503) 639 -4171, x304 Date to DST 7 hi,/ (tf DRP
Print or Type Permit # ini -ao /GG
Called
Incomplete or illegible applications will not be accepted
i tlame of DevelopmenvProlect Description
Mil rit - Ceir Table 1A Mechanical Code QTY PRICE AMT
Job Street Address rr ��)) Suile# A) Permit Fee -0- -0- 10,g� /,,�
Address Woo cAm• GI iclluN _ ✓ �r
Bldg); C / State Zi B) Supplemental Permit 3.00
- 1 " i7aud t 0� N3
Name for name of business) 1.) Furnace to 100,000 BTU 6.00
Owner ke.��S Co( e(0 -FstptfesYetiMtc incl. ducts 8 vents
Mailing AddreAs 2.) Furnace 100,000 BTU +
1. 5a ,- ) VO T fn)2 f
City/State Zip Phone 310 3.) Floor Furnace 6.00
10,1 u PCIAke , Ca l _ 3ot${Q incl. vent
N"' �e (or name ot business) (� 4.) Suspended heater, wall heater 6.00
lip (I( tMa,C-T-ei'S I 'll.() k x pes5 K' �I�I TS or floor mounted heater
Occupant Mailing Addr ss (' u I 5.) Vent not incl. in 3.00
6Sa� POST /SlJQ� t 1 appliance permit
City /State /;���� 3Z$"'t
Zip Phone 3 to 6.) Boiler or comp, heat pump, air cond. 6.00
'T qG
J ( c-t9 CG_ gad O to 3 HP; absorp unit to 100K BTU 1
CUT 7.) Boiler or comp, heat pump, air cond. 11.00
CUT ZTj 1• /� 3-15 HP; absorp unit to 500K BTU
Contractor Malin dres 8.) Boiler or comp, heat pump, air cond. 15.00
��
15-30 HP; absorp unit .5-1 mil BTU
Attach copy of city/Stare p Phone 9.) Boiler or comp, heat pump, air cond. 22.50
Current Licenses 30-50 HP; absorp unit 1 -1.75 mil BTU
Oregon Const. Cont. Board Lic.O Exp. Date 10.) Boiler or comp, heat pump, air cond. 37.50
> 50 HP; absorp unit 1.75 mil BTU
COT Business Tax or Metro # Exp. Date 11.) Air handling unit to 4.50
10,000 CFM
Architect aR1e `c U 12.) Air handling unit 7.50
tppvv,ce �CjVI lU �e (l 1 ) M I iS 10,000 CTM +
or Mailing Address f 13.) Non portable 4.50
3277 Qo 1 4U2 ti evaporate cooler
Engineer City /State Zip Phone 3 t G 14.) Vent fan connected 3.00 4i9"
' 4Ivy\ C-e I C ck. ) 32s4cA -)O to a single duct
Describe work New 0 Addition 0 Atteratio Repair 0 15.) Ventilation system not 4.50
to be done Residential 0 Non - residential included in appliance permit
Additional Description of w rk 16.) Hood served by mechanical exhaust 4.50
pt 7 - e r f o r � - e m o d e I o‹ e Xtsr i v‘ J o
Yvl A I ` S Pc& Q- 17) Domestic incinerators 7.50
Existing use of t' 18.) Commercial or industrialtype 30.00 '
If"
building or property _e-o Co.v.\ k \'t incinerator
19.) Repair units 4.50
Proposed use of 20) Woodstove 4.50
building or property '\ CCA\(CS l \Q--
21) Clothes dryer, etc. 4.50
Type of fuel - oil 0 natural g as CPG 0 electric 0 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.
Signature of Owner/Agent , QTY.SUBTOTAL 5
l-haA r 1kO e e Fltpves S 1
Peg i T S Q 9'. L I .2 0 - SUBTOTAL
Contact Person Name rr'__ Phone 5% SURCHARGE
ptp re. ss Perm / - JS 3to.3ZFs
ry , aro d���/ d I iv Al c cD 3o c, PLAN REVIEW 25% OF SUBTOTAL
/"` 6 t -424Cr-- (C-- TOTAL
i:ldst\mechpmt.doc (rev 7/96) *Minimum permit fee is $25 + 5% surcharge
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 a�� ®O /sZ
Date Requested / /(/ Z/ AM PM BLD
/ k�
Location (� Z- p � � c l�l v�/ Suite 42) . O'Cro 00/6,4
Contact Person Ph PLM
Co Ph SWR
Tenant/Owner 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
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
•
Fire Alarm
Susp'd Ceiling
Roof
Misc
PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
S . • ke Dampers
'vyy
1 J11P 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 ,I1 i
Approach /Sidewalk Date � � / vv Inspector / ' / Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.