Permit (34) •
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CITY O TIGARD MECHANICAL PERMIT
4 DEVELOPMENT SERVICES PERMIT #: MEC2003 -00639
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/31/03
PARCEL: 2S 115AB -01900
SITE ADDRESS: 16200 SW PACIFIC HWY A
SUBDIVISION: TIGARD TOWNE SQUARE ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: A3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
LPG 3 - 15 HP: COMML.INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 12
Remarks: Gas piping only for cook lines. Project value: $2,000
Owner: FEES
BIT HOLDINGS LTD PARTNERSHIP Description Date Amount
BY FORUM PROPERTIES INC
FIVE CENTERPOINTE DR STE 290 [MECH] Permit Fee 10/31/03 $72.50
LAKE OSWEGO, OR 97035 [TAX] 8% State Surchart 10/31/03 $5.80
[MECPLN] Plan Rev 10/31/03 $18.12
Phone: Total $96.42
Contractor:
BUMBLE BEE PLUMBING LLC
PO BOX 373
TROUTDALE, OR 97060 REQUIRED INSPECTIONS
Phone: 503 Gas Line Insp
Final Inspection
Reg #: LIC 113297
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 -00
Is ued By: L 4J4 / Permittee Signature: _
• Call (50 ) 639 -4175 by 7:00 P.M. for inspections nee. -d the next business day
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OFFICE. COPY
CITY OF TIGARD 24 -Hour .
BUILDING Inspection Line: (503 - ) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
44 P
Received Date Req sted VA- 3 AM PM BUP
Location 7-11 0 � � C- r Suite 3_ 06 3 9
Contact Person Ph ( ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation Access: ELC
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear /
Int Sheath/Shear
Framing .fie S (' ��
Insulation
Drywall Nailing
Firewall – S G-v■ 1/ P—
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
C /Si l t/Vjd
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MEJFAL
Post & B am
Roue
in-
mo _ Dampers
al
WO PART FAIL
TRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date Z Inspector \ �/ '�` Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL