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Permit CITY OF TIGARD MECHANICAL PERMIT A � DEVELOPMENT SERVICES PERMIT #: MEC2000 -00007 � :• =j-• 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: .1 /6/00 PARCEL: 1 S136DD -02600 SITE ADDRESS: 11705 SW 68TH AVE SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: BLOCK: LOT: 009 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: 1 EVAP COOLERS: TYPE OF USE: COM ' UNIT HEATERS: VENT FANS: 2 OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: 1 BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: 2 DOMES. INCIN: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Remarks: One 60K BTU /h furnace and two NC units. Owner: FEES MITH LIVING TRUST Type By Date Amount Receipt 1705 , OR 9 7223 PKWY IGARD, PRMT BON 1/6/00 $58.20 00- 320975 IGA 97223 PLCK BON 1/6/00 $14.55 00- 320975 5PCT BON 1/6/00 $4.66 00- 320975 Phone: Total $77.41 Contractor: OMFORT AIR INC 634 SE POWELL BLVD ORTLAND, OR 97202 REQUIRED INSPECTIONS Gas Line Insp Phone: 236 -6829 Mechanical Insp Reg #: LIC 00004307 Cooling Unt Insp Duct Inspection Final Inspection - rjK ��f NAL r. j ` 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 of these rules or direct questions to OUNC by calling (503)246 -9189. /' Issue IVIA0 .--- Permittee Signature: �� Call (503) 639 -4175 by 7:00 P.M. for inspections need - • � t a ext business day 01/05/00 WED 11:08 FAX 503 598 1960 CITY OF TIGARD 41002 Plan Check e___,_/ ( C CITY OF TIGARD Mechanical Permit Application Rec'd By e 13125 SW HALL BLVD. Commercial and Residential Date Rec'd I - (a - OD TIGARD, OR 97223 Date to P.E. - 00 (503) 639-4171, x304 ©� I Date to D T •1 °r g a� 00 'CDZ )1 Print or Type Perm i it lFC- - �0f Incomplete or illegible applications will not be accepted called r-- t Name of escription 1 � y J ,,.J_ , 11 � Table 1A Mechanical Code Q Price Amt 00A e GL l A/ / �i � / C / 14c1.r/ q Permit Fee rte ' i ` -, 16.00 Job .11 Street Address Sulf "• :E?� "�uL*"ef�f<w:.+! Address //125 S.✓, 68"410 , 1 1) Furnace to lco & vents U 131c1 ctty/State z includin• ducts & vents 2) Fumace 100,000 BTU+ . z 67, ,2�3 including ducts & vents 12.00 Name 4or name or ouslnes 3) Floor Furnace Owner ,},n, /,j Giv1 '✓� /.US f • including vent 9.65 MailingAdaress �/ i 4) Suspended heater, wall heater // 60� 5_4/, 6 9 / /(14)/ or floor mounted heater 9.65 l 5) Vent not Included in appliance ermit 4.75 tty:State Zip Phone J r Check all that apply: 'Boiler Heat I Air T' g ' '7 72, /39- 73 For items 6.10, see or Pump Cond Qty Price Amt n e (.x name cf busine s) • footnotes 1,2 Comp / � �r ,,� / / 6) Repair units ,7 / / ti/A/ /"A!/ fit G % /Gr /7,4"/P/y j 8.40 Occupant • Maif.^.g Addn'ss 7) <3HP;abso:b unit to c� p eZ5 si 68 4,1 100K BTU 9.65 7 let v City/State Zip Phcthe 8) 3-15 HP:absorb unit T' _ J/ al, 97d _ 4 _ 7 100k to 500k BTU 17.65 Contractor " / 9) 15-30 HP; absorb _ /� unit .5-1 mil BTU i 24.15 Co,..,--/-,,, /r,/-- . f T yam- 10) 30-50 HP; absorb l I { Prier to permit • Mailing Address / ,/� unit 1 -1.75 mil BTU 36.00 issuance, a copy 3 & 3 v s. E . , L.e/ 111 >50HP; absorb unit >1.75 mil BTL' of ell licenses o ypale L/ / zip Phone -�i 60.15 are required if " / �/f, 42.24 A 12) Air handlin g unit to 10,000 CFM expired in COT Oregon Conn• Cont Board Lice Exp. Date 7.00 database 1 /. 7 91,99-4904w 13) Air handling unit 10,000 CFM+ Architect N°rre 11.85 • 14) Non - portable evaporate cooler M eiling Address • 7.00 Or 15) Vent fan connected to a single duct ' (7 4.75 Engineer CtyState Zip Phone 16) Ventilation system not Included In • appliance permit 7.00 Describe work to be done: 17) Hood served by mechanical exhaust 7.00 r New 0 Repair 0 Replace with like kind: Yes 0 No 0 18) Domestic incinerators Residential 0 Commercial tr Modification 12.00 19) Commercial or industrial type Inclnerator Additional information or description of work: • { 48.25 20) Other units, including wood stoves 7.00 NOTE: For Commercial projects only; Units over 400 lbs., located on the 21) Gas piping one to four outlets ' 7 roof, require structural cafes. prepared licensed engineer. , 3.75 Type of fuel all 0 natural gas 0/ LPG 0 electric 0 t 22) More than 4-per outlet (each) . .75 Minimum Permit Fee $30. "r: =r ;,,pin;' �a" ^ acknow:ed a that I have read this application, that the Information 00 SUBTOTAL . =.�' '�' ' Y 9 8% SURCHARGE � =t�.<< ;..'t; � =�;_�t �s� I hereby ■ given is correct, that I am the owner or authorized agent of ° wy PLAN REVIEW 25% OF SUBTOTAL - � 9 kip, � Oregon State laws. -;iF = f a�� - • - 9 Required•for ALL commercial permits only 4,r,1-.4,:; , the owner, that plans submitted are in compliance with Ore Signature •, _ I • gem / tote TOTAL ,� i r � .. ��i _ /Were,. Other Inspections and Fees • Conte , , on Name Phone ti a3 h ! ��yy 1. Inspections outside of normal business nouns (niinirnum charge-two hours) 550.00 per hour e ��' �C t/ 6�[/Q�G � / 2. inspections for which no fee is specifically indicated (minimum charge -half hour) VV S50.00pertrour Foonotes for Commercial protects only: 3. Additional plan review required by changes, additions or revisions to pans (minimum 1. Prcvide full schematic of existing and proposed gas line and pressure. charge-one-half hour) $50.00 per hour 2. Provide drawings to scale showing existing and proposed mechanical *State Contractor Boiler Certification required units. *'Residential A/C requires site plan showing placement of unit hmechperrn.doc rev 11/1/99 OVER - THE - COUNTER (OTC) PERMIT COMMERCIAL MECHANICAL PERMIT CHECK LIST Description of Project: ©N 6 °k � � 414-A.' r 64c uAJ t ' � Class of Work: Floor Furnace: / Evap Coolers: Type of Use: e. Unit Heaters: Vent Fans: Occupancy Grp: 63 Vents w/o Appl: Vent Systems: Stories: ! Boilers /Comprsrs: Hoods: Fuel Types - 0 - 3 HP. z Repair Units: / / / / 3 - 15 HP. Wood Stoves: Max Input: Btu: Air Handling Units Clo Dryer: Fire Dampers: 10000 cfm: Oth Units: Gas Pressure: H / M / L > 10000 cfm: Gas Outlets: No. Of Units: Furn < 100k Btu: Furn >_ 100k Btu: NOTES: COMMERCIAL INSPECTION ACTIONS FEE MENU $ Permit Fee ec ni.cal -In- n $ 5 Plan Review Cooling Unit Ins .e • $ Aida 8% State Surcharge Shaft Inspection $ Additional Permit Fee Hood Inspection $ Additional Plan Review Fee Fire Su pr Inspection $ Inspection Fee Duct Ins e $ Miscellaneous Fee Fire Alarm Inspection REMARKS: Fire Damper Inspection Miscellaneous Inspection Fire - Inspection Fi allnspecti• FOR OFFICE USE ONLY: TYPE OF USE OPTIONS (COM = commercial; CMS = commercial manufactured structure) CLASS OF WORK OPTIONS FOR ALL PERMITS (NEW F 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: /dst/forms/otcmech.doc 9/99 is \dsts\forms \otc- mech.doc9 /99 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 3/2/00 AM PM BLD Location / /7D. -Se.-cJ p � j ( /RC Suite <MO _ a00- C009 7 Contact Person ZeleO Ph -236 - .2 7 PLM Contractor � Ph SWR BUILDING Tenant/Owner 0/7 - (r,a�, c 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: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PkRT FAIL IIEC HANICA) POST& tseam Rough In Gas Line S i • e Dampers «1) t+, PART FAIL 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 Approach /Sidewalk Other Date / - 2. 0 0 Inspector ( ® I Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. 04/21/2000 Activities for Case #: MEC2000 -00007 2:34:08 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MECC007 APPlication received 01/06/2000 BON RECD No Hold BON 01/06/2000 MECC008 Permit created 01/06/2000 BON DONE No Hold BON 01/06/2000 MECC011 Routed to Plans Examiner 01/06/2000 BON DONE No Hold BON 01/06/2000 MECC015 Reviewed Plans Routed to DSTS 01/06/2000 RDP DONE No Hold BON 01/06/2000 MECC705 Gas Line Insp 01/06/2000 01/06/2000 01/07/2000 TLP PASS No Hold AKJ 01/09/2000 MECC706 Mechanical Insp 01/06/2000 01/06/2000 01/07/2000 TLP PASS No Hold AKJ 01/09/2000 MECC720 Cooling Unt Insp 01/06/2000 No Hold BON 01/06/2000 MECC735 Duct Inspection 01/06/2000 01/06/2000 No Hold BON 01/06/2000 MECC799 Final Inspection 01/06/2000 01/06/2000 02/29/2000 TLP FAIL No Hold AKJ 02/29/2000 install bracket bottom of siding cover pipe with sleeve MECC090 (F) Issue permit 01/06/2000 BON . DONE No Hold BON 01/06/2000 MECC090 (F) Issue permit 01/06/2000 BON DONE No Hold BON 01/06/2000 MECC799 Final Inspection 03/02/2000 TLP FAIL No Hold AKJ 03/02/2000 same corr as before MECC799 Final Inspection 03/02/2000 TLP PASS No Hold AKJ 03/02/2000 2nd insp this date MECC800 Case Finaled 03/02/2000 AKJ DONE No Hold AKJ 03/02/2000 • Page 1 of 1