Permit CITY TIGARD MECHANICAL PERMIT
�I� DEVELOPMENT SERVICES PERMIT #: MEC97 -00459
��� I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394171 DATE ISSUED: 4/13/99
PARCEL: 2S 112DC -00100
SITE ADDRESS: 15705 SW 72ND AVE
SUBDIVISION: SOUTHERN PACIFIC TIGARD INDUST ZONING: I -L
BLOCK: LOT: 002 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: 0 EVAP COOLERS: 0
TYPE OF USE: COM UNIT HEATERS: 0 VENT FANS: 1
OCCUPANCY GRP: B2 VENTS W/O APPL: 0 VENT SYSTEMS: 0
STORIES: 0 BOILERS /COMPRESSORS HOODS: 0
FUEL TYPES 0 - 3 HP: 0 DOMES. INCIN: 0
ELC 3 - 15 HP: 1 COMML. INCIN: 0
MAX INPUT: 1.000.000 BTU 15 - 30 HP: 0 REPAIR UNITS: 0
FIRE DAMPERS ?: Y 30 - 50 HP: 0 WOODSTOVES: 0
GAS PRESSURE: M 50 + HP: 0 CLO DRYERS: 0
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS: 0
FURN > =100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS: 0
> 10000 cfm: 0
Remarks: Tetra Plastics - add 6.25 ton NC
Owner: FEES
PACIFIC REALTY ASSOCIATES Type By Date Amount Receipt
15350 SW SEQUOIA PKWY #300 PRMT BON 4/13/99 $33.50 99- 314467
PORTLAND, OR 97224 PLCK BON 4/13/99 $8.38 99- 314467
PRMT BON 4/13/99 $33.50 99- 314467
Phone: 5PCT BON 4/13/99 $1.68 99- 314467
Contractor: p Total $77.06
t A a a.
7 / J 0 `�� �x -
REQUIRED INSPECTIONS
��f� 1��VVJ (7e rJZZ�
Gas Line Insp
Phone: zL(ip _b- Mechanical lnsp
Reg #: Duct Inspection
S.D. Shut -down
Misc..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 of these rules or direct questions to OUNC y calling (5 2 -9189.
Issue By: ' EAdine614 / ______ � Permittee Signat °--
Call (503) 6394175 by 7:00 P.M. for inspections needed th next business day
Plan Check #______-64.g, �/
70F TIGARD Mechanical Permit Application Recd By
13125 SW HALL BLVD. Commercial and Residential Date Recd 77. 0 -
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST 11124 '1
Print or Type permit* of cc 9 -0/S9
Called
Incomplete or illegible applications will not be accepted
Name of Development/Project Description
Table 1A Mechanical Code QTY PRICE AMT
Job meet Address - Sucre# A) Permit Fee -0- -0- 10.00
Address `� f Sr4s 21 1 0
eldg# City/State Zip 1.) Fumace to 100,000 BTU 6.00
Ti 6 /O including ducts & vents
Name (or name of busine ) n 2.) Furnace 100,000 BTU+ 7.50 /�
Owner / t ' ( =r v } keels - n s including ducts & vents 1 7
Mailing Address 3.) Floor Furnace 6.00
including vent
City /State Zip Phone 4.) Suspended heater, wall heater 6.00
or floor mounted heater
Name (or name of Artiness) 5.) Vent not included in appliance permit 3.00
TiTY1A- /4 4,17c
Occupant / M ' g Address 6.) Boiler or comp, heat pump, air cond. 6.00
(< L. y S ? 7 Z "- to 3 HP; absorb unit to 100K BUT"
City/State Zip Phone 7.) Boiler or comp, heat pump, air cond. 11.00
1! G l� ()r t. 3-15 HP; absorb unit to 500K BTU" 1 k t
Contractor Name 8.) Boiler or comp, heat pump, air cond. 15.00
0 - L _ je .,_, py ,, r• c-- 15-30 HP; absorb unit5-1 mil BTU"
Prior to permit Mailing Address 9.) Boiler or comp, heat pump, air cond. 22.50
issuance, a copy 53 Y v 5(.. A iA"'‘._ L-.J 30-50 HP; absorb unit 1- 1.75mi1 BTU"
of all licenses wstate Zip Phone 10.) Boiler or comp, heat pump, air cond. 37.50
are required if arc. Can- i r7 2 J ' 2 4 > 50 HP; absorb unit 1.75 mil BTU"
expired in COT Oregon Cond. Cont. Board Lic.# Exp. Date 11.) Air handling unit to 10,000 CFM 4.50
database ). 7G <, 571) l
Architect Na. J 9 � � 13.) Non - portable evaporate cooler 4.50
or Mailing Address 14.) Vent fan connected to a single duct 3.00 3
S3 7 Si, a L,,,_ G .,,
Engineer Cih tats Zip I Phone 15.) Ventilation system not included in 4.50
/c3iti - /Z - An v O/L Y72.2 a j 2 y `‘7C t t appliance permit
Describe work New 0 Addition 0 Alteratiory Repair 0 16.) Hood served by mechanical exhaust 4.50
to be done Residential 0 Non - residential (0�
Additional Description of work: 17.) Domestic incinerators 7.50
/ 00 6 • L c /"► ,A �wbe; a "./��
18.) Incinerator or industrial type 30.00
Existing use of 19.) Repair units 4.50
building or property / AiJ A. 64r...4 "(4,4_ a t
20.) Wood stove 4.50
Proposed use of „, / 21.) Clothes dryer, etc. 4.50
building or property If
22.) Other units 4.50
Type of fuel - oil 0 natural gas 0 LPG 0 electric(O. 23.) Gas piping one to four outlets ) 2.00
I hereby acknowledge that I have read this application, that the 24.) More than 4 -per outlets (each) .50
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with Oregon State QTY. SUBTOTAL
laws.
Signature of Owner/Agent Date •SUBTOTAL 1)
C ; --- ' . 1/4_----• '5)41'4.1 W2 b 4 7 5% SURCHARGE l ( fd
Contact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL C' J�
a '‘" / fr/OtAl /NA-- 2 7 c --6 7 6 it TOTAL 42)4°
i:Mechpmt.doc (rev 9 i *Minimum permit fee is $25 + 5% surcharge
•
fre G - I "Residential A/C requires site plan showing placement of unit.
2 1- 75-46
CITY OF TIGARD BUILDING INSPECTION DIVISION b
24 -Hour Inspection Line: 639 -4175 Business Line: 639-4
Date Requested 3'10 -Do AIW PM BLD
Location / J / 05 Ave Suite MEC "Co y
Contact Perso Ph PLM
Contractor �T61N -P D W ") Ph 2 4 tP ' lin to Li Sw
•
BUILDING drt wner � Q � (,/�/ � k Q ELC
Retaining Wall ELR
Footing Ai' NOT REQUESTED
Foundation FPS
Ftg Drain FOUND DURING RESEARCH
Crawl Drain In NO INSPECTION(s) IN FILE �/ � SGN
Slab SIT
Post & Beam 1 0/ 13 /CI
Ext Sheath /Shear /
Int Sheath /Shear
Framing
Insulation W y p ?"(1,• ■ ' AA„,eL
Drywall Nailing Y "-'�—
Fire wall U ` ' <
Fire Sprinkler LJ�C V w
Fire Alarm O V\Nit 1 _�
Susp'd Ceiling
Roof
Misc: • C/ e Y \/0l L,
Final c$^' - # S
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
Post & Beam `/
Rough In r r y�
Gas Line ‘
Smo Dampers
anal
ASS 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 VI 0/ Date U Inspector V Ext3 "I l
Other
Final
-PASS PART FAIL DO NOT REMOVE this inspection record from the job site.