Permit CITY TIGARD MECHANICAL PERMIT
aloWr DEVELOPMENT SERVICES PERMIT #: MEC2003 -00466
, . � II 13125 SW Ha Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/6/03
PARCEL: 2 S 113AA -00600
SITE ADDRESS: 16126 SW 72ND AVE/S7
SUBDIVISION: OREGON BUSINESS PARK 1 ZONING: I -L
BLOCK: LOT: 00B JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: 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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS
OTHER UNITS: 2
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Remarks: WAREHOUSE - (1) vent, (1) gas outlet, (1) 10,000 BTU coffee roaster
Owner: FEES
PACIFIC REALTY ASSOCIATES Description Date Amount
15350 SW SEQUOIA PKWY #300 -WM I
PORTLAND, OR 97224 [MECH] Permit Fee 8/6/03 $72.50
[TAX] 8% StateTax 8/6/03 $5.80
Phone: Total $78.30
Contractor:
SPECIALTY HEATING & COOLING
1601 SE RIVER RD
HILLSBORO, OR 97123 REQUIRED INSPECTIONS
Phone: 503 640 - 3607 Gas Line Insp
Mechanical Insp
Reg #: LIC 66578 Misc. Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -00
Issued . ' C.- Permittee Signature: ,.,BV1
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
a' •
Mechanical) Permit Application
City of Tigard Date received: SS L5 /0 3 Permit no .: Oh dp3 ba y(
Address: 13125 SW Hall Blvd Tigard, Project/aPPi. no. Expire date:
City of' igard ard, OR 97223
Phone: (503) 639 -4171 Date issued: By: i Receipt no.:
Fax: (503) 598 -1960 • Case Me no.: Payment type:
Land use approval: Building permit no.:
NM 1 1 YPE OF PERMIT
Q 1 d . 2 family dwelling or accessory Commercial/industrial 0 Multi-famil
0 Ne w construction ❑ Addition/alteration/re lacement y Q Tenant improvement
�� P Q Other.
JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE
] nb ad tress: / - Indicate
•, equipment quantities in boxes below. Indicate the dollar
FI$ o.: Suite no -: value of all mechanical materials, equipment, labor, overhead.
Tax rin .p /tax lot/account no.: profit. Value $ 1030. or)
•
Lot: 'Block: Subdivision: *See checklist for important
Project name: ' 4 1 , 1 _ P j & • — dr ; I. . • A i a
, , S , P application information and
fiction fee schedule for residential permit fee.
.�
City /caunty: , .. M. 77 ! , 1 & 21':1■11LY' DWELLING PERMIT FEE SCHEDULE
Descrir don and location of work onpremises: 0/9 i1,/4p(aS,i AND COMMERICAL /INDUSTR EQUI PIIENTSCHEDL
5tt. cat; ofcomplcdodinspeetion: (5' -15'-93 Fee (ea.) Total
gV�,C
Tenant mprovement or change of use:
1s Rex only Res. only
1 s existing space heated or conditioned? yes 0 No Air handling unit CFM
1 s existing space insulated? O Yes 0 No Air conditioning (site plan required)
teration of existing pvqe system
4� MECHANICAL C074RAC'TOR Boiler/compressors
Bt�siaes ;name: sr , G State boiler permit no -: I ■
Acldtess /
' � I cS,t 't i HP Tons BTU/II
Fir smoke
Cii j ?cat ;; a La • State: ZIP: dampers/duct e n requ smoke detectors
Pl}]ae, Q �/. H eat pump sue p an requ[redF
c� • 1/ .. F :�s' /—Q 7p3 E -mail: Install/rep ace fume BT 1 /H
CC :B no.: _ ,5 : Including ductwork /vent liner O Yes CI No
Ctlyhnel ro lic. no.; lnstall/ropiac locate heaters — suspended,
Name (P .ease punt): XCV — wall. or floor mounted
et1/1/% z_ ' fora .. ance other than urnace WARM/ NMI
CONT 1C.T rEIiSON R
Na uc: Absorption nulls BTU/H _.
A ddress: — . Chillers
—
Garr: State: IaI HP
an ..e tt m
ru
I Phone: Fax: E-mail: Dryer t . MI
IIIIII OWNER I oods, • 1 res. !cache . azmat
Nacle: jl� I: pp i. f - Q hoodfire with l ion aystctn
Mailing a )dress: Exhaust fan with single duct (bath fans)
fi�ianSt system a from heating or AC
City: State: ,
I'ho,ae: 47 i3 0 'I y y E
ZIP: P ping , , . on up to 4 outlets
�� Type! LPG NG Oil /
ENGINEER Fuel 'firm: each a .ditional over 4 ou e[s
Nacre:
Process p Pu emau
Ntunbernfo tIets
Add,�e3s: [ spatont:
IMIIIIMII --
City. State: ZIP: nsert Decorative fueplace
Phone: It1 3Ctt - IMINIMMI
Applicanf;, signature• I ,_ " cove/. ietstove ' -
L Date:: a
Nam; (pet a): . ,r. � �' -03 p ' rte' ; `M�
U tfc-,
Na�oU l urwrati >m crust cards, please ' ea11 —_-.. drug o . danerCard r°""*'° � ° " °°°° a Permit fee $
Notice: This permit application $
Credit card nwm 4 expires if a permit is not obtained pn = fee $
Eigpiiss within 180 days after it has been pi an tC view iow (at %) $
tome N cardholder as shows tM credit cud
accepted as complete. State surcharge (8%) $
Cardholder ri�a'°`e S n` TOTAL, $
440-4617 (acoo/COM)
2. BILO BBS COS 2 utzeaH RztezvadS dE+ ED SO 2n1=1
CITY OF TIGARD 24 -Hour •
BUILDING Inspection Line: (503) 639 -4175
1NSPPCTION DIVISION Business Line: (503) 639-4t71 MST
BUP
Received `'Fate Requested AM PM BUP
Location / l0l 7a 411 4v - e-- Suite MEC 3 v �J
Contact Person Ph ( ) ( (.0 360 7 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: — _ C - _ - - � - -, SIT
Post & Beam L
Shear Anchors 9 e a / J
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain ,
Shower Pan
Other:
Final
P PART FAIL
•
CHANIC
Rough-In
ur
b 1 a Dampers •
r
!=� Y PART FAIL
RICAL
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 gA Inspector Y 1 ) r7 Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL