Permit C ITY OF TIGARD MECHANICAL PERMIT
r; DEVELOPMENT SERVICES PERMIT #: MEC2000 -00280
'�� �-' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/20/00
PARCEL: 2S113AD -01900
SITE ADDRESS: 16640 SW 72ND AVE B -10
SUBDIVISION: ROSEWOOD ACRE TRACTS ZONING: I -L
BLOCK: LOT: 009 JURISDICTION: TIG
CLASS OF WORK: FLOOR FURN: EVAP COOLERS:
TYPE OF USE: UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
3 - 15 HP: 2 COMML. INCIN:
MAX INPUT: BTU . 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 0
Remarks: Installation of (3) rooftop units
Owner: FEES
PACIFIC REALTY ASSOCIATES Type By Date Amount Receipt
15350 SW SEQUOIA PKWY #300 -WMI PLCK DEB 7/20/00 $15.24 0003847
PORTLAND, OR 97224 PRMT DEB 7/20/00 $60.95 0003847
5PCT DEB 7/20/00 $4.88 0003847
Phone: Total $81.07
Contractor:
PROTEMP ASSOCIATES INC
807 NE COUCH
PORTLAND, OR 97232 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 233 -6911 Mechanical Insp
Reg #: LIC 00038868 Cooling Unt Insp
ELE 201JHA Duct Inspection
S.D. Shut -down inspection
Fire Alarm Insp
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 wort( 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 ( 246-9 9.
Issue \ Permittee Signature: �.c44,.....")
Cali (503) 639 -4175 by 7:00 P.M. for inspections nee d the next business day
CITY OF TIGARD Mechanical Permit A Iica Plan Check #
PP E IVE ®. Reed By
13125 SW HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 2 8 20a® Date to P.E.
(503) 639 -4171, x304 Q� JUN Date to DST to(Zi`ODP
Print or Type COMMUNITY DEVELOPMENT Permit # jv1 1t.0 Tt,90o -0Q 2 EC
Incom Incomplete or illegible applications will not be accepted Called "7 c .0 - m om
P 9 PP P G rFr Mc y <.✓/ Ct G
Name of Development/Project Description
PI. Motif _r) QLDr1 t) QA-pES Table 1A Mechanical Code Qty Price Amt
Job Street Address S uite# A) Permit Fee . 16.00 14
1) Furnace to 100,000 BTU
Address Ile(o40 SW 12. Ave- including ducts & vents see footnote 1,2 9.65
Bldg# City/State Zip 2) Fumace 100,000 BTU+
Q including ducts & vents see footnote 1,2 12.00
Name (or name of business) 3) Floor Fumace
P . including vent see footnote 1,2 9.65
Owner ' G ( k •la ` 4) Suspended heater, wall heater
Mailing Address
or floor mounted heater see footnote 1,2 9.65
( 5)' rj0 iv.) 5ef a ore t # 0 5) Vent not included in appliance permit 4.75
City /State Zip Phone Check all that apply: 'Boiler Heat Air
(o, +_ QjrL T /7- Z y For items 6 -10, see or Pump Cond Qty Price Amt
Name (or name of business) footnotes 1,2 Comp
6) <3HP;absorb unit to 6,,
100K BTU ( 9.65
Occupant Mailing Address 7) 3-15 HP;absorb unit 3b
100k to 500k BTU "' Z. 17.65
City/State Zip Phone 8) 15-30 HP; absorb
unit .5 -1 mil BTU 24.15
. 9) 30 -50 HP; absorb
Contractor Name unit 1 -1.75 mil BTU 36.00
f , - INC. 10) >50HP; absorb unit
Prior to permit Mailing Address >1.75 mil BTU 60.15
issuance, a copy . 7 tJ C j4 11 Air handling unit to 10,000 CFM
of all licenses City S tate Zip Phone 7.00 .
are required if �a(�Q /pg._ 7 (pq /I 12) Air handling unit 10,000 CFM+
expired in COT Oregon Const. Cont. Board Lic.# Li Exp. Date 11.85
_ database 3 cry&g / � (\,. /e/d/ 13) Non - portable evaporate cooler •
Architect N ame v 7.00
14) Vent fan connected to a single duct
4.75
or Mailing Address
15) Ventilation system not included in
appliance permit 7.00
Engineer City /State Zip Phone 16) Hood served by mechanical exhaust
7.00
Describe work to be done: 17) Domestic incinerators
12.00
New 0 Repair 0 Replace with like kind: Yes O No O 18) Commercial or industrial type incinerator
Residential 0 Commercial X 48.25
19) Repair units
Additional information or description of work' 8.40 ,
20) Wood stove /gas FP /other units /clothe dryer /etc.
7.00 jog1/
NOTE: For Commercial projects only; Units over 400 lbs. require 21) Gas piping one to four outlets _
structural gas calcs. See footnote 1 3.75
Type of fuel: oil 0 natural gam LPG 0 electric O 22) More than 4 -per outlet (each) .75 r
// __ Minimum Permit Fee $50.00 SUBTOTAL �f-
I hereby acknowledge that I have read this application, that the information 8% SURCHARGE . - . �r i 1
given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL
Required for ALL commercial permits only <:6
v
the owner, that plans submitted are in compliance with Oregon State laws.
TOTAL •
Signature of Owner /Agent Date
Other Inspections and Fees:
1. Inspections outside of normal business hours (mininum charge -two
Contact Person Name Phone hours) $50.00 per hour
2. Inspections for which no fee is specifically indicated (minimum
charge -half hour) $50.00 per hour
Foonotes for commercial projects only: 3. Additional plan review required by changes, additions or revisions to
1. Provide full schematic of existing and proposed gas line and pressure. plans (minimum charge - one -half hour) $50.00 per hour
2. Provide drawings to scale showing existing and proposed mechanical
units. *State Contractor Boiler Certification required
. "Residential NC requires site plan showing placement of unit
l:\mechperm.doc rev 7/19/99
OVER - THE - COUNTER (OTC) PERMIT
COMMERCIAL MECHANICAL PERMIT CHECK LIST
Description of Project:
Class of Work: 4 �' T Floor Furnace: Evap Coolers:
Type of Use: C Unit Heaters: Vent Fans:
Occupancy Grp: by Vents w/o Appl: Vent Systems:
Stories: Boilers /Comprsrs: Hoods:
Fuel Types - 0 - 3 HP. Repair Units:
/ / / / 3 - 15 HP. 3 Wood Stoves:
Max Input: Btu: Air Handling Units ..lo Dryer:
Fire Dampers: <_ 10000 cfm: Oth Units:
Gas Pressure: H / M / L > 10000 cfm: Gas Outlets: rr
No. Of Units:
Furn < 100k Btu: 61
Furn >_ 100k Btu:
NOTES:
COMMERCIAL INSPECTION ACTIONS FEE MENU r���
a
(O. ns•
a $ P ermit Fee �`�
,�.,�� � 5 , . ( $ '37- t�6 Plan Review
• Ins•ectio•
ool ng s . a m $ pow 8% State Surcharge r 3
Shaft Inspection $ Additional Permit Fee
Hood Inspection 0 $ Additional Plan Review Fee
Fire guppr I • • - ction $ Inspection Fee
Duct Inspection $ Miscellaneous Fee
Fire ' arm Inspection
REMARKS:
Fire Damper Inspection
Miscellaneous Inspection
Fire Alarm Inspection
in • spection
S'retWe cI1L O aJ4J
FOR OFFICE USE ONLY.
TYPE OF USE OPTIONS (COM = commercial; CMS = commercial manufactured structure)
CLASS OF WORK OPTIONS FOR ALL PERMITS (NEW = 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
CItOF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST
v D tJ BUP
/
/ Date / Requested AM PM BLD �-�
Location /la b Y D 72 iI Suite MEC a DDU�e
Contact Person � � v Ph .2'3 3 b9// g_
Contractor /1kj1 � / Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing
Foundation Access: of 4ipteid_64,1 42,6 FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab �� \ SIT
Post & Beam
Ext Sheath /Shear 379 6r? 7 /6
7
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 PART FAIL
411ECFy1iAL
Post & Beam
Rough In
Gas Line
S I oke Dampers
_zr-
77( j PART FAIL
EL 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 Date / Inspector ( 61 "" Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.