Permit CITY OF TIGARD MECHANICAL
.6.4 � A DEVELOPMENT SERVICES PERMIT
�I PERMIT # • MEC98 -0565
13125 SW HaII Blvd., Tigard, OR 97223 (503) 639 - 4171 DATE ISSUED: 12/22/98
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..:ALT FLOOR FURN • 0 EVAP COOLERS: 0
TYPE OF USE °COM UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:B VENTS W/0 APPL: 0 VENT SYSTEMS: 0
STORIES 0 BOILERS /COMPRESSORS HOODS : 0
FUEL TYPES 0 -3 HP : 1 DOMES. INCIN: 0
:GAS 3 -15 HP : 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15 -30 HP • 0 REPAIR UNITS: 0
FIRE DAMPERS ?..: 30 -50 HP • 0 WOODSTOVES..: 0
GAS PRESSURE...: 50+ HP • 0 CLO DRYERS..: 0
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.: 0
FURN < 100K BTU: 1 <= 10000 cfm: 0 GAS OUTLETS.: 1
FURN > =100K BTU: 0 ) 10000 cfm: 0
Remarks : Alterations to replace 3 -ton gas pack & duct work, and add strip
heater.
Owner: FEES
PRECISION INTERCONNECT type amount by date recpt
16640 SW 72ND AVE PRMT $ 25.00 DLH 12/22/98 98- 311693
BUILDING B -10 PLCK $ 6.25 DLH 12/22/98 98- 311693
TIGARD OR 97224 SPCT $ 1.25 DLH 12/22/98 98- 311693
Phone #:
Contract or:
PROTEMP ASSOCIATES INC
807 NE COUCH
$ 32.50 TOTAL
PORTLAND OR 97232
Phone #: 233 -6911
Reg #..: 000388
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
applicable laws. All work will be done in accordance with Mechanical Insp
approved plans. This permit will expire if work is not started Final Inspection
within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow rules
adopted by 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 -9187.
Issue By: 44;g74.L1- Permittee Signature:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Plan Chedc # /a _7-°2 C
CITY OF TIGARD Mechanical Permit Application Rec'd By ,Z LA/
13125 SW HALL BLVD. Commercial and Residential Date Rec'd /21/
TIGARD, OR 97223 D ate to P.E. Z /7 y` -1'
(503) 639 -4171, x304 Date to DST /-/ /VA°
Print or Type 'jp� Permit# '91 -657,6
Incomplete or illegible applications will not be accepted Called 1 7 , g $ ��rt
Name of Development/Project Description e^' S S �G
�G /I p.t J tune j Table 1A Mechanical Code Qty Price Amt Job Street Address SuRetr A) Permit Fee 10.00
1) Furnace to 100,000 BTU
Address /6440 sur 7 .2' IS f�� including ducts &vents i 6.00 /
BIdgS City/State zip 2) Furnace 100,000 BTU+
/. /0(L, including ducts & vents 7.50
N a p 3) Floor Fumace
Owner /0'6,41/ including vent 6.00
Mailing Address 4) Suspended heater, wall heater
or floor mounted heater 6.00
5) Vent not included in appliance permit
City /State Zip I Phone 3.00
CHECK ALL 'Boiler Heat Air
or name of business) THAT APPLY: or Pump Cond Qty Price Amt -
, / G )47,& - 7 CXJ'� 7A-X.L <3HP;absorb Comp °-
6) 3HP;absorb unit to
Occupant Mailing Address 100K BTU "/ i 6.00
ilo4 VI, .5/ l/ 7Q 7) 3-15 HP;absorb unit
City /State Zip I Phone 100k to 500k BTU 11.00
8) 15-30 HP; absorb
unit .5-1 mil BTU 15.00
Contractor Name 9) 30-50 HP; absorb
1.1.4e07". . /7-/ f 1 , unit 1 -1.75 mil BTU 22.50
Prior to permit Mailing Address 10) >50HP; absorb unit
issuance, a copy ' 7,{JC .ct >1.75 mil BTU - 37.50
of all licenses CMS1.3te Zip Phone 11) Air handling unit to 10,000 CFM
are required if f.3"Ld,t/,D �R Q7o7 ,23. -‹1/ 4.50
expired in COT Oregon Const. Cont. Board Licit Exp. Date 12) Air handling unit 10,000 CFM+
database S ` I _/477 ' 7.50
Architect Name 13) Non - portable evaporate cooler
4.50
Or Melling Address 14) Vent fan connected to a single duct
3.00
15) Ventilation system not included in
Engineer City/State Zip I Phone appliance permit 4.50
16) Hood served by mechanical exhaust
Describe work to be done: 4.50
/ 17) Domestic incinerators
New 0 Repair 0 Replace with like kind: YesMO No 0
Residential 0 Commercial 18) Commercial or industrial type incinerator
30.00
Additional information or description of work: 19) Repair units
4.50
7 _ 6 / x,45 Per le 20) Wood stove
` T ��9 4.50
70/ i ' l 21) Clothes dryer, etc.
94 _ pC�u✓0 ADD 3/,RlPx/e4ra 4.50
Type of fuel: oil (((jjj"' natural gayS LPG 0 electric O 22) Other units
4.50
I hereby acknowledge that 1 have read this application, that the information 23) Gas piping one to four outlets ,�
given is correct, that I am the owner or authorized agent of / 2.00
the owner, that plans submitted are in compliance with Oregon State laws. 24) More than 4 -per outlet (each)
.50
Signature of rlAgent Date v1
Minimum Permit Fee $25.00 SUBTOTAL u�
SURCHARGE
d /
/c? �� 5% ��
Contact Person Name P ne PLAN REVIEW 25% OF SUBTOTAL IC
Required for ALL commercial permits only r
TOTAL
\. kde.. v Au, 933.<99//
•State Contractor Boiler Certification required
"Residential NC requires site plan showing placement of unit
1:lmechpern.doc rev 07/20/98 .
CITY OF TIGARD BUILDING INSPECTION DIVISION MST i g
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP l 1'
// it,),-),Date Requested //(.49 AM PM BLD
Location / ') //J 24 12 Suite #8,.--/O MEC W--
Contact Person K.417. Ph ��3 — 09// PLM
Contractor -0- .-1e-41-E. 14-�zz, Ph SWR
BUILDING Tenant /Owner � t_Z.C- (Z(.A,e- ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: /
Slab /�' �l f�'t , �,��!`�.�d� SIT
Post & Beam /
Ext Sheath/Shear ( d �
Int Sheath /Shear
Framing
Insulation
Drywall Nailing _ `—
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
—
Final
PASS PART FAIL r/
PLUMBING - /Afa _
Post & Beam f
Under Slab �/
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
P • FAIL
X1'{:
Pos • = -am
as me
Dampers
�IW ): PART FAIL
E ECTRICAL
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 t� /
Approach /Sidewalk Date 6(9\,7 Inspector k. ∎ Ext
Other — —
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.