Permit ��. - j
�..—
CITY OF TIGARD MECHANICAL L A"o'dd -
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 PERMIT #
DATE ISSUED: 12 / 17 M / EC 98 98 -0564
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/O APPL: 0 VENT SYSTEMS: 0
STORIES • 0 BOILERS /COMPRESSORS HOODS : 0
FUEL TYPES 0 -3 HP : 0 DOMES. INCIN: 0
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.: 1
FURN < 1O0K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Remarks : Install a new chiller unit.
Owner: FEES
PRECISION INTERCONNECT type amount by date recpt
16640 SW 72ND AVE PRMT $ 25.00 GEO 12/17/98 98- 311617
TIGARD OR 97224 SPCT $ 1.25 GEO 12/17/98 98- 311617
Phone #:
Contract or:
JOHN REINHARDT PLUMBING
PO BOX 129
$ 26.25 TOTAL
NEWBERG OR 97132
Phone #: 5388 -9464
Reg #• • : 1870
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Final Inspection
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 by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952- 001 -0010 through OAR 952 -001 -0088. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
Issue By: / 'ermittee Signatur: / A1111 111"
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p•m° for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
12/16/98 WED 11:32 FAX 503 598 1960 CITY OF TIGARD (?)002
Plan
CITY OF TIGARD Mechanical Permit Application Recd B edc#
PP Reed By
13125 SW HALL BLVD. Commercial and Residential Date Redd
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST
Print or Type Permit # /Jibe qg' - OS(' T
Incomplete or illegible applications will not be accepted called
Name of oevelopnrertIPmlect Description
PRECISION INTERCONNECT Table 1A Mechanical Code • Price Amt
Job Street Address Suttee _ A) Permit Fee •; r: ry.', s 10.00
Address 16640 SW 72ND. AVE . 1) Furnace to 100,000 BTU
induding duds & vents 6.00
BMWS Clty/State Zip 2) Furnace 100,000 BTU+
PORTLAND 97224 induding duds & vents 7.50
Name (or name of business) 3) Floor Furnace
Owner PRECISION INTERCONNECT Suspended heater, 6.00
Mailing Address 4) Suspended heater, wall heater
16640 SW 72ND. AV E . or floor mounted heater 5.00
5) Vent not Induded in appliance permit
Cey/State 2'ip Phone 3.00
PORTLAND 97224 CHECK ALL 'Boller Heat Air
Name (or name or business) THAT APPLY: or Pump Cond Qty Price Amt
PRECISION INTERCONNECT Comp ' ..
6) 3HP;absob unit to
Occupant Address 100K BTU 6.00
16640 SW 72ND. AVE. 7) 3-15HP;absobunit
coy/state Zip phone 100k to 500k BTU • 11.00
PORTLAND 97224 8) 15 -30 HP; absorb
unit .5-1 mil BTU 15.00
Contractor Name 9) 30-50 HP; absorb
JOHN E. REINHARDT PLUMBING, %LIN .75mIIBTU _ 22.50
Prior to permit Matting Address 10) >50HP; absorb unit
Issuance, a Dopy P.O. BOX 129 >1.75 mil BTU 37.50
of ail licenses Ctgrisrate zip thane 11) Air handling unit to 10,000 CFM
are required if NEWBERG , OR . 97132 4.50
expired In COT Oregon cal. Board aa � 9 Date 12) Air handling unit 10,000 CFM+
database 1870 u
7.50
Architect Name 13) Non - portable evaporate cooler
4.50
M ailing Address • 14) Vent fan connected to a single duct
or 3.00
15) Ventilation system not included in
Engineer CRY/Se:de Zip Phone appliance permit 4.50
16) Hood served by mechanical exhaust
Describe work to be done: 4.50
17) Domestic incinerators
New Repair 0 Replaoe with fike kind: Yes 0 No 0 7.50
Residential O Commercial 16 18) Commercial or Industrial type indnerator
30.00
Additional Information or description of work: 19) Repair units
4.50
20) Wood stove
4.50
21) Clothes dryer, etc.
4.50
r
Type of fuel: oil 0 natural gas 0 LPG 0 electric 0 22) Other units ILLEg-- ( 4.50 4.50
I hereby admowledge that I have read this application, that the Infomration 23) Gas piping one to four outlets
given is cored, that 1 am the owner or authorised 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 Owner/Agent Date ;` r
5
Minimum Permit Fee $25.00 SUBTOTAL R {* * _. _„ r LI
12/16/ 5 %SURCHARGE «. j z .
ct Person Name Phone PLAN REVIEW 25% OF SUBTOTAL £ - r }
Required for ALL commercial permits only , .,,,, ` " " 1 13
TOTAL ; F + .
:
JIM /JOHN ERIC (503) 538 -9464 - . -.:::.5s 6
'State Contractor Boller Certification required
"Residential A/C requires site plan showing placement of unit
1:4nechperm.doc rev 07/20/98
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested V `�`f (q AM PM BLD
Location 11 r 3 -/Y)1 Suite 4/IEC ) ■
Contact Person fj (iq �� cl "`e (( \- M Contractor 6 0 3 `" 6 17s C j e
Ph �- g- 3 3R S R
E C
BUILDING Tenant/Owner / 1 /- _
Retaining Wall LR
Footing Access:
Foundation FPS
Ftg Drain —r' SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing �`..
Insulation
Drywall Nailing
Firewall 67,4 5 �! ) G
Fire Sprinkler L�
Fire Alarm
Susp'd Ceiling
Roof
Misc: -
Final
P S RT FAIL
Post &Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
4 5 ains
(, 1' PART FAIL
CHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
BackfillGrading
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 f. r reins section RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date � ' '
Other Ins Ext
Final
PASS PART FAIL DO NO, REMOVE this inspection record from the job site. .