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Permit
• CITY OF TIGARD MECHANICAL PERMIT 40#4 I DEVELOPMENT SERVICES PERMIT #: MEC2000 -00371 ' I I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/14/00 PARCEL: 2S 113AD -01800 SITE ADDRESS: 16666 SW 72ND AVE B -12 SUBDIVISION: ZONING: I -L BLOCK: LOT: 011 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: GAS 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: FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Remarks: Moving gas line Owner: FEES PACIFIC REALTY ASSOCIATES Type By Date Amount Receipt 15350 SW SEQUOIA PKWY #300 -WMI PRMT CTR 9/14/00 $72.50 2720000000 PORTLAND, OR 97224 5PCT CTR 9/14/00 $5.80 2720000000 Total $78.30 Phone: Contractor: CLIMATE CONTROL-INC 16500 SW 72ND AVE PORTLAND, OR 97224 REQUIRED INSPECTIONS Gas Line Insp Phone: 453 -4822 Reg #: LIC 62196 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 by calling (503)246 -9189. Issue By: Permittee Signature: �;��f1a,._ Call (5 3) 639 -4175 by 7:00 P.M. for inspections needed the next business 4 ay Plan CITY QF TIGARD Mechanical Permit Application Rec'd By # 13125 SW HALL BLVD. Commercial and Residential Date Rec' ?--/ -ov TIGARD, OR 97223 Date to P.E. (503) 639 -4171, x304 • Print or Type Date to DST Incomplete or illegible applications will not be accepted Permit # /71 OQ9- -00 37/ Called Name of Development/Project Description O Z � /�teSr�� PmeK st Table 1A Mechanical Code Qty Price .Total Job Street Address I Suite # 1) Furnace to 100,000 BTU � (�IOC S(.t �� AO Suite ducts & vents 14.00 Address 2) Furnace 100,000 BTU+ Bldg# City /State zip including ducts & vents 17.40 . Z- 176/ D c 9722 3) Floor Furnace Name (or name of business) / including vent 14.00 Owner f/ 4) Suspended heater, wall heater or floor mounted heater 14.00 ailing Address / 5 3.561 S 4.) Std -uo in- f4y, 5) Vent not included in appliance permit 6.80 City /State Zip Phone Paer eAti ae- 97�� 09.6,30 6) Repair units 12.15 � Check all that apply: *Boiler Heat Air Name (or name of business) For items 7 -10, see or Pump Cond Qty Price Total _F��� 7: footnotes 1,2 Comp -. .• Occupant Mailing Address 7) <3HP; absorb unit to /6 6 SCe-/ 72-4t 100K BTU 14.00 City/State Zip Phone 8) 3 -15 HP; absorb unit c� 100k to 500k BTU 25.60 I O / 'R. q7 22 Y 9) 15 -30 HP; absorb Contractor Name ., unit .5 -1 mil BTU 35.00 GL / m/17.l8r- Coo\lTJeP/ 10) 30 -50 HP; absorb Prior to permit Mailing Address unit 1 -1.75 mil BTU 52.20 issuance, a 11) >50HP; absorb unit >1.75 mil BTU copy /65 -6 -gtl.)• 72- 87.20 of all licenses City/State Zip Phone 12) Air handling unit to 10,000 CFM are required if p'i 7ZFt /O Ord. f7.22$ 4/53,122 10.00 expired in COT Oregon const. C Board Lic.# Exp. gate 13) Air handling unit 10,000 CFM+ database 60/96 /�'1 c y 0/ 17.20 Architect Name 14) Non - portable evaporate cooler 10.00 15) Vent fan connected to a single duct Or Mailing Address 6.80 16) Ventilation system not included in Engineer City /state Zip Phone appliance permit 10.00 17) Hood served by mechanical exhaust 10.00 Describe work to be done: /l/44.ti64-1 4,"4/4 & 18) Domestic incinerators (, l r -4r2 � 56 110mk ThwAt - 17.40 New 0 Repair O R with like kind: Yes 0 No O 19) Commercial or industrial type incinerator Residential 0 Commercial yl _ Modification O 69.95 Additional information or descfiption of work: 20) Other units, including wood stoves 10.00 NOTE: For Commercial projects only; Units over 400 lbs., located on the 21) Gas piping one to four outlets 5.40 4B roof, require structural calcs. preps by licensed engineer. Type of fuel: oil 0 natural gas LPG 0 electric O 22) More than 4 -per outlet (each) 1.00 Minimum Permit Fee $72.50 SUBTOTAL . , ; 72-.SC hereby acknowledge that I have read this application, that the information given is correct, that I am the owner or authorized agent of S% SURCHARGE 4 : �� 0 the owner, t -t plans subm * -d are in pliance with Oregon State PLAN REVIEW 25% OF SUBTOTAL .�''*' r la i Required for ALL commercial permits only fT:,.. ri, Q i / i Signature of Owne A. nt ��D �� TOTAL % � ' '1P AIM Si g �, z Ai (��L{i 7 0 3 _ 1422 _ Other Inspections and Fees: / ' 1. Inspections outside of normal business hours (minimum charge -two hours) Contact Person Name Phone $72.50 per hour 2. Inspections for which no fee is specifically indicated (minimum charge -half hour) $72.50 per hour Footnotes for commercial projects only: 3. Additional plan review required by changes, additions or revisions to plans (minimum 1. Provide full schematic of existing and proposed gas line and pressure. charge -one -half hour) $72.50 per hour 2. Provide drawings to scale showing existing and proposed mechanical 'State Contractor Boiler Certification required units **Residential A/C requires site plan showing placement of unit I:\dsts \forms\mechperm_rev.doc 9/8/00 IY,:4; i s F PAD uN ! 4 eK ((o5' Y140E+ 2..1Pu Q 2 3 4 0 6 7 Q 0 0 I 0 ' 3 l © CO 0 8J ® e ® ® 0 (-7, A- - - - - - - - - -' -- -- - -- -- - - - - -- - - - - -- --- - - - - -- - - - -- I I 1 I 1 I I I 111111111 I I l I I I 1 I 111111 I I I I CY I I I I I I I I I I I k I I 1 I I 1 1 1 1 1 1 1 1 I 1 1 1 I L I 1 1 111 _ tTT I I I I I I23 1 4- 1 -4 f1 1 1 iic I I I I I I I I I TIA - 1 = - - - - _ - - -- .oaF. oo.t�.. �- _.... .- -- Q GAS - m aS N... — ■.."' u u 1166601 •_ r 9 1166661 1166701 66•% 1 I- L16 7' - Y/ ZZO 1 - mac. Lam 165" mlaN- OREGON DUSINESS PARK 1 2 1 6. o z SCALE urty BUILDING #I2 (PTR #125) ,.„,,,III„„iiIIII� �..� .,,,„,.,.„ „, iI„„„„,,, IIII„„I��„m„,iI 16658 5W 72ND AVE. a 26 0• goo' PORTLAND. OR 97224 Q PA CTR Jl(� U' tPR.O P E P T Y 6/20/95 ., .. ..e* - 7. 7 "1"... i • :1-: kt.41.41:1. . i • FifL-sD 1_1635 rm a tf- l&IPUT 0 2 T T I1 _z3.,z a • •—• . .3 0 • (i) . 'CI • 0 I) ® @ T 7 A . ....... r7—"' I . • . . I , 1 , I I I I I I I I 1 1 . 1 I I - I I I I I I I I I I 11 I • I / I I I , ' I 1 1 1 1 1 1 1 1 1 0 ..' .....■ .. .... .. ........■ .. L...... ■ ..... ... ■..... .. ..4..■..... ... .... ... ...{........ ... .. - ...i..... .. ■ .11-....... .. -.--I - ...-.. - ... ..-..... .. -...-- L. —.—..- - — -.... - —.... 1.....—. .. —......I-. -. --• - .4--- - —.--..--1 - —....-- -. —1-... - --... I --. .- —I— - -----... 1—.--... - — /- - ---- - I I a I a I I e i 1 i a I • 1 4 a t 11 1 1 C il 1 111 . 1 1 1 1 1 1 1 1 1 1 • I L I I I I I I I 1 I I 1 I I 0 ---4-'4-.—zio. L _ _ _ L. ....--.. .. .......- — - .............-.. 1-...-...--- - —.../..- - —,—. ... ..1.-..—.. -. --3 .. .........,-. ... —1-- - — 1 , — - —L.- - — 1---- - —L. — -.- • - . 17-7 %. ill I CD r .,....,,• 1 1 1 1 1 1 1 1 1 1 1 ... F-...... • 1 1 1 1 1 i .-A4 I I 1 I I I I 1 I a . 1 .. . 1 . 1 . I , I 1 I . I , 1 II .., , 7 - 7, .. . .. . . . . . POMP ' • • .. .. . al GAS - • METERS . . • - - _ - - • _ - - ....../ ..-.1 - 4.- • ,...... C \-/ .-/ \-, N.■./ 1166601 1., 8 1166661 1166701 Itit4,-.1d -r Lev 671/ 2 1 • - rcirAc_ Lag+p / 6.5 • Ai ae OREGON BUSINESS PARK 1 '.- C2CALE f' = 40' a U. bEZ.;007 BUILDING #I2 (PTR #I25) 1 ■ 1 i i 11111111111111111111111111111111111111111111111111111111111111111 1665.5 5W - 721\11) AVE. . 20 DO' Da PORTLAND. OR 97224 A F ' A c T R U N T PaR.E11:= T V 6/20/95 • . ,77-• \ . \ , ..,..-i'f,.z. •; ' — EX1sr /A G /r s FiggD uNi7" Na-A--mg.) . • J_. _ 16,5 ri► a f+- z uPuT- 0 2 3 4 5 6 7 O ® 0 2 3 0 6 ' (:J 8 ) ® @ 0 Q f A- - -- — -- - - ' - - - - • • • 1 1 • 1 • • • • • • 1 1 • • • 1 1 I I I I I I 1 I I I 1 I I I I I I I. I I I 1 I I 1 I I I °- - - - __L— - - - -4_-- I I 1 -- -- I I I I I I I I I I I Tr I 1 1 1 1 0( 1 1 1 I WI I 1 1 1 1 1 1 1 1 1 1 1 1. 1 I I I I I I I 1 I 1 1 I I _ i _ _I I . .' i I I I i .t •... 1 1 1 1 1 1 1 , 1 1 1 • 1 1 I I I I I I I I I I 1 1. I -• F __ 1 1 1 1 "f 1 1 I 1 1 1 1 1 1 1 ... 1 1 1 1 1 1 1 1 I 1 1 a , 0 Ii_ . . © GA S — METERS J 1166601 1.. + 16. 1166701 I j:1 - rot - L..)�u6/ ZZO" 1L Lard !6s mat-1- O EGON'USINESS FAtK 1 eC 2 l 6 1 EU UMy BUILDING #I2 (PTR #125) IIIIIIIII IIIIIIIIIIIIIIII III, 1111111111111111111111111111111 16658 5W 72ND AVE. 28' 8a 1047 PORTLAND, OR 97224 Q PACTS 1J T PR•OPEPTY 6/20/95 • - CITY OF TIGARD BUILDING INSPECTION DIVISION MST 4 . 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 _ • a BUP Date Requested ! � AM PM BLD Location / G S- 7 Z- '1-0� �-( Suite MEC 3 7( Contact Person Mk vie Ph 453 U f2 Z PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: g__ Foundation 1 2 FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab • SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling g:15 Roof /e0 /1V Misc: l/ Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out • Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL Post & Beam 6A S / //y e Rough In mol Dampers Orai PART FAIL E 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 /0(- Approach /Sidewalk Date 7 /Z/ Inspector 711-N Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.