Permit CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES • PERMIT #: MEC1999 -00373
•
' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 09/28/1999
PARCEL: 2S112AC -01200
SITE ADDRESS: 14865 SW 74TH AVE * **
SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: I -P
BLOCK: LOT: 020 JURISDICTION: TIG
CLASS OF WORK: NEW FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: S2 VENTS W/O APPL: VENT SYSTEMS:
STORIES: 1 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 ?: N 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: M 50 + HP:
FURN < 100K BTU: 18 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 18
Remarks: Mechanical for 18 tenants - Each Unit will have its owm meter. Requires separate gas line inspections and
Mechanical Inspections. A Separate permit will be required for bathroom vents, this permit does not cover this
Owner: FEES
KHNS DEVELOPMENT Type By Date Amount Receipt
26262 S MERIDIAN ROAD PRMT BON 09/28/19 $241.20 99- 318677
AURORA, OR 97002 PLCK BON 09/28/19 $60.30 99- 318677
•
5PCT BON 09/28/19 $16.88 99- 318677
Phone: Total $318.38
•
Contractor:
SUPREME COMFORT HEATING
9425 SW COMMERCE CIR •
WILSONVILLE, OR 97070 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 682 -1985 Heating Unt Insp
Reg #: LIC 21892 Final Inspection
ORIGINAL
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- 18
Issue By: ' &AWL - Permittee Signature
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
CITYF TIGAR Mechanical Permit Application • Plan cnec -
Pp . Recd By #, I( /Da*.
13125 SW HALL BLVD. • Commercial and Residential Date Rec'd ' - Z '
TIGARD, OR 97223 Date to P.E. ' -
(503) 639 -4171, x304 Date to DST / SA(9
• Print or Type Permit # NV `1,/.7 /3,
Incomplete or illegible applications will not be accepted Called 't 17y
Name of Development/Project f Lye., I Description -
t ` _ _ ( 7 Table 1A Mechanical Code Qty Price Amt
Job Street Address Suite# ) Permit Fee o . ' ' ? 16.00
1) Furnace to 100,000 BTU
'Address /-4,s $ W 7V. including ducts & vents see footnote 1,2 f g 9.65 /14
Btd City/State Zip 2) Furnace 100,000 BTU+
,r KO (/7L_ including ducts & vents see footnote 1,2 12.00
Name (or name of business) 3) Floor Furnace
Owner . k H.1 , 9 17Erc4-0,2i-'EX/7- including vent see footnote 1,2 9.65
Mailing Address 4) Suspended heater, wall heater
1` r6I /���� n or floor mounted heater see footnote 1,2 9.65
^�� S 5) Vent not included in appliance permit 4.75
City /State Zip Phone Check all that apply: ` *Boiler Heat Air .
f9-(j2bK/l, 672- 9 '70 0 -2_ 67S' 7 r 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
S / & 100K BTU 9.65
Occupant Mailing Address 1 ' 7) 3 -15 HP;absorb unit
100k to 500k BTU 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 S c7,04 He c°MFwer rI✓ unit 1 -1.75 mil BTU 36.00
/ 10) >50HP; absorb unit
Prior to permit Mailing Address .9.72.•5 - 5w eeseti/YCxcc - 41 Ir - f; e /4, >1.75 mil BTU 60.15
issuance, a copy ''..6'� -fa . 11 Air handling unit to 10,000 CFM
of all licenses City /State wi ti✓«+ - 0 Zip yne i Rfscs 7.00
are required if 76 7 12) Air handling unit 10,000 CFM+
expired in COT Oregon Const. Cont. Board Exp.. Date 11.75
database ."Z,l -$`1'� � lev- G v 13) Non - portable evaporate cooler
Architect Name A D( 7.00
6A-16- , 2 �/ ' ) re5 ,, ` 1 14) Ventfan_connected to a single duct
or Mailing Address 4.75
/a 4(5- 15) Ventilation system not included in
17 S7_, N & appliance permit • 7.00 ,
Engineer City /State Zip ' Phone S -?j 16) Hood served by mechanical exhaust
5/1L-6 Ai on 973 c' Z 395 /3 49 7.00
Describe work to be done: 17) Domestic incinerators
12.00
New>1 Repair 0 Replace with like kind: Yes 0 No 0 18) Commercial or industrial type incinerator
Residential 0 Commercial 0 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 -'6144)
NOTE: For Commercial projects only; Units over400 lbs. require 21) Gas piping one to four outlets `9 .
structural gas calcs. See footnote 1 3.75
Type of fuel: oil 0 natural gas3 LPG 0 electric 0 22) More than 4 -per outlet (each) .75 J
Minimum Permit Fee $50.00 SUBTOTAL _ ,
I hereby acknowledge that 1 have read this application, that the information 7% SURCHARGE ,
given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL
the owner, that plans submitted are in compliance with Oregon State laws. Required for ALL commercial permits only `, .
TOTAL a �'
Signature of Ow , geni Date _
p Other Inspections and Fees:
�� ��� 7 �1 1. Inspections outside of normal business hours (mininum charge -two OD
onC tac Per me Pho hours) $50.00 per hour r
I / 2. Inspections for which no fee is specifically indicated (minimum t� ` I
(� ` charge -half hour) $50.00 per hour
Foonotes for commercial projects only: 3. Additional plan review required by changes, additions or revisions to.) b
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 -
/- / ��� n **Residential NC requires site plan showing placement of unit
I:Unechperm.doc rev 02/4/99 �l 7e-- b ,4 1 1
€ITYPF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested /( 00 AM XPM BLD
Location 1 t 1 -! ,M iL Suite G tI1EC �'l q — CDG 3 73
Contact Person �� Ph ( 1 3�' 1s7 PLM ' l e —(0317
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT •
Post & Beam ,
Ext Sheath /Shear a�
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
elanfflOSEL
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
FAIL
''
Rough In
Gas Line
Smoke Dampers
PART FAIL
EL TRICAL
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 Z
Other Date 6/O Inspector Ext
Final
PASS PART FAIL DO-NOT REMOVE this inspection record from the job site.