Permit CITY OF TIGARD ME
^ � l .���,� DEVELOPMENT SERVICES DATE ISSUED: 01/26/98 8-0025
PARCEL: 2S112DC -01500
SITE ADDRESS...: 15655 SW 74TH AVE #200
SUBDIVISION : FANNO CREEK ACRE TRACTS ZONING: I -P
BLOCK • LOT -006 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 • 1 BOILERS /COMPRESSORS HOODS • 0
FUEL TYPES 0 -3 HP : 1 DOMES. INCIN: 0
:GAX 3 -15 HP : 0 COMML. INCIN: 0
MAX INPUT: 250 BTU 15 -30 HP....: 0 REPAIR UNITS: 0
FIRE DAMPERS ?..: N 30 -50 HP : 0 WOODSTOVES..: 0
GAS PRESSURE.•.: M 50+ HP : 0 CLO DRYERS•.: 0
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.: 0
FURN < 1O0K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 1
FURN > =1O0K BTU: 1 ) 10000 cfm: 0
Remarks : Mechanical TI
Owner: FEES
INDUSTRIAL PARK ON 74TH type amount by date recpt
C/O JIM CASTILE PRMT $ 25.50 B 01/26/98 98- 302782
8100 SW DURHAM ROAD PLCK $ 6.38 B 01/26/98 98- 302782
TIGARD OR 97224 5PCT $ 1.28 B 01/26/98 98- 302782
Phone #:
Contractor:
ARKEN ENTERPRISES
9140 SW HWY 211
$ 33.16 TOTAL
CANBY OR 97013
Phone #: 651 -2137
Reg #. • : 001043
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 Cooling lint I n s p -
approved plans. This permit will expire if work is not started Duct Inspection
within 180 days of issuance, or if work is suspended for more Final Inspection
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: �'� Permitt Signature: , . ,, ;r�ii,.�'
glob
r s
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
AL
Plan Check # /
CITY OF TIGARD Mechanical Permit Application Rec'd By
13125 SW HALL BLVD. . Commercial and Residential Date Recd II - -
TIGARD, OR 97223 Date to P.E.
(503) 6394.171, x304 Date to DST 1 11
Print or Type Permit# _At
Called
Incomplete or illegible applications will not be accepted
Name of D,pvelopmentJProject . Description
ruclus -M 4 G 7 // -)Q0 Table 1A Mechanical Code QTY PRICE AMT
Job treett Address ,,- �y 4 Su te# v A) Permit Fee -0- -0- 10.00
/56,....c5
Address - S. GCU.N 6/ 5 5 ,
E /7 C' Estate Zip 1.) Fumace to 100,000 BTU 6.00
if �jQ C� including ducts & vents
Name,t_or name of business) 2.) Fumace 100,000 BTU+ 7.50 il s t
Owner Dim C,4 Sii G, including ducts & vents 1
Mailing Address 3.) Floor Fumace 6.00
5f 4'I4"-- including vent
City/State Zip Phone 4.) Suspended heater, wall heater 6.00
I or floor mounted heater
NE =me (or name of busi ess) ' 5.) Vent not included in appliance permit 3.00
Occupant tiai=ess 6.) Boiler or comp, heat pump, air cond. 6.00 r
to 3 HP; absorb unit to 100K BUT f 1.0
City /State Zip Phone 7.) Boiler or comp, heat pump, air cond. 11.00
3-15 HP; absorb unit to 500K BTU"
Contractor Name 8.) Boiler or comp, heat pump, air cond. 15.00
/1•2 Ili") l ie ",
f5' 15-30 HP; absorb unit.5 -1 mil BTU"'
Prior to permit Mailing Add Ili r. I /J ( 9.) Boiler or comp, heat pump, air cond. 22.50
issuance, a copy c ? -t1 95 5' • i'0,1)/' /' /� `` 30-50 HP; absorb unit 1- 1.75mi1 BTU"
of all licenses C' estate *Zip Ph a 10.) Boiler or comp, heat pump, air cond. 37.50
are required if C,,q/tJ 440 O.. vi�7 , 2/.5' > 50 HP; absorb unit 1.75 mil BTU'"'
expired in COT Oregon O on� tn Lic.# Exp. Date 11.) Air handling unit to 10,000 CFM 4.50
database 4
Architect Name 13.) Non - portable evaporate cooler 4.50
or Mailing Address 14.) Vent fan connected to a single duct 3.00
Engineer City/State Zip Phone 15.) Ventilation system not included in 4.50
appliance permit
Describe work New Addition 0 Alterationnr Repair 0 16.) Hood served by mechanical exhaust 4.50
to be done Residential 0 Non - residential et
Additional Description of work: 17.) Domestic incinerators 7.50
•
18.) Commercial or industrial type 30.00
Incinerator
Existing use of 19.) Repair units 4.50
building or property
20.) Wood stove 4.50
Proposed use of 21.) Clothes dryer, etc. 4.50
building or property
22.) Other units 4.50
Type of fuel - oil 0 natural gas 9' LPG 0 electric 0 23.) Gas piping one to four outlets / 2.00
I hereby acknowledge that I have read this application, that the 24.) More than 4 -per outlets (each) .50
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with Oregon State QTY. SUBTOTAL
laws.
Signature of Owner /A ent Date �j *SUBTOTAL
a d . ...
/2 fi J 5 %SURCHARGE ?j�
Contact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL
(p
/Qt-i 54/ / 16 6 S / - v /s7 TOTAL
i:\rnechpmt.doc (rev 9 'Minimum permit fee is $25 + 5% surcharge
"Residential NC requires site plan showing placement of unit.
OVER - THE - COUNTER (OTC) PERMIT
COMMERCIAL MECHANICAL PERMIT CHECK LIST
Description of Project: 4' /4e.. 1 /'")--
Class of Work: Q.i • Floor Furnace: Evap Coolers:
Type of Use: latyroN Unit Heaters: Vent Fans:
Occupancy Grp: Q, Vents w/o Appl: Vent Systems:
Stories: t Boilers /Comprsrs: Hoods:
Fuel Types -t 0 - 3 HP. i Repair Units:
/ / / / 3 - 15 HP. Wood Stoves:
Max Input: 2t.;0 IC. Btu: Air Handling Units Clo Dryer:
Fire Dampers: ,Jb < = 10000 cfm: Oth Units:
Gas Pressure: H /69/ L > 10000 cfm: Gas Outlets:
No. Of Units:
Furn < 100k Btu: 1
Furn > =100k Btu:
NOTES:
•
/1 'i $ P ermit Fee
• . = eo $ (0•3e Plan Review
e anical Inspection $ i.A% 5% State Surcharge
. ing Unit 4nspee'• Additional Permit Fee
Shaft Inspection . $ Additional Plan Review Fee
Hood Inspection $ Inspection Fee
• Fire Su.. r •- .lion $ 110 Miscellaneous Fee
Duct Inspectio•
Fire • arm Inspection
Fire Damper Inspection REMARKS:
Miscellaneous Inspection
Fire Alarm Inspection
0111 spection
cam arc l ac > ..
CLASS:.OF WORK OPTIONS.F3R:ALL PERMITS EVEW new. ADO adddion ALT : alteration AGS accesso
.......:..:::.:
FND foundation: OTH other DEM detrtolit REP repair FPS fire p rotection system NOTE USE OTH FQR F : '.:: _ ': '<: :
RETAINING: WALL.DETAC#iED'.:DECKS .SIGNS AWNINGS CANOPIES
is \ovrcntr.doc (dst) 8/97
1
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: 01 - g3 C) A.M. P.M. MST:
Location: 5 to 55 ,,A, . I
_ BUP:
Tenant: '-� R al . ! / 4 Suite: e - Bldg: MEC: '` �
Contractor: � (' 4 i Phone: 63q-f3 9`� PLM:
Owner: t Z4 AZ ry // 1 Phoi 6 -'7.3 7 ELC:
/ ( O /� �t c _. /cJ 1h4 /C( ELR:
C ,( < 3i SIT:
BUILDING BLDG on't PL G MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Pos eam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved • pprov- • Approved Approved
Appr /Sdwlk Not Approved Not Approved _ _.i" %a. .roved Not Approved Not Approved
FINAL FINAL 1 AL FINAL FINAL
•
O Call for re • ' . e El Reinspection fee of $ required before next inspection 1 Unable to inspect
Inspector: D ate: / 4 Page of
/ 7/ CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
•
Date Requested: / 1- 7 �� A.M. P.M. MST:
1 , _?
Location: 5 a „ 7 'J £ BUP:
Tenant: vAc, ` ^ J Suite2C Bldg: MEC: ?,3 — 00Z5
Contractor: O n % IT�� r a ' one: 5 / �5 7 5 PLM:
Owner: i[ _ • Phone: _/ ■ ' a ELC:
r ' v ' /____
i / � �• I 1G��Q �� f / ,,. / / . U7n /. ELR:
SIT:
BUILDING BLDG (con't) PLUMBING
Arialr=n110. ELECTRICAL SITE
Site Post/Beam Post/Beam ' os ► :earn Cover /Service Sewer /Storm
Footing Roof UndFl/Slab '4. . Ceiling Water Line
Slab Framing Top Out Mffellit. Rough -In UG Sprinkler
Foundation Insulation Sewer .. 1 ct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved Not & .rov• . Not Approved Not Approved
FINAL FINAL FINAL FINAL
•
•
•
0 Call for 0 Re fee of $ required before next inspection 0 Unable to inspect
Inspector: Date: �18 Page of . -