Permit CITY OF T MECHANICAL.
PERMIT
a461-74P. ,� DEVELOPMENT SERVICES DATE ISSUED: . 09/11/98 �e -0�;15
PARCEL: 28112DC -01400
SITE ADDRESS...: 15865 SW 74TH AVE #B ***
SUBDIVISION ° r° �' &1 E INDUSTRIAL PARK ZONING: I -P
BLOCK :( ,iJ04) LOT .............:004 JURISDICTION: TIG
CLASS OF WORK.. :NEW FLOOR TURN....: 0 EVAP COOLERS: 0
TYPE OF USE....: COM UNIT HEATERS..: 4 VENT FANS...: 0
OCCUPANCY GRP..:81 VENTS W/O APPL: 0 VENT SYSTEMS: 0
STORIES ° 1 BOILERS /COMPRESSORS HOODS.......: 0
FUEL TYPES 0 -3 HP....: 0 DOMES. INCIN: 0
:GAS 3 -15 HP. e ..: 0 COMML. INCIN: 0
MAX INPUT: 0 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 < 100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 1
FURN > =100K BTU: 0 > 10000 cfm: 0
Remarks: Creekview Industrial Park Bldg B - This peroit covers Heating Units for
the purpose of freeze proofing the building only.
Owner: -- -- FEES
PACIFIC SANTA FE CORP type amount by date recpt
17700 SW UPPER BOONES FRY RD #100 PRMT $ 36.00 DLH 09/11/98 98- 309078
PORTLAND OR 97224 PLCK $ 9.00 DLH 09/11/98 98- 309078
SPCT $ 1.80 DLH 09/11/98 98- 309078
Phone #:
Contract or:
HVAC INC
815 SE SHERMAN
46.80 TOTAL.
PORTLAND OR 97214
Phone #: 239 -4822
Reg #..: 50897
REQUIRED INSPECTIONS
This peroit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Heating U n t I n s p
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This peroit will expire if work is not started -
within 180 days of issuance, or if work is suspended for pore
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 -u' -0010 through OAR 952- 001 -0080. You gay
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
' � F
Issue By: I /nei�/ - —_ Permittee Signature:, A,PAA.A..! I LIMA
++++++++++++++++++++++++++++++++++++++++++++++++ + + + ++ + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + ++ + + + + + + + + + + + + + + + + + + +++ + + + + ++
Plan Check # ng- 6
CITY OF TIGARD Mechanical Permit Application Recd By
1 SW HALL BLVD. Commercial arid Resiential .,r_, Date Recd �r dJ
TIGARD, OR 97223 ( �a r (/ Date to P.E. OA_ d
(503) 639 -41 1, 304 B o P Gig 0 ( ►, r 9/141:4 Date to DST / d it/ `P
t Permit # �( % G V - n��f�_
q f Print or Type Called Ku C V -
)� Incomplete or illegible applications will not be accepted Alakrelor_ q - -
/i / "dame oofev
Delopment/P \ oect c Description
1 �1( c`�'_l/1 ro 1 ) IASS } cLiv 'C- Table 1A Mechanical Code QTY PRICE AMT
Job Street Ad ss °('tl Suite# A) Permit Fee -0- -0- 10.00
Address 1 5 � 5) 7y
Bldg# B City/State Zip 1.) Furnace to 100,000 BTU 6.00
TGt4R .C) 7 including ducts & vents
C ame (or name of business) 2.) Furnace 100,000 BTU+ 7.50
Own le I o including ducts & vents
Mailing Address t p �'^ Pet-4z. 3.) Floor Furnace 6.00
I770D 0 eiNARl� 'C7",�1 including vent
r /Sta �/ _ ( ` 1 � 7 zip' 1 'P..tt)3one 4.) Suspended heater, wall heater 6.00 U �
at tp �r �i or floor mounted heater
Name (or name of puiic,eA) 5.) Vent not included in appliance permit 3.00
Occupant Mailing Address 6.) Boiler or comp, heat pump, air cond. 6.00
to 3 HP; absorb unit to 100K BUT" .
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 -
(Prior to 4 UA a., IGL.C� 15-30 HP; absorb unit.5 -1 mil BTU"
issuance Mailin Address ( 9.) Boiler or comp, heat pump, air cond. 22.50
applicant S SE V1 �v W� IQ 30-50 HP; absorb unit 1- 1.75mi1 BTU"
must provide all ay/State Zip Phone 10.) Boiler or comp, heat pump, air cond. 37.50
contractor 1-'6,(1.- c l L 2,.q 7 z/ (f 239- Y$aZ > 50 HP; absorb unit 1.75 mil BTU"
license Oregon Const. ora Board ic.# Exp. ate 11.) Air handling unit to 10,000 CFM 4.50
rm
infoation '
for COT COT Business Tax or Metro # Exp. Date 12.) Air handling unit 10,000 CFM • 7.50
database). a_i �9 3/ ? 9
J Architect Name v / L p I 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 Alteration 0 Repair 0 16.) Hood served by mechanical exhaust 4.50
to be done Residential 0 Non - residential 0
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 gas4' LPG 0 electric 0 23.) Gas piping one to four outlets 2.00 I fro
I hereby acknowledge that I have read this application, that the 24.) More than 4 -per outlets (each) 1 .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 /Agent Date *SUBTOTAL
3 ) ( 0
�JSl� t) 1 81 a 5% SURCHARGE [ t°
Contact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL G
S R trt e R aIS i NSd)(U 23 5 -4.822-- TOTAL �
dst\mech (rev 9 `Mjnimum permit fee 5 % 4
��� �.ps "Residentiis S25 + al A/surcharge
C requires site plan showing placement of unit
I��
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP f,/i
Date Requested BLD �� «
Location ) 5 g ,‹ 7 Suite MEC • C
Contact Person Ph C r., x s 31
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
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling � zzaff." ` � L-
Roof 211111111.'
i
-
•
Misc: �' -
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab / v //(.,/: S
Top Out
Water Service
Sanitary Sewer r 12 1111
Rain Drains
Final
FAIL
4 17HANICALJ
Pos -
Rou
Smoke Dampers
F' :
1 !�
PART FAIL
ELECTRICAL
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 1 r>
Approach /Sidewalk Date r � Inspector Ext
Other
Final
PASS PART FAIL DO. NOT REMOVE this inspection record from the job site.
, �