Permit ~ CITY OF TIGARD MECHANICAL PERMIT
I I DEVELOPMENT SERVICES PERMIT #: MEC1999-00475
= `' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/22/1999
PARCEL: 2S 112 D C -01400
SITE ADDRESS: 15875 SW 74TH AVE
SUBDIVISION: CREEKVIEW INDUSTRIAL PARK ZONING: I -P
BLOCK: LOT: 004 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS: 4
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 5 DOMES. INCIN:
LPG 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: 5 AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 2
> 10000 cfm:
Remarks: Mechanical TI
Owner: FEES
PACIFIC AMERICAN PROPERTY EXCH Type By Date Amount Receipt
PACIFIC SANTA FE CORP PRMT DST 11/22/19c $136.00 99- 319939
17700 SW UPPER BOONES FRY RD PLCK DST 11/22/19. $34.00 99- 319939
PORTLAND, OR 97224 5PCT DST 11/22/19. $10.88 99- 319939
Phone: Total $180.88
Contractor:
HVAC INC
815 SE SHERMAN
PORTLAND, OR 97214 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 239 -4822 Mechanical Insp
Reg #: LIC 50897 Heating Unt Insp
Duct Inspection
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 obt in copie of these rules or direct questions to OUNC i y calling (503))246- 9189.
Issue By: - /�-.
Y ' Permittee Signature: (,�A P,C) ..ID2/w6LN
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
Plan Check I 1 --- / 4C-
CITY OF TIGARD Mechanical Permit Application Rec'd By l0
13125 SW HALL BLVD. Commercial and Residential Date Recd 1 -4 l'
TIGARD, OTR 97223 Date to P.E. /PI
(503) 639 -4171, x304 Date toDSTII q I
Print or Type Permit # / /999- d
6 1)0pre_ )0 L((t1f Incomplete or illegible applications will not be accepted called (-- I°I -�(
Name of Development/Project Description .
(2. t`. Coil Table 1A Mechanical Code Qty Price Amt
. Job Street Address ` 1 Suite# - A) Permit Fee 16'00
Address ( 52 74 1) Furnace to 100,000 BTU /(�
Bldg# City/State Zip . including ducts & vents ‘ 9.65 �D?^
Ti Gf 6 ORE_ g7213 2) Furnace 100,000 BTU+
Name (or name of business) F -. n including ducts & vents 12.00
j '1 ' � ` � ' IC *.L Y 3) Floor Furnace
Ownef(I ` ► . �r 4110 ,7 _ � a / ( a including vent 9.65
tia%_ ailing Address
G �Y,,�(i� `i i 7 073 Sly Ups" t G n n 4) Suspended heater, war heater
f � +N `�1� or floor mounted heater 9.65
C' tats {� p /) 72Z Zip Phone 5) Vent not included in appliance permit 4.75
( 1.OLkO Olt 1 Check all that apply: *Boiler Heat Air
Name / lo o t name of business) For items 6 -10, see or Pump Cond Qty Price Amt
( , 2_E C_01/1 footnotes 1,2 Comp * *.
Occupant Mailing Address t 6) Repair unit
159 so-) T-f 8.40
C iState Zip Phone 7) <3HP;absorb unit to ,(e V(
" , OM/ 9702-3 100K BTU 9.65 G10
Contractor Name C 8) 3 -15 HP;absorb unit
(Prior to --kM e . 'i/ CI ,_ 100k to 500k BTU 17.65
issuance Mailing Address 9) 15 -30 HP; absorb
applicant 5 SC Cr1& me unit .5 -1 mil BTU 24.15
•
must provide all f Ry /State Zip Phone 10) 30 -50 HP; absorb
contractor \ f.,,.} -u p n r » Q 7a( C/ 23c ` unit 1 -1.75 mil BTU 36.00
license Oregon Const. Dint. Board Lic.# Exp. Date 11) >50HP; absorb unit >1.75 mil BTU
Lj
information o - 7 r o 60.15
for COT COT Business Tax or Metro # 12) Air handling unit to 10,000 CFM
database). a t a_ 9 o 7.00
Architect Name 13) Air handling unit 10,000 CFM+
• 11.85
or Mailing Address _ 14) Non - portable evaporate cooler
7.00
Engineer City /State Zip Phone 15) Vent fan connected to a single duct »». Q�
`.� 4.75 t I, '--..-
Describe work New 0 Addition 0 Alteration .t8( Repair 0 16) Ventilation system not included in
to be done Residential 0 Non-residential. appliance permit 7.00
Additional Description of work 17) Hood served by mechanical exhaust
- czNA_o k pii"C3 E.-''I -"'Ci 7.00
18) Domestic incinerators
12.00
Existing use of , I e..+1.7,- n (� 19) Commercial or industrial type incinerator
LASS
building or property i Of t0 � S r V\ _YJ( 48.25
20) Other units, including wood stoves •
7.00 /,
Proposed use of 21) Gas piping one to four outlets 2 S
building or property O E_ 5 ( 3.75 ✓�
22) More than 4 -per outlet (each) ( .75 '1
■
Minimum Permit Fee $50.00 SUBTOTAL $4i W m
Type of fuel - oil 0 natural gas It LPG 0 electric 0 • 8% SURCHARGE 3 ' 2 ( ► p 1 "
PLAN REVIEW 25% OF SUBTOTAL ' I �
I her acknowledge that I have read this application, that the ). '' �
information given is correct, that I am the owner or authorized agent of Required for ALL commercial permits only
the owner, that plans submitted are in compliance with Oregon State TOTAL i � ` /�
laws. ten--:; n i., to
Signature of Owner /Agent Date Other Inspections and Fees:
G 4» P`A F fIJ (4/1A1))1 / ( 7q 75 g ' 1. Inspections outside of normal business hours (minimum charge -two hours) $50.00 per hour
e // N , " � 2. Inspections for which no fee is specifically indicated (minimum charge -half hour)
Contact Person Name Phone $50.00pefiour
3. Additional plan review required by changes, additions or revisions to plans (minimum
�"�
z3 q - / / - J charge -one -half hour) $50.00 per hour
y O *State Contractor Boiler Certification required
* *Residential NC requires site plan showing placement of unit
i:ktsttmechpmtdoc (rev 9 *Minimum permil -
•
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested «0Y AM PM BLD
Location / S77 - 7 - P fL- Suite MEC /CM 47 Contact Person J t , (1 / f VAC_ Ph 39 PLM
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 j _ I/ / � ' =/
Roof
Misc: � (Ai ,�� _ %�/ i .; - ..
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL-
Post & Beam
mpers
Fi �
�'PAcSS 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
Approach /Sidewalk
Other Date 1 Inspector 12,/7/. Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
/ a 9 BUP
Date Requested i( ( l 4 AM PM BLD
Location I S 7 St-0 7 4 44--- Suite MEC /q9 q - 5'75'
Contact Person I l (40 Ph � f PLM
Contractor Ph SWR
•
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing ACCeSS:. 0,4-i 1 t �brUti� FPS
Foundation
Ftg Drain SGN
Slab
Crawl Drain Inspection Notes:
Post & Beam SIT
Ext Sheath /Shear C/z-A-
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final /1
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service 1 - �` /j L/r
Sanitary Sewer
Rain Drains 'Y/1"(--.4
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Route D L �
as
Smoke Dampers
Fin
PART FAIL - �I
ECTRICAL U
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
Other Date Inspector Ext
Final
PASS PART FAIL D • NOT REMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
. 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
q BUP
r'�
Date Requested 1c�iq ( AM PM BLD
Location /5 7S 51- Suite MEC /T _
Contact Person Sk. Yy f MAC-- -C Ph 3 4 14'D - ' PLM
Contractor I 1 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
Roof
Misc: _
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains •
Final
FAIL
MEC �Nlf:q ,
Post & Beam
Gas Line
Smoke Dampers
Fin l
S PART FAIL
ECTRICAL
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
Other Date Inspector q Ex
Final
PASS PART FAIL D • NOT • EMOVE this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 1/2Y/ � AM PM BLD
Location / S g 7' 7 Suite MEC ai9 C f7S
Contact Person SVVAAAA Ph 2.i'" PLM
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
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
C
Post & Beam
�rn irk
Sre Dampers
CEASS PART FAIL
ELECTRICAL /1
Service
Rough In ! QCD) 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 Date • , 2 1 Inspector 97 7c Ext
Other
Final
PASS PART FAIL D • NOT • EMOVE this inspection record from the job site.