Permit A .
CITY OF TIGARD
MECHANICAL PERMIT
' W'Ik DEVELOPMENT SERVICES PERMIT #: MEC2000-00349
' I I 1 3 1 25 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 08/28/2000
dtwlh- J
PARCEL: 2S114AB -03000
SITE ADDRESS: 16415 SW 93RD AVE
SUBDIVISION: KNEELAND ESTATES ZONING: R -4.5
BLOCK: LOT: 017 JURISDICTION: TIG
CLASS OF WORK: FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Install exterior A/C unit
Owner: FEES
MANGHELLI, DONALD L AND Type By Date Amount Receipt
BARBARA A PRMT CTR 08/28/20C $50.00 2720000000
16415 SW 93RD AVE 5PCT CTR 08/28/20C $4.00 2720000000
TIGARD, OR 97224
Total $54.00
Phone:
Contractor:
CLIMATE CONTROL INC
16500 SW 72ND AVE
PORTLAND, OR 97224 REQUIRED INSPECTIONS
Mechanical lnsp
Phone: 453 -4822 Final Inspection
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 r es or direct questions to OUNC by calling (503)246 -9189.
Issue By: 1 --•^�� Permittee Signature:
Call 503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
•
CITY-OF TIGARD Mechanical Permit A lication Plan Ch
pP Rec'd By
13125 13125 SW HALL BLVD. Commercial and Residenti Date Rec'd
TIGARD, OR 97223 Date to P.E.
•
(503) 639 -4171, x304 AUG 2 5 2000 Date to DST
Print or Type Permit #+'1;;e 2000 -6734/9
Incomplete or illegible applicationsyMntrbeEtWirelpited Called _
Name of Development/Project Description
Table 1A Mechanical Code Qty Price Amt
Permit Fee 16.00
Job Street Address Suite# A) , -• Z . �-" •�
Address /6z//5 5Gt/ 1) Furnace to 100,000 BTU / including ducts & vents see footnote 1,2 ( 9.65 945
Bldg# City/State Zip 2) Furnace 100,000 BTU+
/iK/� QR, 9722X including ducts & vents see footnote 1,2 12.00
Name (or name of business) / 3) Floor Furnace
•
Owner Dan/ , j,4, /6/J a--Z- , including vent see footnote 1,2 9.65
Mailing Address 4) Suspended heater, wall heater
or floor mounted heater footnote 1,2 9.65
/ 6 L i!S 5a) f3 �/ - 5) Vent not included in appliance permit 4.75
City/State Zip Phone Check all that apply: `Boiler Heat Air
c GAD o& 9 7,Z/ Z% �� ?- For items 6 -10, see or Pump Cond Qty Price Amt
Name (or name of lusiness)
/ footnotes 1,2 Comp
• n/�
nn``,,/ 6) <3HP;absorb unit to
D G�
OA /,/i71/6 ff EGL„ ' 100K BTU X • / 9.65 /:6
Occupant Mailing Address 7) 3 -15 HP;absorb unit
G f / 41-4 1e .-- 4 /460//4--- 1001,< 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
unit 1 -1.75 mil BTU 36.00
G/--//yl4 eeAll a _ / 2?/G. 10) >50HP; absorb unit
Prior to permit Mailing Address >1.75 mil BTU 60.15 ild
issuance, a copy /65 5&) �2 11 Air handling unit to 10,000 CFM
of all licenses C' /State lip Phone 7.00
are required if p0�dykio O, /� . 97.Z q53-1,122_ 12) Air handling unit 10,000 CFM+
expired in COT Oregon Const. Con(. Board Lic.# Exp. Date 11.85
database 6219 /O - OD 13) Non - portable evaporate cooler •
Architect Name / 7.00
A0 49' 14) Vent fan connected to a single duct
or Mailing Address 4.75
• 15) Ventilation system not included in
appliance permit 7.00
Engineer City /State Zip Phone 16) Hood served by mechanical exhaust
7.00
Describe work to be done: 17) Domestic incinerators
12.00
New 0 R pair 0 Replace with like kind: YesX No 0 18) Commercial or industrial type incinerator
Residential 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 ••
NOTE: For Commercial projects only; Units over 400 lbs. require 21) Gas piping one to four outlets
structural gas calcs. See footnote 1 3.75
Type of fuel: oil 0 natural gas,' LPG 0 electric O 22) More than 4 -per outlet (each) .75
Minimum Permit Fee $50.00 SUBTOTAL a- a •th =x ,00
I hereby acknowledge that I have read this application, that the information 8% SURCHARGE ,�� ° 9 , 04,
given is correct, that I am the owner or authorized agent of PLAN REVIEW.25% OF SUBTOTAL , . .4;11
the owner, that plans submitted are in compliance with Oregon State laws. Required for ALL commercial permits only . =:,
TOTAL ''Y, .a= -, -1-lee
• Signature of Owner /Agee Date m <_ �_ . �° 'l'
Other Inspections and Fees:
f /r �/ 7/�237 Ge 1. Inspections outside of normal business hours (mininum charge -two
Contact Person Nam: Phon hours) $50.00 per hour
2. Inspections for which no fee is specifically indicated (minimum
/14/1- / .c' 1 7 53 44 charge -half hour) $50.00 per hour
Foonotes for commercial projects only: 3. Additional plan review required by changes, additions or revisions to
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
. **Residential A/C requires site plan showing placement of unit
I: kmechperm.doc rev 7/19/99
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•
CITY OF TIGARD BUILDING INSPECTION DIVISION
•
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST
BUP
i j
Date Requested — / 4 AM PM BLD
Location /G L /, sG✓ 3rd Suite MEC cry 3 '1 y
Contact Person Ph PLM
Contractor 1y /C Ph «S u/ z 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 Z.
Drywall
Drywalywal l Nailing � . C � ..�' � 14
Fire wall ( / 14t4 / f i 33( aD
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING l �--
Post & Beam ! /
Under Slab
Top Out
Water Service • , ' �� j ,/ r
Sanitary Sewer r
Rain Drains
Final
ASS PART FAIL
( M
m ost & Beam
Rough In
Gas Line
S u • ke pampers
PART FAIL
- 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
Approach /Sidewalk
Other Date (c Inspector � Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
BUP - Building Permit ELC - Electrical Permit
Inspection Description Date Passed By I Inspection Description Date Passed By
Footing /Setback Underground cover
Foundation walls Wall cover
Footing drain Ceiling cover
Waterproof bsmt walls Electrical rough -in
Slab Electrical service
Crawl drain Electrical final
Underfloor insulation
Post/beam structural
Shear walls /anchors ELR - Restricted Energy Permit
Roof nailing J Inspection Description Date Passed By •
Firewall Low voltage
Tilt -up panel Electrical final
Masonry /Reinforcement
Framing
MFG - Structure set -up MEC - Mechanical Permit
Insulation
Drywall nailing 4 Inspection Description Date Passed By
Post/beam mechanical
Suspended ceiling Gas line
Engineered soils Mechanical rough -in •
Welding Lab Final Fire damper
Concrete Lab Final Duct work
Bolting Lab Final Smoke detector
Fireproofing Lab Final Mechanical final q--/‹-on dui -
Structural observation
Final inspection
PLM - Plumbing Permit
Inspection Description Date Passed By
BUP — Fire Protection System Permit Plumbing underslab
4 Inspection Description Date Passed By Crawl drain
Sprinkler underfloor /slab Post/beam plumbing
Sprinkler rough -in Plumbing top -out
Sprinkler final RP /backflow preventer
Fire alarm final Rain drain
Storm drain
Water service
SIT - Site Permit Sanitary sewer
Inspection Description Date Passed By Culvert/catch basin
Footings Pump /fill septic tank
Foundation walls Plumbing final
Sprinkler supply lines
Sprinkler underfloor /slab
Catch basin /Manhole SWR - Sewer Permit
Engineered soils / Inspection Description Date Passed By
Engineering acceptance Sanitary sewer
Final inspection Final inspection
INSPECTION RECORD — BIJP, PLM, SWR, ELC, ELR, MEC SIT PERMITS
• •CITY OF TIGARD MECHANICAL PERMIT
rl A DEVELOPMENT SERVICES PERMIT #: MEC2000 -00349
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 08/28/2000
PARCEL: 2S114AB -03000
SITE ADDRESS: 16415 SW 93RD AVE
SUBDIVISION: KNEELAND ESTATES ZONING: R-4.5
BLOCK: LOT: 017 JURISDICTION: TIG
CLASS OF WORK: FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
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:
> 10000 cfm:
Remarks: Install exterior NC unit
Owner: FEES
ANGHELLI, DONALD L AND Type By Date Amount Receipt
ARBARA A
6415 SW 93RD AVE PRMT CTR 08/28/20 $50.00 272000000
IGARD, OR 97224 5PCT CTR 08/28/20 $4.00 272000000
Phone: Total $54.00
Contractor:
LIMATE CONTROL INC
6500 SW 72ND AVE
ORTLAND, OR 97224 REQUIRED INSPECTIONS
Mechanical Insp
Phone: 453 -4822 Final Inspection
Reg #: LIC 62196
t
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes 0
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. t
Issue By: Permittee Signature:
14
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
1 .
•
9/12/00 Activities for Case #: MEC2000 -00349
11:14:23 AM
P ^'
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECA007 Application received 8/25/00 GWL DONE No Hold GWL 8/28/00
MECA008 Create Permit 8/28/00 GWL DONE No Hold GWL 8/28/00
MECA715 Mechanical lnsp No Hold GWL 8/28/00
MECA799 Final Inspection No Hold GWL 8/28/00
MECA060 (F) Issue permit 8/28/00 GWL DONE No Hold GWL 8/28/00
MECA075 (F) Reprint Permit 9/6/00 DLH DONE No Hold DLH 9/6/00 Mechanical contractor
requested copy of permit faxed
to them.
MECA075 (F) Reprint Permit 9/11/00 ZZZ DONE No Hold ZZZ 9/11/00
•
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