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Permit 'CITY OF TIGARD Akt% MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2003 -00729 All 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/5/2004 PARCEL: 2S111 AC -02700 SITE ADDRESS:, 14650 SW 97TH AVE SUBDIVISION: TIGARDVILLE HEIGHTS ZONING: R -4.5 BLOCK: LOT: 037 JURISDICTION: TIG CLASS OF WORK: NEW FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: 3 OCCUPANCY GRP: A2.1 VENTS W/O APPL: VENT SYSTEMS: STORIES: 1 BOILERS /COMPRESSORS HOODS: 1 FUEL TYPES 0 - 3 HP: DOMES. INCIN: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: 580,000 BTU 15 - 30 HP: FIRE DAMPERS ?: N 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: L 50 + HP: WOODSTOVES: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: 1 <= 10000 cfm: 1 OTHER UNITS: > 10000 cfm: GAS OUTLETS: 3 Remarks: Addition of new multi - use student commons & kitchen remodel. Value: 82,000. Owner: FEES TIGARD TUALATIN SCHOOL DISTRICT Description Date Amount 6960 SW SANDBURG ST [MECH] Permit Fee 8/5/2004 $1,171.50 TIGARD, OR 97223 [TAX] 8% State Surcharl 8/5/2004 $93.72 [MECPLN] Plan Rev 8/5/2004 $292.88 Phone: Total $1,558.10 Contractor: ROBERT LLOYD SHEETMETAL INC PO BOX 307 INDEPENDENCE, OR 97351 REQUIRED INSPECTIONS Phone: 503 Gas Line lnsp Mechanical lnsp Reg #: LIC 62476 Heating Unt lnsp Hood Inspection Duct Inspection S.D. Shut -down inspection Final Inspection • 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 -0100. You may obtain copies of these rules or direct question o OUNC by calling (503)246 -6699. Issued By: '� / ' /� - Permittee Signature: / Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day 01/20/2(104 12:23 FAX 5035981960 CITY OF TIGARD j 002 Mee le-a1 Permit Aplication r ; , 4; C( OFFICE USF = V L1= City of Tigard D ` a/Bv: L 2 - 2 y '� ' L- s Pe No . . neC Zoo3 400 Z q 13125 SW Hall Blvd., 7'i garti, OR 97223 Phone: 503.639.41 71 Fax: 503.598.1960 lan °,,,, ,..,,11,11:.,„, nate/ B Rey view 3 '19 jr p) • Other Permit: lnspecti[m Line: 503.6:9A175 ' Date tteadytgy; )uric: ® Scc Page 2 for ,,. Internet: www.cl.ngard,or . t1S Notifled/Method: Supplements) Information i' :!:t �� :,:: OB •'� ).: . CI� � 7 &AULH:i —.!USE iEC CEKLiST.: �I:b�r il,.. �' ' � . I ..aia:ld , . I •...,.n`M'�'I'... .�ri:� l ;: ^.• :. �::!� di:��ER I , ..! ,. ,'I,,,�. �, ❑ New construction % Addition/alteration/replacement Mechanical permit fees" are based on the value of the work performed. Indicate the value (rounded to the nearest dotter) Mali ❑ Demolition ❑ Other: mechanical materials,_ct)_ipment, labor, •oo7verhead, , and profit. j:�:jl ; I :; ''ail: ;:jjr ''' a; TEN((tIr �kiy ��• .� '`'I °'i C:. Value: S B Z. 0.SALH7O !:1• ::.. :.:.::.:.: :.. ,:� ;i;!:ilr >I',,:: .. *'��5.,11:•. .'��Q�?,�±r?st?r , !a r „I:, I �.,.,:'.:! ,. .. U11? "" is RESIDEIVTL4 ,..1Q MEINT S Y� gp FEES• i .. 0 ❑ 1- and 2 - family dwelling Cornmercial/industrial ❑ Accessory building For special information use checklist. ❑ Multi family ❑ Master builder ❑ Other: Description ( Qty. 1 Ea. ,J Total i�tr,5o I�'' ' , II it O 'Ill 4 OCATION: . ;;':lai! 1 Heating/cooling Job site address : : q `17 H A17._--, v Air conditioning s op i n ho ingplacem ) / _ / X1 621) (requites si Ian showing tacemcnr / 14.00 / 7 City /State /ZIP: TA (Ae.O Cf o C - 7 2_2_(--t , Furnace 100.000 BTU (duets/vend) 14.00 ) Project name: c Furnace 100,000+ BTU (ducuivents) 7 17. 0 35 SC Suite/bldg. /apt. no.: lWPI ITS tM t D �C L Gas heat pump 14.00 Cross street/directions t o jo 1 �� ? ) 1 5j 5 C P± c C' Duct work ,_ 14.00 ��(� �/� C 14ydronic hot water system 14.00 r m (1 C` - "c , Residential boiler (radiator or 14.00 • Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10,00 Subdivision: ] Lot no Flue /vent for any of above L 7 j 10.00 3 OC Other; 10,00 Tax map/parcel no.: Other fuel appliances _, I:: s i•i' ;I' .7i; r;r::ii i. �i'iii'.I i ]t"N°.I�K . :..i ' Ila i�e.J; a:! .6i:!: m11��.�.�� ,. ,•,�.. �,: I, �::: is �.. •:, ... „ i :a',., ; : I ,._, : , � :.� Water heater 10.00 • ., ,.• _ Gae fireplace 10.00 O P 6 RAD_E O F— kC s ___ _S� Flue vent for water heater or gas fireplace 10.00 • Log lighter (Ras) 10,00 • Wood /pellet stove 10.00 Wood fireplace/insert 10.00 n . .I ! i Ii .; ': Chirnney/lincr /tlue/vent 10.00 ini!1:C: ::, !�,.,,N)�`; I''i .il:�' . j'�'� .�`1'I jl L'' ;1 i ;:6 1 `L!iElvdlv;l f .... l ,........ �'1 �.,:}� :...... li�.. •� 'i I I :.� ��,:.. � a . I: [� �........ ! I''� .: '' ' � ' � other: 10.00 _ • • Name: ' I 1 e A' ) _TUA t-AT' l■_) , ) -}coL P15r a 3 i Environmental exhaust and ventilation Address: [0 / CO0 3 _SA.,006t ' Z equipment kitchen ST qui merit 10.00 City /State /ZiP! - 7/ 6Ae. p d� 9 7 2? 3 Clothes dryer exhaust 10.00 / Single-duct exhaust (bathrooms, Phone: (�j -3 ct 3 l tkQ o fax: 603 1 31 14 t-{ - 7 toilet compartments, utility room, 3 6.80 Z • � ::: , p.;:;l ; �; 1" !: . . !i:i:': Atn ace fans 10.00 'I i I�:�,:, I .:,.i:,:,ti;�.•:•, .�i' ;:'•!"Il.;).i, 1' 9 ik ..• :I;�i "• ���!�,�C- .: .!.:. .raa ..;'.:�° I�....:.c l'�., �N T AC�' 1 ''; � RERSON� .. ..... :.. , name: + 0 c NEE( M Ei P(, Other: 10.00 Business nam ©�,�( 1 �1 ©�( c t' 1 H Fuel piping Contact name: C L 1/4- 1 3 DE. DA 1 55.40 for first four: 5I.00 for each a dditionnl Furnace, etc. Address: (l 4 E`1:_ I IQ D [G'1 0 D( =tIJC\ R W t) S( Gas heat pump . City /State/ZIP: 1 N() r ,�P E () �pC E O cz, S 3 / Wall/suspended/unit heater Phone: (Yb3 938 — ..2,63`3 Fax:: ( Sol 4 p3 z .:3 3 9Go(-1 water heater Fireplace E -mail: Range .,�.•���q', 1 ,�.I�'i' I!: : u. I I I li' . , :r ...,,.l q • :h: a;a.. !j'1!' (^n�m 'c 'i is : ';'!' Bnrhetue �� :... 11 �.a. � u, .n.�l : hit �n 'i, � • '�� . � =,C�� . �' ..� L .. J' , �: @ ::I1 ; p,c ::,.;,,I.;,:. ..:. � I; :.:�= !`:....- Business name: ROBEk..l ` L I CND HEM- ( 1 (A L Clothes dryer (gas) 1 l r I Other. Address: L ("� S� I N > f 1 N 1 = N C l� `f' Si l! I.,;: ! - MECi civic a Iir: i`:6s-' : .I . City/State/ZIP: ( NI ()_p t - i\ E U 2; co 3 s -- ‘ Subtotal 1 / g � is 1!t Phone: (S° 4U P r ] Pa ( g3 -3q b �� Plan review (25% of permit fee) !r ' • CCB lie.: 0 7 — 1 1 ,, ' — rJ S State surcharge (8 %. of permit fee) 93 .�� TOTAL PERMIT FEE �=`• " -,pj, ! Authorized signature: .- 1 I J / TIIItm permit application expires if a permit is not obtained anon ' u _ _ - a"JJJ,,, ! , days after It has been accepted as compktc. ' T Date: v S O 7 • Pot methodology se[ by Tn.County Building industry Smicc Bou ,5 Pont name: f i`. MpuitelinatP,mnitaV$4Pe+ rah : +.doe 1)07 40).4617T ( t 1/02/COMIWEB) • H) • CITY OF TIGARD 24 -Hour 4 v ' VUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested n�� ° J3 U AM PM BUP L Location / '� 7 ( S 77 'k'— Suite MEC4c 3 — dd 7017 Contact Person Ph ( ) ` - 63.) 7 PLM Contractor Ph( ) SWR BUILDING Tenant/Owner J ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation • Drywall Nailing Fire al ire • larm Susp'd Ceiling Roof I �� Ilea •ther: i , ASS PART FAIL PLUMBING . Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post& Beam Rough -In Gas Line Smoke Dampers - AS S PART FAIL LE RICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please cal for reins section RE: Ell Unable to inspect — no access Fire Supply Line ��; ADA ��1 Approach/Sidewalk Date Inspector , , Ext Other: Final DO N ' T REMOVE this inspection record from the job site. PASS PART FAIL • CITY OF TIGARD 24 -Hour ' 1 UILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Busine s Line: (503) 639 -4171 MST a =' BUP Received Date Requested (7 �,{' AM PM BUP / Location l4 _ 0 Suite MECZ "' C0707 Contact Person Ph ( ) PLM ' Contractor �� Ph ( ) SWR BUILDING Tenant/Owner � � I ELC Footing ELC Foundation Access: � r-- Ftg Drain (0-S/CC r ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath /Shear Framing Insulation l 1 5 j401 Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan • Other: Final PASS PART FAIL MECHANICAL Post& Beam Rough -In Gas Line Sjke_Dampers Final PASS PART ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for einspecti. RE: 1171111 Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk C t 04-- Date Inspector Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour %BU4LDING Inspection Line: (503) 639 -4175 INSPECTION DI VISION Business Line: (503) 639 -4171 MST BUP Received Date Requested AM PM BUP Location / 4 7 1 6 3 d / 7 Suite MEC ,:2403— 40 7 �9 Contact Person —rte 'T Ph ( ) ��� — 63.3 7 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner 7771.14 � ' //) 3C/74-0 0 L- ELC Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation S < t — O +„ p If l A Drywall Nailing J` , v ( 0T UU Firewall �i.j /r / . � � � � , Ti ►�! �; ► • (?- Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers PASS PART ELECTRICAL Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection ee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE = Please call f r rein pection RE: E Unable to inspect – no access Fire Supply Line �/ t-r■ty ADA Date '" �/ Inspector Ext Approach /Sidewalk Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24 -Hour ' ;BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested / —21° AM V PM BUP ' Location ZMD / 6so Suite MEC cO Do - 7a I Contact Person Ph ( ) // -" 6 33 7 PLM Contractor Ph ( ) SWR �. BUILDING Tenant/Owner t��. _ � ELC Footing I ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation .-- Drywall Nailing -- ' _ / ► • :�'• ►� Firewall Fire Sprinkler �, Fire Alarm +► Susp'd Ceiling — �� "Na I Roof Other: Final f PASS PART FAIL / PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final = 413.1,.... FAIL CAL ost & Beam 'ou• - Ga e Smoke Da = - Final PASS AIL ELECT' • Service Rough -In UG /Slab • • Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. 'ay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE - Please call f r'reinspe ion RE: Unable to inspect – no access Fire Supply Line AISTIPW1, ADA 1< Ins ector I Ext Approach/Sidewalk Date p Other: Final DO N • T REMOVE this inspection record from the job site PASS PART FAIL CITY O.F TIGARD - 24 -Hour _. BUILbING- Inspection Line: (503) 639 -4175 "' �� r �• MST - . INSPt`CTICN DIVISION •Business Line: (503) 639 -4171 r te - •, !i t' /^ .„ - -- s 'A - . Received Date Requested 5 — AM PM BUP Location / L/C •I 1 r P�. -� Suit ME C�' � ° - G �`7' Contact Person Ph ( • •) - -3(_ - .) ! " `: 6> s , __ PLM Contractor • , jr--- - Ph ( ) ( •5 , S -0 68 / _ SWR r fJ BUILDING • Tenant/Owner , � _ `- L �-=-c , ELC Footing 1 ,--/ ELC Foundation ►,ss , :, to ,T,. .. � . .t .1. - ....•a., Ftg Drain +''�,:a � ..2 � �';�';, �.�, � , �-;•'� ;.,, � `° , � � � ELR • Crawl Drain ,.�v v3:P . ^:. >1�= _. �, ,ra = � t�:A:3.� :�i •, Slab Inspection Notes: SIT Post & Beam Shear Anchors -) Ext Sheath /Shear - Int Sheath/Shear Framing Insulation C @(� S -11-;- S f A &P ��. Cv ti , Drywall Nailing 3 ' - � -� Firewall SO P t E M ` P.1 012 i . ( ) t - IT OA.) Ax,_ P) P I Ai 4. Fire Sprinkler Fire Alarm Z .-�) pl 1 JL•� t� 1 • € f" _ lh. i'7 Susp'd Ceiling :. . : ' Roof .14 [. -'Y b (.-r• � • . . k Ai S2 1 4 Oki 14.S Other: '- ,° :t � f"d .:'g� 6 f. • L` ` ✓f 1 ' ' :. Final Fes}.. I ili _ EV ') ,.- - --1.. .T., a ( ' .s. PASS PART FAIL = -- k n :3� PLUMBING.: "' ©� zoo e Post & Beam r.4 Under Slab ✓ 5 6 P Pt cs- ,,;. Rough-In TA • � - - 3 Z3 I / Water Service _ ` Sanitary Sewer t,. ,, - - -- Rain Drains . Catch Basin /Manhole Storm Drain Shower Pan . Other: , Final PASS PART FAIL MECHANICAL ' Post & Beam Rough -In R p ...-:-.._...-- . ,..._ ; e.: , SrpoA,Pamp Final h ; • PASS - FAIL ELECTRICAL Service ' Rough -In ` UG /Slab , Low Voltage. . - Fire Alarm • Final ® Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: I Unable to inspect - no access Fire Supply Line ADA ZLt(d Inspector Approach /Sidewalk 1:114, Ins P ,R Ext Other: • Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL ' .. CITY OF TIGARD 24 -Hour "„BUILbING � Inspection Line: (503) 639 -4175 INSPECTION �DIVI,SICN �, ` Business Line: (503) 639 -4171 0 _ o a BUPA Received Li L,5-7) Requested ~ 7 AM PM B • . • Location / -TLa S g 7 Suite C x003 - 00 7 a c t Contact Person 4----e-6 Ph ( ) 4 7/g - / — 0 33 7 P Contractor Ph ( ) SWR BUILDING Tenant/Owner 7.1770 af ,_ ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: _ SIT ,— Post & Beam - 0 - Shear Anchors L1 Ext Sheath /Shear Int Sheath/Shear Framing Insulation b TS Drywall Nailing l 1 ( Fi rewall Fire Sprinkler c p_ �� Fire Alarm M —-4 E 1 ��- ei(4,- (- ra - F Susp'd Ceiling Roof c PASS PART/ FAIL • PLU Post & Beam ' �•. v Under Slab D � � ' Rough -In `��. � il .: g Water Service Sanitary Sewer , NO Rain Drains t ��. ` ' � _ Catch Basin / Manhole i � �/ � T Storm Drain Shower Pan • L - , , ,p is Other: Ike 0y' _ a :� - - Final PASS PART FAIL MECHANICAL Post & Beam 4iiir Rough -In Gas Line = •� S _. : pers 4111 � �� i / FAIL \ `NW /� ELECT Service Rough -In UG /Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: D Unable to inspect – no access Fire Supply Line ADA Approach/Sidewalk Date Inspector Ext Other: I' Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL