Permit CITY OF TIGAR® •
MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2003 -00620
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/27/03
PARCEL: 1S135BB-00501
SITE ADDRESS: 10575 SW CASCADE AVE 120
SUBDIVISION: ZONING: I -P
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS: 1
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML.INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Relocate (3) grilles, demo ductwork and exhaust fan.
Owner: FEES •
AMB PROPERTY L P Description Date Amount
BY TRAMELL CROW NW INC
8930 SW GEMINI DR [MECH] Permit Fee 10/27/03 $72.50
BEAVERTON, OR 97008 [TAX] 8% State Surchart 10/27/03 $5.80
Phone: Total $78.30
Contractor:
MCKINSTRY CO
5400 NE COLUMBIA BLVD
PORTLAND, OR 97218 REQUIRED INSPECTIONS
Mechanical Insp
Phone: 331
Duct Inspection
Reg #: LIC 40981 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 -00
-
Issued By: 4,2-4.c.,4_- 4�� ,/it:[�l fj Permittee Signature( /•y
Call (503) 639 -4175 by 7:00 P.M. for inspections ne ed the next business day
OCT -22 -2003 14 46 MCKINSTRY CO • 503 331 6906 P.05
•
i
MechanicalPernutApplication .1,1, I �i.'
D ate received: Permit no.:
` aECEIVED ,����io 3 mL _ ... , d ii
: .l I. City of i l�y Project/awl. no.: Expire date:
City ofltgard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 -4171 OCT 2 7 2003 Date issued: EMI ' Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
CITY OF TIGARD
Land use a pp roval: BU,LDIhIC nIVISION Building permit no.:
'11 1'1.' 01 1'1.1011 l'
❑ 1 & 2 family dwelling or accessory ,%Commercial /industrial ❑ Multi- family 0 Tenant improvement
❑ New construction ❑ Addition/alteration/replacement ❑ Other:
.I .till 1` ;.iNl OItiv1 \ 110N ('(111 71':I1('1 \I. 1'.U.1. \'Tito\ .x('111 : 1
Job address: , 5 Lk) C PtS Ci R LV 0 Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: 0 - 5 Suite no.: 5u ITS ( 4, value of all mechanical materials, equipment, labor, overhead,
Tax map /tax lot/account no.: j51,356e _ 00 &c) 0 profit Value $ ;OD O
Lot: Block: Subdivision: *See checklist for important application information and
Project name: • ► „i, ... ,.�/.. . : ' - z s C - v- jurisdiction's fee schedule for residential permit fee.
Ciry /county :T16442) ZIP: I t 2 1 ■\III.1 I)tt I I I.1: \(■ PI It .11I I 111 St I11 1.1
Description and location of work on premises: \ \U (0 a1 /I.\lll s'1 ttl U, rtil 11'111:\ 1 tit 111.111. l.l',
A (3) 6,ritt a i _ _ ■ • _C lHav r Total
Est. date of completion/inspection: (. _ • - - _r 1... „ , , , i , ,
MIERRes.or
Tenant improvement or change of use: ■
Is existing space heated or conditioned? I
ll Yes ❑ No Air co "'n1. CFM
Is existing space insulated? 1* Yes ❑ No Air cono orung sue p an required INI
reratlon o existing ' t - system
1111.4 II OA( 1.l (() \IRt( 10It Bo' ercompressors
Business name: M c. IIIJS 12._V D, Stare boiler permit no.: II
Address: ■■
HP Tons BTU/H
`✓� •O t�1t=- .WMc I - ► LV!h Fire/smo. - ,:
ass. c . - tors II.
' • 1► State: 0e ZIP: 9 '72_1 z ' t pump site . an requt -. INE
Phone: 3, 331.02 Fax:5p3.33 /, 1 . _ E -mail: nsta Ircp ace • , : . . -�
CCB no.: �* Including ductwork/vent liner ❑ Yes 0 No
��� Hate ►rep : ovate tors - suspen. ■ � -
City/metro q lie. no.: I wall, or floor mounted '
Name (please print): Ct.1 - ,4 Year for a.. hence other t an furnace NM
( ()NI At' l: I'I: R..On rat on:
Absorption units BTU/11 ■ -�
Name: F EA Chillers HP
ess: - I_ ► ip a . r M . A ; ti b
Compressors _ HP MN
Addr
En 0 ' ,,i • State: Mali n nce tea nut .�tm...: ■ --
- O Q. Appliance vent
Phone: % ,33 (623 Fax: - , *0 _ E -mail: D er IMITM St IM
o% 1 N I;1 t Hoods, Type I res. kitchen/haunat ■ _-
,(j
1 fire suppression system I.
Name: i Pro e `i e s 4 • p C� %yam ,v, e.l`.l (rum Exhaust Exxha haust Ehe with s' : a duct bath fans
Mailing address: 6 , .5 Lt.) Crime, o7i U Exhausts stern a.: from ' ea • • : or AC iMii
City: . h ; e . - e �o , � Type: p , 8 an P f N Gp to' • O
State: ZIP: y7aa8'
Phone:4 73E00 Fax: 26 - 9uaU E - mail: yam
- tie •t. , _sac. a• • none over ' ou its MI
1' \(:1 \L.I It w : (s emetic regw _.
Name: Number of outlets
Address: 4'1 app l e or eq w „ Mt: . --
Decorative fireplace
City: State: ZIP: Insert - type _
Phone: Fax: E -mail: a at stove -
ME
Applicant's signature: Date: Other:
I t er: --
Name (print):
Not dlJurisdiati ®e accept credit ma, plum all}urirdiotion Yom taws infomulm. Permit fee $ '7c . 5
❑ Visa 0 Maatetnrd Notice: This it application Minimum fee S
Croak viral number / expires if a permit is not obtained Plan review (at _ %) S
- ' inaintes within 180 days afire it lute been State surcharge (8 %) -..- $ ,s.
- Namo of cardholder u IMwn on credit mini- - 5 accepted as complete. rO,i $ 7R . ? ^�
Cardbolder Itgnaaua Amount 3( %
4404617 (6100/COhq
CITY OF TIGARD • 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Busin ss Line: (503) 639 -4171
BUP
Received Date Requested S AM PM BUP
Location D �1,A �� Suite l � 1'6- - 1,0
Contact Person �� Ph ( ) PLM
Contractor G it✓.{ Ph ( ) S SWR
BUILDING Tenant/Owner 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
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling - 1 M, �� ` �
Other: ' w
Final
PASS PART FAIL
PLUMBING \
Post & Beam - ��
Under Slab Rough -In
J'
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole •
Storm Drain
Shower Pan
Other:
Final
P FAIL
CRANK
Post & Beam
Rough -In
Gas Line
Smoke Dampers
4 _mil PART FAIL
EC RICAL
ice
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply, Line
ADA
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL