Permit /I
4 CITY OF T D MECHAN I CAL
PERMIT
T 411 "���/ DEVELOPMENT SERVICES PERM SUED: 11/2 -0462
PARCEL: 1S135AB -03400
1 SITE ADDRESS...: 10260 SW GREENBURG RD #300
SUBDIVISION....: TOWN OF METZGER ZONING: C —P
BLOCK LOT °014 JURISDICTION: TIG
CLASS OF WORK.. :ALT FLOOR FURN....: 0 EVAP COOLERS: 0
TYPE OF USE °COM UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:B VENTS W/0 APPL: 0 VENT SYSTEMS: 0
STORIES ° 0 BOILERS /COMPRESSORS HOODS ° 0
FUEL TYPES 0 -3 HP ° 0 DOMES. INCIN: 0
:ELE 3 -15 HP....: 0 COML. INCIN: 0
MAX INPUT: 0 BTU 15 -30 HP ° 0 REPAIR UNITS: 0
FIRE DAMPERS ?..: 30 -50 HP ° 0 WOODSTOVES. : 0
GAS PRESSURE...: 50+ HP : 0 CLO DRYERS..: 0
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.: 4
FURN < 100K BTU: 0 <= 1012100 cfm: 0 GAS OUTLETS.: 0
FURN > =100K BTU: 0 ) 10000 cfm: 0
Remarks : Installing four fire -smoke dampers in existing duct work
Owner: -- FEES
NORRIS BEGGS & SIMPSON type amount by date recpt
10200 SW GREENBURG PRMT $ 25.00 B 11/21/97 97- 301129
PORTLAND OR 97223 SPCT $ 1.25 B 11/21/97 97- 301129
Phone #:
Contract or: .
NORTH PACIFIC HEATING
33700 SE DUUS RD - - - - - -- - -- --
$ 26.25 TOTAL_
ESTACADA OR 97023
Phone #:
Reg #..: 000637
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
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 by the Oregon Utility Notification Center. Those rules are •
set forth in OAR 952- 001 -0010 through OAR 952 -.1' -0090. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9197.
Issue B y :'(.� �� P e r m i t t e e Signature: ___/ (iC¢.{�I _
++++++++++++++++++++++++++++++++++++++++++++++++ + + + ++ + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + ++ + + + + + + + + + + + + + + + + + + + + + + + ++
•
I Plan Check #
CITY OF TIGARD Mechanical Permit Application Recd By
13125 SW HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 • Date to DST
Print or Type 6)(7/7-09/7( Permit # 7- �(Q�
Incomplete or illegible applications will not be accepted Called
V Nam of pevelopr antJProject Description
..1 ��+-f , � Table 1A Mechanical Code QTY PRICE AMT
Job tr e et Address Suite# A) Permit Fee -0- -0- 10.00
Address I WOO 4)J1,, , ,?, 3 JO
B dg# City /State :+(r. 1.) Furnace to 100,000 BTU 6.00
� -_ ' _ • _ -_ including ducts & vents
Name (or name of business) 2.) _ 2.) Furnace 100,000 BTU+ 7.50
Owner ,
Ni-,z1.4. y � including ducts & vents I 2 2r Ma ng Ad'd'ress / 3.) Floor Furnace 6.00 ■
IC. /2 sta. Rani! - A e _ including vent
s P hon 4.) Suspended heater, wall heater 6.00
( 52 1- yS"ol 5 - ?o _ or floor mounted heater
Na r�a� usi) 5.) Vent not included in appliance permit 3.00
Occupant M ailing Address 1421 �L am ° J
OccU
P 6.) Boiler or comp, heat pump, air cond. 6.00
. /0,7(e0 C 40 , i - to 3 HP; absorb unit to 100K BUT"
C. State Zip Phone 7.) Boiler or comp, heat pump, air cond. 11.00
_ / AO - - 3-15 HP; absorb unit to 500K BTU**
Contractor Name 8.) Boiler or comp, heat pump, air cond. 15.00
� , , � ; 2 15-30 HP; absorb unit.5 -1 mil BTU"
Prior to permit aili - A dd" ress 9.) Boiler or comp, heat pump, air cond. 22.50
issuance, a copy -53 ap SE 30-50 HP; absorb unit 1- 1.75mil BTU"*
of all licenses 10.) Boiler or comp, heat pump, air cond. 37.50
are required if /.. V_ r. A EMI > 50 HP; absorb unit 1.75 mil BTU" •
expired in COT Oregon Const. Cont. Board "ic.# Exp. Date 11.) Air handling unit to 10,000 CFM 4.50
database 4 l/(a /_ .2y,79
Architect Name 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 0 Addition 0 Alteration D." 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
,' / r pCi e, -� ..4AZ �x -r.2�! a..4... Incinerator
Existing use of / O ree. �=! ' 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
A7
Type of fuel - oil 0 natural gas 0 LPG 0 electric 23.) Gas piping one to four outlets 2.00
I hereby acknowledge that I have read this application, that the 24.) More than 4 -per outlets (each) .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 Z5-,e
5% SURCHARGE /
Contact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL
-
CD 30 393 TOTA -
.2 nechpmt.doc (rev 9
i:U L1
*Minimum permit fee is $25 + 5% surcharge
"Residential NC requires site plan showing placement of unit.
Page No. 1 CASE HISTORY FOR CASE NO.: MEC97 -0462
NORRIS BEGGS & SIMPSON
10260 SW GREENBURG RD Unit: 300
06/16/98
Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MECC007 Application received / / / / 11/21/97 RECD B 11/21/97 BON
MECC006 Permit created / / / / 11/21/97 DONE B 11/21/97 BON
MECC090 (F) Issue permit / / / / 11/21/97 PASS B 11/21/97 BON
MECC706 Mechanical Insp 11/21/97 / / 12/15/97 F &S dampers PASS GS 12/15/97 J *H
MECC740 Fire Damper Insp / / / / 12/15/97 PASS GS 12/15/97 J *H
MECC799 Final Inspection / / / / 12/15/97 PASS GS 12/15/97 J *H
MECC600 Case Finaled / / / / 12/15/97 PASS GS 12/15/97 J *H
vv . _ _ , QQQ/ r
C��:C,C CT JG�'
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: /c —45 A.M. P. ■ K ` of 77 ` a 176- 7 •
Location: 0 _-- s _0/ _/ /J1 _/f. A 1 _ BUP: 9 7 -650 ! f
Tenant: W / Suite: Inn Bldg: MEC: 9 - 7 -
Contractor: p /
Phone: 706 — 0 l ' 0 PLM:
Owner: Phone: ELC:
ELR:
• SIT:
BUIL LDG n't) PLUMBING ELECTRICAL SITE
Site Post/Beam . Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab ... Framin Top Out Gas Line Rough -In UG Sprinkler
Foundation Sewer Hood/Duct Reconnect Vault
Bsmt Damp 11 all Storm Furnace Temp Service MISC.
Masonry 4111LEO Rain Drain e'xeS UG Slab
Shear /Sheath ire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
• pprove■ Approved . . proved Approved Approved
Appr /Sdwlk o • . .roved Not Approved Not • p.roved Not Approved Not Approved
d e JAZ` 210 FINAL d ull& FINAL FINAL
a
O Call for reinspection O Reinspection fee of $ required before next inspection O Unable to inspect
Inspector: -:// f Date: / 2-°'/6 7 Page of