Permit CITY OF TIGARD MECHANICAL
PERMIT
-�: v .,. 1, �:�� DEVELOPMENT SERVICES PERMIT
08: MECC98 -0338 13/98
PARCEL: 1S136AD -04000
SITE ADDRESS...: 11509 SW PACIFIC HWY
SUBDIVISION • VILLA RIDGE ZONING: C —G
BLOCK • LOT •007 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 • 1 BOILERS /COMPRESSORS HOODS • 0
1 FUEL TYPES 0 -3 HP ° 0 DOMES. INCIN: 0
3 -15 HP • 0 COMML. 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.: 1
FURN < 1O0K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Remarks : Reroute duct work - Greenspan Clinic TI
Owner: FEES
SMITH, WOODROW & EDITH type amount by date recpt
520 SW SIXTH PRMT $ 25.00 DLH 08/13/98 98- 30823E
PORTLAND OR 97204 PLCK $ 6.25 DLH 08/13/98 98- 308232
5PCT $ 1.25 DLH 08/13/98 98- 308232
Phone #:
Contractor:
ANCTIL SHEET METAL CO.
4320 N WILLIAMS AVE
$ 32.50 TOTAL
PORTLAND OR 97217
Phone #: 503 - 281 -0752
Reg #..: 008897
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Duct Inspection
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 - 0914080. You lay
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
Issue By: Permittee Signature• ,•ee /i//
0/ ++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ +
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Plan Che g'A`-f
CITY OF TIGARD Mechanical Permit Application Recd By 2 -
13125 SW HALL BLVD. Commercial and Residential Date Recd g- / /-q5=%
--TIGARD, OR 97223 Date to P.E. -/
�9 t ''' i °�5' � Date to DST P 6 c � V •,'
(503) 639 -4171, x304 ��� u
T
Print or Type
Permit 1 9'5? -Q.2.?
Incomplete or illegible applications will not be accepted c 5 . 1 T 2 ' ' / °'
Name of Development/Project Description
( A a) C 1` 0 ; Table 1A Mechanical Code Qty Price Amt
Job Street Address 6 Suttett A) Permit Fee 10.00
1 Furnace to 100,000 BTU
Address
i« L Pm . 4 ∎c including ducts & vents 6.00
Bldg# City/State Zip 2) Furnace 100,000 BTU+
/ / /le q 6R / ‘20,--2/ including ducts & vents 7.50
Name (or name of business) 3) Floor Furnace
Owner Woo fl. • including vent 6.00
Mailing Address 4) Suspended heater, wall heater
or floor mounted heater 6.00
5) Vent not included in appliance permit
City /State Zip Phone 3.00
CHECK ALL *Boiler Heat Air
Name (or name of business) THAT APPLY: or Pump Cond Qty Price Amt
;� Comp
L k %.N L 2 Na a IJ 6) <3HP;absorb unit to
Occupant Mailing Address 100K BTU 6.00
t \_St) 4 3 /...c ) f Pk�_ k i 7) 3 -15 HP;absorb unit
City /State Zip Phone 100k to 500k BTU 11.00
t Q e 97=Y 8) 15 -30 HP; absorb
unit .5 -1 mil BTU 15.00
Contractor Name-) 9) 30 -50 HP; absorb
i 5 ]'" f:7IL unit 1 -1.75 mil BTU 22.50
Prior to permit Mailing Address , 10) >5OHP; absorb unit
issuance, a copy ' qc1 J jU »i,n_S .4j . > 1.75 mil BTU 37.50
of all licenses City/State Zip Phone 11) Air handling unit to 10,000 CFM
are required if 17 9-0,6 G� cj'7ai7 092)-67 4.50
expired in COT Oregon Const. Cont. Board Lic.# Exp. Date 12) Air handling unit 10,000 CFM+ •
database Y 4 17 7.50
Architect Name 13) Non - portable evaporate cooler
4.50
or
Mailing Address 14) Vent fan connected to a single duct
3.00
• 15) Ventilation system not included in
Engineer City /State Zip Phone appliance permit 4.50
16) Hood served by mechanical exhaust
Describe work to be done: 4.50
17) Domestic incinerators
New 0 Repair 0 Replace with like kind: Yes 0 No 0 7.50
Residential 0 Commercial 0 18) Commercial or industrial type incinerator
30.00
Additional information or description of work: 19) Repair units
/LV36
- Ii' - Pa:7 - z i�
ct-.cR. 7 o �W 6/Z A e 20) Wood stove 4.50
fr/I'J- !i Fx s 77.ki C7 G ! r 4.50
21) Clothes dryer, etc.
• 4.50
Type of fuel: oil 0 natural gas 0 LPG 0 electric 0 22) Other units
4.50
I hereby acknowledge that I have read this application, that the information 23) Gas piping one to four outlets
given is correct, that I am the owner or authorized agent of 2.00
the owner, that plans submitted are in compliance with Oregon State laws. 24) More than 4 -per outlet (each)
.50
Signature of Owner /Agent Date
Minimum Permit Fee $25.00 SUBTOTAL ∎,j ems°
�,/n2 ye 2 - g2 ? L7,,,v,....._-_ 5 %SURCHARGE A / t act Perso me Phone PLAN REVIEW 25% OF SUBTOTAL � �
Required for ALL commercial permits only G
TOTAL 32 sD
4 I -WA-675
�
) e/ -7 'State Contractor Boiler Certification required
/ " " Z's-S- 7 / �� "Residential NC requires site plan showing placement of unit
l: mechperm.doc rev 07/20/98
Page No. 1 CASE HISTORY FOR CASE NO.: MEC98 -0338
DAVID GREENSPAN
11509 SW PACIFIC HWY
12/09/98 •
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
- - -- --- -- - -- - -- - --
MECC007 Application received / / / / 08/11/98 RECD DEB 08/11/98 DRA
MECC008 Permit created / / / / 08/11/98 Bob P reviewed at counter and said it DONE DEB 08/11/98 DRA
qualified for over - the - counter review.
MECCO11 Routed to Plans Examiner / / / / 08/11/49 DONE DEB 08/11/98 DRA
MECCO14 Plan checked /Approved by P.E. / / / / 08/12/98 APPR RDP 08/12/98 RDP
MECC015 Reviewed Plans Routed to DSTS / / / / 08/12/98 APPR RDP 08/12/98 RDP
' MECC016 DST Post - Review Completed / / / / 08/12/98 PASS JSD 08/12/98 JSD
MECCO50 (F) Ready to issue / / / / 08/12/98 PASS JSD 08/12/98 JSD
MECC090 (F) Issue permit / / / / 08/13/98 reprinted due to system crash on 8/12/98 NOTE JT 08/19/98 JT
MECC725 Heating Unt Insp / / / / 09/25/98 Secure grilles at T -grid w/ 2- screws. PART RB 09/25/98 RB
MECC735 Duct Inspection 08/12/98 / / 09/24/98 PASS PDC 09/24/98 J *H
MECC735 Duct Inspection / / / / 09/25/98 Bathrm exhaust venting- secure housing PART RB 09/25/98 RB
into place.
Seal hole in venting.
MECC750 Misc. Inspection / / / / 09/25/98 Advance walk -thru re: framing and PART RB 09/25/98 RB
T -grid:
Mech. issues.
Electrical approval. Wall cover OR
ceiling OR both ? ??
Brace walls.
MECC799 Final Inspection 08/12/98 / / 09/24/98 Unsure which mechanical is existing and PASS PDC 09/24/98 J *H
which mechanical has been replaced. No
plans on site to verify the new
mechanical equipment if any. Mechanical
ducting appears okay - approved.
MECC800 Case Finaled / / / / 09/24/98 PASS PDC 09/24/98 J *H
•