Permit 4 CITY OF TIGARD •
MECHANICAL
oTii DEVE SERVICES PERMIT #PERMITo : MEC98 -21464
DATE ISSUED: 10/19/98
PARCEL: 1S136CD -00200
SITE ADDRESS...: 11705 SW PACIFIC HWY #L
SUBDIVISION....: ZONING: C —B
BLOCK........... LOT........ „....: JURISDICTION: TIG
CLASS OF WORK..:ALT FLOOR FURN - 0 EVAP COOLERS: 0
TYPE OF USE....:COM UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:M VENTS W/O APPL: 0 VENT SYSTEMS: 0
STORIES ° 0 BOILERS /COMPRESSORS HOODS - 0
FUEL TYPES 21 -3 HP.. „ .: 0 DOMES. INCIN: 0
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.: 3
FURN ( 1O0K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =121QIK BTU: 0 > 10000 cfm: 0
Remarks : Adding three fire /smoke dampers.
Owner: FEES
PACIFIC CROSSROADS PROPERTIES type amount by date recpt
BY WYSE INVESTMENT SERVICES CO PRMT $ 25.00 B 10/19/98 98- 310093
200 MARKET STE 345 PLCK $ 6.25 B 10/19/98 98- 310093
PORTLAND OR 97201 5PCT $ 1.. 25 B 10/19/98 98- 310093
Phone #:
Contractor:
ARROW MECHANICAL
10330 SW TUALAT I N RD ----
$ 32.50 TOTAL
TUALATIN OR 97062
Phone #: 692 -1565
Reg #..: 000051
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 -v -0080. You may
obtain copies of these rules or direct questions to OUNC by calling,
(503)246 -9187.
6 /, J ,, i
Issue By: �"^-- Permittee Signature: .,
/ '
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by ,7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + ++ + + + + + + + + + + + + + + + + + + + ++ + + ++
1. _
It
Check # I9'5
CITY OF TIGARD Mechanical Permit Application Rec'd By
13125 SW HALL BLVD. Commercial and Residential c Date Recd 1 ' •
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST .1'
Print or Type Permit #IM�L'', 0 to
0 VICD Incomplete or illegible applications will not be accepted Called
Name of Development/Project Description
IJ • el 5 5 D - +S
C Table 1A Mechanical Code QTY PRICE AMT
Job Street Address ( 1 .-7O,5' Suite# A) Permit Fee -0- -0- 10.00
Address I 74.-0-_ S. "Ph.c.....1-1 '
Bldg# City/State I Zip 1.) Furnace to 100,000 BTU 6.00
I ((lard rd 9 7 2 2 3 including ducts & vents
Name (or name of business) ' 2.) Furnace 100,000 BTU+ 7.50
Cnel) � ) Sac-4 • including ducts & vents
Maiii r ss ,, f! - 1 2 4�`� 3.) Floor Furnace 6.00
GfGtCGIj X77 J including vent
Cit te zip Pho a 4.) Suspended heater, wall heater 6.00
Vt CJ�, % or floor mounted heater
N name of businessy+ 5.) Vent not included in appliance permit 3.00 l' FC)1275
Occupant Maii ld 'I SOS �. S • W , () I� � 6.) Boiler or comp, heat pump, air cond. 6.00
r (' to 3 HP; absorb unit to 100K BUT
City/State 1 � Zip Phon 2 3 7.) Boiler or comp, heat pump, air cond. 11.00
C�fF P U �Z. - 3-15 HP; absorb unit to 500K BTU**
Contractor Name ^ 8.) Boiler or comp, heat pump, air cond. 15.00
+ - -- u„) 1'/t eC.. f A r 1 15-30 HP; absorb unit.5 -1 mil BTU**
Prior to permit Mailing Address 9.) Boiler or comp, heat pump, air cond. 22.50
issuance, a copy 10 .. O S IA To0,\.'\ -a t^. S 30-50 HP; absorb unit 1- 1.75mil BTU**
of all licenses city/state 1 Zip Phone 10.) Boiler or comp, heat pump, air cond. 37.50
V
are required if I G` 4 &r\ 9' 7062 69 2 > 50 HP; absorb unit 1.75 mil BTU**
expired in COT Oregon Const. Cont. Board Licit ET. DI �'/ 11.) Air handling unit to 10,000 CFM 4.50
database ' �j
Architect Name 12.) Air handling unit 7.50
• 10,000 CTM+
Or Mailing Address 13.) Non - portable evaporate cooler 4.50
Engineer City/State Zip Phone 14.) Vent fan connected to a single duct 3.00
Describe work New 0 Addition 0 Alteration e. Repair 0 15.) Ventilation system not included 4.50
to be done Residential 0 Non - residential 0 in appliance permit
Additional Description of work: 16.) Hood served by mechanical exhaust 4.50
(
17.) Domestic incinerators 7.50
F� tJs d .1 c f� , A -OD i 0 41/m6.
Existing use of 1 _� II 18. Commercial or industrial 30.00
building or property - type incinerator
19.) Repair units 4.50
Proposed use of . 20.) Wood stove 4.50
building or property 17n i. /11...A.C)
21.) Clothes dryer, etc. 4.50
Type of fuel - oil 0 natural gas 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 2.00
given is corre that I am the owner or authorized agent of
the owne , at planssubmitted t : • mpliance with Ore on 8tat laws. 24.) More than 4 -per outlet (each) .50
Signature f / ner /Ag t Da *SUBTOTAL -° `''' °';
J /tom gd 6 /.� 5% SURCHARGE s, Y ' Z ,
.,
Contact Person Name I Phone PLAN REVIEW 25% OF SUBTOTAL 9 „HM t ` ( Q . LS
Required for all commercial permits only. ;v .
TOTAL . "t'''' cb
*Minimum permit fee is $25 + 5% surcharge
*'Residential NC requires site plan showing placement of unit.
I:\mechprmt.doc rev 4/15/98
OVER- THE - COUNTER (OTC) PERMIT
COMMERCIAL MECHANICAL PERMIT CHECK LIST
Description of Project: A97 3 rl ,ts� arytermet
C �
Class of Work: Floor Furnace: Evap Coolers:
Type of Use: C01 Unit Heaters: Vent Fans:
Occupancy Grp: AI Vents w/o Appl: Vent Systems:
Stories: Boilers /Comprsrs: Hoods:
Fuel Types - 0 - 3 HP. Repair Units:
3 - 15 HP. Wood Stoves:
Max Input: Btu: Air Handling Units Clo Dryer:
Fire Dampers: < = 10000 cfm: Oth Units: `�
Gas Pressure: H / M / L > 10000 cfm: Gas Outlets:
No. Of Units:
Furn < 100k Btu:
Furn > =100k Btu: •
NOTES:
>::::.... h AGT3 3+E :::: >:::<: >:: : :::•:>
..:.M ....: :...::.:...: :�5::.:. ::.. X01! �.._. _ ..:::::C�.- :5:::::.:.
Permit Fee
Gas Line Inspection $ &A,- Plan Review
- - cal Ins. $ /? 5% State Surcharge
- oo mg Unit Inspection $ Additional Permit Fee
Shaft Inspection . $ Additional Plan Review Fee
Hood Inspection $ Inspection Fee
Fire Suppr Inspection $ Miscellaneous Fee
Duct Inspection
Fire Alarm Inspection
Fire Damper Inspection REMARKS:
Miscellaneous Inspection
Fire Al ection
Final nspe '
FOR:'
a e
.... - -....
TYPE:OF USE'OPTIONS:: COM - ::.commercial > CMS.: - commercial: manufactured structure ;.: .
# ASS�F>. V! CORK:.OP'€')Ot�S::FQR:AtL >PERix ALTS:: �tEW:-: neLV: ADF 1- ::add�t�an�ALT >- ::alteraf�on °:}CGS =: .: :: ;
FND.: =: foundation: 0TH = other OEM demolition :REP �.repai ; FPS. =:fire` protection. system. NOTE USE 0TH FOR FENCES :
RETAINING >WALL, DETACHED:€)I CKS :SIGNS, : AWNINGS. CANOPIES ;::::: >:::: >; >::::.:::. :'.
is \ovrcntr.doc (dst) 8/97
1
3/7/00 Activities for Case #: MEC98 -00464
8:47:43 AM
•
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECC007 Application received 10/19/98 B RECD BON 10/19/98
MECC008 Permit created 10/19/98 B DONE BON 10/19/98
MECC011 Routed to Plans Examiner 10/19/98 B SENT BON 10/19/98
MECC015 Reviewed Plans Routed to DSTS 10/19/98 RDP APPR BON 10/19/98
MECC799 Final Inspection 10/20/98 RC PASS ROC 10/23/98
MECC090 (F) Issue permit 10/19/98 B PASS DST 10/19/98 •
MECC800 Case Finaled 10/20/98 RC PASS . J *H 11/2/98
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 • Business Line: 639 -4171
BUP
/�
l ` nn 4/0 Date Requested 4 — 9(1 ? AM PM BLD
Location 1/705 (SM) ' gay
Suite L_. Fe V
Contact Person 4 ' Ph 7 /5105 PLM
Contractor 7] , '� C�
t rl�h�l,(rLt� Ph SWR
BUILDING a;` � a Tenant/Owner S Z g ELC
Retaining Wall ELR
Foundation Access: FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing.
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
;PLUMBING ..
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
P PART FAIL
=r .
ME
os am
Rough In
G s I ina
or
�. e Dampe
VP PART FAIL
E TRICAL. P `Rm - g'.
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
-
Final
PASS PART FAIL
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 D /t) -
ns p I ector , C Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site. .