Permit m y CITY OF T MECHAN I CAL
DEVELOPMENT SERVICES PERMIT
a,�rn�i'a�1 l�„
1 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 PERMIT # MEC97 -0247
/
DATE ISSUED: 08 /15/97
PARCEL: 1S136CC -00100
SITE ADDRESS...: 11765 SW PACIFIC HWY
SUBDIVISION • ZONING: C —P
BLOCK • LOT • JURISDICTION: TIG
CLASS OF WORK..:ALT FLOOR FURN • 0 EVAP COOLERS: 0
TYPE OF USE •COM UNIT HEATERS..: 0 VENT FANS...: 1
OCCUPANCY GRP.. :B VENTS W/0 APPL: 0 VENT SYSTEMS: 0
STORIES • 1 BOILERS /COMPRESSORS HOODS • 0
FUEL TYPES 0 -3 HP • 1 DOMES. INCIN: 0
:GAS 3 -15 HP :17 COMML. INCIN: 0
MAX INPUT: 5000000 BTU 15 -30 HP • 2 REPAIR UNITS: 0
FIRE DAMPERS ?..: Y 30 -50 HP : 0 WOODSTOVES..: 0
GAS PRESSURE...: H 50+ HP • 0 CLO DRYERS..: 0
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.: 0
FURN < 1O0K BTU: 0 <= 10000 cfm: 1 GAS OUTLETS. :18
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Remarks : Tenant isproveuent
Owner: FEES
GENERAL MOTORS INC. type amount by date recpt
11765 SW PACIFIC HWY PRMT $ 251.00 JSD 08/13/97 97- 298217
TIGARD OR 97223 PLCK $ 62.75 JSD 08/13/97 97- 298217
5PCT $ 12.55 JSD 08/13/97 97- 298217
Phone #:
Contractor:
CLAYCO CONSTRUCTION CO INC
2199 INNERBELT BUS CTR DR
$ 326.30 TOTAL
ST LOUIS MO 63114
Phone #: 314 -429 -5100
Reg #..: 012396
REQUIRED INSPECTIONS
This persit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
applicable laws. All work will be done in accordance with Duct Inspect i o n
approved plans. This permit will expire if work is not started Fire Damper Insp
within 180 days of issuance, or if work is suspended for more Misc. Inspection
than 188 days. ATTENTION: Oregon law requires you to follow rules Final Inspection
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952 - 801 -0010 through OAR 952-081-8888. You lay
obtain copies of these rules or direct questions to OUNC by calling
(583)246 -9187.
Issue By: / � \A-40---- P e r m i t t e e Signature: _
++++++++++++++++++++++++++++++++++++++++++++++++ + + ++ + + ++ + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 6:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD Mechanical Permit Application ' Rec'd By :-r-w ' •
�
13125 SW HALL BLVD. Commercial and Residential Date Recd 07 ASs /97
TIGARD,-OR 97223 Date to P.E. (77
Date -to DST S Le 7 • (503) 639 -4171, x304
Print or Type Permit # /�'c,� c 9V- o�cfT
Incomplete or illegible applications will not be accepted calledpl �S gia-
Incom
P 9� PP S
P � 7 ). - eC-
Name of OevetopmenVProject Description
6. M . TRA / N I N& FASIUTIE S Table 1A Mechanical Code On' PRICE AMT
Job Street Address Suited A) Permit Fee -0- -0- 10.00
Address 11765 S.W, PAUFIC 1
Bldge CityrState Zip 1.) Furnace to 100,000 BTU 6.00
- Fr6fiR0 OR 97223 including ducts& vents
Name (or name of business) 2.) Furnace 100,000 BTU+ 7.50
Owner G- M. CoR PoRATI orsi including ducts & vents
Mailing Address 3.) Floor Furnace 6.00
)I 76 S S.W. PA c' FIC a LLwy. including vent
CityrState Zip Phone 4.) Suspended heater, wall heater 6.00
TIGARD 0 R 9 7223 or floor mounted heater
Name (or name of business) 5.) Vent not included in appliance permit 3.00
SAME
Occupant Mailing Address 6.) Boiler or comp, heat pump, air cond. 6.00
to 3 HP; absorb unit to 100K BUT Z tb .00
City/State Zlp Phone 7.) Boiler or comp. heat pump, air cond. 11.00
3 -15 HP; absorb unit to 500K BTU" 1 7 /8/.06
Contractor Name _ • 8.) Boiler or comp, heat pump, air cond. 15.00
(Prior to Ctizry CO CoNST CO , TN c. 15-30 HP; absorb unit5-1 mil BTU" z, 3e. 00
issuance Mailing Address 9.) Boiler or comp, heat pump, air cond. 22.50
applicant t141 1N 8 IL5 144 tt►s ctwrt£- D Jdt 30-50 HP; absorb unit 1- 1.75mi1 BTU"
must provide all City/State Zip Phone (11 t,0 10.) Boiler or comp, heat pump, air cond. 37.50
contractor J1 Lo w1.1 AD . tt'31I I/ 41E1.5700 > 50 HP; absorb unit 1.75 mil BTU"
license Oregon Const. Cont. Board Licit Exp. Date 11.) Air handling unit to 10,000 CFM 4.50
information 12-3 1[ 9 V9,/e/ ' 4.50
for.COT CO r Business Tax or M etro 0 Exp. Date 12.) Air handling unit 10,000 CFM 7.50
database).
Architect Name _ 13.) Non - portable evaporate cooler 4.50
S I { T R UM ND USTRIES, 1r1C. ,
or Mailing Address 14.) Vent fan connected to a single duct 3.00
59 36 GARFIELD AVE . I 3.0o
Engineer City/State Zip Phone (3/4) 15.) Ventilation system not included in 4.50
ST. fouls Mo 63/3 -1 52/- z856 appliance permit
Describe work New 0 Addition 0 Alteration 0 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
g4 P LACE E,� isTIII/G- H VHC SYS re Ms Incinerator
Existing use of 19.) Repair units 4.50
building or property TEA /N dP fAe./1- / LS
• 20.) Wood stove 4.50
Proposed use of 21.) Clothes dryer, etc. 4.50
building or property 7 ) 441 ) Fs* IL -IT1tS
22.) Other units 4.50
Type of fuel - oil 0 natural gas 1511L LPG 0 electric V, 23.) Gas piping one to four outlets 2.00
1 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 17 8.50
the owner, that plans submitted are in compliance with Oregon State QTY. SUBTOTAL
laws. • 16
Signature of Owner /Agent Date 'SUBTOTAL
251.
5% SURCHARGE
RICHARD L. S..IRUM ( 3/4) 52l -2850 1z.55
Contact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL
(02.75
TOTAL
3 26.3o
i:tdstVnechpmt.doc (rev 9 - • 'Minimum permit fee is $25 + 5% surcharge
• "Residential NC requires site plan showing placement of unit.
7/26/99 Activities for Case #: MEC97 -00247
• 1:52:22 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECC007 Application received 7/8/97 UNK PASS JD 7/17/97
i
MECC011 Routed to Plans Examiner . 7/17/97 JSD PASS JD 7/17/97
MECC015 Reviewed Plans Routed to DSTS 8/6/97 RDP APPR RDP 8/6/97
MECC012 Plan Review Ltr. to Ofc. Svcs. 7/22/97 7/17/97 RDP PEND RDP 7/22/97
MECC705 Gas Line Insp 8/6/97 8/25/97 RC PASS J *H 8/25/97 GAS TEST ONLY -
APPROVED
MECC706 Mechanical Insp 8/6/97 9/5/97 GS PASS J•H 9/11/97 roughin approved
MECC735 Duct Inspection 8/6/97 9/19/97 RB PASS J'H 9/26/97 .
MECC740 Fire Damper Insp 8/6/97 9/19/97 RB PASS J *H 9/26/97 •
MECC799 Final Inspection 8/6/97 9/16/97 TB FAIL J *H 9/17/97 1. Provide exhaust and plmbg
. • outlets 3 -ft. above or 10 -ft.
away from fresh inlets to units
#2 and #11. 2. Finish fastening
. . exhaust housting to EF 1.
MECC016 DST Post- Review Completed 8/13/97 JSD PASS JD 8/13/97
MECCO50 (F) Ready to issue 8/13/97 JSD PASS JD 8/13/97 Plans with BUP97 -0338
•
general.
MECC090 (F) Issue permit 8/15/97 B PASS BON 8/15/97
MECC705 Gas Line Insp 8/20/97 RB FAIL J *H 8/28/97 Gas line pressure test below
60# - failed at 58 1/2 psi 1.
Protect gas line from elements.
2. Provide sediment traps at all
units on roof. Shut -off needs to
be installed at all units. 3.
Provide service outlets at all
units within 25 feet.
MECC799 Final Inspection 9/26/97 9/22/97 RB FAIL RB 10/21/97 smoke detector test req'd for
HAVC
MECC800 Case Finaled RB 10/21/97
MECC745 S.D. Shut -down 10/20/97 RB FAIL RB 10/21/97 At location of main hallway
serving the autitorium, detector
• . shutting off w/ approx. a 28 sec.
delay. At location of classroom
#9; storage room, a control
• problem noted: After detector is
• removed, HVAC comes back
on, working w/o detector. The
unit does trip on test. Same for
others, please re -check the
above and diesel room.
Classrm 8- Boiler room
• Conference 1 Between
classrm(s) 5/6- Autitorium Main
Hallway- Autitorium Classmr 9-
. Storage room Diesel Room
Page 1 of 2
7/26/99 Activities for Case #: MEC97 -00247
1:52:22 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECC799 Final Inspection 10/20/97 RB FAIL RB 10/21/97 Smoke Detector Shut -down
• issues.
•
•
Page 2 of 2