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Permit CITY OF TIGARD MECHAN , #,.., 4\ DEVELOPMENT SERVICES PERMIT # : MEC98 -0333 � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 08/28/98 PARCEL: 1S135DD -03301 SITE ADDRESS...: 11945 SW PACIFIC HWY #215 ; SUBDIVISION • HOFFARBER TRACTS NO.1 ZONING: C —G BLOCK • LOT -002 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 FUEL TYPES 0 -3 HP • 1 DOMES. INCIN: 0 :GAS 3 -15 HP • 0 COMML. INCIN: 0 MAX INPUT: 0 BTU 15 -30 HP • 0 REPAIR UNITS: 0 FIRE DAMPERS ?..: N 30 -50 HP • 0 WOODSTOVES..: 0 GAS PRESSURE...: M 50+ HP • 0 CLO DRYERS. .: 0 NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.: 0 FURN ( 1O0K BTU: 0 (= 10000 cfm: 0 GAS OUTLETS. : 1 FURN ) =1O0K BTU: 0 ) 10000 cfm: 0 Remarks: Replace existing A/C unit. Owner: FEES TIGARD PROPERTIES type amount by date recpt 2106 SE OCHOCO ST PRMT $ 25.00 JSD 08 /28/98 98- 308669 MILWAUKIE OR 97222 PLCK $ 6.25 JSD 08/28/98 98- 308669 5PCT $ 1.25 JSD 08/28/98 98- 308669 Phone #: Contract or: ROTH HEATING ROTH ZACHERY HEATING INC PO BOX 1265 $ 32.50 TOTAL CANBY OR 97013 Phone #: 503 -266 -1249 Reg #• .: 000140 REC!UIRED 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 952-081-8880. You may obtain copies of these rules or direct questions to OUNC by calling (5031246 -9187. Issue By: /=% Permittee Signature: ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for inspections needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ ++ + ++ + +++ + + + + + + + ++ + + + + ++ + + + + + ++ Plan Check # 3 04 C CITY OF TIGARD Mechanical Permit Application Recd By 13125 SW HALL BLVD. Commercial and Residential /6 Date Rec'd i /4 TIGARD, OR 97223 J �(x.t Date to P.E. AX9e (50) 639 -4171, x304 \`� ��//[ Date to DST k'I &4 / f, • o 1 y Print or Type 'Y/ Permit #, & i 03.33 'T \ \v I Incomplete i illegible applications will not be accepted Called os€. el 7r Name of Development/Pr 'ems ct fir 9L S 5 , EL ° Description Table 1A Mechanical Code Qty Price Amt Job Street �. ,1 eet Address Suite# A) Permit Fee , . 10.00 Address SW V" n K) j t L 2 6- 1) Furnace to 100,000 BTU Y including ducts & vents 6.00 /b Bldg# City/State Zip 2) Furnace 100,000 BTU+ " 'Go-D / O1-. 977 including ducts & vents s 7.50 Name (or name of business) 3) Floor Furnace Owner 'r∎ ( P kitwltd , QPt� S vent heater 6.00 Mailing Address 4) Suspended heater, wall heater ii 1 i 2 i b Sly" O OCc) Vent floor includ heater 6.00 ien 5 ) Vent not included in appliance permit opt il A CCity /State Zip Phone 3.00 P It\IL\ iM) 146, N.. c1 6-c4 -113 ( CHECK ALL 'Boiler Heat Air Name (or name of business) THAT APPLY: or Pump Cond Qty Price Amt ALL- TM)_.1 AV fr L Comp .. 6) <3HP;absorb unit to / 6.00 / Occupant Mailing Address 100K BTU V (a WI �� CVs Sw y' n AO `1 C Vkvi 4 2 )� 7) 3 -15 HP;absorb unit City /State Zip ( Phone 100k to 500k BTU 11.00 7) &462-4D ` e ll Z.-2-4 8) 15 -30 HP; absorb Contractor Name unit .5 -1 mil BTU 15.00 � IA 4fG 9) 30-50 HP; absorb unit 1 -1.1. 75 mil BTU 22.50 Prior to permit p Mailing ; A l ddress 10) >50HP; absorb unit issuance, a copy 'C.O. 3OX 1 / >1.75 mil BTU 37.50 of all licenses City/State Zip Phone 11) Air handling unit to 10,000 CFM are required if U a N ( 1 C) 2. c'11 o 13 Z6 (,- R 4c1 4.50 expired in COT Oregon Const. Cont. Board Lic.# Ex p. Dat ✓ 12) Air handling unit 10,000 CFM+ database V ad ©$ 9117 f OO 7.50 Architect Name 13) Non - portable evaporate cooler 4.50 or Mailing Address „�. / 14) Vent fan connected to a single duct / ff 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 it No 0 7.50 Residential 0 Commercial 18) Commercial or industrial type incinerator 30.00 Additional information or description of work: 19) Repair units 4.50 L1 b Lx I ST I rJ G P) (2 Gp N p1.71N r 20) Wood stove W mkk 31'c:44 . ' 4.50 21) Clothes dryer, etc. 4.50 Type of fuel: oil 0 natural gasAk 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 n- given is correct, that I am the owner or authorized agent of i 2.00 v 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 t :: . • Minimum Permit Fee $25.00 SUBTOTAL . . 5 % SURCHARGE , ! �` ' 1 Contact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL a Required for ALL commercial permits only , ' "` W C`+- 60, QM__ 7P' -SM.' TOTAL , ,4 1.s..-, *State Contractor Boiler Certification required n4 "Residential NC requires site plan showing placement of unit 3 v I:Vnechperm.doc rev 07/20/98 WAFT "iv tile- guc 01446 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 3 1875 / UP Date Requested q- 4 - q0 AM PM' BLD Location / /cy45 Jai / '/I Suite 5� ?-Qa5 3 Contact Person 11 Ph PLM Contractor / % 1 . ii Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: J lt Slab SIT Post & Beam , Ext Sheath /Shear �. -44W i Mid' (y o-i„ Int Sheath /Shear �/ Framing 7�� w �/""� l. ��X/- Insulation Drywall Nailing Vi--C-V.C!f L ../DC.J L? _e_sz 4 Fire wall �, ` � ` ^, s n I -L Fire Sprinkler — C (J T c Fire Alarm Roof Ceiling Roof -- , Misc: Final PASS PART FAIL J PLUMBING tj7_,t; L ji Post & Beam 1 ` Under Slab W/ .---v-N. 6 -P--- ,,,_,„-,-. , Top Out Water Service ) v t C 2 S f'2-4-.l A-Sa..- r- --S Sanitary Sewer Rain Drains Final PAS FAIL . IX--L S C l C 'A ∎T CHANICAL l Post & Beam Q� "� �� �^� Rough In piv Gas Line Smoke Dampers / PA PAASS� J FAIL g ELE Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE 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 q / / " / " f Approach /Sidewalk Date Inspector - Ext i3 Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST • _03 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 1 //& D a te Requested g - Z - c7? AM PM BL Location //945 SLt/ � � ilab ;, Suite Q/ 410 Contact Person Ph PLM Contractor /-v / r TI l - Ph i, A SWR BUILDING Tenant/Owner ) j i,L' �j7 4/- / tV %�i ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: c. zci J r. 3 / Slab �A 7 " SIT Post Beam Cr� Vt✓ r�F 7P A"a e.5 Ext Sheath/Shear eath /Shear Int Sheath /Shear Framing Insulation '_AQ Drywall Nailing dk 5 W \ S �2ti./v ` �✓� \ �C �—CJ�� Fire wall Fire Sprinkler Fire Alarm re5Z � N1 Susp'd Ceiling �� �� � C ` C� i kiN Roof Misc: La a J L I S Final PASS PART FAIL /P (-‘ PLUMBING Post & Beam Top Out Water Service Sanitary Sewer Rain Drains Final PA T FAIL ANICA l� 2 Post eam U Rough In lyv Gas Line Smoke Dampers PASS PART Al ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE 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 Date yil5 0 Inspector 1 Ext Final PASS PART FAIL DO.NOT REMOVE this inspection record from the job site. .