Permit CITY OF TIGARD
MECHANICAL PERMIT
l k DEVELOPMENT SERVICES PERMIT #: MEC1999 -00174
,.� � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE I 4/26/99
PASSUED: RCEL: 2510 S102CB -03101
SITE ADDRESS: 12950 SW PACIFIC HWY 3B
SUBDIVISION: FREWINGS ORCHARD TRACTS ZONING: C -G
BLOCK: LOT: 021 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: 1
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: M VENTS W/O APPL: VENT SYSTEMS: 1
STORIES: 1 BOILERS /COMPRESSORS HOODS: 1
FUEL TYPES 0 - 3 HP: 2 DOMES. INCIN:
GAS 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: N 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: M 50 + HP: CLO DRYERS:
FURN < 100K BTU: 2 AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Replace two existing HVAC; install Type II hood, additional supply grille, double wall vent at hot water, and new
makeup air unit.
Owner: FEES
PJ AMERICA, INC Type By Date Amount Receipt
9109 PARKWAY EAST PRMT DLH 4/26/99 $57.50 99- 314849
BIRMINGHAM, AL 35206 PLCK DLH 4/26/99 $34.50 99- 314849
5PCT DLH 4/26/99 $2.88 99- 314849
Phone: 888-512-4539 Total $94.88
Contractor:
CHAMPION HEATING
2646 SE WILLOW DR
HILLSBORO, OR 97123 REQUIRED INSPECTIONS
Mechanical Insp
Phone: 629 -0292 Cooling Unt Insp
Reg #: LIC 122088 Duct Inspection
Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other 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 in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 -00 -0 _ -Lro BAR 952 - 001 -0080.
You may obtain co • ies of these rules or direct questions to OU ' -' ► � •, 0 46 -9189.
Issue By: / �j� ,� �_ Permittee Signature: .•.
Call (503) 639 -4175 by 7:00 P.M. for inspections needed" day
CITY Application Plan Check# �/-� -St!'
Y OF TIGARD Mechanical Permit A
p p Recd By -2› c//
13125 SW HALL BLVD. Commercial and Residential Date Rec'd 24
' TIGARD, OR 97223 0:1S--"1>--' Date to P.E. 6
(503) 639 -4171, x304 • Date to DST
Print or Type
1 -76- Permit # 9Eei i' o 4a / ?5/
6_,1 -®®9 '72 Incomplete or illegible applications will not be acce ed Called
Name of Development/Project Description
(? -pct It 1' 'S tvLA p Table 1A Mechanical Code Qty Price Amt
Job Street Address Sure# A) Permit Fee 10.00
1) Fumace to 100,000 BTU
Address (2.A50 43 Q ACC -VIC., 144 Y including duds & vents see footnote 1,2 A 6.00 42.
Bldg# I City/State Zip 2) Furnace 100,000 BTU+
Ill
G-191 2-0 UQ including ducts & vents see footnote 1,2 7.50
Name (or name of business) 3) Floor Furnace
Owner p - l C , , , , u, Cl t JO C, including vent see footnote 1,2 6.00
Mailing Address 4) Suspended heater, wall heater
��� r or floor mounted heater see footnote 1,2 6.00
5) Vent not included in appliance permit
City /State Zip Phone ' 3.00 _
3t aV t ,4t- ' �j j2.d1- TN _si'-41531 Check all that apply: I `Boiler Heat I Air
Name (or name of business) For items 6 -10, see or Pump Cond Qty Price Amt
footnotes 1,2 Comp
A/ / ,�' '' )4).e. - 6) <3HP;absorb unit to �/
Occupant Mailing Add ss 100K BTU f� 6.00
7/ cT Av? X u.//4-/ �4k j - 7) 3 -15 HP;absorb unit • .4: �
City state / Zip Phone 100k to 500k BTUTy 11.00 Ir
eV? r1 17/#"4 3,S -8 so �,� 8) 15 -30 HP; absorb
Contractor Name
unit .5-1 mil BTU 15.00
9) 30 -50 HP; absorb
• unit 1 -1.75 mil BTU 22.50
Prior to permit Mifflin 10) >50HP; absorb unit
issuance, a copy S 38TH LOOP #F >1.75 mil BTU 37.50
/ st ate HILLSBORO An n1
�y 11) Air handling unit to 10000 CFM
(' x-41 Phone
of all licenses c ) r anng uno , -
are required if / 4.50 y-5
expired in COT Oregon Const. Con1 oar Q' Exp. Date ✓ 12) Air handling unit 10,000 CFM+
database 4b - 7.50
Architect Name ilI 13) Non - portable evaporate cooler �/ V
A l l A blot S A4 . fi,(bi- mcr5 4.50 �.J
or Mailing Address 14) Vent fan connected to a single duct
3.00
(912fl Sc...) MMct40A+A CNC ic to-0 15) Ventilation system not included in
Ph
/State Zi
Engineer City p Phone appliance 9 app permit 4.50
PdVZ.'aft4o, p'2 11319 5 -1 t ao 16) Hood served by mechanical exhaust
Describe work to be done: 11e € tlf h,o u L 9' ' .
/ 4.50 -
Yell /0 Domestic incinerators
Newp✓ Repair 0 Replace with like kind: Ye s�lp No O 7.50
Residential 0 Commercia 1 18) Commercial or industrial type incinerator
30.00
Additional information or description of work: 19) Repair units
4.50
,_// 20) Wood stove
NOTE: For Commercial projects only; Units over 400 lbs. require 4.50
structural gas calcs. 21) Clothes dryer, etc.
Type of fuel: oil 0 natural gas ( LPG 0 electric O 4.50
22) Other units
I hereby acknowledge that I have read this application, that the information 4.50
given is correct, that I am the owner or authorized agent of 23) Gas piping one to four outlets
the owner, that plans submitted are in compliance with Oregon State laws. See footnote 1 2.00
24) More than 4 -per outlet (each)
Signature of ..4 Date .50 �- Sj
, o'
J Minimum Permit Fee $25.00 SUBTOTAL �r� . :: ti
�l
Con+ =� ' n'. •me Phone X��� .,;.,,• ; �
5% SURCHARGE ;';‘ F
‘. t
--� //
9'/ t t� / PLAN RE VIEW 25% OF SUBTOTAL , :. .:4.' , --
oonotes f commercial rojects only: Required for ALL commercial permits only ' , -., ' ;4 ` ,
1. Provide full schematic of existing and proposed gas line and pressure. TOTAL , : r , ,, : ::, ,,
,
2. Provide drawings to scale showing existing and proposed mechanical ;- ',4 '._ i,
units. /, %/ *State Contractor Boiler Certification required
"Residential NC requires site plan showing placement of unit
I:tmechperm.do rev 0214/99
6 /29 /99 Activities for Case #: MEC1999 -00174
12:39:11 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
• MECA007 Application received 4/26/99 DLH DONE No Hold DLH 4/26/99
MECA008 Create Permit 4/26/99 DLH DONE No Hold DLH 4/26/99
MECA011 Routed to Plans Examiner 4/26/99 DLH • OTC No Hold DLH 4/26/99
MECA014 Plan checked /Approved by P.E. 4/26/99 4/26/99 4/26/99 JF APPR No Hold DLH 4/26/99
MECA015 Reviewed Plans Routed to DSTS 4/26/99 JF OTC No Hold DLH 4/26/99
MECA715 Mechanical Insp 4/26/99 4/26/99 5/3/99 RC PASS No Hold AKJ 5/3/99
MECA730 Cooling Unt lnsp 4/26/99 4/26/99 No Hold DLH 4/26/99
MECA735 Duct Inspection 4/26/99 4/26/99 No Hold DLH 4/26/99
MECA799 Final Inspection 4/26/99 4/26/99 5/12/99 TLP PASS No Hold AKJ 5/24/99
MECA060 (F) Issue permit 4/26/99 DLH DONE No Hold DLH 4/26/99
MECC800 Case Finaled 5/24/99 AKJ DONE No Hold AKJ 5/24/99
•
Page 1 of 1
•
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP 99-Oh 3 /
Date Requested 2- I AM (Xte-, ,/ P A M B U Iggc1 -00I ( 9
2
Location /2 ) tz Suite �1� MEC riqcfrociA -�
Contact Person IL / / , • Ph S/9 PLM
Contractor Ph SWR
UILDI ✓ Owner P c, Cvli1 / S ELC
Retaining Wall ELR
Footing Access:
Foundation E � I �. R/r, — ,� Z 1 '� rtd eLnts FPS
Ftg Drain 1 C � � 1't SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear rYl M COP 9./
Int Sheath /Shear •
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
`PO) PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
O I LL‘
PASS_ PART FAIL
tOECHAI?ICAD
Post & Beam
Rough In
Gas Line
Smoke Dampers
I Oh
4T PART FAIL
TRICAL
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 /7 / Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.