Permit . CITY OF T MECHAN I CAL
4� DEVELOPMENT SERVICES PERMIT
- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PERMIT S 8/977 -0312 2
DATE I5SUED: 08/28/97
PARCEL: 25102BD -01503
SITE ADDRESS...: 12740 SW PACIFIC HWY
SUBDIVISION • FREWINGS ORCHARD TRACTS ZONING: C —G
BLOCK • LOT •1 JURISDICTION: TIG
CLASS OF WORK..:ALT FLOOR FURN • 0 EVAP COOLERS: 1
TYPE OF USE •COM UNIT HEATERS..: 0 VENT FANS...: 1
OCCUPANCY GRP..:M VENTS W/0 APPL: 1 VENT SYSTEMS: 0
STORIES • 0 BOILERS /COMPRESSORS HOODS • 0
FUEL TYPES 0 -3 HP • 0 DOMES. INCIN: 0
:ELC 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 < 100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =100K BTU: 0 > 10000 cfm: 0
Remarks : Carmichael's - Install swamp cooler and exhaust hood
Owner: FEES
CARMICHAELS type amount by date recpt
12740 SW PACIFIC HWY PRMT $ 26.50 JDA 08/11/97 97- 298151
TIGARD OR 97223 PLCK $ 6.63 JDA 08/11/97 97- 298151
5PCT $ 1.33 JDA 08/11/97 97- 298151
Phone #:
Contractor:
KALBERER FOOD SERVICE EQUIP
KALBERER HOTEL SUPPLY CO
234 NW 5TH AVE $ 34.46 TOTAL
PORTLAND OR 97209
Phone #: 503 -227 -1161
Reg #..: 000387
REQUI RED INSPECTIONS
This pereit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Cooling Unt Insp
applicable laws. All work will be done in accordance with Shaft Inspect i o n
approved plans. This permit will expire if work is not started Hood Inspection
within 180 days of issuance, or if work is suspended for more Fire Suppr Insp
than 180 days. ATTENTION: Oregon law requires you to follow rules Duct Inspect ion
adopted by the Oregon Utility Notification Center. Those rules are Final Inspection
set forth in OAR 952 - 001-0010 through OAR 952 -001 -0080. You lay
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
e
Issue By: 4 141 1 1041°-------- Permittee Signature: I,._,'.i At,/jam
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + ++ + + + + + + + + + + + + + + + + ++ ++
Call 639 -4175 by 6:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + ++ + + + + + + + + + + + + + + + + + + +++
' IN /!1/a7
City of Tigard IANICAL PERMI Plan , k/Rec. # �
13125 SW Hall Blvd. ` �PPLICATIO c1 Permit # fr ? --03e
Tigard, OR 97223 ��� -r PE `)' �`
(503) 639-417 9 — 6 -5(�- ilq
44 I
Name of Development g escnption NOW
�M 1_C l 5 Table 3A Mecham. ode QTY PRICE AMT
d reu - -•�. i
Job 4 D' W. • C C.- la 1) Permit Fee -0- -0- 10.00
Address r a e
- ' 2 7 1. OR- ) ?3 2) Supplemental Permit 3.00
me or name of honoree.) Furnace to 100,000 BTU
1) incl. ducts & vents 6.00
Malang Address Phone urnace .1,111 : I +
Owner 2) incl. ducts & vents 7.50
CdylSlate ja oor urnance
3) incl. vent 6.00
Name (or name of busmen) Suspended heater, wall heater
CAP- tP- 1. \ 1 C)-1 AELJ S 4) or floor mounted heater 6.00
Malmg Address ` 1 Phone vent not inc. in
Occupant I Z4b E \ PC. ( •lC,. (-ill/ 5) appliance permit 3.00 •
lyISt.te Repair of heating, refrig.
- rlC t is,:2:0 c)'. c3 22 a 6) cooling, absorption unit 6.00
Name Boiler or comp, heat pump, air cond.
• l L 5 E 2 -2_1;cp 7) to 3 HP; absorp unit to 100K BTU 6.00
Maim Address Phone Boiler or comp, heat pump, air cond.
LA S ��- 8) 3 -15 HP; absorp unit to 500K BTU 11.00
Contractor Gt bp Boiler or comp, heat pump, air cond.
I .1■. b ` Sty � , 9) 15-30 HP; absorp unit .5-1 mil BTU 15.00
b ate stra on No. Bus. Tax No. :oi er or comp, eat pump, air con..
10) 30-50 HP; absorp unit 1 -1.75 mil BTU 22.50
I hereby acknowledge that I have read this application, that the :oi er or comp, ea pump, air con..
information given is correct, that I am the owner or authorized 11) > 50 HP; absorp unit 1.75 mil BTU 37.50
agent of the owner, that plans submitted are in compliance with Air handling unit to
State laws, that I arr. registered with the Construction Contractor's 12) 10,000 CFM 4.50
Board, that the number given is correct. (if exempt from State • it an• ing un
registration, please give reason below.) 13) 10,000 CTM + 7.50
Non portable
14) evaporate cooler ( 4.50 -1 f,
Vent fan connected
•
15) to a single duct 1 3.00 1 ), 0 0
Ventilation system not
j d / Cv• qui, 16) included in appliance permit 1 4.50 I t ,S 3
Sn ate. (.tuner or awn) te Hood served by
L3E:D. - � L'" 1'C C.• 17) mechanical exhaust I 4.50 Lk.
Describe won c new a Ilion a Mon repair ommercia or in.ustria
to be done residential 0 non - residential 0 18) type incinerator 30.00
Existing use of T�e� Other i.e., woodstove, water
building or property T� Jam. • 19) heater, solar, clothes dryers, etc. r iiii 4.50 i ij,ill'
Proposed use of 20) Gas piping one to four outlets 2.00
building or property � 21) More than 4 -per outlet (each) 2.00
(
Type of fuel - oil 0 natural gas 1" • LPG 0 electric 0
NOTICE G
Minimum Fee $25.00 SUBTOTAL " A 1 I
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE (,,
IF CONSTRUCTION OR WORK IS SUSPENDED OR • �i
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL ` pro!)
AFTER WORK IS COMMENCED. .
TOTAL • t '
Special Conditions
Date issued by
H:LLOGINtDSTSIMECHPMT
6/16/99 Activities for Case #: MEC97 -00312 •
2:14:11 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes •
MECC007 Application received 8/11/97 JDA • PASS JD 8/18/97
•
MECC008 Permit created 8/18/97 JSD PASS JD 8/18/97
MECC011 Routed to Plans Examiner 8/18/97 JSD PASS JD 8/18/97
MECC015 Reviewed Plans Routed to DSTS 8/25/97 RDP APPR RDP 8/26/97
MECC706 Mechanical lnsp 8/26/97 9/4/97 GS FAIL TLP 12/31/98 Day late, door locked no one
there.
MECC732 Hood Inspection 8/26/97 8/29/97 RB . FAIL TLP 12/31/98 Type 1 Hood: Mechanical
contractor, Kalberer Manuf. 1.
Seal joints of transitional duct
above hood - make airtight. 2.
Firestop ceiling above hood. 3.
UL listed duct tape needed at
joints (#181B FX type). 4.
• Protect wood above roof to
underside of jack. Pending
submittal of revision for exhaust
shaft construction: Steel vs:
•
wood studs. Fire suppression
trip test ok, Todd 238 -5700,
x170 report recd copy -OK
MECC799 Final Inspection 8/26/97 2/17/98 RC FAIL JT 5114/98 1. Need brace on vent for
lateral displacement. 2. Need
• support for vent weight. 3. Need
sediment trap in gas line at
' water heater. 5/14/98 letter sent
to Carmichaels "call in for finals
on MEC /BUP" Jeanne T.
MECC016 DST Post - Review Completed 8/27/97 B PASS BON 8/27/97
MECCO50 (F) Ready to issue 8/27/97 B MEMO BON 8/27/97 Contractor needs business
licensing. •
MECC090 (F) Issue permit 8/28/97 B PASS DST . 8/28/97
MECC799 Final Inspection 12/31/98 TLP PASS TLP 12/31/98
MECC800 Case Finaled 12/30/98 TLP PASS J *H 1/3/99
•
•
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639-4175 Business Line: 639 -4171 91- 6.3k7
Date Requested - 1 " - 98 o AM PM BLD
Location 0-740 0 4 ?- 1 t) / Wlt Suite ap dr — 03 '
Contact Person /0-4 •l./<_'l Ph &all- 0a4-3 PLM
Contractor / Ph SWR
4 11N3114 Tenant/Owner CALM IG4ELS ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Cam" I
Ftg Drain l SGN
Crawl Drain Inspection Notes:
Slab SIT
�//���� � '
'
Post & Beam PAM C �(�(.r i € ,.,fi � ti/041"t —
Ext Sheath /Shear She /Shear a /DR Framing � p� J S
�� - �i1 � /� �7
Insulation , n (S / ! � 90 � :.f1�4r�( t� A/Lo 0 e () L1 / 9?
Drywall Nailing �.
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof AIDA) �� (� �A,✓+a .J
• 4 :J PART FAIL
P' i ' BING ,
Post & Beam
Under Slab (re•■■•----- Top Out J�
Water Service 1
Sanitary Sewer ���
Rain Drains (��i" y — . J
Final
PAS FAIL
Post & Beam /v //
Rough In /C___
Gas Line [.v
` Sir s .es , Dampers
`ir ~ART FAIL
RICAL
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 D /2/5 pg Inspector Other Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.