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Permit A CITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC1999 -00460 �- �� I I 13125 SW Hall Blvd., T i gard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/05/1999 PARCEL: 2S102CB -02700 SITE ADDRESS: 13050 SW PACIFIC HWY SUBDIVISION: FREWINGS ORCHARD TRACTS ZONING: C -G BLOCK: LOT: 020 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: 1 BOILERS /COMPRESSORS HOODS: 1 FUEL TYPES 0 - 3 HP: DOMES. INCIN: ELE 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS FURN > =100K BTU: <= 10000 cfm: 1 OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Mechanical TI - restaurant Owner: FEES ANTONIO CAPONE Type By Date Amount Receipt 13056 SW PACIFIC HWY PRMT KJP 11/05/19c $50.00 99- 319594 TIGARD, OR 97223 PLCK KJP 11/05/19E $12.50 99- 319594 5PCT KJP 11/05/19c $4.00 99- 319594 Phone: Total $66.50 Contractor: • • LOREN DESHAZER 57615 HAZEN RD ST HELENS, OR 97007 REQUIRED INSPECTIONS Mechanical Insp Phone: 799 -3081 Shaft Inspection Reg #: LIC 64578 Hood Inspection Final Inspection ORIGINAL 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 - 001 -0010 through OAR 952 - 001 -0080. You may obtain cop' of these rules or direct questions to OUNC by calling (503)246 -9189. Issue By: Permittee Signature: X i ■ p _ r ; AiC4C2- Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day - -______, Plan Che . SC/ _ CITY OF TIGARD. ( Mechanical Application Recd By e 13125 SW HALL BLVD. - - Commercial and Residential Date Recd ) - - TIGARD, OR 97223 Date to P.E. 4 9 (503 )-639 -4171, x304 Date to DST Permit #� r �' 0 Print or Type C led -/g �.B.� Incomp or illegible applications will not be accepted . p f &C 7� Name of Development/Project Description .. �t Table 1A Mechanical Code Qty Price Amt Job S dress pf�Suite# A) Permit Fee 16.00 Address f ��d ,S' � 1.1 Y 1) Furnace to 100,000 BTU including ducts & vents see footnote 1,2 9.65 Bldg# City/St a Zip 2) Furnace 100,000 BTU+ including ducts & vents see footnote 1,2 12.00 Name (or name of business) MIAOW s ° CRN ► / �� 3) Floor Furnace Owner - -- ( ! - �/ including vent see footnote 1,2 9.65 Mailing Address 4) Suspended heater, wall heater c [ or floor mounted heater see footnote 1,2 9.65 1; ©,S� &0 �� \ t t 5) Vent not included in appliance permit 4.75 City /State Zip Phone Check all that apply: *Boiler Heat Air `if 40 o& / )..-2,2_3 6 s-, For items 6 -10, see or Pump Cond Qty Price Amt Name (or name of business) footnotes 1,2 Comp S�ll.kf RC.�/1.�� 6) <3HP;absorb unit to At 100K BTU 9.65 Occupant Mailing Addr `�P)�ss ` l , �r 7) 3 -15 HP;absorb unit glib U w c� t 6 N S '7 3 100k to 500k BTU 17.65 City /State Zip Phone 8) 15 -30 HP; absorb ,mot e \\ c » ' ' 9 unit .5 -1 mil BTU 24.15 {prl �7 / 0 9) 30 -50 HP; absorb Contractor Name unit 1 -1.75 mil BTU 36.00 4oJ-ec/ \aPS`Qz 10) >50HP; absorb unit Prior to permit Mailing Address A CI mil BTU 60.15 /u �� issuance, a copy c.5 ,°N 11 CJ 11 Air handling unit to 10,000 CFM of all licenses City /State Zip Phone 7.00 are required if Sr j '/',C -77V7 779,7oR 12) Air handling unit 10,000 CFM+ expired in COT Oregon onst. Cont. Board Lic.# Exp. Date 11.85 database to i 6 8 me", C 13) Non - portable evaporate cooler • Architect Name 4770 �o0( 7.00 d �' 14) Vent fan connected to a single duct 4.75 Or Mailing Address 15) Ventilation system not included in appliance permit 7.00 Engineer City /State Zip Phone 16) Hood served by mechanical exhaust X 7.00 ?- Describe work to be done: 17) Domestic incinerators 12.00 New 0 Repair 0 Replace with like kind: Yes O No O 18) Commercial or industrial type incinerator Residential 0 Commercial 48.25 1®' C° y -�' �, l�c S 4 7�m 19) Repair units Additional information or description of wt 8.40 20) Wood stove /gas FP /other units /clothe dryer /etc. I 7.00 l NOTE: For Commercial projects only; Units over 400 lbs. require 21) Gas piping one to four outlets structural gas calcs. See footnote 1 3.75 Type of fuel: oil 0 natural gasA LPG 0 electric O 22) More than 4 -per outlet (each) .75 Minimum Permit Fee $50.00 SUBTOTAL I hereby acknowledge that I have read this application, that the information 7% SURCHARGE i, given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL e _,_a, . . Required for ALL commercial permits only ; the owner, t ans submitted arr m is with Oregon State laws. �t /G--AO ` I TOTAL Signature f Owner/Agent Date ' Other Inspections and Fees: 1. Inspections outside of normal business hours (mininum charge -two Contact Person Name Phone hours) $50.00 per hour 2. Inspections for which no fee is specifically indicated (minimum -314? charge-half hour) $50.00 per hour t ' � , 1 L �/� �/ �` - 3. Additional plan review required by changes, additions or revisions to Foonotes Pr 1. Provide for commercial projects only: plans (minimum charge -one -half hour) $50.00 per hour e full schematic of existing and proposed gas line and pressure. 2. Provide drawings to scale showing existing and proposed mechanical *State Contractor Boiler Certification required units. "Residential A/C requires site plan showing placement of unit I:\mechperm.doc rev 7/19/99 ._ • 12/09/1999 Activities for Case #: MEC1999 -00460 9:56:36 AM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MECC007 Application received 10/21/1999 BON RECD No Hold BON 10/26/1999 MECC008 Permit created 10/26/1999 BON DONE No Hold BON 10/26/1999 MECC011 Routed to Plans Examiner 10/26/1999 BON DONE No Hold BON 10/26/1999 MECC014 Plan checked /Approved by P.E. 11/04/1999 11/04/1999 11/04/1999 RDP DONE No Hold RDP 11/04/1999 MECC015 Reviewed Plans Routed to DSTS 11/04/1999 RDP DONE No Hold RDP 11/04/1999 MECC710 Mechanical Insp 12/01/1999 TLP PASS No Hold TLP 12/01/1999 MECC731 Shaft Inspection 11/04/1999 11/04/1999 12/01/1999 TLP PASS No Hold TLP 12/01/1999 MECC732 Hood Inspection 11/04/1999 11/04/1999 12/01/1999 TLP PASS No Hold TLP 12/01/1999 MECC799 Final Inspection 11/04/1999 11/04/1999 12/01/1999 _ TLP PASS No Hold TLP 12/01/1999 MECCO50 (F) Ready to issue 11/05/1999 DEB DONE No Hold DEB 11/05/1999 MECC090 (F) Issue permit • 11/05/1999 KJP DONE No Hold KJP - 11/05/1999 MECC705 Gas Line Insp 11/23/1999 11/23/1999 11/24/1999 MRS FAIL No Hold MRS 11/24/1999 gas line. Amending this permit per Bob Poskin. no test on gas line MECC065 (F) Reprint Permit 11/23/1999 DST DONE No Hold DST 11/23/1999 MECA075 (F) Reprint Permit 11/23/1999 DST DONE No Hold DST 11/23/1999 MECC705 Gas Line Insp 11/29/1999 11/29/1999 11/29/1999 TLP PASS No Hold TLP 11/29/1999 MECA800 Case Finaled 12/09/1999 JMT DONE No Hold JMT 12/09/1999 Page 1 of 1