Permit C ITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2003 -00086
' I- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/19/03
PARCEL: 2S 103D D -00400
SITE ADDRESS: 13727 SW PACIFIC HWY 150
SUBDIVISION: ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS: 1
OCCUPANCY GRP: A3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: 1 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: 115,000 BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 •HP: WOODSTOVES:
GAS PRESSURE: L 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: 1 < =10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Remarks: Adding (1) 5 ton rooftop unit w /ductwork
Owner: FEES
CB RICHARD ELLIS Description Date Amount
PROPERTY MANAGER. [MECH] Permit Fee 3/19/03 $118.10
PORTLAND, OR 9 97 2001 1 FIFTH [MECPLN] Plan Rev 3/19/03 $29.53
PORA7
[TAX] 8% StateTax 3/19/03 $9.45
Phone: 503 - 221 - 4810 Total $157.08
Contractor:
OREGON AIRE INC
7921 SW NIMBUS AVENUE
BEAVERTON, OR 97008 REQUIRED INSPECTIONS
Phone: 626 - 2000 Gas Line Insp
Mechanical Insp
Reg #: LIC 64235 Duct Inspection
S.D. Shut -down 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 -001 -00
Issued By: N��i ./ / Permittee Signature: .
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
02/13/03 08:28 FAX 5033359877 OREGON -AIRE, INC Il02
A Mechanical•PermitApplication
. Date received: �ly c Permit no.:M 6708(0
...4- :a �, City of Tigard Project/appl.no.: Gxplmdee:
Clry oj7Fgard Address: 13125 SW Hall Blvd. Tigard, OR 97223 Date Waled: . B
Phone: (503) 639 -4171 Y no.: _
Fax: (503) 598 - 1960 Case file eo_ Payment type: ^
Land use approval: gsi n8 permit nn.: V Q 6 21903 --00 ' I ��
TYPE Of PERMIT
c.
U 1 & 2 family dwelling or accessory st Commercial/industrial 0 Mold )g Tenant improvement
O New construction U Addalon/alteratioalreplace rent O Other:
.1011 SITE INFORMATION commERCIAL 'VALUATION SCIIEI)ULE
Job address Z. , _ ' . Indicate equipment quantities in boxes below. Indicate the dollar
Bid: no- Suitt no.: /' value of all risksl matmd ids, equipment, labor. overfeed,
m m
Tax aprtax lot/accrntno.: profit. Value S Dda- - - .
Las Block: Subdivision: *See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee_
City/ : ZIP: 1 S 2 rAdl tt_v DWELLING PERMIT IEE SCHEDULE
• ption • location • wo. on • ANT) COMM ERIC-1L/i\ EQUIP' I
Est. date of ca. 111111 1- QtY• L RL 7
Tenant improvement or change of use: . —�
Is existing spans heated or condititmed7,WYes O No
Is existing space insulated - as O No A t �u d on -g snap : a st em —
r ' - ‘.
liEC11:1N1CAI. CON • - compressors I �■
Business name: 4 L . ! lie , sr3tetxol
!.5 :."4 HP Tone BTLfAi
Address: - — ! .• ■ --r .i-P= i"rn7TC ;t'?rT +mil♦ —
/ •�,.. �.
� .. K r`�:tea a( ZIP: ' ` L• tole • , . re 1
Mono: - ' 7 7. i 4 1 E-mail: _ _ . , : - -t —
ii
CAB no.: Including dueravrk /vent liner O Yes O No
T .. ormo . - .?- ■ �-
(3ty /tttetm lie. no.: /.S S wan, or Boor moaned
Name (please print): „MAIM ' an or -,.. „ee , ..er ... ern -- -
uo' L CT rr-_RsON r_,• � _
Absorption units BT11/H
T N- WITRION1 Chillers • HP • -iilli...1
HP MI
Address . . __
City: y , � %�� AI ', Vent
Phone: Fax: F..-mail: -
MI Nnt
Nate:
Marling a d d r e s s : Exhaust .. .. or • pfd �r
Ct State: ZIP: T pie „L.PG NO to O il ■ -�
Phone: Fax: E -mail:; t - P3- ra T'tr.tr•tr[^7rtt^n =MI pgi1■Ir
I:NG[1EEIt .., )
Number ofovteis
Name:
Address:
Addtesev Dtcorativofu>.plare I
rat : 5mte! ZIP: nom -t - _� Mil MININ
Phone: r _.L gi':r- .r,--.- r'l( etatove Illl ■
Applicants st; .tr' .w�M/I,TAII '.'J Date: - /3 - ; .. ��■ I�t•
Nam )• � ' l ALI-�- �
Na .
... a9 wow amen - _dx idelgacdan car boa
Notice: This 1<cetl0n Permit fee ..................... S I &) 's
p visa ci htemiCard PALL aPP Minimum fee.... $
Coedit card mane= • / / expired ire patents not obtained Plan rt:vlew (at 96) $ It:aht+ wi0Liu 180 days after it bus been State surcharge (896) ..- S
Name of aardbaldma• dams m heat earn accepted as complete. TOTAL .. ..._._ 3 S '� r D
Catecdder assume Ame= 440.4517 (&oexpM)
2
Z00 Sa.LVIDOSSV 91■II)I INOZ 86959t 9COS %VA 9O V 1 MIL £0 /CT/Z0
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP y,
Received Date Requested h ( AM PM BUP (DO 0 S r/
Location 13 7 Suite /S MEC a d 0 o �°
Contact Person Ph ( ) PLM
Contractor ��.c -��� Ph ( ) 33 S" Z ZZZ SWR
lUILDg b`IN Tenant/Owner e.t_.� ' ELC
�EsZo�n
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Fin
PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole •
Storm Drain
Shower Pan
Other:
Final
P •T FAIL
Rough -In
Gas Line
Sm•ke Dampers
SSp •ART FAIL
EL RICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final 1=1 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA , />
Approach/Sidewalk Date . 1// v 3 Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL