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Permit CITY OF TIGARD MECHANICAL it; i1\ DEVELOPMENT SERVICES PERMIT 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 PERMIT # • ME C98 -0212 DATE ISSUED: 06/09/98 PARCEL: 25110DC -02200 SITE ADDRESS...: 15660 SW PACIFIC HWY #5 SUBDIVISION • WILLOW BROOK FARM ZONING: C —G BLOCK • LOT -011 JURISDICTION: TIG CLASS OF WORK..:ALT FLOOR FURN - 0 EVAP COOLERS: 1 TYPE OF USE -COM UNIT HEATERS..: 0 VENT FANS...: 0 OCCUPANCY GRP..:M VENTS W/0 APPL: 0 VENT SYSTEMS: 0 STORIES • 1 BOILERS /COMPRESSORS HOODS • 1 FUEL TYPES 0 -3 HP • 0 DOMES. INCIN: 0 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.: 0 FURN ( 100K BTU: 0 (= 10000 cfm: 0 GAS OUTLETS.: 0 FURN ) =100K BTU: 0 ) 10000 cfm: 0 Remarks: Installing a type 2 hood with make up air (swamp cooler). Owner: FEES TIGARD PROMENADE PARTNERS type amount by date recpt 3752 HOLIDAY CT #225 PRMT $ 25.00 DEB 06/09/98 98- 306379 LA JOLLA CA 92037 PLCK $ 6.25 DEB 06/09/98 98- 306379 5PCT $ 1.25 DEB 06/09/98 98- 306379 Phone #: Contract or: DAN —CO SHEETMETAL & CONST 55695 VIEWCREST PL $ 32.50 TOTAL WARREN OR 97053 Phone #: 397 -4457 Reg #..: 110448 REQUIRED 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 Hood Inspection applicable laws. All work will be done in accordance with Final Inspection 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 - 001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -9187. Issue Permittee 5ignat�_me•i��� / .;� ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for inspections needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ (� -3 -e C I T Y OF • TIGARD Mechanical Permit Application X 1 4 Recd By (t-) 13125 SW HALL BLVD. Commercial and Residential b 1 Date Recd [9 - 4'45! TIGARD, OR 97223 Date to P.E. if '9 IC (503) 639 -4171, X304 ��'�� �� Date to DST -9 9$ Print or Type Permit # Pa 9 I a- Called Incomplete or illegible applications will not be accepted Name of Development/Project Description -•Z - 2 Table 1A Mechanical Code QTY PRICE AMT Job s A� �d ddress A / / idle# A) Permit Fee -0- -0- 10.00 Address /s 6 o J' cv_ sa Bidg# City /State Zip 1.) Furnace to 100,000 BTU 6.00 77 0- ,c o/ 7 7o? '9 including ducts & vents Name (orname of business) n � 2.) Furnace 100,000 BTU+ 7.50 Owner 1'� including ducts & vents Mailing Address 3.) Floor Furnace 6.00 9 7 7, , c � L O ¢,,5 h 1 g-Yb including vent --- City/State Zip 1 Phone 4.) Suspended heater, wall heater 6.00 :9 Jo 60V /11444 » 9,"' q f' or floor mounted heater Name (or name of business) ' 5.) Vent not included in appliance permit 3.00 Occupant Mailing Address 6.) Boiler or comp, heat pump, air cond. 6.00 to 3 HP; absorb unit to 100K BUT" City /State Zip I Phone 7.) Boiler or comp, heat pump, air cond. 11.00 3-15 HP; absorb unit to 500K BTU" Contractor Name 8.) Boiler or comp, heat pump, air cond. 15.00 �a.,v - C b u 7' y C'o.v 15-30 HP; absorb unit.5-1 mil BTU" Prior to permit Mailing Address 9.) Boiler or comp, heat pump, air cond. 22.50 issuance, a copy ,.5 4 /9/ G is 4 ,,.v 7 /a- od./?e/ 30-50 HP; absorb unit 1- 1.75mil BTU" of all licenses City /State Zip Phone Say 10.) Boiler or comp, heat pump, air cond. 37.50 are required if J'T A4. X, Ai y 1 39 7 OS - > 50 HP; absorb unit 1.75 mil BTU" expired in COT Oregon Ccnst. Cont. Board Licit Exp. Date 11.) Air handling unit to 10,000 CFM 4.50 database r,//0 ' e / a /9d • Architect Name AA-/5-9i( 12.) Air handling unit 7.50 10,000 CTM+ or Mailing Address 13.) Non - portable evaporate cooler 4.50 s' y Engineer City/State Zip Phone 14.) Vent fan connected to a single duct 3.00 Describe work New 0 Addition 0 Alteration 0 Repair 0 15.) Ventilation system not included 4.50 to be done Residential 0 Non - residential in appliance permit Additional Description of work: 16.) Hood served by mechanical exhaust / 4.50 5 1 17.) Domestic incinerators 7.50 %c. 1 d h/ C. .1 J --- /vo 0 Existing use of / 18.) Commercial or industrial 30.00 building or property " 7 /✓ � c ' / /1 type incinerator 19.) Repair units 4.50 Proposed use of 20.) Wood stove 4.50 building or property fC 4 .i?n 21.) Clothes dryer, etc. 4.50 Type of fuel - oil 0 natural gas 0 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 2.00 given is correct, that I am the owner or authorized agent of 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 *SUBTOTAL Y- 4 n •f --e 6/0:e 5% SURCHARGE / Zj , s Contact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL . , „, �t . y )' Required for all commercial permits only. TOTAL °. *Minimum permit fee is $25 + 5% surcharge "Residential NC requires site plan showing placement of unit. I:\rnechpr t.doc rev 4/15/98 • OVER- THE - COUNTER (OTC) PERMIT PLAN REVIEW COMMERCIAL MECHANICAL PERMIT CHECK LIST Description of Project: ii,N./Y 70 ,1 hi-a vD A- A/ Class of Work: 4- L 1— Floor Furnace: Evap Coolers: // Type of Use: rvr/ Unit Heaters: Vent Fans: Occupancy Grp: , Vents w/o Appl: Vent Systems: Stories: / Boilers /Comprsrs: Hoods: Fuel Types - 0 - 3 HP. Repair Units: / / / / 3 - 15 HP. Wood Stoves: Max Input: Btu: Air Handling Units Clo Dryer: Fire Dampers: < = 10000 cfm: Oth Units: Gas Pressure: H / M / L > 10000 cfm: Gas Outlets: No. Of Units: Furn < 100k Btu: Furn > =100k Btu: NOTES: ` : %Qpl1MEft0:A 'ANSf EC'lIONt. ACTtQNS. I :`` ;': :• ;: FEE ':: : $ 2 S -"Permit Fee Gas Line Inspection $ ` Plan Review Mechanical Inspection $ I - 5% State Surcharge Cooling Unit Inspection $ Additional Permit Fee Shaft Inspection $ Additional Plan Review Fee ✓ Hood Inspection $ Inspection Fee Fire Suppr Inspection $ Miscellaneous Fee Duct Inspection 3 2- - - Fire Alarm Inspection Fire Damper Inspection REMARKS: Miscellaneous Inspection Fire Alarm Inspection Final Inspection FOR © FICEEJSE . •. .:.:. TYPE OF. USE OP IONS (COM = commercial. CMS: c ornniercfat Manufactured structuii:e) ::.:: .. .. . ; : . CLASS. OF WORK OPTIONS.FORAU. PERMITS (NEW= new ADD = addition; ALT= alteration ;RCS= accessory; ::.. .. FND = foundation: OTF. = other OEM ; demolition REP= repair ;. FPS fire protection system. NOTE =USE OTH FOR RETAINING WALE; DETACHED : DEckS ` SIGNS ` AWNINGS. CANOPIES)` • is \ovrcntr.doc (dst) 8/97 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 39 -4171 ,, II - 1 - 15 - q& BUP 1 U P 1 % Date Requested AM PM BLD Location 15(0(0 0 SW Pac. fr Suite A ' MEC 01 0 - O� I - Contact Person. VU Ph PLM Contractor Ph SWR BUILDING Tenant/Owner eye_ �;, d,/ ' ! 0 _.(pq'7c( ELC Retaining Wall !I ELR Footing Foundation I tG Access: . T n W � n ra h_ n l n �(NC. FPS Ftg Drain (J SGN Claw rawl Drain Inspection Notes: O p j s �--r WOO O Q SIT Post & Beam I* 1,� �G -� A R "i , 3 0 �",n Ext Sheath /Shear ri 30 I �' , Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm • Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer • Rain Drains Final e tift i ft FAIL -. =earn Rough In In Gas Line Dampe „ iulp " PART JJ FAIL TRICAL • Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE BackfilUGrading 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 7 Other Date �/1 F Inspecto Ext Final PASS PART FAIL , DO NOT REMOVE this inspection record from the. job site.