Permit C ITY OF TIGARD MECHANICAL PERMIT
PERMIT #: MEC2001 -00121
,wti� ;�l�;� DEVELOPMENT O I N Tigard, R 97223 SERVICES
3 9 -4171 DATE ISSUED: 4/20/01
PARCEL: 2S1 15C B -04200
SITE ADDRESS: 17135 SW PACIFIC HWY
SUBDIVISION: ZONING:
BLOCK: LOT: JURISDICTION: KIN
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Remarks: Installation of gas piping for new generator. 1 1/4" line under 2 pounds of pressure.
Owner: FEES
TUALATIN VALLEY FIRE & RESCUE Type By Date Amount Receipt
29665 SW BLANTON PRMT DEB 4/13/01 $72.50 KING CITY
ALOHA, OR 97007 5PCT DEB 4/13/01 $5.80 KING CITY
Total $78.30
Phone:
Contractor:
BOBS HEATING & COOLING
21100 NE HWY 240
NEWBERG, OR 97132 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 503 - 554 -0031 Final Inspection
Reg #: LIC 134512
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 % ; • ough OAR 952 - 001 -0080. You may obtain copies of these rul- e direct quest. • s to OUNC by
canine (503)246 -9 :9. A D
y: . � // 1.
Issue = _ _ _ j - %/ ,;iv Permittee Signature: A `,
Call (5 1 • 639 -4175 by 7:00 P.M. for inspections needed the next business day
04/13/2001 09:59 5036393771 CITY OF KING CITY PAGE 02
1 K1.4,UUN I T
SERVICE CENTS Mechanical Permit Application OFFICE USE ONLY
is Da te received: r/ /J O P ermit no.
Ci ty of King City i MECaao, -ea.A,
13125 SW Hall Blvd_ Project/appl. no.: • Expire date:
-
Clackamas Tigard, OR 97223 Date issued: By: Receipt no.:
Multnomah Phone: (503) 639 -4171. FAX: (503) 684 -729 Case file no.: Payment type:
Washington
c C1 U N T I E 9 Land use approval: Building permit no.:
TYPE OF PERMIT
0 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family 0 Tenant improvement
0 New construction 0 Addition/alteration/replacement 0 Other:
JOB SITE INFORMATION COMMERCIAL VALUATION SCHEDULE
Job address:
7/1.g.-- ,A,; G Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: I Suite no.: value of all mechanical materials, equipment, labor, overhead,
Tax map /tax lot/account no.: profit Value $
Lot: [Block: I Subdivision: *See checklist for important application information and
Project name: jurisdiction's fee schedule for residential penult fee.
City/county :,A C, { , W I ZIP: g Zx I & 2 F"ANIILY DWELLING PERM11T 1-1.1E SCHEDULE
1 _ egt� 1 work on premises: AND COMMMERJCAL/INDUSTRRL LQUIPM FN•f SCHEDULE
Est date of completion/inspection: Description Res. only To only
Qty. only Res: o
Tenant improvement or change of use: HvAC:
Air
Is existing space headed or conditioned? 0 Yes 0 No handling unit CFM
Air conditio (siteplan required)
Is existing space insulated? 0 Yes 0 No
Alteration of existing HYAC system
IWECHANICAI. CONTRACTOR Boiler /compressors
Busiutess name: t, rto, State boiler permit no.:
// A, HP Tons BTV/kI
Address: j r /, r `, , e,6fd / Fire/smoke dampers/duct smoke detectors
City:.; .. % Sta, I ZIP: ! 7 /7L Heat ump (site plan uired) • y' r tt��
Phone 0 Fax: E -mail: Initill7Feplace furnac BTU/H
CCB no.: f�/,$^1,�, - Including ductwork/vent liner 0 Yes O No
Install/replace/relocate heaters - suspended,
City /metro tic. no.: wall, or floor mounted _
Name (please print): e ,. i i if `. ��. Vent for appliance other than furnace
CONTACT PERSON Refrigeration:
Absorption units _ BTU/ft
Name; 7 �a i / /� Chillers - HP - .
Address: ' ,,ie es / ,,,p-e..- Compressors HP
Environmental exhaust and ventilation:
City: I State: I ZIP: Appliance vent
Phone: Fax: E -mail: Dry er exhaust •
OWNER Hoods, Type UU/res. kitchen/haanat
� hood fire suppression system t _
Name: e l Z .ems Exhaust Fan with single duct (bath fans)
Mailing address: �� f 7 �{ � r e; Exhaust system apart from heat or A
City:. /g ,• / I Stat41 r 7 J Fuel piping and distribution (up to 4 outlets) )
LPG 1/1 Oil
Phone: /- A Fax; E -mail: Fuel u piping each additional over 4 outlets
ENGINEER Process p ping (schematic requ' )
Narrre: Number of outlets
Other listed appliance or equipment:
Address: Decorative fireplace
2ity: 'State: ,ZIP: Insert- -type
?hone: ,,F.,. / E -mail: — Woodstove /pellet stove
• then
I.pplicant's sig . 4/1/17,-v- j ��7/�-i� Date: AMP ' Other: .- ---- --
4ame (print): � . : a .0,,t %�1
of all jurisdictions accept credit eprES. please call jurisdiction for more information Permit fee ...................... $ _ ,
l vase O MasterCard Notice: This permit application Minimum fee $ 72. co
expires if a permit is not obtained
edit card number; _./ / Plan review (at %) $
Expires within 180 days after it has been State surcharge (8 %) $ 5• b' 0
Name or cardholder u shoran on credit card accepted as complete.
$ TOTAL $ 711.30
Cardholder signature Amount _ .
4404617 (6AO/COM)
Zo
WY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested : `- / AM PM BLD
Location / 7/ 3J Sc..' c r' c.' /5 Suite MEC �/—U 0 / Z
p l
Contact Person Kc. 4 ' 5k A.. Ph 7 G 0 9 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: •
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Fire wall
Fire Sprinkler bt
Fire Alarm
Susp'd Ceiling
Roof ,�� / 72
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final i
PASS PART FAIL
ost d eam
Rough In
D ampers
fir.►:
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 ) I)
Other Date 5 . / v 0 I Inspector '� Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection reco d from the job site.
! ' _
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested AM PM BLD
Location / 7/ c (-14 4., /Al Suite MEC 0 / Z.
Contact Person ,zv Ph la ('/-& v4 z' PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
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
PASS PART FAIL
Post & Beam •
Rough In
m oe epe eNa4.6, &,461Kipea. 6o. &e-4-6..e,e • )
Final
PAS FAIL
ELE " : •
Service l / ! . . Le d .. _ '..t • I ' %/
Rough In / V
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 Date / i' 3/ / Inspector Oth E x t
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.