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Permit CITY OF T MECHANICAL Anta. ��� DEVELOPMENT SERVICES PERMIT - . !+L ° = 1 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394171 PERMIT # • MEC98 - 0545 DATE ISSUED: 12/22/98 PARCEL: 2S102CB- 01805 SITE ADDRESS...: 10400 SW PARK ST SUBDIVISION - ZONING: R -3.5 BLOCK ° LOT • JURISDICTION: TIG CLASS OF WORK..:NEW FLOOR FURN • 0 EVAP COOLERS: 0 TYPE OF USE -COM UNIT HEATERS..: 0 VENT FANS...: 0 OCCUPANCY GRP..:E3 VENTS W/0 APPL: 0 VENT SYSTEMS: 0 STORIES • 1 BOILERS /COMPRESSORS HOODS • 0 FUEL TYPES 0 -3 HP • 3 DOMES. INCIN: 0 :GAS 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.: 1 FURN > =100K BTU: 3 > 10000 cfm: 0 Remarks : Mechanical work for new children's day school facilty. Owner: FEES JUMBO FERNANDO type amount by date recpt 17549 OAK MEADOWS LANE PRMT $ 52.50 GEO 12/22/98 98- 311708 LAKE OSWEGO OR 97034 PLCK $ 13.13 GEO 12/22/98 98- 311708 SPCT $ 2.63 GEO 12/22/98 98- 311708 Phone #: Contract or: JOHN KLUNE 12370 SW DUCHILLY CT $ 68.26 TOTAL TIGARD OR 97224 Phone #: 639 -4359 Reg #..: 2 804 REQUIRED INSPECTIONS This perait is issued subject to the regulations contained in the Gas Line Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp applicable laws. All work will be done in accordance with Heating Lint Insp approved plans. This permit will expire if work is not started Duct Inspection within 180 days of issuance, or if work is suspended for sore S. D. Shut —down than 180 days. ATTENTION: Oregon law requires you to follow rules Misc. Inspection 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 Nay obtain copies of these rules or direct questions to OUNC by calling (503)246 -9187. Issue B ,4,-,,,,, Permittee Si nature: Ilir . ,- ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for inspections needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ S/ c- 1-s lt? C Plan Check # CITY OF TIGARD Mechanical Permit Application Recd By - _ 13125 SW HALL BLVD. Commercial and Residential Date Recd TIGARD, OR 97223 p4,0iti Date to P.E. / - 3 1g (503) 639 -4171, x304 0i,% V\ Date to DST I - f /g14(W Print or Type if Permit # 14£698 -D5 Incomplete or illegible applications will not be accepted Called Nye of Development/Project Description / i y h J JP / r7 l h `4. s Table 1A Mechanical Code Qty Price Amt Job Street Address Suite# A) Permit Fee 10.00 Address /0 vol., �L4/ 4-A-14 Sr 1) Furnace to 100,000 BTU including ducts & vents 3 6.00 � � Bldg# City/State Zip 2) Furnace 100,000 BTU+ including ducts & vents 7.50 Name (or name of business) 3) Floor Furnace Owner ,J ..,t a n Fa---x.--A-a--01?, including vent 6.00 Mailing Address 4) Suspended heater, wall heater or floor mounted heater 6.00 / 7 S L/9 al%d--dlll D 0-'5' L,✓ 5) Vent not included in appliance permit City/State Zip !� Phone 3.00 L /2s a � ?6 -7c- CHECK ALL *Boiler Heat Air Name (or name of business) THAT APPLY: or Pump Cond Qty Price Amt /� ■ Comp .;-e C , c D P er : 6-[.. :j 6) <3HP;absorb unit to N Occupant Mailing Address 100K BTU 3 6.00 /k 7) 3 -15 HP ;absorb unit City /State Zip - Phone 100k to 500k BTU 11.00 8) 15 -30 HP; absorb Contractor Name unit .5 -1 mil BTU 15.00 9) 30 -50 HP; absorb J 7 Hri /I :...r'b unit 1 -1.75 mil BTU . 22.50 Prior to permit Mailing Address 10) >50HP; absorb unit issuance, a copy / - 7 c' 51.,.. cii is c y C 7 i >1.75 mil BTU 37.50 of all licenses City/State Zip Phone 11) Air handling unit to 10,000 CFM are required if / ; -J 4- 77 2 G 5 4.50 expired in COT Oregon Const. Cont. Board Lic.# Exp. Date 12) Air handling unit 10,000 CFM+ database 'Z'( P V/ 3 • ash _-;( 7.50 Architect Name 13) Non - portable evaporate cooler �dt- Ti:" - U-, / /� Pf. Tbz!'i. vi_ e ' 4.50 M ailing Address 14) Vent fan connected to a single duct or .r2 3.00 Z' 2-/ S/A/1/14■9 /5 / -4 '5 15) Ventilation system not included in Engineer City/State Zip Phone appliance permit 4.50 p owi iL►+�I9 L 757/ 16) Hood served by mechanical exhaust Describe work to be done: 4.50 17) Domestic incinerators New % Repair 0 Replace with like kind: Yes 0 No O 7.50 Residential 0 Commercial 18) Commercial or industrial type incinerator 30.00 Additional information or description of work: 19) Repair units 4.50 20) Wood stove 4.50 21) Clothes dryer, etc. • 4.50 Type of fuel: oil 0 natural gasfi 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 given is correct, that I am the owner or authorized agent of 2.00 the owner, that plans submitted are in compliance with Oregon State laws. 24) More than 4 -per outlet (each) / .50 Sign 2?f er /Agent 2 _ / Date - ��t / Minimum Permit Fee 525.00 SUBTOTAL qr i � // � 19 5% I Contact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL P� e . b� --� Required for ALL commercial permits only b O /.1 j et µ r' L� 6 3'y I-11 rq TOTAL 'State Contractor Boiler Certification required "Residential A/C requires site plan showing placement of unit I:Unechperm.doc rev 07/20/98 • 8/8/99 Activities for Case #: MEC98 -00545 3:19:11 PM • Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MECC007 Application received . 12/1/98 JSD RECD DRA 12/3/98 MECC008 Permit created 12/3/98 DEB DONE DRA 12/3/98 MECC011 Routed to Plans Examiner 12/3/98 DEB DONE DRA 12/3/98 • MECC014 Plan checked /Approved by P.E. 12/18/98 RDP APPR RDP 12/18/98 MECC015 Reviewed Plans Routed to DSTS 12/18/98 RDP APPR RDP 12/18/98 MECC012 Plan Review Ltr. to Ofc. Svcs. 12/3/98 12/3/98 RDP SENT RDP 12/3/98 MECC705 Gas Line Insp 12/18/98 12/31/98 RB PASS RB 12/31/98 340516 This inspection does not include the mechanical appliance installation. Do not allow contact of gas line to cooper water lines. Strap termination of gas line in mech. room. MECC706 Mechanical Insp 12/18/98 2/17/99 RC PART ROC 2/17/99 BATH FANS APP. MECC725 Heating Unt Insp 12/18/98 2/17/99 RC FAIL ROC 2/17/99 UNABLE TO INSPECT • ' WITHOUT LADDER MECC735 Duct Inspection 12/18/98 2/17/99 RC FAIL ROC 2/17/99 DUCT DISCONNECTED IN ONE SPOT AND UNINSULATED IN SEVERAL PLACES . MECC745 S.D. Shut -down 12/18/98 RDP 12/18/98 MECC750 Misc. Inspection 12/18/98 1/7/99 RC PASS ROC 1/8/99 Check osa requirements as shown on plans VENT APPROVED MECC799 Final Inspection 12/18/98 5/6/99 RC FAIL AKJ 5/6/99 See BUP98 -00167 final MECCO50 (F) Ready to issue 12/21/98 GEO PASS GEO 12/21/98 MECC090 (F) Issue permit 12/22/98 GEO PASS DST 12/22/98 MECC706 Mechanical Insp 2/22/99 RC FART ROC 2/22/99 SUPPORT B VENTS FOR WEIGHT -1ST INSP. SECURE • UNITS TO PLATFORM- 1ST INSP. INSUL DUCTS 2ND NOTICE MECC755 «REINSPECTION» 2/22/99 RC 1500 ROC 2/24/99 2ND NOTICE FOR DUCT • INSUL FEE WAS PAID 2 -22 -99 ON PERMIT BUP98 -0167 RECEIPT # 99- 312970 MECC725 Heating Unt Insp 2/25/99 RC FAIL ROC 2/25/99 NO ACCESS PROVIDED MECC750 Misc. Inspection 3/3/99 RC FAIL ROC 3/3/99 SUPPORT B VENT 2ND NOTICE MECC710 Mechanical Insp 4/5/99 AKJ DONE • No Hold AKJ 4/5/99 Passed TLP MECC799 Final Inspection 5/24/99 5/24/99 5/24/99 HAP . FAIL No Hold AKJ 5/24/99 Brace HWT Bvent back to roof Page 1 of 2 8/8/99 Activities for Case #: MEC98 -00545 3:19:11 PM • Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MECC799 Final Inspection 5/27/99 5/27/99 5/27/99 HAP PASS No Hold AKJ 5/27/99 MECC800 Case Fineled 5/27/99 AKJ DONE No Hold AKJ 5/27/99 • Page2of2 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 C6,0 Gf Date Requested 5 -3-1 -q q AM PM x 411110 9—y 3 fr T Location I OL 1OO Piz Suite Qs/S Contact Person OnV Y) Ph ? . .R / PLM Contractor Ph SWR = i ILD Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation F- FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab 5 i"r ?t ' tO!2 S'Z74 a44 SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof M' • i • - r' PART FAIL P I MBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL KNIECHAN1 *L ? Post & Beam 1 /U Rough In VVV� Gas Line Smoke Dampers n:• 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 5 Other Date ��7 Inspector • ita A E 4 Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.