Permit CITY , OF TIGARD MECHANICAL
PERMIT
' ��i DEVELOPMENT SERVICES PERMIT
1O/88 -0367
PARCEL: 2S1O1DD -00600
SITE ADDRESS...: 06700 SW SANDBURG ST
SUBDIVISION • SALEM FREEWAY SUBDIVISION ZONING: C —P
BLOCK • LOT •003 JURISDICTION: TIG
CLASS OF WORK..:NEW FLOOR FURN • 0 EVAP COOLERS: 0
TYPE OF USE :COM UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:B VENTS W/O APPL: 0 VENT SYSTEMS: 3
STORIES • 2 BOILERS /COMPRESSORS HOODS : 0
FUEL TYPES 0 -3 HP • 1 DOMES. INCIN: 0
:GAS 3 -15 HP • 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15 -30 HP . 0 REPAIR. UNITS: 0
FIRE DAMPERS ?..: Y 30 -50 HP • 1 WOODSTOVES..: 0
GAS PRESSURE...: M 50+ HP • 0 CLO DRYERS..: 0
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS. :43
FURN < 1O0K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 1
FURN ) =1O0K BTU: 0 > 10000 cfm: 0
Remarks: Western Family Foods
Owner:
FEES
WESTERN FAMILY FOODS, INC type amount by date recpt
6700 SW SANDBURG PRMT $ 247.50 JSD 10/28/98 98- 310346
TIGARD OR 97223 PLCK 61.88 JSD 10 /28/98 98- 310346
5PCT 12.38 JSD 10/28/98 98 310346
Phone #:
Contract or:
TEMP CONTROL MECHANICAL SERVIC
4800 N CHANNEL AVE
PO BOX 11065 $ 321.76 TOTAL
PORTLAND, OR 97211
Phone #: 285 -9851
Reg #.. : 103165
REQUIRED INSPECTIONS
This permit 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 Duct Inspection
approved plans. This permit will expire if work is not started Fire Damper Insp
within 180 days of issuance, or if work is suspended for more S.D. Shut —d o w n
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 may
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
1 41011K4-73 ,
Issue By: _ / Permittee Signature: T / OW
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
L— _ 4 - - –
Plan Check # 0 g -7
CITY OF TIGARD , e iil Mechanical Permit Application Rec'd By
13125 SW HALL BLVD J f<l Commercial and Residential (� (717;,79(1-cc
� Date Rec'd o5s-f •
TIGARD, OR 97223
Date to P.E.
(503) 639 -4171, x304 t4 Pate to DST 10( 9 3?
Print or Type v \
Permit # �► E 8 0
Called ` 7&J io /i3 M
. Incomplete or illegible applications will not be accepted
Name of Development/Project Description
W6ST-RN 4MILY &DDS Table 1A Mechanical Code QTY PRICE AMT
Job Street Address Suite# A) Permit Fee -0- -0- 10.00
Address 0 Sw ) - p, 10 --- slag# C ityrstate Zip 1.) Furnace to 100,000 BTU 6.00
(nrl ® name of businest(,ggZO .OR ` ,�] 1243 including ducts & vents
ame (or business) 2.) Furnace 100,000 BTU+ 7.50
Owner VV FS TUN 1\MtL1 'IONS including ducts & vents
Mailing Address . 3.) Floor Furnace 6.00
- 4 t - S1 SA ( )P,G• R0111) including vent
(„ ei dy I /State Zip Phone 4.) Suspended heater, wall heater 6.00
Tl G A 11 CA? t 7 Z23 C39 "� - '�' or floor mounted heater
Name (or nan o r b ` 5.) Vent not included in appliance permit 3.00
SAM,
Occupant Mailing Address 6.) Boiler or comp, heat pump, air cond. 6.00 & .
to 3 HP; absorb unit to 100K BUT" / I
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
1 i t'YtP CrOt\TUQ1jt__.' cµ tiPrCAL 15-30 HP; absorb und.5 -1 mil BTU"
Prior to permit Mailing Address 9.) Boiler or comp, heat pump, air cond. 1 22.50 Ga sp
£,Q
issuance, a copy , E VAS 30-50 HP; absorb unit 1- 1.75mi1 BTU"
of all licenses city/state Zip Phone , ✓ ry 10.) Boiler or comp, heat pump, air cond. 37.50
are required if . • t,AND OR �iaal l 2.65-9651 p > 50 HP; absorb unit 1.75 mil BTU"
expired in COT or. • •., C j c.#
3P17 I I 11.) Air handling unit to 10,000 CFM 4.50
database �
'
Architect Name 12.) Air handling unit 7.50
______... AkM'hn, � )(..1%-1k) 1)f?G14('ftj 10,000CTM+
or Mailing Address i1; Va. 13.) Non - portable evaporate cooler 4.50
-- r ar) -.:.,w MAr ..Aflv rn t00
Engineer ` 01% 97V-1 Zip Phone 14.) Vent fan connected to a single duct 3.00
E4s I oa
Describe work New'X Addition 0 Alteration 0 Repair 0 15.) Ventilation system not included 4.50 t' ,�o
to be done Residential 0 Non - residential )et in appliance permit
Additional Description of work: 16.) Hood served by mechanical exhaust 4.50
14 V A l .. 17.) Domestic incinerators 7.50
P4r C/ A
Existing use of 18.) Commercial or industrial 30.00
building or property type 4/42‘ nlrc;liFiz - 19.) Repair units 4.50
•
Proposed use of G-0-1 20.) Wood stove 4.50
building or property
21.) Clothes dryer, etc. 4.50
Type of fuel - oil 0 natural gas 18( LPG 0 electric'W. 22.) Other units 4.50 lGIo
I hereby acknowledge that I have read this application, that the information 23.) Gas piping one to four outlets y 2.00 2 .
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 --ate 'SUBTOTAL I'
/ 5% SURCHARGE r ti "
ea// " x ,11
Contact Person N a a Phone PLAN REVIEW 25% OF SUBTOTAL
_ Required for all commercial permits only. 5 . ; r ', •• " � f , I 119 I
/ _ TOTAL _, =b
' - Minimum permit fee is $25 + 5% surcharge
**Residential
� Residential NC requires site plan showing placement of unit. 19
I:Unechprmt.doc rev 4/15/98 g a. 4'v ;;/ - `� L
4/24/00 Activities for Case #: MEC98 -00367
2:45:34 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECC007 Application received 8/21/98 GEO PASS JSD 8/24/98
MECC008 Permit 8/24/98 JSD PASS JSD 8/24/98 .
MECC011 Routed to Plans Examiner 8124/98 JSD PASS JSD 8/24/98 •
MECC014 Plan checked /Approved by P.E. 10/22/98 RDP APPR RDP 10/22/98
MECC015 Reviewed Plans Routed to DSTS 10/22/98 RDP APPR RDP 10/22/98
MECC012 Plan Review Ltr. to Ofc. Svcs. 8/26/98 8/26/98 RDP PEND RDP 8/26/98
MECC705 Gas Line Insp 10/22/98 12/4/98 RC PART J *H 12/6/98 Underfloor to island, wall at end
of island, wall at SE corner to
exterior.
MECC706 Mechanical Insp 10/22/98 12/21/98 RB PART J *H 12/21/98 1st Floor only Mechanical
above ceiling incompleted -
recheck at mechanical above
t -grid (or thru ceiling access
panel). Subject to plumbing and
electrical covers.
MECC735 Duct Inspection 10/22/98 1/6/99 TLP PART TLP 1/6/99 bathroom areas
MECC740 Fire Damper Insp 10/22/98 2/11/99 TLP PASS TLP 2/12/99 .
MECC745 S.D. Shut -down 10/22/98 2/11/99 TLP PASS TLP 2/12/99
MECC750 Misc. Inspection 10/22/98 RDP 10/22/98
MECC799 Final Inspection 10/22/98 2/11/99 TLP PASS TLP 2/12/99
MECC016 DST Post - Review Completed • 10/23/98 DLH DONE DLH 10/23/98
MECCO50 (F) Ready to issue 10/23/98 DLH PASS DLH 10/23/98
MECC090 (F) Issue permit 10/28/98 JSD PASS JSD 10/28/98
MECC705 Gas Line Insp 12/8/98 12/8/98 RC PART J`H 12/8/98 2 lb pressure approved Tag
340558.
MECC705 Gas Line Insp 12/8/98 J *H 12/8/98
MECC706 Mechanical Insp 1/19/99 TLP PASS TLP 1/19/99
MECC800 Case Finaled 2/23/99 JT 2/23/99
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