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Permit • V CITY OF TIGARD MECHANICAL DEVE SERVICES PERMIT #PERMIT MEC98 -0376 9 DATE ISSUED: 09/02/98 PARCEL: 1S134BC -00300 SITE ADDRESS...: 12266 SW SCHOLLS FERRY RD SUBDIVISION ZONING: C —G PD BLOCK • LOT . JURISDICTION: TIG CLASS OF WORK..:ALT FLOOR FURN • 0 EVAP COOLERS: 0 TYPE OF USE °COM UNIT HEATERS..: 0 VENT FANS...: 1 OCCUPANCY GRP..:B VENTS W/0 APPL: 0 VENT SYSTEMS: 0 STORIES • 0 BOILERS /COMPRESSORS HOODS • 0 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 ?..: N 30 - 50 HP • 0 WOODSTOVES..: 0 GAS PRESSURE...: 50+ HP • 0 CLO DRYERS..: 0 NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.: 1 FURN < 1O0K BTU: 0 (= 10000 cfm: 0 GAS OUTLETS.: 0 FURN > =1O0K BTU: 0 > 10000 cfm: 0 Remarks: Dotty's Deli TI (a) environmental air introduction (b) install bathroom fan. Low voltage and electrical permits required. Owner: FEES BURNHAM /PACIFIC PROP type amount by date recpt 610 SW ASH ST STE 1600 PRMT $ 25.00 JSD 09/02/98 98- 308785 SAN DIEGO CA 92101 PLCK $ 6.25 JSD 09/02/98 98- 308785 5PCT $ 1.25 JSD 09/02/98 98- 308785 Phone #: Contract or: ARROW MECHANICAL 10330 SW TUALATIN RD 32.50 TOTAL TUALATIN OR 97062 Phone #: 692 -1565 Reg #..: 000051 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 Fire Alarm Insp 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 By: ...lel� � Permittee Signature: j.,il, / �41,. ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for inspections needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ - • r - - - - Plan Check # � _ OSC CITY OF TIGARD Mechanical Permit Application Rec'd By �i 13125 SW HALL BLVD. Commercial and Residential Date Rec'd . Iir'� TIGARD, OR 97223 B � Date to P.E. (503) 639 -4171, x304 Date to DST 9 21 Print or Type Permit # •�e C�-- -C C1.3?--‘, Called Incomplete or illegible applications will not be accepted Nan") of Developme ti tea Description C5Ze .4) A•N Igu. 'J ` Table 1A Mechanical Code OTY PRICE AMT Job Street Address / Sude# A) Permit Fee -0- -0- 10.00 Address /2246 s, W, 16 Pr.)/ 9 2 Bldg# Cit State• ip B) Supplemental Permit 3.00 / /G. / Or, Name or name of busme `� 1.) Furnace to 100,000 BTU 6.00 Owner ' t�1.1- A- ,. n S G, j) ) incl. ducts & vents Mailing Address �- 1 � - ne � "C' 2.) Furnace 100,000 BTU + 7.50 6 /d 60 . 11 `� 9bygdo incl. ducts & vents CityaState r ✓� Q � l P 3.) Floor Furnace 6.00 / J ind. vent „ am ler nae a l 4.) Suspended heater, wall heater 6.00 /,.r� / Q L r or floor mounted heater Occupant a'l m 5.) Vent not incl. in 3.00 / 1-..t , W 1 C -116/4 T <r�t appliance permit Cit�l(Staate_ Zip h one 6.) Boiler or comp, heat pump, air cond. 6.00 �� �01 _ to 3 HP; absorp unit to 100K BTU Name 7.) Boiler or comp, heat pump, air cond. 11.00 r -2_?_ /v) M e!41c w l ia+�V ( 3-15 HP; absorp unit to 500K BTU Contractor Mailing Address '•' 8.) Boiler or comp, heat pump, air cond. 15.00 V W) � , W • i >J,�0 15-30 HP; absorp unit .5-1 mil BTU (P to , p P 9.) Boiler or comp, heat pump, air cond. 22.50 issuance a copy /(f ,Q-77,1) / 04 9 / S 30-50 HP; absorp unit 1 -1.75 mil BTU of all licenses are Oregon const. Corn. Board Luc.# Exp. owe 10.) Boiler or comp, heat pump, air cond. 37.50 required if ( /Cf / / /iVgg > 50 HP; absorp unit 1.75 mil BTU expired in C.O.T COT inessA'` or Memo # Exp. a a 11.) Air handling unit to 4.50 data base) -/- �f ! 10,000 CFM Architect Name 0/ 12.) Air handling unit 7.50 Imo 10,000 CTM + or Mailing Ad r asa 13.) Non portable 4.50 evaporate cooler Engineer Cdy/State Zip Phone 14.) Vent fan connected 3 . 0 0 00 to a single duct Describe work New p_. Addition 0 Alteration 0 Repair 0 15.) Ventilation system not 4.50 to be done Residential 0 Non - residential 0 included in appliance permit Additional Description of work 16.) Hood served by mechanical exhaust 4.50 1.1 ] � - 17) Domestic incinerators 7.50 ' Existing use bf / 18.) Commercial or industrialtype 30.00 building or property incinerator 19.) Repair units 4.50 Proposed use of 20) Woodstove 4.50 building or property 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 appf - tion, that the 23) Gas piping one to four outlets 2.00 information given is correct, that I am th- ow -! or authorized agent of the owner, tha > - n submitted -j - in d• Knce with O o St a 24) More than 4 -per outlet (each) .50 laws. .,1 a • Sign - ure of e • er/ - • e f te QTY.SUBTOTAL � � Q� � 92-/V6 Contact �� 'SUBTOTAL Contact Person Name ( Phone 5% SURCHARGE l/O PLAN REVIEW 25% OF SUBTOTAL - .._ .2 kis. 1 TOTAL i:klstknechpmt.doc (rev 7/96) 'Minimum permit fee is 525 + 5% surcharge OVER - THE - COUNTER (OTC) PERMIT COMMERCIAL MECHANICAL PERMIT CHECK LIST (al Description of Project: 'r% - hR.v JT»c , 0' 1 S T09+ , i► A•Ar Azoon% F • • Class of Work: 4.:T' Floor Furnace: Evap Coolers: Type of Use: ® Co an Unit Heaters: Vent Fans: Occupancy Grp: PS 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: OD < = 10000 cfm: Oth Units: t Gas Pressure: H / M / L > 10000 cfm: Gas Outlets: No. Of Units: Furn < 100k Btu: Furn > =100k Btu: NOTES: 4• £+Joisonnew.kr& . A.e .i >tc SUM C. Jsls'r. AS =1 T r om..1 *ow. bib s4 i4f a BciuD ect. 'r -13* D ...A.:.;... $ ZS Permit Fee Gas Line I • : ction $ �?�, Plan Review • • • $ t 2C 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 Fire Alarm Inspection Fire Damper Inspection REMARKS: Miscellaneous Inspection I ) W iJ ,� Pxfumi-a40. ire Alarm Insp i i* GrL6 PeeM 1{ 12aq Final Inspection FOR'O :.FICE''. :;CLASS OF WORK OPTIONS FOR ALL: PERMITS (NEW= new ADD ad ALT'= afteraGcn ACS = : accessory, ND =: roundation;:0TH = other;: DEM = demolition iREP= repa ;FPS:: =;tire , rotecteon;s teti .NOTE t1SE ©T FOR FENCES; ;>s.z.;. ;: : is \ovrcntr.doc (dst) 8/97 1 • _______ 1 .. $ i 4/C — 1 t3 D P (6)(1577146 ) 57.4.9j S ?•a,. c S 7 .i.,� I S 7�JG 0�IDZSD , 7 Y2_TO ss Coot_iN4 22-00700 3 1-1EATIN6 sF,.� ;,. r 2 /Z3av 315 s /w .;~?�'Y ive.ci • • ••r LY►.OJ �. / L-I �V �T I-1 19.5" �V �P •• CAtpf r . 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PASS • JSD 09/02/1998, MECC015 Reviewed Plans Routed to DSTS 09/02/1998 RP OTC JSD 09/02/1998 MECC799 Final Inspection 10/05/1998 TLP PASS AKJ 02/23/2000 MECC706 Mechanical Insp 09/02/1998 JSD 09/02/1998 MECC760 Fire Alarm Insp 09/02/1998 JSD 09/02/1998 Environmental air insp shall consist as follows: T stat only shall be a Honeywell T -7300 MECC090 (F) Issue permit 09/02/1998 JSD PASS DST 09/02/1998 MECC800 Case Finaled 02/23/2000 AKJ DONE No Hold AKJ 02/23/2000 • • - Page 1 of1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Maur Inspection Line: 639 -4175- Business Line: 639 -4171 BU 9 O &O Date Requested 1 � �� 2 +T 3 - 60 AM PM BLD �,c Location 1271 �XiY � 1,I//K , Suite ME� ql'w .37 Contact Person Ph PLM Contractor Ph SWR • N) Tenant/Owner ELC Retaining Wall ELR Al Footing Foundation L w^ FPS Ftg Drain NOT REQUESTED SGN Crawl Drain FOUND DURING RESEARCH Slab NO INSPECTION(S) FOUND IN FILE SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing _ Insulation �nn� • _ 0 6k ss ��� t cv , Drywall Nailing I ' L'�J� `1 3 Fire wall — Pu1/41c1 � - O 63 9 C ,, Q vs , � - Fire Sprinkler �/` -�T� l/� Fire Alarm ✓ en✓Z C--– 1 • Susp'd Ceiling Roof Mi c: ° , / PART FAIL I " �tc.��1L`'� • ' BING fit, � 4 1 /X - L ■2� . L Viq -� 06 S Post & Beam S� / Under Slab WX.. 2 /'3 1 O� CD -w Top Out Water Service 4" eS • Sanitary Sewer Rain Drains q � Final PAS p�T K l/ ` -V %) P.A.LD C . CHANICAL FAIL Post & Beam Rough In 0\1(' Gas Line S •ke Dampers ina i jari PART FAIL (79 RICAL 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 �L 1 /�� Other Date O v ° Inspector (., A Ext3 Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.