Permit C I TY OF TI GARD MECHANICAL PERMIT
. 6 1 * DEVELOPMENT SERVICES PERMIT #: MEC2002 -00002
'�� I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/28/02
PARCEL: 2S102AA -02800
SITE ADDRESS: 08770 SW SCOFFINS ST
SUBDIVISION: TIGARD HIGHWAY TRACTS ZONING: CBD
BLOCK: LOT: 026 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: 1 VENT FANS: 2
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS: 4
STORIES: 2 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: 240,000 BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: Y 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: M 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: 5 < = 10000 cfm: OTHER UNITS: 1
> 10000 cfm: GAS OUTLETS: 5
Remarks: Install 5 gas roof top units serving two floors, 1- electric heater,4 power roof vents, and bath fans
Owner: FEES
TUALATIN VALLEY MENTAL HEALTH Type By Date Amount Receipt
8770 SW SCOFF INS RD PRMT CTR 2/28/02 $118.97 2720020000
TIGARD, OR 97223 PLCK CTR 2/28/02 $29.74 2720020000
5PCT CTR 2/28/02 $9.52 2720020000
Phone: 503-617-3827 Total $158.23
Contractor:
TRI TECH HEATING
6603 NE 137TH AVE
VANCOUVER, WA 98682 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 360- 891 -2002 Mechanical Insp
Reg #: LIC 101873 Heating Unt Insp
Duct Inspection
Fire Damper Insp
S.D. Shut -down inspection
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 - 001 -0010 through OAR
952 - 001 -0080 You may obtain pies of these rules or direct questions to OUNC by allin.
Issue By: , � Permittee Signature: \--- ✓(/f►A • %" 1f�
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
�• � 2 Za oz.,
Mechanical Permit Applicatio
Datcreccived: /— 92- p 't no. - iI -vC0Y7
,au.1 ' City of Tigard 11E1 ProjecVappl.no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Dam issued: By: Receipt no.:
Phone: (503) 639 -4171
. Fax: (503) 598 -1960 Case file no.: Payment'typc:
Land use approval: Building permit no..
c
TYI'it OF PERMIT
O 1 & 2 family dwelling or accessory ; ommercial/industrial 0 Multi - family 0 Tenant improvement E
O New construction - O Addition/alteration/replacement 0 Other.
JOB SITE INFORMATION ' (:OMNIERCIAL VALUATION SCHEDULE
Job address: B/70 Gm) C4.) FA: tJ'S Sr Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: 1 Suite no.: value of all mechanical m als, equipment, labor, overhead,
Tax map /tax lot/account no.: profit. Value $ / 2k9 b7a.150 •
Lot: Block Subdivision: `See checklist for important application information and g
Project name: U-Y41gT,:t.) V Atte1 lArJdlr SC.t...et 70r jurisdiction's fee schedule for residential permit fee.
City/county:Tit, qrv1 PI 41223 1 & 2 FAMILY DWELLING PERMIT FIE SCHEDULE
Description and location of work on premises: \ i. A e `D CO\IMERICAL!INDUSTTtEAI. EQUIPMENT SCHEDULE
_ eAA) to /crrAt - Fee(ea.) Total
Eat_ date of completion/inspection: Description Qty. Res.only Res.otdy
'iVAC: ?
Tenant improvement or change of use: Air handling unit C F 1 1 4 f v .3
Is existing space heated or conditioned? 0 Yes 0 No Air conditioning (sft plann re quired) •
Is existing spacc insulated? 0 Yes 0 No Alteration of existing HVAC system
NIECI IAN CAL CONTRACT Boiledcomprossors
State boiler permit no.:
Business name: - r'tr\ = -2e,.1N, . iyT(_. HP Tons BTU/H
Address: l,,pl Z.. V1.1. VA- - Fi4t/ smoke dampers/duct smoke detectors
City: V \ j . State1,vP • ZIP:' ' (o Heat pump (site plan required)
Phone: 31%3 t q i- 2a.+/1 Fax: 84 i- l`t t 0 I E -mail: Install/ replace furnace/burner BTU /H
Including ductwork /vent liner O Yes O No
CCB n0.: IU I 0 7& Installhepiace/relocatebeaters- suspended,
City /metro lic. no.: _ wall, or floor mounted
Name (please print): Vent for appliance other than furnace
CONTACT PERSON Absorption units BTU/I4
Name: I i M t4 0 1Ll- Z Kr, Cntneteasors HP
I'" HP
Address: 3 Vu , Environmental exhaust and voutilation:
7 t,t
c it y : ()ASVC . , C State:( h I ZIP:61k' 8 Z Applienoe
" pie: ell - 2,(...V Fax: 4 jl - /'(1 C) E -mail: Dryer exhaust
O W NTER H ype U Il/res. kitchenlhaunat
hood firs suppression system ----
Naee :Z712f'QY \ , 14 A ( " o r" \ Exhaust fan with single duct (bath fans)
Mailing address: . . a l A Exhaust system a' front heating or AC .
City:Ijh�r(CuU�±/,cr Stater ZIP: •• ♦.- Type: distribution )
Phone: 0 ql - /2 Fax: €441- l ti/ a &mail: FiteI pi each addTtio al over a outlets
Prooessptpmg schentaticrequired)
Number of outlets
Nam ., t st aed nnce or �P ent:
Addresss/! SE 1/t-rr_ f y i A m D •
t
` City: f �Q//rzt s' State: Zr2: 77 NS '^ - tYPc
E -mail: W. • love/ . etstove
Phone: e P� "L .wit:' • .-• -
4,, � e. • •
Applicant's signs • Te , Date: • Other.
Name (print):
former v� om>ation. Permit fee $
Na Visa Cl asterCard
jurisdictions � t t> 4411 °A Notice: 'Chis Actinic applicati
o v on Minimum fee $
is expires if a permit is not obtained Plan review (at . %) $
Credit card num -- / within 180 days after it has been
State surcharge (8%) .... $
Name m ale older as scow o 00 nadir cars $ ' accepted as complete. TOTAL $
Goreeelder ugostraa Amemt 4444617 (6 WWCOM)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSP TION DIVISION Business Line: (503) 639 -4171 MST
;off S ((I' CI UP3 / — 000�.�
Receive 3 Date Requested AM PM '1 BUP •
Location �7 7 D S C c9 - 7c-r'3 S Suite MEC Zov Z "G6e41 2.
Contact Person 404.,47 Ph ( S ) >S p PLM
Contractor Ph ( 1 ) SWR
ILDI Tenant/Owner rk2-vt.-0 / - 'e L f"---. ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Fl..
, ' PART FAIL
P I BING
Post & Beam
Under Slab
Rough -In
/ 7"\/( :_ s____
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date ) / / 33 Inspector 4 1 Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL