Permit CITY TIGARD MECHANICAL PERMIT
4 DEVELOPMENT SERVICES PERMIT #: MEC99 -00108
rIl 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/15/99
PARCEL: 2S112DA -00300
SITE ADDRESS: 15230 SW SEQUOIA PKWY 100
SUBDIVISION: ZONING: I -P
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: 0 EVAP COOLERS: 0
TYPE OF USE: COM UNIT HEATERS: 0 VENT FANS: 0
OCCUPANCY GRP: A3 VENTS W/O APPL: 0 VENT SYSTEMS: 0
STORIES: 0 BOILERS /COMPRESSORS HOODS: 0
FUEL TYPES 0 - 3 HP: 0 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
FURN < 100K BTU: 0 AIR HANDLING UNITS OTHER UNITS: 0
FURN > =100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS: 1
> 10000 cfm: 0
Remarks: Gas Piping Only
Owner: FEES
PACIFIC REALTY Type By Date Amount Receipt
15350 SW SEQUOIA PKWY #300 PRMT BON 4/15/99 $25.00 99- 314547
PORTLAND, OR 97224 PLCK BON 4/15/99 $6.25 99- 314547
5PCT BON 4/15/99 $1.25 99- 314547
Phone: Total $32.50
Contractor:
SUNSET PLUMBING
G LONG INTERPRISES INC
PO BOX 23263 REQUIRED INSPECTIONS
TIGARD, OR 97281
Gas Line Insp
Phone: 245 -4926 Final Inspection
Reg #: ( ?-61/0(
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 OA' 952 -001 -0 80.
You may obt ' copies •f these rules or direct questions to OUN 4% • N calling (50 189.
Issue By: / Permittee Signature: ( // ) afr.? 0-
by 7: 0 P.M. for inspections needed the next bus�ess day (503) 639 -4175 y 0 p y
CITY OF TIGARD Mechanical Permit Application n Plan Che r# -
Recd By tr
13125 SW HALL BLVD. Commercial and Residential Date Recd -- to '
TIGARD, OR - 97223 Date to P.E. 3 - i 4 9'
(503) 639=4171, x304 • Date to DST 41 IZIRe
Print or Type Permit# Q9- 0 16%
/ Incomplete or illegible applications will not be accepted - 5 9
Nameof Development/Project Description
D A YrorS Table 1A Mechanical Code Qty Price /Amt
Job Street Address Sufe# A) Permit Fee ( 10.00
Address 15 a3.0 5 vZoikto itt ) 0 Q 1) Furnace to 100,000 BTU
Bldg# City/State Zip including ducts & vents see footnote 1,2 6.00
2) Furnace 100,000 BTU+
including ducts & vents see footnote 1,2 7.50
Name (or name of business) 3) Floor Furnace
Owner -rA (IC 1 — including vent see footnote 1,2 6.00
4) Suspended heater, wall heater
Mailing Address 1
1 �3 SO S� �o r j G or floor mounted heater see footnote 1,2 6.00
5) Vent not included in appliance permit
City /State Zip Phone .i
`'j & 0 re Check all that apply: 'Boiler Heat Air
Name ( or n or business) For items 6 -10, see or Pump Cond Qty Price Amt
YY�O 5 footnotes 1,2 Comp
6) <3HP;absorb unit to
Occupant Mailing Address 100K BTU
6.00
7) 3 -15 HP;absorb unit
City /State Zip Phone 100k to 500k BTU 11.00
8) 15-30 HP; absorb
unit .5 -1 mil BTU 15.00
Contractor Name , ( 9) 30-50 HP; absorb
S u'�1s 4 -- PI u rnb unit 1 -1.75 mil BTU 22.50
Prior to permit Mailin Address n � 10) >50HP; absorb unit
issuance, a copy ? L) 60x (g3 >1.75 mil BTU 37.50
of all licenses City /State Zip Phone 11) Air handling unit to 10,000 CFM
, are required if )1 Q,n(d q Val ,t45--4443-( 4.50
expired in COT Oregon C Board Llc.# Exp. 12) Air handling unit 10,000 CFM+
database 1� C�
Architect Name 13) Non - portable evaporate cooler
4.50
or Mailing Address 14) Vent fan connected to a single duct
3.00
Engineer city/State Zip Phone 15) Ventilation system not included in
En
g I appliance permit 4.50
16) Hood served by mechanical exhaust
Describe work to be done: 4.50
17) Domestic incinerators
New 0 Repair 0 Replace with like kind: Yes 0 No 0 7.50
Residential 0 Commercial O 18) Commercial or industrial type incinerator
30.00
Additional informatio description of work: 19) Repair units
Cryin / `
/ m/4 ®AV / 20) Wood stove 4.50
NOTE: For Commercial projects only; Units ov r 400 lbs. require 4.50
structural gas calcs. 21) Clothes dryer, etc.
Type of fuel: oil 0 natural gas 0 LPG 0 electric 0 - ® � (' l 4.50
22) Other units `` ' �
I hereby acknowledge that I have read this application, that the information / ce !C c..- 4.50
given -,1�—
is correct, that I am the owner or authorized agent of 23) Gas piping one to four outre
the owner, that plans submitted are ' �� mpHance with Oregon State laws. See footnote 1 2.00
J 24) More than 4-per outlet (each)
Si atu f Ovyner /Ag- • Date .50
) /2e 9 Minimum Permit Fee $25.00 SUBTOTAL " A , R
• • • - .• - erson Nam- Phone
I f) / ���JJJ 7,30103E 5% SURCHARGE
' Y - O YC3 /� PLAN REVIEW 25% OF SUBTOTAL ;, -,-. : ��
Foonotes for commercial projects only: Required for ALL commercial permits only
�'` '"'
1. Provide full schematic of existing and proposed gas line and pressure. TOTAL
2. Provide drawings to scale showing existing and proposed mechanical fi
units. *State Contractor Boiler Certification required
"Residential A/C requires site plan showing placement of unit /';
I:\mechperm.doc rev 02/4/99 0 ,.-
- _ 6/6%99 ., . .- - - -' Ac for Case #:
-
MEC99- 00108 _
969. _ . ._ -
Assigned - - J Hold._ - ;Updated . - `
To
Activity , D _ •, - Date,1 ` Date.2 - Date,3. Done By,., Disp:: - i Level By . Updated:' Notes
MECC007 Application received - - _ - - r • " • 3/.16/99 . - •^ BON = +,i' . RECD - - - ` i• GEO " 3/18/99_
MECC008: Perm it cre . `i ' 3/18/99 - GEO DONE GEO , '{ 3/18/99 • Routed to Plans Examiner _ .3/99 -GEO,' - SENT " GEO:, - 3/18/99 ,
MECC011 18/ _
-- - MECC014• Plan "check
hecked /Approved by P.E.; ±?4/12/99 c • - - - RDP DONE , - " RDP 4/12/99 ,
_ MECC015 Reviewed-Plans Routed to DSTS' r • '1 ;4/12/99 - RDP ;DONE . RDP 4/12/99 e' - •
MECC705' Gas Line Insp - '4/12/99 '4/12/99 4/30/99 TLP -= PASS No Hold - . 'AKJ' " 5/2/99 ' • ;;_
MECC013 Revised plans received - 4/12/99 '4,; RDP , - DONE. _ . No - Hold RDP 4/12/99 , . • _ - ' - •
m' E Final Inspection - 4/12/99 4/12/99 4/30/99`_`, • ' _. TLP PASS ,' No Hold ' A KJ 5/2/99 '•
: MECCO50 (F) Ready to,issue . - , 4/15/99 . ; DRA,.' • ' ' DONE'., - No Hold • - :.r DRA 4/15/99' ° . - ; ' - -
MECC090':(F) Issue.pe - -.. 4/15/99 ..SON: I I ,DONE - ' No Hold '"r ' "BON: 4/15/99 • •
MECC800 Case Finaled, - 5/2/99 'AKJ ' DONE No Hold V AKJ: 5/2/99_,-
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 .
BUP
Date Requested q '' 3 f AM 2( PM BLD
Location S2 ' d /0/t2i 6 k-- Suite. /00 MEC 9 Vi9 q - O
Contact Person SLinc Ph 215 eig z (47 PLM
Contractor l� Ph SWR
BUILDING Tenant/Owner ���r� 5 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
rte
Post seam
Rough In
•
mo e Dampers
PART FAIL
E CTRICAL
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 Q Other Date / Inspector "eV Ext
Final
PASS PART FAIL . DO NOT REMOVE this inspection record from the job site.