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Permit ' CITY OF TIGARD MECHANICAL PERMIT PERMIT #: MEC2000 -00235 N l A DEVELOPMENT SERVICES DATE ISSUED: 06/13/2000 13125 SW Hall Blvd., Tigard, OR 9 (503) 639 -4171 PARCEL: 2S112DA -00300 SITE ADDRESS: 15230 SW SEQUOIA PKWY -129 SUBDIVISION: ZONING: I -P BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: 1 OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN: GAS 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > GAS OUTLETS: 10000 cfm: Remarks: Commercial TI Owner: FEES PACIFIC REALTY ASSOCIATES Type By Date Amount Receipt 15350 SW SEQUOIA PKWY #300 -WMI PRMT KJP 06/13/20( $50.00 0002928 PORTLAND, OR 97224 PLCK KJP 06/13/20( $12.50 0002928 5PCT KJP 06/13/20( $4.00 0002928 Phone: Total $66.50 Contractor: PROTEMP ASSOCIATES INC 807 NE COUCH PORTLAND, OR 97232 REQUIRED INSPECTIONS Gas Line Insp Phone: 233 -6911 Mechanical Insp Reg #: LIC 00038868 Cooling Unt Insp ELE 201JHA Duct Inspection Final Inspection ORIGINAL 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 • A : 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246-918' Issue By: Permittee Signature: ��"`� 417/— Call (503) 639 -4175 by 7:00 P.M. for inspections needed t ext LfGsiness day 0 Plan Check # CITY OF TIGARQ Mechanical Permit Application Recd By 13125 SW HALL BLVD. Commercial and Residential Date Recd TIGARD, OR 97223 ©((' Date to P.E. (503) 639 -4171, x304 - Date to DST ee /t3 dtratr Print or Type Permit # //16C 7 -4:517D- 00 S Incomplete or illegible applications will not be accepted Called Name of Development/Project Description <TE; / s SP& S /. Table 1A Mechanical Code Qty Price Amt Job Street Address Suite# A) Permit Fee 16.00 Address /5' SW 5 . -VoDyA I peviie 1.20 4 Furnace to 100,000 BTU 9.65 Bldg# I City/State Zip including ducts & vents 2) Furnace 100,000 BTU+ / t/ Zr 11.71.4uo Oi 97 including ducts & vents 12.00 Name (or name of business) 3) Floor Furnace -� including vent 9.65 Owner C / V S / 4) Suspended heater, wall heater / S , 3 So eQv /A PAdr #300 or floor mounted heater 9.65 O 5) Vent not included in appliance permit 4.75 �` ity/state Zip Check all that apply: *Boiler Heat Air PQ Cr ,cvo 0x- 9 7072 y For items 6 -10, see or Pump Cond Qty Price Amt Name (or name of business) footnotes 1,2 Comp 6) Repair units • 8.40 Occupant M ailing Address 7) <3HP;absorb unit to 100K BTU 1 9.65 City /State ,Zip I Phone 8) 3 - HP;absorb unit 100k to 500k BTU 17.65 Contractor Name 9) 15 -30 HP; absorb unit .5 -1 mil BTU 24.15 �'TL'jf'1i AS• Sam• �� • 10) 30 -50 HP; absorb Prior to permit Mailing Address unit 1 -1.75 mil BTU 36.00 issuance, a copy $07,t/E r%fI.JCf -/ 11) >50HP; absorb unit >1.75 mil BTU of all licenses City /State Zip Phone 60.15 are required if / perz tJ>; 0 K. 97 ,2.32. .733 12) Air handling unit to 10,000 CFM expired in COT Oregon Const. Cont. Board Lic.# Exp. Date 7.00 database 3 $�� 5// / 01 13) Air handling unit 10,000 CFM+ Architect Name 11.85 14) Non - portable evaporate cooler Or Mailing Address 7.00 15) Vent fan connected to a single duct 1 City/State Zip I Phone / 4.75 Engineer tY 16) Ventilation system not included in appliance permit 7.00 Describe work to be done: 17) Hood served by mechanical exhaust 7.00 New221 Repair 0 Replace wl like kind: Yes 0 No O 18) Domestic incinerators Residential 0 Commercial fX Modification O 12.00 /// 19) Commercial or industrial type incinerator Additional information or description of work: 48.25 20) Other units, including wood stoves 7.00 NOTE: For Commercial projects only; Units over 400 lbs., located on the 21) Gas piping one to four outlets roof, require structural calcs. prepared licensed engineer. 3.75 Type of fuel: oil 0 natural ga LPG 0 electric 0 22) More than 4 -per outlet (each) .75 • I hereby acknowledge that I have read this application, that the information Minimum Permit Fee $50.00 SUBTOTAL • given is correct, that I am the owner or authorized agent of 8% SURCHARGE the owner, that plans submitted are in compliance with Oregon State laws. PLAN REVIEW 25% OF SUBTOTAL Required for ALL commercial permits only Signat of Owner /Agent • Date TOTAL ,. .a. 6/on Co act Pe n ame one Other Inspections and Fees: ♦ )4-2c _ H Y / l wr e33 690 1. Inspections outside of normal business hours (minimum charge -two hours) $50.00 per hour � ✓ 2. Inspections for which no fee is specifically indicated (minimum charge -half hour) Foonotes for commercial projects only: $50.Ooperhour 1. Provide full schematic of existing and proposed gas line and pressure. 3. Additional plan review required by changes, additions or revisions to plans (minimum 2. Provide drawings to scale showing existing and proposed mechanical charge - half hour) $50.00 per hour State Contractor Boiler Certification required units. **Residential NC requires site plan showing placement of unit I: \mechperm.doc rev 11/1/99 • OVER - THE - COUNTER (OTC) PERMIT COMMERCIAL MECHANICAL PERMIT CHECK LIST Description of Project: Class of Work: Floor Furnace: Evap Coolers: Type of Use: Civen Unit Heaters: Vent Fans: Occupancy Grp: A Vents w/o Appl: Vent Systems: Stories: Boilers /Comprsrs: Hoods: Fuel Types - 0 - 3 HP. i Repair Units: 3 - 15 HP. Wood Stoves: Max Input: Btu: Air Handling Units .Clo Dryer: Fire Dampers: <_ 10000 cfm: 0th Units: Gas Pressure: H / M / L > 10000 cfm: Gas Outlets: No. Of Units: Furn < 100k Btu: Furn >_ 100k Btu: NOTES: COMMERCIAL INSPECTION ACTIONS FEE MENU Gas Line o•a«l • $ Permit Fee echanical Ins • = ' • n $ /a`Z SV Plan Review oolir g Unit Inspe $ 8% State Surcharge $ Shaft Inspection Additional Permit Fee Hood Inspection $ Additional Plan Review Fee Fire Suppr Inspection $ Inspection Fee Miscellaneous Fee �DUCt Inspectio Fire Alarm Inspection /,� l ‘ REMARKS: Fire Damper Inspection Miscellaneous Inspection Fire Alarm Inspection (Fin ection FOR OFFICE USE ONLY: TYPE OF USE OPTIONS (COM = commercial; CMS = commercial manufactured structure) CLASS OF WORK OPTIONS FOR ALL PERMITS (NEW = new; ADD = addition; ALT = alteration; ACS = accessory; FND = foundation; OTH = other, DEM = demolition; REP = repair, FPS = fire` protection system. NOTE =USE OTH FOR FENCES, RETAINING WALL, DETACHED DECKS, SIGNS, AWNINGS, CANOPIES) I: /dst/forms /otcmech.doc 9/99 i:\dsts\forms\otc-mech.doc9/99 1 CITY OF TIGARD BUILDING INSPECTION. DIVISION TO t' MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 6'3 0' �� AM /\ PM BLD Location /`; 3 Suite / MEC O0& —oD�'3�' Contact Person �;� Ph G - 03 3 &9// / PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR • Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: SIT Post h Beam :k4 �j Ext Sheath /Shear / / Int Sheath /Shear Framing Insulation • Drywall Nailing Firewall Fire Sprinkler , � Fire Alarm I / G e K Susp'd Ceiling C.� L'/ Roof • Misc: Final • PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final P SS PART FAIL ANIC Post & Beam • as Li Smoke Dampers 4� PART FAIL 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 Other Date �73 U � Inspector U Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • • CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP . Date . Requested (0 z1aa AM PM BLD Location IC 7i3 D �� ?®00- 0aZs Contact Person Ph 2,3-69?/( PLM Contractor Ph . BUILDING Tenant/Owner �`"�� _ ELC = ' � - Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab I SIT Post & Beam Ext Sheath /Shear Ina Sheath /Shear 7 - I Framing d } 20 nAA-jt "Clie‘/N• Insulation . . Drywall Nailing Fire Sp \ e 7 Fire Sprinkler J � CCC.•"' 5 Fire Alarm Susp'd Ceiling Roof _ Misc E k ) p Misc: Final `� 0 PASS PART FAIL �J PLUMBING • Post &Beam ^ n `��� Under Slab ' v `� l Top Out Water Service C��(— — Sanitary Sewer Rain Drains Final PASS PART FAIL C . as I Smoke Dampers Final PASS PART ELECTRICAL 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 122_/� Date o Inspector v Ext�i Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 / BUP Date Requested (O /o' AM PM BLD Location c col-30 SCI jQl' 1'l)( Suite / MEC. — 0 - De)" 3 C - Contact Person <,i Pa) (( rely 45See- - Ph 3-(e9 r r PLM Contractor Ph SWR BUILDING Tenant/Owner ELC • Retaining Wall ELR Footing ` „Q at w (- 1W_ L 1 (5V Foundation Access: �/ FPS Ftg Drain LIIL.J 6E_ LA.,w140 SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Ina ming /Shear Fra O At `- l / � /� i - L ming /�P (�J Insulation Drywall Nailing Firewall Fire Sprinkler • - Fire Alarm Susp'd Ceiling Roof Misc: Final 1 • PASS PART PLUMBING Post & Beam Under Slab Top Out • Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL a u- Smoke Dampers - Final PASS PART FAIL ELECTRICAL 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 Other Date j ilS/ Inspector Gam' Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. • CITY OF TIGARD BUILDING INSPECTION DIVISION M • 24 - Hour Inspection Line: 639 -4175 Business Line: 6394171 BUP Date Requested f p/l ( P /0 AM PM BLD Location 5,4(i l � SuitCk:1720 og 2 01)0 - 00 z3S Contact Person /5 - 7 ° Ph 233 - 6oq / l PLM • Contractor Ph SWR BUILDING Tenant/Owner t?AC, w � .N'ss'S CC . ELC Retaining Wall 9 ELR Footing Access: \ V 9'7-' t •r. --,/L Foundation /V/c FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear " Ina Sheath /Shear r' Framing � - S � J Insulation �y Drywall Nailing • Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL ` (\ PLUMBING �- 1V/ A +-- Post & Beam • Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL e fc NC' Post & Beam WW mo e Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE • Backfill /Grading Sanitary Sewer Storm Drain [ I 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 d b other Dat q Inspector lei Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.