Permit A g , r CITY OF T MECHAN I CAL
/Av! DEVELOPMENT SERVICES PERMIT
1 f `
PERMIT T # MEC99 -0101
--- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 03 / 31 / 99
PARCEL: 25112DA -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/0 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
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.: 1
FURN < 100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =100K BTU: 0 > 10000 cfm: 0
Remarks: Addition of ductwork and a/c grills and registers to suit new tenant.
Owner: FEES
PACTRUST type amount by date recpt
15350 SW SEQUOIA PKWY PRMT $ 25.00 GEO 03 /25/99 99- 313980
SUITE 300 PLCK $ 6.25 GEO 03/25/99 99- 313980
TIGARD OR 97224 5PCT $ 1.25 GEO 03/25/99 99- 313980
Phone #:
Contractor:
ELECTROMATIC SALES & SERVICE
800 MERCER ST
$ 32.50 TOTAL
SEATTLE WA 98109 -4713
Phone #: 206 -624 -3370
Reg #..: 123977
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Duct Inspect ion
Tigard Municipal Code, State of Ore. Specialty Codes and all other S.D. Shut —down
applicable laws. All work will be done in.accordance with Misc. Inspection
approved plans. This permit will expire if work is not started Final Inspection
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 - 0014080. You may
obtain copies of these rules or direct questions to OUNC by calling
(503) 246 -9187.
Issue By: �� / �! Permittee Signature: � se
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Plan Check #olQ
CITY OF TIGARD Mechanical Permit Application Recd By 0n °;
13125 SW HALL BLVD. Commercial and Residential 61 Date Recd g °_ /4
TIGARD, OR 97223 � � Date to P.E. ' - - f?
(503) 639 -4171, x304 Date to DST •c a
Print or Type �� Ferric 9 O /
Incomplete or illegible applications will not be accepted Called
Name or Devebpment/Project Description
L MoNS C.Lvtki" = Table 1A Mechanical Code Price Amt
Job A Permit Fee 10.00
Street Address Su it e# )
����� 1) Furnace to 100,000 BTU
Address I S23O sd 3ztcU / p 0
y including ducts & vents 6.00
Bldg# City/State Zip 2) Furnace 100,000 BTU+
- } x:) r pa including ducts & vents 7.50
Name (or name of business) 3) Floor Furnace
Owner PAc.Tt 'sr including vent 6.00
Mailing Address 4) Suspended heater, wall heater
or floor mounted heater 6.00
IS 350 5w • Sici. 0024 'pi IGW y ,l <1 5) Vent not included in appliance permit
City/State Zip o = /� 3.00
4i►4D, p¢, , ?27J/ SOO t/ rr CHECK ALL 'Boiler Heat Air
Name (or name of business) THAT APPLY: or Pump Cond Qty Price Amt
Comp
- D AMpt.)S L. L. 1+t)c3S 6) <3HP;absorb unit to
Occupant Marling Address 100K BTU 6.00
IS 230 S. Cu) bcA *4>lr..(,.)'/ 7) 3-15 HP;absorb unit
City/State Zip Phone 100k to 500k BTU 11.00
- , �-. Traci unit .5-1 mil BTU 15.00
8) 15-30 HP; absorb
Contractor Name l
9) 30 -50 HP; absorb
EL=c-Tgb M AT(C, unit 1 -1.75 mil BTU 22.50
Prior to permit Mailing Address 10) >50HP; absorb unit
issuance, a copy POp dl=e�(L. ST. >1.75 mil BTU 37.50
of all licenses City /State Zip Phone 2.0(2 11) Air handling unit to 10,000 CFM
are required if «_ I W 4 9 t i, oo$ (i'f - 337 0 4.50
expired in COT o°i st. Cont Board Lb.# D e 12) Air handling unit 10,000 CFM+
database / o>=J 7 7 7 - 7.50
Architect Name 13) Non - portable evaporate cooler
IG C'(3 eT -, /41- SZ6.4 r 14 ssoc. 4.50
Mailing Address 14) Vent fan connected to a single duct
or 3.00
S I O N W a 4.1 £ 15) Ventilation system not included in
Engineer City /State Zip Phone appliance permit 4.50
?p(u 1 72 cCr 16) Hood served by mechanical exhaust
Describe work to be done: 4.50
17) Domestic incinerators
Newer
ew e Repair 0 Replace with like kind: Yeses No 0 7.50
Residential 0 CommerciaJR " 18) Commercial or industrial type incinerator
30.00
Additional information or description of work: 19) Repair units
* c - 1:%N..) c t . -
€. - A t %10 4 6°11-1-G. 20) Wood stove 4.50
A r-c 'I a..= Co t si:� S Tb SV tT r-..1 4.50
21) Clothes dryer, etc.
T= N41.1T 4.50
Type of fuel: oil 0 natural g*.l.r LPG 0 electri 22) Other units
/ 4.50 3
I hereby acknowledge that I have read this application, that the information 23) Gas piping one to four outlets
given is correct, that I am the owner or authorized agent of 2.00
the owner, that pia submitted are in compliance with Oregon State laws. 24) More than 4 -per outlet (each)
.50
Signature Age Date Cl"
Minimum Permit Fee $25.00 SUBTOTAL ,. I S � �
r (d -- 99 5% SURCHARGE �
ontact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL W A 5
iLeb - Required for ALL commercial permits only
TOTAL `
%cNy4g llrs� =(.1 (o2`f - 3 ! -
'State Contractor Boiler Certification required
"Residential A/C requires site plan showing placement of
Z.
I:bmechperm.doc rev 07/20/98
6/6/99 Activities for Case #: MEC99 -00101
9:26:50 PM
• Assigned Hold Updated
' Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECC007 Application received 3/12/99 DEB MAIL DRA 3/15/99
MECC008 Permit created 3/15/99 DEB DONE DRA 3/15/99
MECC011 Routed to Plans Examiner 3/15/99 DEB DONE DRA 3/15/99 •
MECC014 Plan checked /Approved by P.E. 3/15/99 RDP APPR RDP 3/15/99
MECC015 Reviewed Plans Routed to DSTS 3/15/99 RDP APPR RDP 3/15/99
MECC735 Duct Inspection 3/15/99 4/22/99 HW PASS AKJ 4/22/99
MECC745 S.D. Shut -down 3/15/99 5/5/99 RC PASS AKJ 5/5/99 •
MECC750 Misc. Inspection 3/15/99 RDP 3/15/99
MECC799 Final Inspection 3/15/99 5/6/99 RC PASS AKJ 5/6/99
MECCO50 (F) Ready to issue 3/18/99 DEB DONE DRA 3/23/99
MECC090 (F) Issue permit 3/31/99 DEB DONE - DRA 3/31/99
MECC800 Case Finaled 5/6/99 AKJ DONE No Hold AKJ 5/6/99
•
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
q BUP 7 -�S
Date Requested 5 - (0 - 9 ! AM PM Blip 6 79 - 70
Location 152,W V4 1.41 beL., Suite 1el MEC Q9 o/ o I
Contact Person —1 -a - e Ph 209' 1 PLM `
Contractor Ph SWR
ILDI
ena caner 06{4120y) S ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab
SIT
Post & Beam -co
Ext Sheath /Shear ! ; et `-
Int Sheath/Shear (( ,/ �� G G qq �,r�'
Framing -v �^ - -'�. i�,�� ��. �'i'� G -wt S
Insulation d I � `r ? ` ,s
Drywall Nailing V
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof � o P Q q - �0
M J (
i
PASS grA FAIL �' t� ll 4 t z C9 ® 19 A) -5 / AJ kit
PLUMB
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
CHANYG'A
Post & Beam
Rough In
0 .‘
Gas Line
Sm . - Dampers
PART FAIL
TRICAL
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 Date v 1 ` 7 Inspector r Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.