Permit CITY TIGAR ®. MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC1999 -00497
`� c�' DATE ISSUED: 01/07/2000
13 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
..K
PARCEL: 2S113AB -01201
SITE ADDRESS: 16290 SW UPPER BOONES FERRYRD BLD.E
SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: I -L
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
GAS 3 - 15 HP: 2 COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 0
> 10000 cfm: GAS OUTLETS: 1
Remarks: Installation of two roof top gas pacs.
Owner: FEES
PACIFIC REALTY ASSOC Type By Date• Amount Receipt
15350 SW SEQUOIA PKWY PRMT. BON 01/07/20C $55.05 00- 3210009
STE 300 PLCK BON 01/07/20C $13.76 00- 3210009
PORTLAND, OR 97224 5PCT BON 01/07/20C $4.40 00- 3210009
Phone: 503-624-6300 Total $73.21
Contractor:
CLIMATE CONTROL INC
3315 NW 26TH AVE
PORTLAND, OR 97210 REQUIRED INSPECTIONS
Gas Line Insp
Phone: 223 -4393 Mechanical Insp
Reg #: LIC 62196 Mechanical Insp
•
Duct Inspection
S.D. Shut -down
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 OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by
calling (503)24.0189. /
Issue By: liteA - , �� / /4, Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for inspections ne ed the next business day .
Plan Che , �/ 0
`CITYbF TIGARD Mechanical Permit Application Recd By w_ /ti
13125 SW HALL BLVD. Commercial and Residential Date Recd - ' - -
T I G A R D , OR 97223 Date to DsT i.2-11044P (503) 639 -4171, x304
Print or Type Permit # MEC III - Ce?
Incomplete or illegible applications will not be accepted Called i•
Name of Development/Project Description
c�rc -S v5 %.v�S 5 f ^ �� Table 1A Mechanical Code Qty Price Amt
Job S Address 1 6 9 o Sca tit A) Permit Fee � � 16.00
/ , including ducts & vents 9.65
i9l -�� , 1) Furnace to 100,000 BTU
Address (D
�f /Qoores Few) id _
l g# City/State Zip 2) Furnace 100,000 BTU+
Ti /s� oil, 9 712 y including ducts & vents 12.00
Name (or name of business) 3) Floor Furnace •
Owner PA c 74-r.,s f- including vent 9.65
Mailing Address 4) Suspended heater, wall heater
or floor mounted heater 9.65
/ 5 ' So 5i seRr, of ex PA wy 5) Vent not included in appliance permit 4.75
City /State Zip / Phone Check all that apply: *Boiler Heat Air
771:441, nat Q 71Z y 42 5/- ,(3 0 o For items 6 -10, see or Pump Cond Qty Price Amt
Warne (or nane of business) footnotes 1,2 Comp
/ s+ _C 5. S7 PAS 6) Repair units 8.40
Occupant Mailing Address 7) <3HP;absorb unit to
46a 9 o S W V Am0A-Q-5 /rrry 100K BTU 9.65
City /State zip Phone 8) 3-15 HP;absorb unit A ,30
7754.01 D /Z, t17) 2Y --- 100k to 500k BTU 2 17.65 �
Contractor Name 9) 15-30 HP; absorb
unit .5-1 mil BTU 24.15
( "`/),4z CO / 1 0) 30 -50 HP; absorb
Prior to permit Mailing Address unit 1 -1.75 mil BTU 36.00
issuance, a copy /‘ 50o - k>, 7.) A✓ P ' 11) >50HP; absorb unit >1.75 mil BTU
of all licenses City/State Zip Phone . 60.15
are required if po#0.4 o/ , q' ?2 7' £ - y83., 12) Air handling unit to 10,000 CFM
expired in COT Oregon Const/Cont. Board Lic.# Exp Date 7.00
database g... / 9 13) Air handling unit 10,000 CFM+
Architect Name 11.85
Chen 4 ' . 0 4.11 2 0 / 14) Non - portable evaporate cooler
or Mailing Address T 7.00
. /',Too S k) 7 2 ~ A✓ 15) Vent fan connected to a single duct 4.75
C ity /State Zip Phone
Engineer 16) Ventilation system not included in
744A 0 i 9 7 ,2'2y 5 -yg11 appliance permit 7.00
Describe work to be done: , 17) Hood served by mechanical exhaust
7.00
New 0 Repair 0 Replace with like kind: Yes 0 No 0 18) Domestic incinerators
Residential 0 Commercial 3%, Modification 0 12.00
19) Commercial or industrial type incinerator
A tliiona inform tion or description work: 48.25
°° °�� �� z-� c f z -4 , " r � /) / , 20) Other units, including wood stoves
mmercim / ` `-'J� 7.00
NOTE: For Commercial project nly; Units over 0 lbs., located on the 21) Gas piping one to four outlets
roof, require structural calcs. prepared by licensed engineer. I 3.75
Type of fuel: oil 0 natural gas LPG 0 electric 0 22) More than 4 -per outlet (each) .75
Minimum Permit Fee $50.00 SUBTOTAL
I hereby acknowledge that I have read this application, that the information 8% SURCHARGE ��- /,/
given is correct, that I am the owner or authorized agent of ° J
PLAN REVIEW 25 /o OF SUBTOTAL `�(
the owner, that plans submitted are in compliance with Oregon State laws. Required for ALL commercial permits only /
Signature of Owner /Agent Date TOTAL •
l� / / //L �- l "� � 7 - 9 f - Other Inspections and Fees:
Cahtact Peron Name Phone
1. Inspections outside of normal business hours (minimum charge -two hours) $50 00 per hour
fl 4 4 -i1,1 / , 4 ,-- i/ 3_ y p,)_ 2. Inspections for which no fee is specifically indicated (minimum charge -half hour)
ro ects only: $5o o al pour
Foonotes for commercial
p ;f y' 3. Additional plan review required by changes, additions or revisions to plans (minimum
1. Provide full schematic of existing and proposed gas line and pressure. charge - half hour) $50.00 per hour
2. Provide drawings to scale showing existing and proposed mechanical *State Contractor Boiler Certification required
units. "Residential A/C requires site plan showing placement of unit
l:Unechperm.doc rev 11/1/99
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
1 24 -Hour Inspection Line: 639 -4175 Business -Line: 639 -4171 1 . , 1o/q5 _ Sl q
Date Requested I/2 AM PM ` 1 AM, Off -062
Location 1 Co 29 0 (kpp 'A 1 01/k uite 1r-c'/'f 7 •
Contact Person CAPC3ie Ph C-/S ? 11 PLM
Contractor I')1, Ph 3 Y 7 —ti OS SWR
ILDIN Tenant/Owner ELC
Retaining Wall ELR
Footing
Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: p1 - R N & ,1 .,
SGN
Slab [ l SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
M •
P
PART FAIL
BING -
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
Post & Beam
Rough In
Gas Line
Smoke Dampers
•
• Ina ■
PART FAIL -
EL - 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
' Other Date / `
Z 0 �� Inspector Ext
Final - / •
PASS PART FAIL • DO NOT REMOVE this inspection record from the job site.
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