Permit MECHANICAL
=CITY CF TIGARD PERMIT c_.r.
PERMIT MEC9.� 0212
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/31/95
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171 k
r
PARCEL: 2S103DD -01200
SITE ADDRESS...: 13970 SW PACIFIC HWY
SUBDIVISION "' et) ZONING: C - -G
BLOCK LOT.............:
-- e 7A 1 ACI
CLASS OF WORK.. :NEW FLOOR FURN....: EVAP COOLERS:
TYPE OF USE.... :COM UNIT HEATERS..: ' VENT FANS... :1
OCCUPANCY GRP..:B1 VENTS W/O APPL: VENT SYSTEMS:
STORIES......... BOILERS /COMPRESSORS HOODS °
FUEL TYPES • - - -- 0 -3 HP .1 DOMES. INCIN:
g/ELE/C / / 3 -15 HP ° COMML. INCIN:
MAX INPUT: BTU 15 -30 HP . REPAIR UNITS:
FIRE DAMPERS '..: N 30 - -50 HP WOODSTOVES.. :
GAS PRESSURE...: 50+ HP....: CLO DRYERS..:
NO. OF UNITS - - - - -- AIR HANDLING UNITS OTHER UNITS.:
FURN < 100K BTU: <= 10000 c4 m: GAS OUTLETS.:
FURN >=100K BTU: ) 10000 c f m :
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Remarks: Chevron station and office bldg. Mechanical work
Owner: -- - -__ ___ ___- ---- - - - - -- - -- FEEi --
CAIN PETROLEUM type amount by date recpt
2 PACIFIC PVENEUE - PRMT $ 26.00 B 917/211/95 95- 268681
PLCK $ 6. 25 B 07/31/95 95- 268681
FOREST GROVE OR 9711E SPCT $ 1.25 B 07/31/95 95-268681
Phone l#: 357 -9711
Contractor:
CAMPBELL PLUMBING & HEATING
14755 SE 232ND DR.
BORING OR 9701219 - - - --
Phone l #: a 32.510 TOTAL
Reg #° .: 81777
- REQUIRED INSPECTIONS ---
This permit is issued subject to the regulations contained in the Misc. Inspection
Tigard Municipal Code, State of Ore, Specialty Codes and all other Final Inspection
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, er if work is suspended for oere
than 180 days.
Permittee Signat�_ire :�f'l /mil AA1.
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Issued B y 6. Kgkia-,
Call for inspection - 639 -4175
City .of -Tigard .{ - M - E AN ICAL PERMIT Planck/Rec. # - ? C
13125 SW Hall B d. s A i �5-/IT APPLICATION Permit # �IEce -o zr y T.
Tigard, OR 9722 olll 9 S
(503) 639 -4171_ �-�cA
Name of Wwfovaant Description
Table 3A Me. = ical Code OTY PRICE AMT
Address
Job
Addres 7v _,,, a4, e/1, ` ,,, 0 1) Permit Fee -0- -0- 10.00
D ieZt i 7 J 2) Supplemental Permit 3.00
'"" a.m. «., Furnace to 100,000 B I U
/A/ Iry LI LAAAI , 1) incl. ducts & vents 6.00
Ma rig "°dw n Phone Furnace 100,000 BTU +
Owner 7 O Zy Pa.CI -G Ave. 2) incl. ducts & vents 7.50
av Floor Fumance
3) incl. vent 6.00
Name (a name of Mono Suspended heater, wall heater
ail A' </h 4) or floor mounted heater 6.00 Vent not ind. in
Phone Occupant •,(� •S
5) appliance permit 3.00
'"ro'"a aP Repair of heating, retng.
6) cooling, absorption unit 6.00
Name Boiler or comp, heat pump, air cond.
X C f 1 tx-vv.ka vit 4 Tip r�.n, 7) to 3 HP; absorp unit to 100K BTU I 6.00
J Phone Boiler or comp, heat pump, air cond.
Contractor
41 SY r �7 , 8) 3 -15 HP; absorp unit to 500K BTU 11.00
aP
Boiler or comp, heat pump, air cond.
l o (Z. ' 7VO1 9) 15 -30 HP; absorp unit .5 -1 mil BTU 15.00
Stew Have. Cfty Sm. Tai No. Boiler or comp, heat pump, air cond.
i y - (Z -el f, 10) 30 -50 HP; absorp unit 1 -1.75 mil BTU 22.50
I hereby acknowledge tha I�h9vA read this application, that the Boiler or comp, heat pump, air cond.
information given is correct, that I am the owner or authorized agent 11) > 50 HP; absorp unit 1.75 and BTU 37.50
of the owner, that plans submitted are in compliance with State Air handling unit to
laws, that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that the number given is correct. (If exempt from State registration, Air handling unit
please give reason below.) 13) 10,000 CTM + 7.50
Non portable
14) evaporate cooler 4.50
Vent fan connected
15) to a single duct I 3.00 —.
Ventilation system not
16) included in appliance permit 4.50
aguk+a (owns of agent) gar Hood served by
17) mechanical exhaust 4.50
Describe work new U addition U alteration U repair U Commercial or industrial
to be done residential 0 non - residential 0 18) type incinerator 30.00
Existing use of Other i.e., woodstove, water
building or property 19) heater, solar, clothes dryers, etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property
Type of fuel - oil natural gas LPG 21) More than 4-per outlet
YP 0 g 0 0 electric Q
NOTICE
Minimum Fee $25.00 SUBTOTAL a ,�
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE . )
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL ,lj
AFTER WORK IS COMMENCED. j
TOTAL 3 � S�
Special Conditions /n,/
Date issued 7 " J 1 - v by 601j v1 (�
kaMECHPMT
wanibamMar
03/30/2000 Activities for Case #: MEC95 -00212
10:1 1:57 AM
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Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECC007 Application received JHF 06/30/1995
MECC010 Plan check by 06/30/1995 06/30/1995 JHF APPR JHF 06/30/1995
MECC799 Final Inspection JMT NOTE JT 09/28/1998 9/28/98 inspection request
(research) sent to Hap
MECC755 Misc. Inspection 06/30/1995 JHF 06/30/1995
MECCO50 (F) Ready to issue 07/31/1995 JSD CTR 07/31/1995
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MECCO60 (F) Issue permit 07/31/1995 BON B 07/31/1995
MECC96 Expired by limitation 02/29/2000 HAP EXPI No Hold HAP 02/29/2000
MECC885 Return permit to issued status 03/28/2000 HAP PASS - No Hold HAP 03/28/2000 Fee paid for reinstatement and
-- final inspection UP95 -00 471
MECC799 • Final Inspection 03/28/2000 TLP PASS No Hold AKJ 03/28/2000
MECC800 Case Finaled 03/28/2000 AKJ DONE No Hold AKJ 03/28/2000
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION
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24 Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST
� I tuP 4 /7
Date Requested AM A PM _ � . y Bup f c 0Q3y/
Location "4'70 4A rave- �� Z�1 Suite �� "' MEC Z S OO /1
Contact Person br , i j �iJ/[Q, Ph 5s f —$ y PLM
Contr. or Ph SWR Q c2d 3 Dr./0
_ = Tenant/Owner d114/1 ELC
Retaining Wall ELR
Footing Access:
Foundation �` FPS
Ftg Drain SGN
Slab
Crawl Drain Inspection Notes / `yam 4 h = S
C' � .P. I I qS — POOH - 1 0
Post & Beam n / / Z ` 4
Ext Sheath /Shear T � 4 „ T fG
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Mi
PART FAIL
P I BING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
ost&B am
Rough In
Gas Line
S;.!_ a Dampers
t PART FAIL
E TRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
t SS PART FAIL
'a -ding
Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
1 � cs f'
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA �.
Approach /Sidewalk Date
O �3 /.21: Inspector / Ext
a lt/ PART FAIL DO NOT REMOVE this inspection record from the job site.