Permit ti
• I jr
CITY OF T MECHANICAL
ai-8� DEVELOPMENT SERVICES PERMIT
p I F'E RM I "f # MEC'�+9- !Z!!c'!3u,
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 'DATE ISSUED: 01/28/99
• PARCEL: 2S101DC -01100
SITE ADDRESS...: 07298 SW TECH CENTER DR
SUBDIVISION....: ZONING: I-H
BLOCK........... LOT.... , .. JURISDICTION: T I G
CLASS OF WORK..: ALT FLOOR FURN....: 0 EVAP COOLERS; 0
TYPE OF USE.... :COM UNIT HEATERS..: 0 • VENT FANS...: i.
OCCUPANCY GRP.. :H4 VENTS W/0 APPL : 0 VENT SYSTEMS: 0
STORIES. .......° 1 BOILERS /COMPRESSORS HOODS.... ° 0
FUEL TYPES ---- - - - -•- 0-3 HP....: 0 DOMES. I NC I N : 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.: 0
FURN ( tOOK BTU: 0 (= 10000 cfm: 0 GAS OUTLE:TS.: 1
FURN ) =100K BTU: 0 >- 10000 cfm: 1
Remark s: Mechanical Exhaust system for replace spray booth -
B -LINE SYSTEMS INC type amount by date recpt
7298 SW TECH CENTER DR PRNT $ 25.00 DEB 01/28/99 99-312502
TIGARD OR 97223 PLCK $ 6.25 DEB 01/28/99 99-312502
SPCT $ 1.25 DEB 01/28/99 99- 312502
Phone #:
Contractor: -- -----
ADVANCED FINISHING SYSTEMS
2304 NORTH K I I_L I NGSWORTH ----- .._ -_ - -- ------ . -_ -_._
32.50 TOTAL
PORTLAND OR 97217
Phone #: 285-0569
Reg #.. ° V:.iram!2
-------- REQUIRED INSPECTIONS - ---
This permit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
applicable laws. All work will be done in accordance with Duct Inspection
approved plans. This permit will expire if work is not started Misc. Inspection --
within 180 days of issuance, or if work is suspended for gore Final Inspect ion
than 180 days. ATTENTION: Oregon law requires you to follow rules _______ �• _,� __�, _�_
adapted by the Oregon Utility Notification Center. Those rules are
set forth OAR 952- 001 -6010 through OAR 952 -001 -0080. You may
obtain .copies of these rules or direct questions to OUNC by calling
031246- , .
IssuE By: Permittee Signature: �. :
+ +++++++++++++++++++++++ + + + + + + + ++ ++ ++ +-!- + + + + + + ++ + + + +++ i- ++ + + ++ +-F + + + + + + + +++++ + ++++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
+ ++++++-!-+++++++++++++++++++++- h++++++++++++++++++++ + + + + + + + + + + + + + + + + + + ++ + + + +-f - + + ++
• Plan Check # __/ O _
CITY OF TIGARD Mechanical Permit Application Recd By
'13125 SW HALL BLVD. Commercial and Residential Date Recd o// !i5'
TIGARD, OR 97223 Date to P.E. 4 A S
(503) 639 -4171, x304 Date to DST l z AO
Print or Type Permit #,* ?? 1. 0 d 53
Incomplete or illegible applications will not be accepted ' ,alle O •�
Name of Development/Project Description
15 --LI 599i-ems Tim., Table 1A Mechanical Code Qty Price Amt
Job Street Address Suite# A) Permit Fee 10.00
Address v 1 {�
� V78 5'' J f ' a . , f 1„. 1) Furnace to 100,000 BTU
including ducts & vents 6.00
Bldg# City /State Zip 2) Furnace 100,000 BTU+
Pae `l; NID 97Z23 including ducts & vents 7.50
Name (or name of business) 3) Floor Furnace
Owner g- LI VJ, S S ;11"1-e including vent 6.00
Mailing Address 4) Suspended heater, wall heater
7i ' 3 S Pt l l Cfr (1 _. or floor mounted heater 6.00
ll U I 1. J� 5) Vent not included in appliance permit
city/State CZ �� O2 Phone 3.00
� Z 9 / / 7 3 CHECK ALL Toiler Heat Air
Name (or name of business) THAT APPLY: or Pump Cond Qty Price Amt
U- Line. bsorb unit to Comp ..
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 .
Contractor Name unit .5-1 mil BTU 15.00
ADV �_ 1C � NN) I u) r' t J � 9) 30 -50 HP; absorb
9v�- unit 1 -1.75 mil BTU 22.50
Prior to permit Mailing Address I 10) >50HP; absorb unit
issuance, a copy 7_, t i N, Kt 1, 1 N G� LAS T >1.75 mil BTU 37.50
of all licenses City tare Zip - Phone 11) Air handling unit to 10,000 CFM
are required if no l LI - 1 O) t- 7 Zw- 4.50
expired in COT Oregon Con / [� / � Cor . Board Uc.# Exp D !� 12) Air handling unit 10,000 CFM+
I
database 7.50
Architect Name 13) Non - portable evaporate cooler
4.50
or Mailing Address 14) Vent fan connected to a single duct (
3.00
15) Ventilation system not included in
Engineer City/State Zip Phone appliance permit 4.50
16) Hood served by mechanical exhaust
Describe work to be done: 4.50
17) Domestic incinerators
New • Repair 0 Replace with like kind: Yes • No 0 7.50
Residential 0 Commercial • 18) Commercial or industrial type incinerator
30.00
Additional information or description of work: 19) Repair units
�� 4\ QCR-. e k 1 s"tM Q 4.50
Uv nn � .l 20) Wood s
� �v 4.50
21) Clothes dryer, etc.
4.50
Type of fuel: oil 0 natural gas • LPG 0 electric 0 22) Other units
4.50
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 plans submitted are in compliance with Oregon State laws. 24) More than 4 -per outlet (each)
.50
Signature of Owner/Age / Date
I Minimum Permit Fee $25.00 SUBTOTAL IIIII
5% SURCHARGE
Contact . ame Phone PLAN REVIEW 25% OF SUBTOTAL
1n^Q N � �J S'
(�- �/ Required for ALL commercial permits only
;
v r l C J V C9 TOTAL
u V.6(4 {L, s - o n? *State Contractor Boiler Certification required
"Residential NC requires site plan showing placement of unit
I:Imechperm.doc rev 07/20/98
,: CITY OF TIGARD BUILDING INSPECTION DIVISION
c -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST
p BUP 1999 - 00/
Date Requested L( -Z2 r! 9 AM PM BU 11--CAOZS
Location - 7 29n to -0/1 &Pi,Gg('l _ i T. Suite 99-60 C 99 -� 3
Contact Person ae4f2_ Ph (7.D 3S PLM
Contractor Ph SWR
Q� ,,
Tenant/Owner OLA / 1 9- S - ei i ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: C. ; i (,,,
Slab /n SGN
Post & Beam l ' f ' � SIT
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firew,
Fire Alarm
Susp'd Ceiling
Roof 6C
PART FAIL
ING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
Rough In
Gas Line
� eke Dampers
WAWA 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 C. Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.