Permit (17) CITY OF TIGARD MECHAN I CAL
���'� DEVELOPMENT SERVICES PERMIT
PERMI # • MEC99 -0133
i1+ " =--- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 03/30/99
PARCEL: 2S101BB -00401
SITE ADDRESS...: 11880 SW PACIFIC HWY
SUBDIVISION • TIGARD ROAD GARDENS ZONING: C —G
BLOCK • LOT :4 -5 JURISDICTION: TIG
CLASS OF WORK..:ALT FLOOR FURN • 0 EVAP COOLERS: 0
TYPE OF USE •COM UNIT HEATERS..: 2 VENT FANS...: 0
OCCUPANCY GRP..:? VENTS W/0 APPL: 2 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.: 0
FURN < 100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 1
FURN > =100K BTU: 0 > 10000 cfm: 0
Remarks : Changing oil to gas unit heaters in service garage.
Owner: FEES
RUSS CHEVROLET type amount by date recpt
11880 SW PACIFIC HWY PRMT $ 30.00 DEB 03/30/99 99- 314072
TIGARD OR 97223 -0000 5PCT $ 1.50 DEB 03/30/99 99- 314072
Phone #:
Contractor:
ANCTIL SHEET METAL CO.
4320 N WILLIAMS AVE
$ 31.50 TOTAL
PORTLAND OR 97217
Phone #: 503 - 281 -0752
Reg #..: 008897
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 Ins p
applicable laws. All work will be done in accordance with Final Inspection
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 by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952- 00110 through OAR 952- 001 -0080. You nay
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
Issu- By: 1 r / • Permittee Signature: atf.
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
-
C1TYOF TIGARD Mechanical Permit A lication Plan c #�
pp Rec'd `_i! •
13125 SW HALL BLVD. Commercial and Residential Date Rec'd - - '
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST
Print or Type Permit # v16Ir a133
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Description
7-0.SC Cfx¢ iL Table 1A Mechanical Code Qty Price Amt
Job Street Address Suite# A) Permit Fee 10.00
Address U e D '»L �+c4Ei._,t(Wy 1) Furnace to ducts & v ents ' 6.00
BTU
including ducts & v
Bldg# City /State Zip 2) Furnace 100,000 BTU+
T 01. `V - 122 2 i including ducts & vents 7.50
Name (or name of business) 3) Floor Furnace
Owner 1c.v.SA C ktsVQo including vent 6.00
Mailing Address 4) Suspended heater, wall heater
or floor mounted heater 6.00 11,..Q
110 0 4y.i PP`C trtC. Kw h 5) Vent not included in appliance permit
City/State Zip Phone l' 3.00 49P
- 11.60 4t.{7 Og-ct-rti -=4 Coryi r(` C CHECK ALL *Boiler Heat Air
Name (or name of business) THAT APPLY: or Pump Cond Qty Price Amt
5 A- Y cc, Comp
Occupant Mailing Address 6) <3HP;absorb unit to
P 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
t �1(.. �� t, 9) 30 -50 HP; absorb
unit 1 -1.75 mil BTU 22.50
Prior to permit Mailing Address 10) >50HP; absorb unit
issuance, a copy 43W . K . W 1(..1..4 's {Sea.. >1 .75 mil BTU _ 37.50
of all licenses C' /State Zip Phone 11) Air handling unit to 10,000 CFM
752-
are required if D 6 17 217 ZBI• 0 4.50
expired in COT Oregon Const. Cont. Board Lic.# Exp. Date 12) Air handling unit 10,000 CFM+
database 815 7 7.50
Architect Name 13) Non - portable evaporate cooler
4.50
or Mailing Address 14) Vent fan connected to a single duct
3.00
Engineer City /State zip Phone 15) Ventilation system not included in
g appliance permit 4.50
16) Hood served by mechanical exhaust
Describe work to be done: 4.50
17) Domestic incinerators
New 0 Repair 0 Replace with like kind: Yesf No,� 7.50
Residential 0 Commercial O o 18) Commercial or industrial type incinerator
30.00
Additional information or description of work: 19) Repair units
0.6003bVrOb% OLC. 70 61,0%wo Wt. t C tki 4.50
6K S1 06 &E , 20) Wood stove
4.50
21) Clothes dryer, etc.
4.50
Type of fuel: oil 0 natural gas4 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 Z• 2.00 I•
the owner, that plans submitted are in compliance with Oregon State laws. 24) More than 4 -per outlet (each)
.50
Signatu.- •f • • -r /Agent Date
i � � Minimum Permit Fee $25.00 SUBTOTAL 1 20,
ditkk �, ;.30.99 _
5% SURCHARGE (•t
Contact Person ame Phone PLAN REVIEW 25% OF SUBTOTAL
^ /� �7 Required for ALL commercial permits only
�
k TCNG1L G l•- 01 SZ TOTAL ,/ 3e)
*State Contractor Boiler Certification required
"Residential A/C requires site plan showing placement of unit
I:\mechperm.doc rev 07/20/98
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7/18/99 Activities for Case #: MEC99 -00133
6:16:37 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECC007 APPlication received 3/30/99 DEB RECD DST 3/30/99
MECC008 Permit created 3/30/99 DEB MEMO DST 3/30/99 Bob P reviewed plans and
okayd issuance over the
• counter.
MECC799 Final Inspection 4/7/99 RC PASS AKJ 4/7/99
MECC705 Gas Line Insp 3/30/99 DST 3/30/99
MECC706 Mechanical lnsp 3/30/99 DST 3/30/99
MECC090 (F) Issue permit 3/30/99 DEB DONE DST 3/30/99
MECC800 Case Fineled 4/7/99 AKJ DONE No Hold AKJ 4/7/99
•
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP --6/q �!�
I
Date Requested 4 1149 AM PM BLD
Location I I D x() Psi, f f 1.c) lA Suite MEC qq - )' 3. 4
n Person w Ph ' S Z PLM
Contact ��.1�11'yl � �
Contractor Ph SWR
NG att Owner Q,{A C. lth — 9.,(V/62 Off . ELC
'Retaining Wall ELR
Footing Access:
Foundation
OW/r-- q 7 - 01 — (w � e c ► ? FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear -6_,1 ,
Framing ( r L `f� '
Insulation rr '
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm ;
Susp'd Ceiling
Roof V
Misc: '
PART FAIL
BING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
ECHANI _ •1 ' 4
Post & Beam
Roug
Line I `
Gas Line .//
Smoke Dampers
irio
PART FAIL
•
E 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 - 2 --- 9 .7
Other Date Inspector ( Ext
Final
PASS PART FAIL _ DO NOT REMOVE this inspection record from the job site..