Permit (146) T
CITY OF TIGARD
MECHANICAL PERMIT
�+ r'" DEVELOPMENT SERVICES PERMIT #: MEC1999 -00294
„� II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/29/99
PARCEL: 28 115BA -00100
SITE ADDRESS: 16200 SW PACIFIC HWY Z
SUBDIVISION: ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM. UNIT HEATERS: VENT FANS: 4
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS: 1
FUEL TYPES 0 - 3 HP: 2 DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 1
FURN > =100K BTU: 2 <= 10000 cfm: 2 GAS OUTLETS: 1
> 10000 cfm:
Remarks: Mechanical for the expansion of an existing Albertson's.
Owner: FEES
ALBERTSON'S Type By Date Amount Receipt
250 PARK CENTER BLVD PRMT DST 7/29/99 $136.05 99- 317263
BOISE, ID 83726 PLCK DST 7/29/99 $34.01 99- 317263
5PCT DST 7/29/99 $9.52 99- 317263
Phone: 208-395-6283 Total $179.58
Contractor:
ARROW MECHANICAL
10330 SW TUALATIN RD.
TUALATIN, OR 97062 REQUIRED INSPECTIONS
• Gas Line Insp
Phone: 692 -1565 Mechanical Insp
Reg #: LIC 000051 Mechanical Insp
ELE 34 -47CLE Heating Unt Insp
Heating Unt Insp
Shaft Inspection
Hood Inspection
Duct Inspection ORIGINAL
S.D. Shut -down
Misc. Inspection
Final Inspection
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 obta' co pies of the rules or direct questions to OUNC by calling (5e - - , 6 -9189.
Issue By: Permittee Signature: L� •
�j / /I i C L . .J .
Call (503) 639 -4175 by 7:00 P.M. for inspections n-eded the next business day
rai: i-e: ev r�x, vvo 00o s - w, .«.,vim dir•"' or`�i z`viaiv•••- - ..
CiTY OF TIGARD Mechanical Permit Application Rei e _
.1 - 3125 SW HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P.E. - (Z
(503) 639 -4171, x304 Date to DST 4
P rint or Type Permit #MF 4 -60,9-9/
Called 7 -.27 1 9 71
Incomplete or illegible applications will not be accepteyl.s, w �
Name of Development/Project - Description
IL 84 ; g, _5-4 S Table 1A Mechanical Code Q Price Amt
Job• Street Address Sulte# A) Permit Fee ?-<Ir. :' 16.00
Address /�2Ga /9C /�t�`/ 1) Furnace to 100,000 BTU
including ducts & vents see footnote 2,2 0" 9.65
Bldg# City /State zip 2) Furnace 100,000 BTU+ ff _
j/G r� /1/,�C < Including ducts & vents see footnote 1,2 e. 12.00
Name (or name of business) 3) Floor Furnace
Owner 41/3G/)) i e,, �!C� Including vent see footnote 1,2 9 •
Melling Address 4) Suspended heater, wall heater
or floor mounted heater see footnote 1,2 9.65
25 Pi9,e � 4- -7 _,- /, /3 e ra a 5) Vent not included in a pliance permit , 4.75
City /State ZIP Phone Check all that apply: *Boiler Heat Air
1�C'/S 1 /...) 2? 6 t. ..,% a s• 3 For items 6 -10, see or Pump Cond Qty Price Amt
• Name (or name of business) footnotes 1,2 Comp
Q 6) <3HP;absorb unit to
/j /J T S 100K BTU �L- ' 9.65
Occupant Mailing Address 7) 3-15 HP;absorb unit
• 100k to 500k BTU 17.65
City /State Zip Phone 8) 15 -30 HP; absorb
unit .5 -1 mil BTU 24.15
Contractor Name 9) 30 -50 HP; absorb /
1 unit 1 -1.75 mil BTU 36.00
R c'Mw t't /►� 1eelr n : 62r /9-AA r 10 >50HP; absorb unit
Prior to permit Mailing Address // n 1 >1.75 mil BTU 60.15
issuance, a copy /0331) SW, Tao), t. n ,4 1 1 Air handling unit to 10,000 CFM
of all licenses Cl y/ste zip Phone . 1 ,4 rJ 4 7.00
are required if 7 n l,. /i4 , ()i'
n e 97D102. (v 1 Z
e2. - 146 12) Air handl ?ng unit 10,000 CFM
expired irf COT Oregon Const Cont Board Llc.# Exp plate . 11.75
database 5-- 9 . 5 1I' 13) Non - portable evaporate cooler
Architect f'`?- O, ,.K ' -' /►x‘ ,4. 7.00
14) Vent fan connected to a single duct
or Mailing Address /e ,e F 4 4.75
15) Ventilation system not Included In
4 7/ S�/ -6✓ r; �.. "G s. . " ( - X T appliance permit / 7.00
Engineer city/State - -,. /e 0 , Phone 16) Hood served by mechanical exhaust
6. , ( cf. ,•, /49 C K ,- � 7 3 SC a/ 7.00 •
Describe work to be done: 17) Domestic Incinerators
... • 12.00
New 0 Repair 0 Replace with like kind: Yes 0 No O 18) C or ndustrtat type incinerator .
Residential 0 Commeral t$ 48.25 _
19) Repair units"
/additional information or description of work &40
20) Wood stove/gas FP /other units/clothe dryer /etc. / .
7.00
NOTE: For Commercial projects only; Units over 400 lbs. require 21) Gas piping one to four outlets
structural , as calks. See footnote 1 . 0 3.7
• Type of fuel: oil 0 natural gash' LPG 0 electric 0 More than 4-per outlet (eac _ .75
Minimum Permit Fee $50.00 SUBTOTAL "r-'' s
I hereby acknowledge that t have read this application, that the information 5% SURCHARGE : ;,: °:_ i•
given is correct, that I am the owner or authorzed agent of PLAN REVIEW 25% OF SUBTOTAL ."--.:,--:-- ,, t
the owner, that plans submitted are in compliance with Oregon State laws. Required for ALL commercial Eermlts only = _' -: V�
TOTAL - i.
Signature of A nt Date - � _- ._�.z
/ -- -, Other inspections and Fees: 611) - !0 1. Inspections outside of normal business hours ( mininum charge-top (
Contact ?erson Name Phone hours) $50.00 per hour
T 2. Inspections for which no fee is specifically Indicated (minimum
..1 / C • 4 / �� 6 S charge -half hour) $50.00 per hour
oonotes for commercial projects only: • 3. Additional plan review required by changes, additions or revis' • ns td'i J r
1. Provide full schematic of existing and proposed gas One and pressure. pions (minimum charge -one -half hour) $50.00 per hour AM
2. Provide drawings to scale showing existing and proposed mechanical �� } .
units. *State Contractor Boiler Certification required r iA
• "Residential NC requires site plan showing placement of • it f' r , /
Iftn echperm.doc rev 02/4/99 ,
•
04/17/2000 Activities for Case #: MEC1999 -00294 .
9:15:41 AM
Assigned Hold Updated
Activity Description • Date 1 Date 2 Date 3 To - Done By Disp. Level By Updated Notes
• MECC007 Application received 06/29/1977. DEB RECD No Hold GEO 07/12/1999
MECC008 Permit created 07/12/1999 GEO • DONE No Hold GEO 07/12/1999 .
MECC014 Plan checked /Approved by P.E. 07/12/1999 GEO SENT No Hold GEO 07/12/1999
MECA010 Plan Checked by 07/16/1999 RDP DONE No Hold RDP 07/16/1999 Called contractor, plans are
incomplete, need equipment
schedule, weight, and location.
MECC014 Plan checked /Approved by P.E. 07/20/1999 07/20/1999 07/20/1999 RDP DONE No Hold RDP 07/20/1999
MECC013 Revised plans received • 07/20/1999 RDP DONE No Hold RDP 07/20/1999
MECC015 Reviewed Plans Routed to DSTS 07/20/1999 RDP DONE No Hold RDP 07/20/1999
• MECC705 Gas Line lnsp 07/20/1999 07/20/1999 • No Hold RDP 07/20/1999
MECC706 Mechanical Insp 07/20/1999 07/20/1999 09/21/1999 LN PART No Hold AKJ 09/21/1999 1) supp round ducts at changes
in direction at corners
verify at susp ceiling insp
MECC710 Mechanical Insp 09/22/1999 LN PASS No Hold AKJ 09/22/1999
MECC715 Heating Unt lnsp No Hold RDP 07/20/1999 •
MECC725 Heating Unt lnsp 07/20/1999 07/20/1999 • No Hold RDP 07/20/1999
MECC735 Duct Inspection 07/20/1999 07/20/1999 No Hold RDP 07/20/1999
MECC732 Hood Inspection 07/20/1999 07/20/1999 No Hold RDP 07/20/1999
MECC731 Shaft Inspection 07/20/1999 07/20/1999 . No Hold RDP 07/20/1999
MECC745 S.D. Shut -down No Hold RDP 07/20/1999
MECC750 Misc. Inspection . 07/20/1999 07/20/1999 No Hold RDP 07/20/1999
MECC799 Final Inspection 07/20/1999 07/20/1999 02/23/2000 TLP PASS No Hold AKJ 03/02/2000
MECC016 DST Post - Review Completed 07/29/1999 DEB - DONE No Hold DEB 07/29/1999
MECCO50 (F) Ready to issue • 07/29/1999 DEB DONE No Hold DEB 07/29/1999
MECC090 (F) Issue permit 07/29/1999 BON • DONE No Hold DST 07/29/1999
MECC706 Mechanical lnsp 10/12/1999 10/12/1999 10/11/1999 TLP PASS No Hold JS 10/12/1999 See BUP99- 00032. 10/11/99.
MECC710 Mechanical lnsp 01/31/2000 TLP PASS No Hold AKJ 01/31/2000 front area right side
MECC800 Case,Finaled 03/02/2000 AKJ DONE No Hold AKJ 03/02/2000
•
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