Permit 41, CITY � TIGARD
MECHANICAL
DEVELOPMENT SERVICES PERMIT
u�m��n�o���n omn*~u�u ~�o�ou�"��n�~� PERMIT # : ME� 96
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' Tigard, ' ' DATE ISSUED: 10/24/96
PARCEL: 2S101AA-06400
SITE ADDRESS...: 12323 SW 66TH AVE
SUBDIVISION....: WEST • PORTLAND HEIGHTS ZONING: C-G
'BL8CK..........: LOT— ... .......:24
_____ _ _
CLASS OF WORK— :ALT FLOOR FURN....: 0 EVAP COOLERS: 0
TYPE OF USE COM UNIT HEATERS. : 0 ` VENT FANS...: 0
OCCUPANCY GRP..:A1 • VENTS W/O APPL: 0 VENT SYSTEMS: 0
STORIES........: 0 BOILERS/COMPRESSORS HOODS.......: 0
FUEL TYPES- ----- 0-3 HP....: 0 DOMES. INCIN: 0
`' ^ 3-15-HP....:.1 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: BOILER/HEAT PUMP WK/INSTL GAS PIPING
Owner: - ` FEES . --`
ASIAN AMERICAN type amount by • date recpt
2300 E 1ST - :-PRMT$ 25,00 TAT 10/24/96 96-285660
STE 6 5PCT $ 1.25 TAT 10/24/96 96-285660
VANCOUVER WA 98661
Phone #: 360-695-3669
Contractor: ---
• .,'
HEATING SPEC IALIST INC, THE
9300 NE HALSEY
PORTLAND. OR 97220- `' ' ' ' ''^ ---- -- --------------
Phone #: 257-7000 $ 26.25 TOTAL
Reg #..: 056628
' REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in- the Gas Line Insp
Tigard Municipal Code, State of Ore. Spocialtytodos and all other Mechanical Insp
applicable laws. AD work will be done io accordance with Misc. Inspect ion
approved plans. This permit will expire if workisnnt started • /', ' Final, Inspect i on
within 180 days of issuance, or if work is suspended for - more •
than 180 days
`
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Permittee Sign - e: /��N�
Issued By:
ill. for inspection—, 639-4175
City of Tigard M ECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit # ThhC % % - 6 5
Tigard, OR 97223
(503) 639-4171 • •
•
N•rn. o C"e" Description -
•
Table 3A Mechanical Code QTY PRICE AMT
't-ii
Job f 2323 S w L co 1) Permit Fee -0- -0- 10.00
Address , -
•
'3 Coo 69 S— 36 fog 2) Supplemental Permit 3.00
Name ,a name • "°•^^" Furnace to 100,000 BTU '
Q S l 0....y, �m -C c_a h 1) incl. ducts & vents 6.00
u ^a••• ° • Furnace 100,000 BTU +
Owner 2 - 3 a a (...cr a I, 2) incl. ducts & vents 7.50
-
'�•• ° Floor Fumance
JcLv\ U Q.f - L) a 4 CloCe / 3) incl. vent 6.00
Nune.,at name a wane.., Suspended heater, waif heater
rve. ..Acr c_.,.._, 4) or floor mounted heater 6.00
u•e•w %acs»• " Vent not incl. in '
Occupant - - 5) appliance permit - - 3.00
,,•mare Repair di heating, retng. ` . .
6) cooling, absorption unit 6.00
hams Boiler or comp, heat pump, air cond.
N.? , )44_9 -B-J--rich 7) to 3 HP; absorp unit to 100K BTU 6.00
dung nacre Boiler or comp, neat pump, air cond.
Contractor ` 'i 3oo 1\1 Q 1-1 A LS2 j
9 - 72-)-z) 8 ) 3-15 HP; absorp unit to 500K BTU / 11.00 f/, 00
Boiler or comp, heat pump, air cond.
-
e 'L -0 p , ` as 7. low 9) 15-30 HP; absorp unit .5-1 mil BTU 15.00
N• • ^ "° C.ty aut. T•• ha. ' B oiler or comp, heat pump, air cond. '
S to to 2 2 1 370 10) 30-50 HP; absorp unit 1 -1.75 mil BTU 22.50
I hereoy acknowledge that I nave read this application, that the Boiler or comp, neat pump, air cond. i
inforrmation given is correct, that I am the owner or authorized 11) > 50 HP; absorp unit 1.75 mil BTU 37.50
agent of the owner, that plans submitted are in compliance with Air handling unit to
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4.50
Board, that the number given is correct. (If exempt from State Air handling unit
registration, 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 3.00
. . Ventilation system not
. 16) included in appliance permit 4.50
>4'san•• kMet u .flert[) . Hood served by
17) mechanical exhaust 4.50
Describe work new ( addition U alteration 4 repair 0 Com, mercial or industrial
' to - be done residential 0 non - residential �' 18) type 30.00
• Existing use of Otner 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 1 2.00 ,, o a
building or property
21) More than 4 -per cutlet
Type of fuel - oil 0 natural gas 0 LPG 0 electric 0
`''' NOTICE
Minimum Fee S25.00 SUBTOTAL • .:2 S60
.,. PERMITS BECOME VOID IF WORK OR CONSTR
,Y AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR SURCHARGE j. d5
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ti ,- I
j ,;, ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL I
:',i AFTER WORK IS COMMENCED.
§i TOTAL I k6 g 5
, ;: Special Conditions
Date issued by
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CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP -
Date Requested 0 3-2_40-q ' AM PM BLD
Location 11 () 6 6 - f - V1 Ave, Suite 7 6. 3 6 5
Contact Person Ph PLM
•
Contractor line_, n ,, + I Ili SPeda((sfPh 2S7 -7CUZ SWR
BUILDING Tenant/Owner Poi.le / ( -(C.
ELC
Retaining Wall - ELR
Footing Access:
Foundation or n re' I � t D 7 D O J / � p S FPS
Ftg Drain ►`'�il�'�t� rIK/YI SGN
Crawl Drain Inspection Notes: NS . ac fico cre SIT
Slab
Post & Beam p �7 ExtSheath /Shear �PIOI�- �T? (k) sA1l4f gL
Int Sheath/Shear
Framing -
Insulation
Drywall Nailing '
Firewall
Fire Sprinkler ,
Fire Alarm
Susp'd Ceiling
Roof - -
Misc: - --
Final
PASS PART FAIL `�
PLUMBING ,,\
Post & Beam
Under Slab
Top Out
Water Service . 1
Sanitary Sewer
// /
Rain Drains
Final
P H FAIL � �
Post & Beam j
Rough In A / "� ,'
�
•
Gas Line P�
,, S �� mokeDam ( Q
P/�R FAIL , - -___.
ELECTRICAL _
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 [ . ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line `
A Q / ( f
A pp roach /Sidewalk '' Other Date 0/ Inspector — Ext
Final
PASS PART FAIL - DO NOT REMOVE this inspection record from the job site.
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