Permit I
., CITY OF T MECHANICAL
ia A a ar �� DEVELOPMENT SERVICES PERMIT
M�,i'lij PE PERMIT T # • MEC98 -0125
:14 ° 1. 13125 SW Hall Blvd., Tigard, OR 97223 (503)6394171 DATE ISSUED: 04/08/98
PARCEL: 2S1O1DA -00101
SITE ADDRESS...: 13190 SW 68TH PKWY #140
SUBDIVISION : TRIANGLE CORPORATE PARK ZONING: C —P
BLOCK LOT •003 JURISDICTION: TIG
CLASS OF WORK..:ALT FLOOR FURN : 0 EVAP COOLERS: 0
TYPE OF USE :COM UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:B VENTS W/0 APPL: 0 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.: 4
FURN < 1O0K BTU: 0 <= 10000 cfm: 1 GAS OUTLETS.: 0
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Remarks : Tenant improvement HVAC system.
Owner: FEES
GERDING /EDLEN DEVELOPMENT type amount by date recpt
4650 SW MACADAM AVE PRMT $ 32.50 DLH 04/08/98 98- 304780
STE 200 SPCT $ 1.63 DLH 04/08/98 98- 304780
PORTLAND OR 97201
Phone #:
Contractor:
AMERICAN HEATING INC
1339 SE GIDEON
STE 1 $ 34. 13 TOTAL
PORTLAND OR 97202
Phone #: 239 -4600
Reg #..: 000331
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Mechanical Insp
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, 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 %2-801 -0010 through OAR 9521-0080. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
Issue By: _ _ Permittee Signature
% // d '',
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Plan Check #
CITY OF TIGARD Mechanical Permit Application ! 3 Recd By
13125 SW BLVD. Commercial and Residential .O Date Recd
TIGARD,'`OR 97223 P ,- Date to P.E.
(503) 619 -4171, x304 �jU Date to DST
Print or Type i � Pemtlt# /yFt'9, ias
Called
Incomplete or illegible applications will not be accepted
Name of Devetopment/Proj Description
u,,,;kr,sj 4 r Alwix Table 1A Mechanical Code CM PRICE AMT
Job Street Address f suite# �/ A) Permit Fee -0- -0- 10.00 '
Address 13190 S -w. !e'v' let #�7O
Bldg# City /State p 1.) Furnace to 100,000 BTU 6.00
including ducts & vents
Name (or name of business) 2.) Fumace 100,000 BTU+ 7.50
Owner '4,4;-,,, ;-, q9 1 e714,7 ✓r including ducts & vents
Mailing Addreia 3.) Floor Fumace 6.00
46,5i) J•U/. / 1 ; including vent
City/State , - Phone 4.) Suspended heater, wall heater 6.00
?arilab D2 97.2o/ 7 or floor mounted heater
Name or name of business) 5.) Vent not included in appliance permit 3.00
It rj //e/Z5, a, ?Jcen/ 1e'
Occupant Mailing Address 6.) Boiler or comp, heat pump, air cond. 6.00
to 3 HP; absorb unit to 100K BUT
City /State Zip Phone 7.) Boiler or comp, heat pump, air cond. 11.00
3-15 HP; absorb unit to 500K BTU"
Contractor Name 8.) Boiler or comp, heat pump, air cond. 15.00
1 e/ iy C. 15-30 HP; absorb unit5 -1 mil BTU"
Prior to permit Mailing Address 9.) Boiler or comp, heat pump, air cond. 22.50
issuance, a copy /339 SSE li�ed/J Sf 30-50 HP; absorb unit 1- 1.75mi1 BTU"
of all licenses /state zip Phone 10.) Boiler or comp, heat pump, air cond. 37.50
are required if AIy / / „v �,ts2 j -S/ _ > 50 HP; absorb unit 1.75 mil BTU"
expired in COT Oregon Const. ConeBoard Lic.# Exp. Date 11.) Air handling unit to 10,000 CFM 1 Co 4.50
database 33/3S ( j //�/9? t Addi mn 1 ,Gr hz
Architect Name 13.) Non - portable evaporate ler C; „3) 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 4.50
appliance permit
Describe work New 0 Addition YAlteration 0 Repair 0 16.) Hood served by mechanical exhaust 4.50
to be done Residential 0 Non - residential 0
Additional Description of work: 17.) Domestic incinerators 7.50
L 18.) Commercial or industrial type 30.00
-,
/enarp / -, et.�,°/ °/JT Incinerator
Existing use of //�� 19.) Repair units / 4.50
building or property 0/lee-
20.) Wood stove 4.50
Proposed use of 21.) Clothes dryer, etc. 4.50
building or property
22.) y Low r'eSSare ai g,� S iss // 4.50 /P
Type of fuel - oil 0 natural ga4K LPG 0 electric 0 23.) Gas pipin0one to four outlets ! 2.00
I hereby acknowledge that I have read this application, that the 24.) More than 4 -per outlets (each) .50
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with Oregon State QTY. SUBTOTAL
laws.
Signature of Owner /Agent Date 'SUBTOTAL
ia;so
O i aS -.7f 5% SURCHARGE
Contact Person Name Phone PLAN REVIEW 25% O OTAL
.4"4 # TOTA
�l�rirr�e 239y6� 3�/. i�-
i:Vnechpmt.doc (rev 9 *Minimum permit fee is $25 + 5% surcharge •
"Residential A/C requires site plan showing placement of unit.