Permit - — — — -- - -- — — --
A CITY OF TIGARD MECHANICAL
/ /,, ,, DEVELOPMENT SERVICES PERMIT
''�''
PERMIT # MEC96 -0349
13125 SW Hall Blvd., Tigard, OR 97223 (503)639 - 4171 DATE ISSUED: 12/12/96
PARCEL: 2S112AA -00100
SITE ADDRESS...: 14140 SW 72ND AVE #100
SUBDIVISION. ZONING: I —H
BLOCK LOT -
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/O APPL: 0 VENT SYSTEMS: 0
STORIES • 1 • BOILERS /COMPRESSORS HOODS • 0
FUEL TYPES 0 -3 HP 0 DOMES. INCIN: 0
: /ELE/ / / . 3 -15 - HP ° 1 COMML. , INCIN: 0
MAX INPUT: 300000 BTU 15 -30 HP : 0 REPAIR UNITS: 0
FIRE DAMPERS?..: N 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.: 0
FURN > =100K BTU: 0, > 10000 cfm: 0
Remarks' :• Install Air Handling.unit for waste process heat — Tech Group Oregon
Owner: FEES
SPEIKER PARTNERS type amount by date recpt
4380 SW MADADAM PRMT $ 25.00 DRA 12/12/96 96- 287642
SUITE #100 PLCK $ 6.25 DRA 12/12/96 96- 287642
PORTLAND OR 97201 5PCT $ 1.25 DRA 12/12/96 96- 287642
Phone #: 221- 5700.
Contractor:
TEMP — CONTROL MECHANICAL
4800 N CHANNEL AVE
PORTLAND OR 97211
Phone #: 285 -9851 $ 32.50 TOTAL
Reg #..: 004944 .
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Mechanical Insp
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Tigard. Municipal .Code, State of Ore. Specialty Codes and all' other . Final Inspect 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.
Permitter Signa ure! 4�Iw 'Ld L,.1I
� 1/ IM"
Issued By. y I . I ..`
Call for inspection 6 -4.17
. Plan Check # 0 t/
CITY OF TIGARD Mechanical Permit Application 10 Recd By • _
13125 HALL BLVD. Commercial and Residential \ Date Recd l - L.
TIGARD, OR 97223 , eQ Date to P.E. 1(71
(503) 639 -4171, x304 Date to DST `'
Permit # '" OH
Print or Type Called // inaCqUi
'f 9C pic'
Incomplete or illegible applications will not be accepted �,,) };,TS�
ri • � J / �l T 1A Mechanical Code QTY PRICE AMT
Job A) Permit Fee -0- -0- 10.00
Address Lgill'ildrisS . In
Bw �,^� gel Orzi 1 12Z'-1 8) Supplemental Permit 3.00
o► bu 1.) Fumace to 100.000 BTU 6.00
Owner / i / � i �41&21 incl. ducts & vents
Iir' : I I` }�A,I E � 2.) Fumace 100,000 BTU +
�if incl. ducts & vents
ka' I ` / ka rZ ° MI 3.) Floor Fumace
incl. vent 6.00
r y� ill -Rif r .� a 4.) Suspended heater, wall heater 6.00
�� or floor mounted heater
Occupant L11 , I ,, , , ,, 5.) appliance permit 3.00
igi T � �. Prone 6.) Boiler comp, heat pump, aBcrd. 6.00
tif � ` r t t o 3 HP; P: absorp unit to 100p K BTU
7.) Boiler or comp, heat pump• air cond. 11.00
�l �n l 3-15 HP: absorp unit to 500K BTU I / �'
Contractor ` do r 8.) Boiler or comp, heat pump, air cond. 15.00
fffc���rrrrrrsss 15-30 HP: absorp unit .5-1 mil BTU
Attach copy of , � ��,;�T /� 9.) Boiler or camp, heat pump, air cord. 22.50
f1 �/r KA
Current Licenses 30-50 HP: absorp unit 1 -1.75 mil BTU
0 k . •i / I 10.) Boiler or comp, heat pump, air cond. 37.50
L , r > 50 HP: absorp unit 1.75 mil BTU
. :r 17. ., . a •. •ate 11.) Air handling unit to 4.50
. �' 10.000 CFM /r
Architect N 12.) Air handling unit •�■_ ° ^_ GI _
10.000 CTM +
or Marling Address 13.) Non portable 4.50
evaporate cooler
Engineer City /State Zip Phone 14.) Vent fan connected 3.00
to a single duct
Describe work New 0 Addition 0 Alteration Repair 0 15.) Ventilation system not 4.50
to be done Residential 0 Non - residential 0 included in appliance permit
Additional Description of work 16.) Hood served by mecnanical exhaust 4.50
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17) Domestic incinerators 7.50
Existing use of , 18.) Commercial or industriattype 30.00
building or prope4 I A Ail , Ai AI .ems incinerator
19.) Repair units I 4.50
Proposed use of 20) Woodstove 4.50
buildin or property
I/ 4 /, C 7 / r V t'
1 ' 21) Clothes dryer, etc. j 4.50
Type of fu I - oil natural gas 0 LPG.0 electric 0 22) Other units 4.50
I hereby acknowledge that I have read this application. that the 23) Gas piping one to four outlets 2.00
information given is correct. that I am the owner or authorized agent of
the owne . that plans s bmitted� /a�//i .. complian nl Of ith n S 24) More than 4 -per outlet (each) .50
laws. 17 �A r�nrnl +V
ii ��11
Sign of OwneNAgen Date QTY.SUBTOTAL I
r ' L��" `5 'SUBTOTAL IMGC4 c;25 °G.S•OV
0 tact Persor Phone 5% SURCHARGE I TA, t
PLAN REVIEW 25% OF SUBTOTAL
MEMO /44;.4-.:1` �
TOTAL I ' -
S
i:'dstlmecnpmt.doc (rev 7/96) • 'Minimum permit fee is 525 + 5% surcharge � -