Permit CITY OF TIGARD
O 4-coo-LP-I
COMMUNITY DEVELOPMENT DEPARTMENT 7ERXIT XECc)&-0
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639-4171 DATE ISCUED: OD/12r:L
PARCEL: 2S11.2DC-00701
CsDnREES... SW 7= :IV,:
SUDDIVISION—.; FW:NO CREEK ACRE TRACTS ZONING; I–P
---
CLASS Jr RR TEN FLOOR FURM....: 0 OO'LERS: n
TYPE OF UDE....:COM UNIT HEATERD..: C VENT FANS.,.:
2CCUPRNCY ORP..12,2 V= 14/C ; VENT °YSTEMS: 0
1 BOILERS/COMPRESSORS HOODG.......:
FUEL 0-2 E. 0 DOMES. CI 'ii
;/3AS/ / / 3–:E 0 COML, INCIN; 0
MAX INPUT; C BTU 1E-3.3 0 REPAIR UNITS: 0
FIR: DA:12ER3?..: 30-50 0 WOODSTOVES..: 0
SAC URE...; CLO DRYERS.. 0
NO. OF LNITS---------- AIR MANDLING UNITS OTHER UNITS.: 0
Ffl ( 103K 2TU 10CTT cfp: GAS OUTLETS.: 1
:UN )=100K ET *.i: 0 > :T000 cf.71: 0
Remarks: Tenant irprovement
Oviner: ------- --- FEES •
PACIFIC REALTY ASSCCMTEC typE ano:_int dEte recpt
1E2E0 SW SEQUOIA PUY ST: 300 PMT 25.00 3 03/12/9:, 96-276883
PLCI: :MM 03/12/ 9G-2763&C
PnRTL::!ND
OF 972.24 5POT 1.2E LT:N", 03/12/9f. 9G-276388
E0–G24-'2,300
Contrac'cor: – --
2RCTEn ACCOSIATE2 INC.
037 N. COUCH
PORTLAND OR 97232 ------------------ . -------------
Phane Ct; 23C :All
32. 5C TOTAL
Reg ZSE,-68
REouinEr INSPECTIONS
is isEued iab t: t1.5 ccntainEd i Ilec:ianiz.al ri p
Tar it:ipai C:de, State cf 2r. EF.a:ialty Codes and El: othe; Final I,::citicn
apli:abls laws. i i/214: Win . :e :i:ne i axnrdanci
pla:ls. This ;:rait will :f is n1
Anin 1:3
as :f cr if icrk is f:r r;cs
than 163
Per:Ina 01)
s d
4111 Ccill for inspection – 639-4175
City of Tigard 1 ECHANICAL PERMIT Planck/Rec. # , .. 2 . -, .. 2 . - 5 0 C , 5
13125 BIv,•, a k'� APPLICATION Permit # mecgk - o q y
Tigard, OR 97223 11 1
(503) 639 -4171 cil, 7
o
1
f
PQt a .3us f. JLSS Yi4i2 KI� RWL. /� 1 Table 3A Mechanical Code QTY PRICE AMT
Job /5q s w 7.2 d-QAve. 1) Permit Fee -0- -0- 10.00
Address Caws.
/ 2l r iti A2 972Z-4/ 2) Supplemental Permit 3.00
Name f name °' i Fumace to 100,000 BTU
1) incl. ducts & vents 6.00
M°i Ad Plan Fumace 100,000 B 1 U +
Owner 2) incl. ducts & vents 7.50
C Floor Fumance
3) incl. vent 6.00
Name i° name of Women) Suspended heater, wall heater
, / Q � 6 2 /ES 4) or floor mounted heater 6.00
Ads Phone Vent not incl. in
Occupant / 5 957 5w .7Z'�PAvE 5) appliance permit 3.00
CdylState 14 Repair of heating, rang.
2,427 1 Q,e 972Z4 6) cooling, absorption unit 6.00
Boiler or comp, heat pump, air cond.
F 233 - i,9 / / 7) to 3 HP; absorp unit to 100K BTU 6.00
o °*• Boiler or comp, heat pump, air cond.
Contractor�,„ Nom' �� 8) 3-15 HP; absorp unit to 500K BTU 11.00
Boiler or comp, heat pump, air cond.
s q d , y , o / Q� 9723Z. 9) 15-30 HP; absorp unit .5-1 mil BTU 15.00
Gn du*. Tu No. Boiler or comp, heat pump, air cond.
3 S4 r 39ci 30 5 - 06 10) 30-50 HP; absorp unit 1 -1.75 mil BTU 22.50
I hereby acknowledge that I have read this application, that the Boiler or comp, heat pump, air cond.
information 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 Contractors 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
Sputum «. i Date Hood served by
U / 17) mechanical exhaust 4.50
D cribe work new o addition 0 alteration repair 0 Commercial or industnal
to be done residential 0 non - residential 0 18) type incinerator 30.00
Existing use of Other 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 I
building or property
21) More than 4 -per outlet (each) 2.00
Type of fuel - oil Q natural gas ID LPG 0 electric 0
NOTICE
Minimum Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE I )- }
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL jj 7
AFTER WORK IS COMMENCED.
TOTAL 32'
Special Conditions
Date issued by
N:uGGIMOSTSWECHPMT