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Permit ..„. , .... CITY TIGARD MECHANICAL PERMIT �I DEVELOPMENT SERVICES PERMIT #: MEC2000 -00340 �"`� `� II DATE ISSUED: 8/31 /00 13125 S W Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S 112DC -01400 SITE ADDRESS: 15865 SW 74TH AVE 105 SUBDIVISION: CREEKVIEW INDUSTRIAL PARK ZONING: I -P BLOCK: LOT: 004 JURISDICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: • OCCUPANCY GRP: F2 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 .- 3 HP: DOMES. INCIN: GAS 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: FURN > =100K BTU: 1 <= 10000 cfm: GAS OUTLETS: 1 > 10000 cfm: Remarks: Mechanical TI - Owner: FEES PACIFIC AMERICAN PROPERTY EXCH Type By Date Amount Receipt PACIFIC SANTA FE CORP PRMT CTR 8/31/00 $50.00 2720000000 17700 SW UPPER BOONES FERRY RD PLCK CTR 8/31/00 $12.50 2720000000 PORTLAND, OR 97224 5PCT CTR 8/31/00 $4.00 2720000000 Phone: Total $66.50 Contractor: CLIMATE CONTROL INC 16500 SW 72ND AVE PORTLAND, OR 97224 REQUIRED INSPECTIONS Final Inspection Phone:453 -4822 Gas Line Insp Reg #: LIC 62196 Mechanical Insp Duct Inspection S.D. Shut -down inspection EXPIRE 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 obtain copies of these rules or direct questions to OUNC by calling (503)246 -9189. g 0 LL)-\� --- Issue By: 0 �dr � - �i _ Permittee Signature: Call ( 639 -4175 by 7:00 P.M. for inspections needed the next business day Plan Check # : - J � . 3 L CITY O TIGARD Mechanical Permit Application Recd By -„ 1 3 1 25 SW HALL BLVD. Commercial and Date Rec'. = / / - 00 TIGARD, OR 97223 ( Date to P.E. 67224e-40(4 (503) 639 - 4171, x304 j Date to DST Print or Type P ermit # NE62o00 -4035' Incomplete or illegible applications will not be accepted Called gla0l (6 Name of Development/Project Description C 09 i'le, Table 1A Mechanical Code Qty Price Amt Job Street Address Suite# A) Permit Fee .nt " ; ," i 16.00 Address S c L� 8 5 H 441 1) Furnace to 100,000 BTU B dg# City /Sta e Zip including ducts & vents 9.65 2) Furnace 100,000 BTU+ 1 i ! f e j OR q 7 � ) , .i including ducts & vents c e""����jj . _ I 12.00 Name (or name of business) 3) Floor Furnace Owner including vent 9.65 Mailing Address 4) Suspended heater, wall heater or floor mounted heater 9.65 5) Vent not included in appliance permit 4.75 City /State Zip Phone Check at that apply: *Boiler Heat Air For items 6 -10, see or Pump Cond Qty Price Amt Name (or name of business) footnotes 1,2 Comp ** ( O 6) Repair units � (fix 8.40 Occupant Mailing Address 7) <3HP;absorb unit to 5$b5 5W - Pi - 1 . h 100KBTU 9.65 City /State Zip Phone 8) 3 -15 HP;absorb unit 1.9 A d dI ©g c1-22(-1 100k to 500k BTU 17.65 Contractor Name 9) 15 -30 HP; absorb unit .5 -1 mil BTU . 24.15 i ,11 A t' CO n�Qo� 10) 30 -50 HP; absorb Prior to permit Mailing Address unit 1 -1.75 mil BTU 36.00 issuance, a copy 16500 5) 7r tP A V e 11) >50HP; absorb unit >1.75 mil BTU of at licenses City /State Zip Phone 60.15 are required if ? Det (And 6(L 9 L/53-Ys 12) Air handling unit to 10,000 CFM expired in COT Oregon Const. Cont. Board Lic.# Exp. Date 7.00 database b� I �� 1 3) Air handling unit 10,000 CFM+ Architect Name 11.85' , 14) Non - portable evaporate cooler or Mailing Address 7.00 15) Vent fan connected to a single duct ineer 4.75 En City /State Zip Phone _ 9 _ 16) Ventilation system not included in appliance permit 7.00 Describe work to be done: 17) Hood served by mechanical exhaust -= 7.00 New 0 Repair 0 Replace with like kind: Yes 0 No 0 18) Domestic incinerators Residential 0 Commercial A Modification O 12.00 19) Commercial or industrial type incinerator Additional information or description of work: 48.25 20) Other units, including wood stoves • . 7.00 NOTE: For Commercial projects only; Units over 400 lbs., located on the , 21) Gas piping one to four outlets roof, require structural calcs. prepared by licensed engineer. 3.75 Type of fuel: oil 0 natural gas LPG 0 electric O 22) More than 4 -per outlet (each) . I hereby acknowledge that I have read this application, that the information Minimum Permit Fee $50.00 SUBTOTAL a' _ : given is correct, that I am the owner or authorized agent of 8% SURCHARGE I:s s the owner, that lans submitted are in compliance with Oregon State laws. PLAN REVIEW 25% OF SUBTOTAL z �" ; P Required for ALL commercial permits only g ' .> Si nature of Owner /Agent Date TOTAL , WV Contact Person Name Phone O O Other Inspections and Fees: D ri n It u n r �f , IC n n If J C3 -'1 3 �� 1. Inspections outside of normal business hours (minimum charge -two hours) $50.00 per hour f 2. Inspections for which no fee is specificallyindicated (minimum charge -half hour) Foonotes for commercial projects only: $50.00perhour 1. Provide full schematic of existing and proposed gas line and pressure. 3. Additional plan review required by changes, additions or revisions to plans (minimum 2. Provide drawings to scale showing existing and proposed mechanical charge - one - half hour) $50.00 per hour *State Contractor Boiler Certification required units. * *Residential NC requires site plan showing placement of unit - EXPIRED I: \mechperm.doc rev 11/1/99