Permit : A MECHANICAL
CITY OF T PERMIT
DEVELOPMENT PERMIT #.......: MEC98-0314
��m~� m~o~��o vmnu~n�n SERVICES �U��| DATE ISSUED: 09/11/98
mx�~ °° 13125 SN/Ma081N�,��yniORg7� 380�H38�/7/ .
PARCEL: 28112DC-01400
SITE ADDRESS...: 15875 SW 74TH AVE #A***
SUBDIVISION....: CREEKCIDE INDUSTRIAL PARK ZONING: I-P
�a�
BLOCK..........: ~'- LOT.............:004 JURISDICTION: TIG
__ __ _
CLASS OF WORK— :NEW FLOOR FURN....: 0 EVAP COOLERS: 0
TYPE OF USE ^COM UNIT HEATERS..: 4 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
:GAS 3-15 HP....: 0 COML. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP....: 0 REPAIR UNITS: 0
FIRE DAMPERS?..: N 30-50 HP....: 0 WOODSTOVES..: 0
GAS PRESSURE...: M 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: Commercial tenant improvement. - This permit is for heating units for
the purpose of feeze proofing the building only.
.
Owner: ------ - FEES --------------
PACIFIC SANTA FE CORP type amount by date recpt
17700 SW UPPER BOONES FERRY RD PRMT $ 36.00 DLH 09/11/98 98-309077
#100 PLCK $ 9.00 DLH 09/11/98 98-309077
PORTLAND OR 97224 5PCT $ 1.80 DLH 09/11/98 98-309077
Phone #:
Contract or
HVAC INC
815 SE SHERMAN --------
$ 46.80 TOTAL
PORTLAND OR 97214
Phone #: 239-4822
Reg #..: 50897
------- REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Gas Line Insp ___
Tigard Municipal Code, State of Ore. Specialty Codes and all other Heating lint Insp _
applicable laws. All work will be done in accordance with Final Inspection
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 952-001-0010 through OAR 952—v11-0060. You may _
obtain copies of these rules or direct questions to OUNC by calling _ __
(503)246-9187. ____
___ __
__ _
Issue By: 4 Permittee SignatureSy\1VN/tj<C.47VIV ' \
+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
Call 639-4175 by 7:00 p.m. for inspections needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
Plan Check # Qq - 0 LC
CITY OF TIGARD Mechanical Permit Application Recd By
13125 SW HALL BLVD. Commercial and Residential Date Recd R
TIGARD, OR 97223 D q--c));-/ 7' Date to P.E. g/ `/ 19 ,,Q (503) 639 -4171, x304 1j O I ( P qtr Da te to DST X 1 47 !"'
� 1 \4 ' 1 .,pv. Permit # /y& 7cP 3 /y
'4' \'� /'' l Ol l 1 In Print or Type �l Called • l�w�vt
�� me of Development/Project ncomplete or illegible applications not be accepted ��o� 9X
�-9
( %i a '___1 1 s((.) d GS Pak - --- Table 1A Mechanical Code - QTY PRICE AMT
Job Street Address Suite# A) Permit Fee -0- -0- 10.00
Address t S 7515 S ( O T y
MO 1 City /State zip 1.) 1 Furnace to 100,000 BTU 6.00
A ( (y P kb, Oa 9 7 Z 3 including ducts & vents
pme (or ame of business 2.) Furnace 100,000 BTU+ 7.50
Owner including ducts & vents
Mailing A ess - �' 3.) Floor Fumace 6.00
11 )eq ryi„ (0 including vent
ityistaate 11 Zip Pho 4.) Suspended heater, wall heater 6.00 .a
V udY�[ O rd 972i or floor mounted heater , y
Name (or name far ( business) 5.) Vent not included in appliance permit 3.00
Occupant Mailing Addres 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 N e 8.) Boiler or comp, heat pump, air cond. 15.00
(Prior to V/ �t( 15-30 HP; absorb unit.5 -1 mil BTU"
issuance Mailing Address 9.) Boiler or comp, heat pump. air cond. 22.50
applicant 7 / 5 SE S II �v 30-50 HP; absorb unit 1- 1.75mi1 BTU"
must provide all ityJState Zip Phone 10.) Boiler or comp, heat pump, air cond. 37.50
contractor ` l - t O rcE_ 1721 ,139 -Yua_ > 50 HP; absorb unit 1.75 mil BTU"
license Oregon Const. Coin. Board Licit Exp. Date 7 ., 11.) Air handling unit to 10,000 CFM 4.50 •
information 5O / 7 c' /Do
for COT I COT Business Tax or Metro #� Exp. Date 12.) Air handling unit 10,000 CFM 7.50 .
database). a -( o�-`I 3/9 9
Architect Name U L M 13.) Non - portable evaporate cooler 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 Addition 0 Alteration 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
18.) Commercial or industrial type 30.00
Incinerator
Existing use of 19.) Repair units 4.50
•
building or property
20.) Wood stove 4.50
Proposed use of 21.) Clothes dryer, etc. 4.50
building or property
22.) Other units 4.50 .
Type of fuel - oil 0 natural gas LPG 0 electric 0 23.) Gas piping one to four outlets
/ 2.00 09 oc,
I hereby acknowledge that 1 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 /A ntt Date 141 'SUBTOTAL
z gy
\ n G � p � , 5% SURCHARGE ' - ip
Contact Person Name (% Phone PLAN REVIEW 25% OF SUBTOTAL 9
�t Rbe3ousoiL) l G�1�! z.,-(4.32,2_ T OTAL / Q
i:tdstlmechpmt.doc (rev 9 'Minimum permit fee is 525 + 5% surcharge // L/
"Residential A/C requires site plan showing placement of unit. 'i n N
•