Permit • CITY OF TIGARD
MECHANICAL
��, DEVE SERVICES PERMIT
��pill PERMIT #... MEC98 -0127
4-114 .11. 13125 SW Hall Blvd., Tigard, OR 97223 (503)639.4171 DATE ISSUED: 04/09/98
PARCEL: 2S113AB -00800
SITE ADDRESS...: 15995 SW 74TH AVE #200
SUBDIVISION • FANNO CREEK ACRE TRACTS ZONING: I —P
BLOCK • LOT • JURISDICTION:'T_G
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
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.: 0
FURN < 100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 1
FURN > =100K BTU: 0 > 10000 cfm: 0
Remarks: Tenant improvement: add gas piping.
Owner: FEES
JOHN DUNCAN type amount by date recpt
16055 SW 74TH AVENUE PRMT $ 25.00 DLH 04/09/98 98- 304795
TIGARD OR 97223 5PCT $ 1.25 DLH 04/09/98 98- 304795
Phone #:
Contractor:
OWNER
$ 26.25 TOTAL
Phone #:
Reg #..:
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 DAR 952- 001 -0010 through OAR 952 -001 -0080. You • may .
obtain copies of these rules or direct questions to OUNC by calling •
(503)246 -9187.
•
Issue B y :
Permittee Signature ��
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Plan Check #
CITY OF TIGARD Mechanical Permit Application Recd By * _
13125 SW HALL BLVD. Commercial and Residential Date Recd YAg
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST
Print or Type 11 Permit #MErgfP Dig
Called
Incomplete or illegible applications will not be accepted
Name n+e` A ` Description
'�] o .� � . Gv■ Table 1A Mechanical Code CITY PRICE AMT
Job Street Address Suite# A) Permit Fee -0- -0- 10.00
Address 1 '$% Su • • 4 • c72‘17)
Bldg# City/State Zip 1.) Furnace to 100,000 BTU 6.00
including ducts & vents
Name (or name of business) 2.) Fumace 100,000 BTU+ 7.50
Owner J tv. ••: % M 4 h including ducts & vents
Mailing Address 3.) Floor Furnace 6.00
160 Ss - S W . l including vent
CitW6tate ^^ � zip Phone t 4.) Suspended heater, wall heater 6.00
1 '(,.,ry c& € I e �V � --o7yy or floor mounted heater
Name (or name of busines) / 5.) Vent not included in appliance permit 3.00
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
5 s 15-30 HP; absorb unit.5 -1 mil BTU"
Prior to permit Mailing Address 9.) Boiler or comp, heat pump, air cond. 22.50
issuance, a copy 30-50 HP; absorb unit 1- 1.75mi1 BTU"'
of all licenses City/State Zip Phone 10.) Boiler or comp, heat pump, air cond. 37.50
are required if > 50 HP; absorb unit 1.75 mil BTU"
expired in COT Oregon Const. Cont. Board Lic.# Exp. Date 11.) Air handling unit to 10,000 CFM 4.50
database
Architect Name 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 0 Addition 0 Alteration 0 Repair 0 16.) Hood served by mechanical exhaust 4.50
to be done Residential 0 Non - residential
Additional Description of work: 17.) Domestic incinerators 7.50
18.) Commercial or industrial type 30.00
As `,-, � 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 fk LPG 0 electric 0 23.) Gas piping one to four outlets l 2.00
I hereby acknowledge that I have read this application, that the information 24.) More than 4 -per outlets (each) .50
given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with Oregon State laws. QTY. SUBTOTAL
Signature Owner /Agent Date *SUBTOTAL
k i,--N,,, t , i , t. 1 ls( 5% SURCHARGE f i 25
Con ct Person Name Phone PLAN REVIEW 25% OF SUBTOTAL 2 �
Required for all commercial permits only. V
‘fl. TOTAL Z5
--..,0 v.. k s-tbittzt,t, 'Minimum permit fee is $25 + 5% surcharge
**Residential A/C requires site plan showing placement of unit.
I:\mechprmt.doc rev 4/98
i
1451 •
• CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: r,5 /S � - - 0- — '7? A.M. P.M. MST:
Location: 6 , 'W } 7 BUP:
Tenant: � Suite: Bldg: _ MEC: Ci(� 04Z-7
Contractor: 6 "
/ �jy`, Phone: O?• -- CO t/5( PLM:
Owner: Phone: ELC:
ELR:
' • SIT:
BUILDING BLDG (con't) PLUMBING 401a .: ►I •: ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out .tM IiiT = Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rani Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved pprove Not Approved Not Approved
FINAL FINAL FINAL FINAL
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.... 66 7' T //w v/y /=� 2 / / Aitg.
11 for re' • pecti/ O Reinspection fee of $ required before next inspection O Unable to inspect
Inspector: ,.....- 1 Date: / -2 I /7, Page of