Permit CITY TIGARD MECHANICAL PERMIT
� DEVELOPMENT SERVICES PERMIT #: MEC2003 -00598
AP 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/14/03
PARCEL: 2S 113B0 -00600
SITE ADDRESS: 16580 SW 85TH AVE
SUBDIVISION: SEWER TREATMENT PLANT ZONING: I -P
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML.INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
<= 10000 cfm: OTHER UNITS:
FURN > =100K BTU: GAS OUTLETS:
> 10000 cfm:
Remarks: Administration building - replace air cooled condenser with like kind
Owner: FEES
UNIFIED SEWERAGE AGENCY Description Date Amount
HILLSBORO, L N 1ST
OR AVE , O R 97123
HI [MECH] Permit Fee 10/14/03 $72.50
[TAX] 8% StateTax 10/14/03 $5.80
Phone: Total $78.30
Contractor:
AMERICAN HEATING INC
1339 SE GIDEON
STE 1 REQUIRED INSPECTIONS
PORTLAND, OR 97202
Phone: 239 - 4600 Final Inspection
Reg #: LIC 33135
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 i OAR 952 - 001 -00
r^ /
/ Issued By: , �iyyl Q Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the nex • usiness day
rxvtc� UPI I x l viecnanuc i r et -inn ct C G./ 0
r ,-_. .A►ppucation
` City of Durham Date received: i0 /' i /a3 Permit no.: /�'tgGd, v j .d csc,8
`
PO Box 23483 Project/appl. no.: Expire date:
Clackamas Durham. OR 97281 Date issued
Phone: (503) 639 -685 1, FAX: (503) 598 -8595 By: 1 Receipt no.:
Multnomah Case File no.: Payment yment type:
C O U N T I E S Land use approval: Building permit no.:
TYPE OF PERMIT
Q 1 & 2 family dwelling or accessory a` Commerciajindusirial 0 Multi-family 0 Tenant improvement New construction
0 ` Addition /alteration replacement Q Other.
JOB SITE INFORMATION CO , IMERCIAL VALUATION SCHEDULE
Job address: / � 0 S l 6 rF1 ,,..
Btdg. no.: �NN� Indicate equipment quantities in boxes below. Indicate the dollar
I Suite no.: value of all mechanical materials, equipment, labor, overhead.
Tax map /tax lot/account no.: profit. Value $ ;,z 4 )43 . 0J
Lot: I B lock: I Subdivision: *See checklist or important trtportattt applicasion information and
Project name: C . kJ <5 ce,tioLF/43- ✓ars,xvnnr� i jurisdiction's fee schedule far residential permit fee.
City /county: 'p gi.jj, vv i I ZIP: O) -21, � t 1 I & 2 FAMILY DWELLING PERMIT FEE SCHEDULE
Description and location of work on premises: AND COMNIERIC.IIJINDLSTRLA[. EQUIPMENT SCHEDULE
completion/inspection: Fee (ea-) I Total
Est. date of con
P pection: Des ription Qty. } Res. only 1 Res. only
Tenant improvement or change of use: IIVAC:
Is existing space heated or conditioned? `.''Yes 0 No
Air handling unit CFM
Is existing space insulated? Yes Q No Air conditioning (site plan required)
Alteration of existing HVAC system
MECHANICAL CONTRACTOR Boilericompressors
Business name: yN �>Q 1 r_s„u 1- 1 i - - t.t sti . State boiler permit no.:
Address: / 2 2,0) SAE G-i r.l 0lv 5 t �J HP Tons BTU/H Fire/smoke dampers/duct smoke detectors
City: I ` -rt �...r,) I State: 0/_ I ZIP: 9 -) 2 20 - Heat pump (site plan required) j
Phone: ,i-..,3 3 a1 t+6 t b Fax .1_ -7,73n Email: Install/replace furnace/burner $1'(1/11 {
CCB no.: -33 Including ductwork/vent liner c7 Yes 0 No I
Install/replace/relocate heaters - suspended.
City /metro lie. no.: ,0 wall. or floor mounted
Name (please print): 0 _ .z Vent for appliance other than furnace I '
Refrigeration:
Absorption units BTIJ/H
Name: S-D r4 Er Chillers HP
Address: Compressors HP
Environmental exhaust and ventilation:
City: ' State: ZIP: Appliance vent
L
Phone: I Fax: I E -mail: Dryer exhaust
OWNER Hoods. ype U II/res. kitchen/haunat
�
hood fire suppression system
Name: (Liz W.at cot_ 37"a Vic cis Exhaust fan with single duct (bath fans)
Mailing address: t S 5 �( lVft t N i S 7 S7R -- Exhaust system apart from heating or AC I---a
Ci ty : k( /c_L' /, ,,R�0 I State: 0R.. I ZIP: g) l zLl Fuel piping and distribution (up to 4 ourters)
PhoneSo3 L1 b Fax: b IE -mail: YPe: LPG NG Oil
Fuel piping each additional over 4 outlets
i'rocess pip (sche matic required ~__.
Name: Number Numb of outlets -
Address: Other listed appliance or equipment:
Decorative fireplace
City: I State: -
I z�: Insert _type _ ,
• Phone: I Fax I mail: Woodstove /pellet stove �
Applicant's signature: .,m�m, Date: • ,, 0 Other
Name (print): 04 '-J . <- �+riz- I � 'lZ �o �+� �dvr�r I_
i i
•
Permit fee S 9 ,
` Notice: This pormii application Minimum fee S
Plan Check (65 %) expires if a permit is not obtained Plan review (at %v)
within 180 days after $
Fire /L &S Check (40 %) accepted as rnp(eta.tthasbEan State surcharge (8%)..... ..fi k
TOTAL s SS •3 c�
440.4617 1&00000M 1
C O
Building
Condenser
OOC
Parking lot
Customer: Project American Heating, Inc_
Clean Water Service Replace a 40.0 ton air 1339 SE Gideon Street
16580 SW 85`" Avenue cooled condenser Portland, OR 97202
Durham, OR 97224