Permit CITY OF TIGARD
DEVELOPMENT SERVICES PERMIT #
CES MECHANICAL
13125 SW Hall Blvd., FERMI T° o MEC98-0140
DATE ISSUED: 04/22/98
PARCEL: 1S135DC-O2OOO
SITE ADDRESS...: 11895 SW 91ST AVE #BLD
SUBDIVISION ZONING: R -7
BLOCK LOT JURISDICTION: TIG
CLASS OF WORK..:OTR FLOOR FURN....: 0 EVAP COOLERS: 0
TYPE OF USE °MF UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:A3 VENTS W/O APPL: 0 VENT SYSTEMS: 0
STORIES • 0 BOILERS /COMPRESSORS HOODS ° 0
FUEL TYPES 0 -3 HP • 0 DOMES. INCIN: 0
:GAS 3 -15 HP • 0 COMML. I,NCIN: 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..: 2
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.: 0
FURN < 1O0K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 2
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Remarks: Installation of two gas dryers and gas piping for each.
Owner: FEES
VILLA LA PAZ APARTMENTS type amount by date recpt
11875 SW 91ST AVE PRMT $ 25.00 DEB 04/22/98 98- 305156
TIGARD OR 97223 5PCT $ 1.25 DEB 04 /22/98. 98- 305156
Phone #:
Contractor:
PRO GAS
RICK STICKA
686 SOUTH 25TH CT $ 26.25 TOTAL
CORNELIUS OR 97113
Phone #: 887 -3778
Reg #..: 57068
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 Mechanical Insp
applicable laws. All work will be done in accordance with Misc. Inspection
approved plans. This permit will expire if work is not started Final Inspection
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 952-001 -0080. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
� ��-
Issue By: 0.4ea/rajy Permittee Signature: ��(.t -�
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + ++ + + + + + + + + + + + + + + + + + + + + + + + + ++
Plan Che
CITY OF TIGARD Mechanical Permit Application Rec'd By
'1, 13125 SW HALL BLVD. Commercial and Residential Date Rec'd - opa --tr
TIGARD, OR 97223 09-0/s Date to P.E.
(503) 639 -4171, x304 f ; ! Date to DST
Print or Type )jo iii P `� Permit #1-i celg -WciO
• Called
. Incomplete or illegible applications will not :e accepted
Name of Development/Project Description - .
1../ Lc_ PA- Table 1A Mechanical Code QT'' PRICE AMT
Job Street Address Suite# A)- Permit Fee • -0- -0- 10.00
Address )/J 'S _c.r.J 9 /
Bldg# City/State Zip 1.) Furnace to 100,000 BTU • 6.00
7- /G. 79 0 I including ducts & vents
Name (or name of business)
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2.) Furnace 100,000 BTU+ 7.50
Owner CoHr-o -c7 - 547,1 6.4/-73.e?--,a-77,1 including ducts & vents
Mailing Address "�� 14 a0 3.) Floor Furnace 6.00
77730 4, 104 -C.tJ i / including vent
Ci State Zip Phone 4.) Suspended heater, wall heater 6.00
}rV ieri YnQ D g7al Li If 3 / 35 - or floor mounted heater
Name (or name of business) 5.) 'Vent not included in appliance permit 3.00
L,4uiog /&, ri
Occupant Mailing Address q 6 Boiler or comp, heat pump, air cond. 6.00
// g( 9 S S 1) l / to 3 HP; absorb unit to 100K BUT**
City/State Zip Phone 7.) Boiler or comp, heat pump, air cond. 11.00
7) 4 3-15 HP; absorb unit to 500K BTU"
Contractor Name , 8.) Boiler or comp, heat pump, air cond. 15.00
1 ' r c-K .57-I6ka 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 & 86 S : a-S - 30-50 HP; absorb unit 1- 1.75mi1 BTU**
of all.licenses City/State Zip Phone 3 1 ? ? 8 10.) Boiler or comp, heat pump, air cond. 37.50
are required if t!o24 eli(4 -5 bR 0'1 > 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 S 50 £ -� • U
Architect Name 12.) Air handling unit 7.50
10,000 CTM+
or Mailing Address 13.) Non - portable evaporate cooler 4.50
Engineer City /State Zip Phone 14.) Vent fan connected to a single duct 3.00
Describe work New (' Addition 0 Alteration 0 Repair 0 15.) Ventilation system not included 4.50
to be done Residential 0 Non - residential 0 in appliance permit
Additional Description of work: ( 14 1 0/1 I/� \ 16.) Hood served by mechanical exhaust 4.50
o /1 17.) Domestic incinerators 7.50
l- /4//15 Fe - CLDT7,es .12 e/'
Existing use of �/ 18.) Commercial or industrial 30.00
building or property A Rigtt7'7/>`o type incinerator
19.) Repair units 4.50
Proposed use of A-16175 ;�� 20.) Wood stove 4.50
building or property /l.i/t773`C_S
21.) Clothes dryer, etc. 4.50 n oc
e
Type of fuel - oil 0 natural gas go LPG 0 electric 0 22.) Other units 4.50
I hereby acknowledge that I have read this application, that the information 23.) Gas piping one to four outlets / 2.00 2 UG
given is correct, that I am the owner or authorized agent of r
the owner, that plans submitted are in compliance with Oregon State laws. 24.) More than 4 -per outlet (each) .50
Signature o er /Agent Date p *SUBTOTAL 00
/
cif `I 5 % SURCHARGE - / 2
Contact Pe on Name Phone
PLAN REVIEW 25% OF SUBTOTAL
/ Required for all commercial permits only w, p
��•.r ��� -�7� TOTAL
*Minimum permit fee is $25 + 5% surcharge
"'Residential NC requires site plan showing placement of unit.
l:\mechprmt.doc • rev 4/15/98
I .72-Z)
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
ASAP
Date Requested: 41' .. 1 - `` 7- '' 9 M. P.M. MST:
Location: I / ? q5 5-&(J '' /3 f BUP:
Tenant: V I Ll...- A LA Pr� — .PT.S Suite: Bldg: WC: 7?
Contractor: C..dLQ1 Phone: Z 37 -- 4 7� — pp_ PLM:
1 (
Owner: j� Phone ‘S'' 7 37 7,3' ELC:
GN 7 - ELR:
SIT:
BUILDING BLDG (con't) PLUMBING CHANICAL,� ELECTRICAL SITE
Site Post/Beam . Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab 4 40.3011.- Ceiling Water Line
Slab Framing Top Out ...it Rough -In UG Sprinkler
Foundation . Insulation Sewer H.. 0 i uct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service . MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved . prove ,li Approved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL
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•
O Call for reinspection 0 Reinspection fee of $ required before next inspection O Unable to inspect
Inspector: ,�'.,& Date: - Z 7 - p Page of
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