Permit r I' I G L.1' _ . J. __ _ .
PERMIT
CITY OF T I CARD PERMIT rE IS SUED e . 09/ 242/966 — . ,
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171 PARCEL: 1 6135AB- -1?i011210
SITE ADDRESS...: 10255 SW 90TH AVE
SUBDIVISION....: TOWN OF ME.TZGER ZONING: R-4.5 .
BLOCK........... LOT ........... . . a'_:
CLASS OF WORK..: ALT FLOOR FURN....: a 101 EVAP COOLERS: 121
TYPE OF USE.... ;ED UNIT HEATERS..: 121 VENT FANS...: 0
OCCUPANCY GRP..:E1 VENTS W/0 APPL: 0 VENT SYSTEMS: '21
STORIES........; 1 BOILERS /COMPRESSORS HOODS......: 0
FUEL TYPES - -- -- 0-3 HP....: 12 DOMES. INCIN: 0Z+
:/GAS/ / / 3 -15 HP....: 121 COMML. INCIN: 171
MAX INPUT: 01 BTU 15 - -30 HP....: 0 REPAIR UNITS: 0
FIRE DAMPERS?..: N 30 -50 HP....: O WOODSTOVES.. ; 171
GAS PRESSURE...; M 50+ HP....: 0 ' CLO DRYERS..: 0
NO. OF UNITS--- --- -- - - -- AIR HANDLING UNITS OTHER UNITS. : 14
FURN { 100K BTU: 10 (= 10000 cfm: 0 GAS OUTLETS.: 6
FURN 1= 11210K BTU; 2 > 110000 cfm: 0
Remarks: change of pressure regs on some existing units and install 12 new units
FEES
TIGARD-- TUALAI"IN SCHOOL DIST type amount by date recpt
23J PRMT $ 232.00 CJS 09/24/96 96-- 284304
13137 SW PACIFIC HWY PLCK $ 58.00 JDA 07/23/96 96-281944
TIGARD OR 97223 5PCT $ 11.6171 CJS 09/24/96 96-284304
Phone #: 620.1620
Contractor; . - -- .—
JOHNSON CONTROLS INC
4011 SE INTERNATIONAL WAY #605
MILWAUKIE OR 97222 - -- • -- — ° Phone it ; 654 -8422 $ 301.6121 TOTAL
Reg #... 65320
-- REQUIRED INSPECTIONS
This pernit is issued subject to the regulations contained in the Gas Line I n s p ------
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical I n s p __-________ _
applicable laws. All work will be done in accordance with Misc. Inspection _ _ ,_
approved plans. This pernit will expire if work is not started Final Inspection
within 180 days of issuance, or if work is suspended for pore ___— ____.^ ____
than 180 days. _ ._-_. -- _ _ _ __�_..
Permittee Signature; �____�...�______
IssuedP y . _.. - _ .._�� -_--__.. _ _._..._._ ____ _ _ _ __._..__._
Call for inspection — 639 -4175
o RE 7- 3t -9 7
City of Tigard � ' MECHANICAL PERMIT . Planck /Rec. #/ 0�.
13125 s�,v Han Blvd. , APPLICATION Permit # � I E c gb 6 z5 2 ,:- c Tiard, OR 972 3 2 ®4 Q ay
(503) 639 -4171
•
— - Name of Development Description
1• _ 4 u Table 3A Mechanical Code QTY PRICE AMT
••cress
Job' O G_ • it 1. „ 1) Permit Fee -0- -0- 10A0
Address ate
l�4e -k
'� ( � 2) Supplemental Permit 3.00
. r i -
dame or buamess Furnace to 100,000 BTU
` 1) incl. ducts & vents I a
M rin re 6.00 (�
M,� T�r1 `� F urnace 100,000 BTU +
al F $one
Owner �] 1 : Sty : 1 1 - Af� 2,0 O 2) incl. ducts & vents f 7.50 i, j'�
dyfstate P 2, O - oor urnance
--r'i a s t`) OR 9 7 ZZ_ 3) incl. vent 6.00
Name r name o usmess) S us pend ed eater, wa eater
4) or floor mounted heater 6.00
Mailing Address Phone Vent not incl. in
Occupant 5) appliance permit 3.00 •
City /State Z4, r Repair of heating, refrig.
6) cooling, absorption unit p 6.00
-- Boiler boiler or comp, heat pump, air cond.
1,0 pn SOS � �S = � 7) to 3 HP; absorp unit to 1 00K BTU (v�� 6.00 2
.(',1� ai r e aa ' � - Boiler or comp, heat pump, air cond.
_ ri— a � �' 8) 3 -15 HP; absorp unit to 500K BTU 11.00
Cant actor lit, 1 v.
Cant Boiler or comp, heat pump, air cond. •
t' wn �) 1l . P f�SZ 9`7 7, Z� us 9) 15 -30 HP; absorp unit .5 -1 mil BTU 15.00
0 State Registration o. f Gty o Boiler or comp, heat pump, air COnfj.
c ZQ 10) 30 -50 HP; absorp unit 1 -1.75 mil BTU 22.50
I hereby acknowledge that I have read this application, that the :oi er or comp, eat pump, air con..
information given is correct, that I am the owner or authorized 11) > 50 HP; absorp unit 1.75 mil BTU 37.50
agent of the owner, that plans submitted are in compliance with — 7717h710 Ting unit to
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4.50
Board, that the number given is correct. (If exempt from State Air handling unit
registration, please give reason below.) 13) 10,000 CTM + 7.510
Non portable
14) evaporate cooler 4.50
Vent fan connected
15) to a single duct 3.00
Ventilation system not
�l 16) included in appliance permit 4.50
ignature. ,Z:,Q a at a a Hood se�by
. 7 13 6 17) mechanical exhaust 4.50
•escn.e wor new 0 addition 0 alteration ()O repair 0 Commercial or in ustna
to be done residential 0 non - residential 1 18) type incinerator 30.00
Existing use o Other i.e., stove, water e �.
building or property . - 19) heater, solar, clothes dryers, et S. �y 4.50 G f
Proposed use of ( 20) Gas piping one to four outlets ( ! — 2.00 - Z. 00
building or property SO Lx ( __ '`
21) More than 4 -per outlet (each) 5 2.00 / f
Type of fuel - oil 0 natural gas 0 LPG 0 , electric 0
NOTICE
• Minimum Fee $25.00 SUBTOTAL a3a
PERMITS BECOME VOID IF WORK OR CONSTRUCTION -
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE _ i fl. pv
IF CONSTRUCTION OR WORK IS SUSPENDED OR �8 /
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL
AFTER WORK IS COMMENCED. —
TOTAL i I I , : A,64
Special Conditions P t -3 7
fe d �C 7/� 3/i,� 3/0
Date isst&ed 7/ by
H: \LOGI N\DSTS \M ECHPMT
5/12/99 Activities for Case #: MEC96 -00257
9:47:14 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECC007 Application received 7/31/96 7/24/96 JDA RECD BON 7/31/96
MECC008 Permit created 7/31/96 7/31/96 B PEND BON 7/31/96
MECC015 Routed to Plans Examiner 7/31/96 7/31/96 B PEND BON 7/31/96
MECC017 Plan Review Ltr. to Ofc. Svcs. 8/16/96 8/16/96 JHF JHF 8/16/96
MECC019 Revised plans received 8/16/96 9/16/96 JHF JHF 9/18/96
MECC705 Gas Line Insp 8/16/96 9/25/96 TLP PASS TLP 10/3/96 •
MECCO25 Reviewed Plans Routed to DSTS 9/18/96 9/18/96 JHF APPR JHF 9/18/96
MECC080 (F) Ready to issue 9/24/96 CJS PASS CJS 9/24/96 need bustax 9 -24 -96
MECC090 (F) Issue permit 9/24/96 CJS PASS CJS 9/24/96
MECC800 Case Finaled 12/17/96 MS PASS MRS 12/18/96
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