Permit '
CITY � TIGARD
441,.... MECHANICAL
DEVELOPMENT SERVICES PERMIT
,„,„,,
="�~n�=~��« "�""�"� " `��~"u�"~�"�"� PERMIT # ^ MEC96-0326
a�� 11. 13125 SW Hall Blvd., Tigard, ����/�
~-- ' DATE ISSUED: 11108/96
•
. PARCEL: . 2S14D1BC-02800 . '�
SITE� . ADgDRESS. . . : ^ ~ I
08250 RD' '� ', ^. ' • . .
SQBDJrNJSI{0Nki•. ..`:'''~r' • +• ~�' : � '^'^ ' ~ • .'` ` ^ - ZQNING: I-L
BLOCK..........: LOT............:
I
CLASS OF WORK..:ALT FLOOR FURN - 0 EVAP COOLERS: 0
TYPE OF USE....:COM UNIT HEATERS..: 1 VENT FANS...: 2
1
1 OCCUPANCY GRP..:B VENTS W/O APPL: 0 VENT SYSTEMS: 0
STORIES........: 1, -' BOILERS/COMPRESSORS ^ HOODS • - 0
FUEL TYPES- 0-3 HP....: 1 DOMES. INCIN: 0
:/GAS/ • / - /^ • ^ ` . 3_15 HP:��� :- • 0°/`-^ '` r. COMML./`INCIN 0 '.`
MAX INPUT: 0 BTU 15-30 HP....: 0 REPAIR UNITS: 0
FIRE DAMPERS?. . :' N •• -,''*`'� ' `- 30-50., 'HP ,-.•'..���' 0.''- .' '^., WQODSTOVES. . : 0
GAS PRESSURE...: M 50+ HP ^ 0 CLO DRYERS..: 0
1 NO. OF UNITS '' , ` AIR'HANDLING�^UNJTS'` '. `OTHER UN-ITS..: 0
FURN < 100K BTU: 1 <= 10000 cfm: 1 GAS OUTLETS.: 1
FURN >=100K BTU: 0 ' '~,~' '^ ` > 10000° cfm�^0 -.
Remarks: Mechanical tenant improvement
.
Owner:. - FEES
JIM SEVERSON type amount by date recpt
29404 SW HEATER' ROAD . ' ' ' - '• . ' ' i` • PRMT $' 40.50 DRA 11/08/96.96-286311
PLCK $ 10.13 DRA 11/08/96 96-286311
- SHERWOOD OR 97140 ` . • • 5PCT ..$'' ' 2.03 DRA 11/08/96 96-286311
Phone #: 684-0443
•
Contractor:
AIR PRO HEATING & A/C
7405 SE POWELL
PORTLAND OR 97206 • -
Phone #: 771-7871 $ 52.66 TOTAL
Reg #..: 72086^'- .
.ft REQUIRED. INSPECTIONS
This.,pormitxio issued` t regulations . ~'~ 'Gas Line, Ins p ` ` .
. Tigard'Mmnicipal .Statuuf{re *andkalliTothen^ .°� • Mechanical' Insp•.,`
'applioable{aws' All'work willphokdhne`in-accerdamce4ith^ * -^-,~ Fina1' Inspection ` • -
approved` plans: `*Kh is- permit*wiliftempi�+ if is^nnti start ed�`" ^ '``' ''` ` - '•' '
within 1801days'of•ittoancp 'ore • �. • -' ' '-' •' .^ .^ ____
than 1130 days-.
.
_
____
.
� �
/ x � --- -----'
Permitt re: - �«^=~-*�� , -- _______ . _ -- . / ��. .� . � . '� . � . .'
Issued �' � 44.4.4.41L ______ _
. . ' ',' .• ' ' ' Call for inspectiom^`— 639-14175
•
l�z� SENT BY: CENTREX CONSTRUCTION; 9'18 -96 8; 22AM; 503 6206692 => ; #1 11
' CITY OF TIGARD Mechanical Permit Application �y Plan Ch c = -- 67C___ 13125 SW HALL BLVD. Commercial and Residential l . 1 R By . 0 '
TIGARD, OR 97223 Date
(503) 639-4171, x304 L / h Date to P.E.
• 1 I Date to DST
Print or Type Perron # I'/C-1 (0-D -(Q
Incomplete or illegible applications will not be accepted Called I 1 _1o_ 9r
Name o Deuela nvpmjea / --•
( e xn 7 e c, r c h o u a Desciption -
Job spy Adnress Table to Mechanical Code OTY PRICE AMT
Suttee Permit Fee
Address 8 LC° 5,-� � i (p er
-0- , a.00
A) P
&agtl I C City/Siete zip
No B) Supplemental Permit 3.00
r C d�
Name for me o! atislness)
Owner t / 1 -) Furnace to 100,000 BTU 6.00
`-∎) rn 5 t/E• /'f/ Incl. ducts & vents
Mating Adel MIS 2.) Furnace 100,000 BTU +
I ! '5D Svt/ 4VA/2 t� Ind. duds & .000 750
C til$ ZIP Phohr
-- - Tie -74. � �` i l - a'{ 3 3.) polo vent
6.00
Name io name or eusnesst t T , Ind. vent
SL-rni 4.) Suspended heater, wall heater 6.00
Occupant Mailin adm _ or r mounted heater
5.) Vent not incl. in 3.00
Gay/State _ appliance permit
Zip Phone 6.) Boiler or comp, heat Pump, au cond. 6.00
Name to 3 HP: absorp unit to 100K BTU r G
O s . / r P 7 r h 7 . ) Boiler or comp, heat pump, air cond. 11.00
4 f r /� �C �y , 3-15 HP: absorp unit to 500K BTU
mailing Adxue I7 ss n S r y
8.) Boiler or comp, heat
P pump, air cons_ 15.00
7
• �• `f 0S- Si ev..,r II 8 l ✓ 1 15-30 HP; absorp unit .5-1 mil BTU
Attach copy of r rstate Zip ' Prone 9.) Boiler or camp. heat pump, air cond.
Current Licenses 1r r f (G..,1 6, 771 o b - 7 - 7/-7 f 7 / 30-50 HP: absorp unit 1 -1.75 mil 8711 Oreggo Ca Corti_ Cast. C- Baud t c.tt
Cap. Date - 10.) Baiter or comp. heat Pump, air cond. 37.50
22.54
` - 3 - 5 � ' > 50 HP. absoro unit 1.75 mil 9TU
COT Busafess Tax ar ua • . • a Eap. Date 1 1.) Air handling unit to 4.50 C
7 5 )I • • -J - Q 7 10,000 CFM -/ +- r 5'-
Architect Name ill „ n Air handling unit 7.50
l in ' � 10,000 CTM •
- OT , Mailing Andress 13.) Non penable 4.50
evaporate cooler
Engineer CAyWStato bp Phone 14) Vent fan connected 3.00
to a single duct G
Describe wont New, Addition 0 Alteration 0 Repair 0 15.) Ventilation system not 4.50
to be done Residential 0 Non - residential included in appliance permit
Additional Description of wont 16.) Hood served by
mechanical exhaust 4.50
17) Domestic Incinerators 7.50
. Existing u,c of ) )J/*2E.T 18.) Commercial or industrial 30.00
i building or property 1) {a is 1 typo incinerator
19 - Clothes dryers, etc. 4.50
PropOSed Use of n ,,�t f 20) Other units 4 50
budding or property __ .17r i 4,C 1
Type of fuel • oil 0 natural gas" LPG 0 etectnc ' 21) Gas piping one to four outlets 2.00
acknowt 3 7= - f 4.1 4.1 -1 hereby edge that 1 nave read this applicatio tha the Z2) More than 4 -per outlet (each) .50
information given is correct, that I am the owner or authorized agent of
the owner, mat plans submitted are in compliance with Oregon State QTY. SUBTOTAL
laws. /
Signature of OwnertAgent Date 'SUBTOTAL ......././ _ V
Gl0
-1 '7-1'4 5 %s SURCHARGE 1 /Z-p 3 (-".
Contact Person Name Phone • PLAN REVIEW 26% OF SUBTOTAL .
/ �L r L0 ✓. i e p / ��
__ 7 7) - / -7 0 7/ TOTAL K t �
r''dstlrnecnpmt.doc 'Minimum permit foe is 525 + 5% surcharge 9 �
Rev 7196 \