Permit ,. CITY OF TIGARD MECHAN I CAL
..,, �� v . i DEVELOPMENT SERVICES PERMIT
� h�. I` PERMIT # • MEC98-0214
-1 . 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 06/11/98
PARCEL: 1S136AD -04000
SITE ADDRESS...: 11535 SW PACIFIC HWY
SUBDIVISION • VILLA RIDGE ZONING: C —G
BLOCK • LOT °007 JURISDICTION: TIG
CLASS OF WORK.. :ALT FLOOR FURN : 0 EVAP COOLERS: 0
TYPE OF USE •COM UNIT HEATERS..: 0 VENT FANS...: 3
OCCUPANCY GRP..: A3 VENTS W/0 APPL : 0 VENT SYSTEMS: 0
STORIES • 0 BOILERS /COMPRESSORS HOODS • 0
FUEL TYPES 0 -3 HP - 0 DOMES. I N C I N : 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.: 0
FURN > =i.00K BTU: 0 > 10000 cfm: 0
Remarks : Increase size of two outside air ducts to the HVAC system /add exhaust
fans.
Owner: FEES - --- - - - --
WOODROW SMITH type amount by date recpt
50 SW PINE STREET PRMT $ 25.00 DLH 06/11/98 98- 306452
SUITE 200 PLCK $ 6.25 DLH 06/11/98 98- 306452
PORTLAND OR 972 SPCT $ 1.25 DLH 06/11/98 98- 306452
Phone #:
Contractor: --•
SPECIALTY HEATING & FABRICATIO
9528 SW TIGARD ST ---- . - - - - --
$ 32.50 TOTAL
TIGARD OR 97223
Phone #: 620 -5643
Reg #..: 006657
REG!UI RED INSPECTIONS
This permit is issued subject to the regulations contained in the Mechanical I n s p -
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 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: Permittee Signature: J 1 -
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + ++ + ++
Plan Check # & - S /
CITY OF TIGARD Mechanical Permit Application Rec'd By --.w-2_-, 13125'S HALL BLVD. Commercial and Residential Date Recd 06 7
TIGARD, OR 97223 Date to P E. 6 -Qs'
(503) 639 -4171, x304 Date to DST 6 / fr
Print or Type Permit # /YID Qu -OR /y
Called29t/t^ (, jfe "`
Incomplete or illegible applications will not be accepted
Name 77`_ pmenuProlect Description
Table 1A Mechanical Code OTY PRICE AMT
Job Street Address I r., I Suite# A) Permit Fee -0- -0- 10.00
Address / /5 357510 P i I) C vl,.v ✓I,
Bltlg# City/State Zip' B) Supplemental Permit 3.00
. 7 - 7 1 a -A 9 72-ZS Name for name of business) i / 1.) Furnace to 100.000 BTU 6.00
Owner t 00 12 2 v f.) J A"--r4 incl. ducts & vents
Mailing Address 2.) Furnace 100,000 BTU + 7.50 •
r) fie-) p1 ice+' -11-19 incl. ducts & vents
City tats A Zip Phone 3.) Floor Furnace 6.00
,00.4/•-//{ OIL- incl. vent
Name or name of busmessi t i 4.) Suspended heater, wall heater 6.00
/e / I � rook 1 y4...., ig vV pi /y�f or floor mounted heater
Occupant MadingfAddress � 5.) Vent not incl. in 3.00
0 -5-7.1- /W �'G I 1 `Z appliance permit
City/State Zip Phone 6.) Boiler or comp, heat pump, air cond. 6.00
`G G -r-sA_, j)RQ , to 3 HP: absorp unit to 100K BTU
Contractor [ L 7.) Boiler or comp, heat pump, air cond. 11.00
(Prior to JPQCt QA- y a- L- 3-15 HP: absorp unit to 500K BTU
issuance Mailing Address / t Q� 1 _• 15-30 HP: absorp unit .5-1 mil BTU
8.) Boiler or comp, heat pump. air cond. 15.00
applicant gszg S w 1 1 O„r U"L 0
must provide all +� /,State � Zip 9 Phone 9.) Boiler or comp, heat pump, air cond. 22.50
1
contractor 1 qc4 c Q Rsz. •to :3 2 6 30-50 HP: absorp unit 1 -1.75 mil BTU
license OregorMonst. Cont. Board Lic.# Exp Date 10.) Boiler or comp, heat pump, air cond. 37.50
information 6 C5 8 5 it f77 '' > 50 HP; absorp unit 1.75 mil BTU
for COT COT Business Tax or Metro # Ex . Dat 11.; Air handling unit to 4.50
database). Qt7 d /67-e /-/-," 10.000 CFM
Architect Name 12.) Air handling unit 7.50
10.000 CTM +
or Mailing Address 13.) Non portable 4.50
evaporate cooler
Engineer City/State Zip Phone 14.) Vent fan connected 3 3.00
to a single duct
Describe work New 0 Addition 0 Alteration / Repair 0 15.) Ventilation system not 4.50 •
to be done Residential 0 Non - residential E' included in appliance permit
Additional Descrip ti9 n of work( t 16.) Hood served by mechanical exhaust 4.50
�n cre�e. o f 2 fi f� �G-c e* v�c..�
�� 1-e• C s7` � Add-3 •
-ex L, , . 7 .f 17) Domestic incinerators 7 50
Existing use of / 18.) Commercial or industrialtype 30.00
building or property to n 0 C Lam' eC/ incinerator
19.) Repair units 4.50
Proposed use of 20) Woodstove 4.50
I
building or property A d 146_4
21) Clothes dryer. etc. _ 4.50
Type of fuel - oil 0 natural gas 0 LPG 0 electric & 22) Other units 4.50
I hereby acknowledge that I have read this application, that the 23) Gas piping one to four outlets 2.00
information given is correct. that I am the owner or authorized agent of
the owner, that plans submitted are in corn lance with Oregon State 24) More than 4 -per outlet (each) .50
laws.
2 Y8 .
Signature 1 of Owner /Agent Date QTY.SUBTOTAL
T ' V C e-/ c 'SUBTOTAL
A )0/`KY) G n ✓,A, X f ` 5 C93
93
Contact Person Name Phone 5% SURCHARGE
. PLAN REVIEW 25% OF SUBTOTAL
•
TOTAL
i :\dstlmechpmt.doc (rev 7/96) Minimum permit fee is S25 + 5% surcharg
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Approved O S 4
Conditionally Approved [ l:
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For only the work as de cribed in:
PERMIT NO./Z( g - 0 71 [ V
Sec Letter to: Follow .. [ l: N
Attach C ):
Job Address: IS L,
B y : Date: Q. e _
Page No. 1 CASE HISTORY FOR CASE NO.: MEC98 -0214
WOODROW SMITH
11535 SW PACIFIC HWY
08/05/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
4 -Code Sent Done Done Date By
MECA060 (F) Issue permit / / / / 06/11/98 DONE DLH 06/11/98 DLH
MECC007 Application received / / / / 06/09/98 RECD JSD 06/09/98 GEO
MECC008 Permit created / / / / 06/09/98 DONE GEO 06/09/98 GEO
MECCOII Routed to Plans Examiner / / / / 06/09/98 PASS GEO 06/09/98 GEO
MECC016 DST Post - Review Completed / / / / 06/10/98 DONE DLH 06/10/98 DLH
MECCO50 (F) Ready to issue / / / / 06/10/98 PASS DLH 06/10/98 DLH
MECC706 Mechanical Insp 06/10/98 / / 07/21/98 PASS TLP 07/21/98 TLP
MECC799 Final Inspection 06/10/98 / / 07/21/98 PASS TLP 07/21/98 TLP
MECC800 Case Finaled / / / / 07/21/98 PASS TLP 07/24/98 J *H