Permit CITYOFTIGARD MECHANICAL
• COMMUNITY DEVELOPMENT DEPARTMENT PERMIT
13125 SW Hall Blvd. Tigard. Oregon 97223.8199 (503) 839 -4171 PERMIT 4 ....... : h1EC9 - 104.
639 -4171 DATE ISSUED: 03/03/95
PARCEL: 1S136DB -00500
SITE ADDRESS...: 11619 SW PACIFIC HWY
SUBDIVISION ZONING: C -G
BLOCK LOT •
CLASS OF WORK..:ADD FLOOR FURN EVAP COOLERS:
TYPE OF USE •COM UNIT HEATERS..: VENT FANS...:
OCCUPANCY GRP..:A3 VENTS W/O APPL: VENT SYSTEMS:
STORIES •1 BOILERS /COMPRESSORS HOODS •
FUEL TYPES - 0 -3 HP • DOMES. INCIN:
: /GAS/ / / 3 -15 HP • COMML. INCIN:
MAX INPUT: 100000 BTU 15-30 HP REPAIR UNITS:
FIRE DAMPERS ?..: 30 -50 HP • WOODSTOVES..:
GAS PRESSURE...: 50+ HP • CLO DRYERS..:
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.:
FURN < 100K BTUJ :3 <= 10000 cfm: GAS OUTLETS. : 1
FURN > =100K BTU: > 10000 cfm:
Remarks: Expand existing structure from 3,354 square feet to 4,819 square feet
(1,465 sf addition), remodel existing interior and exterior.
Owner: -- - - FEES
GALVf-N GUITRAN PARTNERSHIP type amount by date recpt
11619 SW PACIFIC HWY PRMT $ 30.00 KS 03/01/95 -
PLCK $ 7.50 KS 03/01/95 -
TIGARD OR 97223 5PCT $ 1.50 KS 03/01/95 -
Pho n e #: 228 -3413
Contractor:
,:^ FILE
m
Phone #: $ 39.00 TOTAL
Reg #..: 85 7
( REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Final Inspection
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 sore
than 180 days.
Permittee Signature: (,j2 ..
Issued By: I,
Call for inspection - 639 -4175
•
r
City -of Tigard - MECHANICAL PERMIT Planck/Rec. # a -411 C-
• 13125 SW Hall Blvd. APPLICATION Permit # rn C �s —
Tigard, OR 97223
(503) 639 -4171
"-^o., w„«. Description
42 2A-T L A ICI R. -L , Table 3A Mechanical Code QTY PRICE AMT
Job
Address 6 i 9 SA/ PAc F Ic _� 1) Permit Fee -0- -0- 10.00
TI G pl ) (� 2) Supplemental Permit 3.00
tame (« n " O • Wawa Furnace to 100,000 BTU
s,4-y.A. e., -- 1) incl. duds & vents 3 6.00 I _
"+'^e Adds ("•"• Furnace 100.000 BTU + .
Owner 2) incl. ducts & vents • 7.50
moo• zo Floor Fumance
3) ind. vent 6.00
" tat now el annaci Suspended heater, wall heater
4) or floor mounted heater 6.00
" Fddr. Plano Vent not ind. in
Occupant 5) appliance permit 3.00
fir• zo Repair of heating, refrig.
6) cooling, absorption unit 6.00
Nam. (V I B Boiler or comp, heat pump, coed.
7) to 3 HP absorp unit to 100K BTU 6.00 1
Boiler or comp, heat pump, air cond. I r
COntraCtOr t St4 8) 3 -15 HP absorp unit to 500K BTU 11.00
Boiler or comp. heat pump, air cond.
1., _ AI - 7LI ( 9) 15 -30 HP absorp unit .5-1 ml BTU 15.00
sue ' "^ "^. am. a " Boiler or comp, heat pump, air cond.
I Z eS 7 e2 55- - pi 10) 30-50 HP absorp unit 1 -1.75 mil BTU 22.50
I hereby acknowledge that I have read this application, that the Boiler or comp, heat pump, air cond.
information given is correct, that I am the owner or authorized agent 11) > 50 HP absorp unit 1.75 mil BTU 31.50
of the owner, that plans submitted are in compliance with State Air handling unit to
laws, that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
■
that the number given is correct (If exempt from State registration, Mr handlin9 unit
please give reason below.) 13) 10,000 CM + 7.50 _
Non portable
14) evaporate cooler 4.50
Vent fan connected
15) to a single dud 3.00
men 7ation system not
16) included in appliance permit 4.50
sue.. a / o.r Hood served by -
A // • SS
` 17) mechanical exhaust 4.50
•
new a•'iuon t:4 a teration • repair • Comme�ial or industrial
to be done residential Q non- : sidential 0 18) type incinerator 30.00
Existing use of Other i.e., woodstove, water
building or property Re... �T A 19) heater, solar, clothes dryers, etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00 Z
building or property SPr1■.A.. ,_._
21) More than 4-per outlet
Type of fuel - oil 0 natural gas% LPG Q electric Q
NOTICE
Minimum Fee $25.00 SUBTOTAL —
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR '
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL 7
AFTER WORK IS COMMENCED.
• .......—
TOTAL 3 9
T
Special Conditions
Date issued by
4.MEC"P"T
.wofd,comd•v
6/16/99 Activities for Case #: MEC95 -00043
2:06:12 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECC799 Final Inspection 9/29/95 GS N/R GES 9/29/95
MECC060 (F) Issue permit 3/1/95 KS 3/1/95
MECC060 (F) Issue permit 3/3/95 f K AS PASS KS 3/3/95
MECC740 Duct Inspection 8/31/95 GS APP GES 8/31/95
MECC705 Gas Line Insp 9/11/95 GS " APP GES 9/12/95
MECC710 Mechanical Insp 9/25/95 GS DIS GES 9/25/95 ADD DRIP LEG AHEAD OF EA
APPLIANCE W /NEW PIPING
• DROP T -STATS TO 54" MAX
TO CONTROLS
MECC710 Mechanical Insp 9/25/95 GS HOOD GES 9/25/95 EXISTING HOOD, REQUIRED
TRIP TEST, APPROVED
MECC799 Final Inspection 12/5/95 GS DIS GES 12/5/95. REAR GUARD RAIL SPACING
PERMENTALY ATTACH
STREET #s URNAL SHIELD
ODOT APPROVAL
MECC800 Case Finaled 1/30/96 GS APP GES 1/30/96
MECC799 .Final Inspection 1/30/96 GS APP GES 1/30/96
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