Permit MECHANICAL
PERMIT
- OW OF T I GARD DATE 0.4/18/96 -0103
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171 PARCEL: 151 36CA -01800
SITE ADDRESS...: 11643 SW PACIFIC HWY
SUBDIVISION • ZONING: C —G
BLOCK • LOT •
CLASS OF WORK..:ALT FLOOR FURN • 0 EVAP COOLERS: 0
TYPE OF USE •COM UNIT HEATERS..: 2 VENT FANS...: 0
OCCUPANCY GRP..:B2 VENTS W/0 APPL: 0 VENT SYSTEMS: 0
STORIES • 0 BOILERS /COMPRESSORS HOODS 0
FUEL TYPES - -- 0 -3 HP • 0 DOMES. INCIN: 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 ) =100K BTU: 0 ) 10000 cfm: 0
Remarks: Replacing existing unit heaters.
Owner: FEES
MILNE CONSTRUCTION type amount by date recpt
1312 SW 16TH AVE PRMT $ 22.00 CJS 04/18/96 96- 278362
5PCT $ 1.10 CJS 04/18/96 96- 278362
PORTLAND OR
Phone #:
Contractor:
HEATING SPECIALIST INC, THE
9300 NE HALSEY
PORTLAND OR 97220
Phone #: 257 -7000 $ 23.10 TOTAL
Reg #..: 056628
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Heating Lint Ins p
applicable laws. All work will be done in accordance with Final Inspection
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.
Permittee Signature: Mai/eel
Issued By: Char lej .�rJi
Call for inspection — 639 -4175
City of MECHANICAL PERMIT Planck/Rec. # 9h ol 7� 36 2
13125 SW Hall Blvd. AP I CAT1 N Pe rm i t # is i ec 46" -0103
Tigard, OR 97223 I h
(503) 639 -4171
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N.m. ei ....„-+ Description
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- -
Table 3A Mechanical Code • QTY PRICE AMT
Maw•
Job 1 )co 4 3 -S Lc) PG 4.t0 / 1) Permit Fee -0- -0- 10.00
Address UW5(ate .
2) Supplemental Permit 3.00
Name to name elb Furnace to 100,000 BTU
rn i t rve__ C^ n S t v - u_ c Tt o rn 1) incl. ducts & vents 6.00
Maw Massa Phone Furnace 100,000 BTU..+ '
Mating
Owner .1 �► SLc) Jc�esse3-r-1 2) incl: ducts & vents 7.50
ctrtb Floor Fumance
Qp f 3 b 9 '7 2.0 3) incl. gent 6.00
NaTe to name a tea) Suspended heater, wall heater
4) or floor mounted heater 2, 6.00 I 2cz7
Hawn Md Phone na Vent not incl. in ,
Occupant 5) appliance permit • 3.00
ca•state iv Repair of heating, refng.
6) cooling, absorption unit 6.00
"a^»
2 7 - '7 coo Boiler or comp, heat pump, air cond.
J 1 !4e0-- 'C - "n.t SPA c�C.L-f . z : . 7) to 3 HP; absorp unit to 100K BTU 6.00
Haig "loam Plum Boiler or comp, heat pump; air cond.
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Contractor 9 300 • N a (•1A - .a.1 9 -72 , ^ 8) 3-15 HP; absorp unit to 500K BTU 11.00
cit zv Boiler or comp, heat pump, air cond. .
p 1- 4,..) a " 9) 15-30 HP; absorp unit .5-1 mil BTU 15.00
state Zepavatnn No. Qty 2.4.. T° No. Boiler or comp, heat pump, air cond.
■_h Co . 1 31 v 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 11) > 50 HP; absorp unit 1.75 mil BTU 37.50
agent of the owner, that plans submitted are in compliance with Air handling 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 + 7.50
Non portable
h , ,�c_e . .�.cF c -- e - u�.- L2�.c.c -c-
14) evaporate cooler 4.50
Vent fan connected .
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�La_ cL -P-e_.-a/ 15) to a single duct 3.00
Ventilation system not
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-e--J __, 2/-1-2 _9 16) included in appliance permit 4.50
• 5911111.1. (n a agent) Date H ood served by .
17) mechanical exhaust 4.50
Descnbe work new C) addition U alteration U repair U Commercial or industrial .-
to be done residential 0 non - residential 0 18) type incinerator 30.00
Existing use of . Other i.e., woodstove, water - .
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building or property C'c„m., -i . bc:�,. \4.,.,r, 19) heater, solar, clothes dryers; etc. • 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property
21) More than 4 -per outlet
Type of fuel. - oil 0 natural gas 0 LPG 0 electric 0
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NOTICE .
• Minimum Fee 525.00 SUBTOTAL a S.c� •
. PERMITS BECOME VOID IF WORK OR CONSTRUCTION
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AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE 1.25
IF CONSTRUCTION OR WORK IS SUSPENDED OR -
• ABANDONED. FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL
AFTER WORK IS COMMENCED. - .. .
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• TOTAL 2!�
Special Conditions . •
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Date issued Cho. r /es Sej, n,; n(fby '/ 9 6
ke/MECNPMT - •
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' "wrdtcomaer • •
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing
PIbg.Und /FIr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other:
Date: S Z A.M. P.M. Entry:
Address: l 6 3
Tenant: Akifite. MST:
BUP:
Con /Own: /4 4- Al MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
Inspe tor: Date: � 7‘
APPROVED DISAPPROVED /CALL FOR REINSP. CF CO