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Permit CITY OFTIGARD MECHAN I CAL ��7 .:t DEVELOPMENT SERVICES PERMIT � � MEC98 -0503 P• I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PERMIT I T # 171 DATE ISSUED: 11/ 06 / 98 PARCEL: 19136CA -01800 SITE ADDRESS...: 11643 SW PACIFIC HWY #B SUBDIVISION ZONING: C —G BLOCK • LOT • JURISDICTION: TIG CLASS OF WORK..:ALT FLOOR FURN • 0 EVAP COOLERS: 0 TYPE OF USE •COM UNIT HEATERS..: 2 VENT FANS...: 0 OCCUPANCY GRP..:H2 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 < 1O0K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0 FURN > =1O0K BTU: 0 > 10000 cfm: 0 Remarks: Install two (2) suspended heater, wall heater or floor mounted heaters. Owner: FEES MILNE CONSTRUCTION type amount by date recpt PO BOX 2740 PRMT $ 25.00 GEO 11/06/98 98- 310633 PORTLAND OR 97208 5PCT $ 1.25 GEO 11/06/98 98- 310633 Phone #: Contract or: HEATING SPECIALIST INC, THE 9300 NE HALSEY $ 26.25 TOTAL PORTLAND OR 97220 Phone #: 257 -7000 Reg #..: 000566 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 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 - 001-0810 through OAR 952-001 -0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -9187. i Issue By: 4,7/6„;,,,c' �1% Permittee Signat ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for inspections needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Plan Check # CITY OF TIGARD Mechanical Permit Application Rec'd By 13125 SW HALL BLVD. 2 - mmercial and Residential Date Rec'd TIGARD, OR 97223 Date to P.E. (503) 639 -4171, x304 NCI] 6 1998 Date to DST n ^�n,i "� Print or Type Permit# MRS ?� Q5d3 CT..�.. Y ^EVE! OPf. EN Called Incomplete or illegible applications will not be accepted Name of Development/Project Description 'A- tM A-u._ TV bd 6.4. Table 1A Mechanical Code Qty Price Amt Job Street Address 1.44,1 h ,,, Suite# A) Permit Fee 10.00 Address 1 I to 4'S ¶ -) I?ae-19 (3 +-C- 1) Furnace to 100,000 BTU including ducts & vents 6.00 Bldg# City /State Zip 2) Furnace 100,000 BTU+ including ducts & vents 7.50 . Name (or name of business) 3) Floor Furnace Owner - (>1 i l n e_ Cdv1 S'12.-c c- I 46- -i, -,,n including vent 6.00 Mailing Address 4) Suspended heater, wall heater or floor mounted heater 'L 6.00 1 300 PD 6 °c, .2._7 `f D 5) Vent not included in appliance permit City /State Zip Phone 3.00 ( 8/2 -7Z.- � - r 1 E l C l " 1 2 . d i C , ,a-qg 3 CHECK ALL *Boiler Heat Air Name (or name of business) THAT APPLY: or Pump Cond Qty Price Amt ,-4-{Y) Y Tb `loo Comp .. /�'� ` `t`'1 6 ) <3H P;absorb unit to Occupant Mailing Address 100K BTU 6.00 7) 3-15 HP;absorb unit City /State Zip Phone 100k to 500k BTU 11.00 8) 15 -30 HP; absorb . Contractor Name unit .5 -1 mil BTU 15.00 9) 30 -50 HP; absorb 'D'tt 144101 +'Ici Sne s i unit 1 -1.75 mil BTU 22.50 Prior to permit Mailing Address 10) >50HP; absorb unit issuance, a copy a l 3 ©a f J @ ( ' . 1 e 9 >1.75 mil BTU 37.50 of all licenses /Sta Zip Phone 11) Air handling unit to 10,000 CFM are required if `1-" n e t 1 x- 1 - a5•1- 4.50 expired in COT Oregon Const. Cont. Board Lic.# Exp. Date 12) Air handling unit 10,000 CFM+ C 0 2 database 5 , ( 8 S i I t‘ 95 7.50 Architect Name 13) Non - portable evaporate cooler 4.50 or Mailing Address 14) Vent fan connected to a single duct 3.00 15) Ventilation system not included in Engineer City/State Zip Phone appliance permit 4.50 16) Hood served by mechanical exhaust Describe work to be done: • 4.50 17) Domestic incinerators New 0 Repair 0 Replace with like kind: Yes qi. No 0 7.50 Residential 0 Commercial oX 18) Commercial or industrial type incinerator 30.00 Additional information or description of work: 19) Repair units trt_t� .Q. -a-1. t-,- Cori i��r - t 4.50 -- -- -- - -- - - -- 20) Wood stove ' No P- /K-Q--Q c ci tJ i c, b P. 4.50 - -- -- -- - 1 - - -- 21) Clothes dryer, etc. 4.50 Type of fuel: oil 0 natural gas X LPG 0 electric O 22) Other units 4.50 I hereby acknowledge that I have read this application, that the information 23) Gas piping one to four outlets given is correct, that I am the owner or authorized agent of 2.00 the owner, that plans submitted are in compliance with Oregon State laws. 24) More than 4 -per outlet (each) .50 Signature of Owner /Agent Date ' Minimum Permit Fee $25.00 SUBTOTAL 6 • PP 5% SURCHARGE ),.a..5 Contact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL , Required for ALL commercial permits only . _ •.,. FitStu& a? Si, -7aw TOTAL .2to.zS *State Contractor Boiler Certification required "Residential NC requires site plan showing placement of unit I:\mechperm.doc rev 07/20/98 CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 / / /4 J "D7/9 Date Requested //�/1� AM ` ` / PM BLD Location //l 5(3 S0 A/e% -- / Suite id C ?"--G1.5" _ aik_04 . 4.6 J Contact Person Ph Contractor 47 b � . Ph ,2.5 2 S7 ZOO SWR BUILDING Tenant/Owner At ( 0 ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: �/ Slab SIT Post & Beam i Ext Sheath /Shear Li//1 k�:� o-� Pr Int Sheath/Shear 1 li t Framing 0 Insulation o Drywall Nailing LA .--T.,/"\ 77 S��o —'C , Firewall �. Fire Sprinkler _�� -� Fire Alarm o A Susp'd Ceiling — C' " � Roof II Misc: Misc: .4' -ejs--c4‘ . Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service 6) V - Co Sanitary Sewer Rain Drains 2- . C S r j‘ a 4--- �/� Final PASS FAIL ■r■ -\----- 9 S AS -44. j �EC ANIC _AIM ' Post & Beam `�` ' r^l 1\ Rough In - _- = t .,r V - Q.--<"/1 kn 1 --CI ) Gas Line t �� Su.:, : Dampers ina O P PART FAIL TRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk -7 7 Other Date / Inspector �� Ext3 Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.