Permit i ' CITY OF- TIGARD MECHANICAL PERMIT
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4 'l DEVELOPMENT SERVICES " PERMIT #: MEC2000 -00359
�" ` �' I 13125 SW Ha Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/6/00
PARCEL: 1S136CD-00100
SITE ADDRESS: 11705 SW PACIFIC HWY ""'
SUBDIVISION: ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
ELE 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
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FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Installation of additional a/c unit and associated duct work.
Owner: FEES
PACIFIC CROSSROADS PROPERTIES, Type By Date Amount Receipt
BY WYSE INVESTMENT SERVICES CO 5PCT CTR 9/6/00 $5.80 2720000000
200 SW MARKET ST STE 345 PRMT CTR 9/6/00 $72.50 2720000000
PORTLAND, OR 97201
Total $78.30
Phone:
Contractor:
WESCOLD INC
DBA WESTERN ENGINEERS
2112 SE 8TH AVE REQUIRED INSPECTIONS
PORTLAND, OR 97214 Mechanical lnsp
Phone: 235 -3193 Final Inspection
Reg #: LIC 63317
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This permit is issued subject to the regulations contained in the 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 more than 180 days. ATTENTION Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080.
You m c o pi e ai: s
obtain s of te rules or direct questions to OUNC by calling (503)246 -9189.
Issue y: `1-/ I ' Liy,A., Permittee Signature: A * a\L A �-�-
Call (503 .39-4175 by 7:00 P.M. for inspections needed the next business day
Plan C CITY OF TIGARD Mechanical P ermit Application Reed L A X
13125 'SW HALL BLVD. Commercial and Residential Date Rec'd '61o0
TIGARD, OR 97223 _ „ Date to P.E.
(503) 639 -4171, x304 Print or Type Date to DST ---
Incomplete or illegible applications will not be accepted Permit# H - al
Called 357
Name of Development/Project Description
La PL Table 1A Mechanical Code Qty Price Total
Job Street Address j a ' " � Suite #
Address rt 1) Furnace to 100,000 BTU
^� including ducts & vents 14.00
"� � u: rA[ LFrG W� 2 ) Furnace 100,000 BTU+
Bldg# City /State Zip including ducts & vents 17.40
T ; a,-4 OK i 3) Floor Furnace
Name (or name of business) including vent 14.00
Vl,S )-• e , n "F v;ceir 4) Suspended heater, wall heater
Owner (011Su
or floor mounted heater 14.00
Mailing Address v,
2-0 0 Sw? t ' i BALL* 5) Vent not included in appliance permit 6.80
City /State Zip Phone
PO f -13,nd O s2. P i 6) Repair units 12.15
Check all that apply: *Boiler Heat Air
Name (or name of business) For items 7 -10, see or Pump Cond Qty Price Total
- footnotes 1,2 Comp- - **
Occupant Mailing Address 7) <3HP; absorb unit to yk‘ -
100K BTU I 14.00
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City /State Zip Phone 8) 3 -15 HP; absorb unit
100k to 500k BTU 25.60
Contractor Name uL) .tOI.O /N u) 15-30 -1 mi l absorb
unit .5 -1 mil BTU 35.00
4 S Y11 r1Q I y1+;.P.T`S 10) 30 -50 HP; absorb
Prior to permit Mailing Address v unit 1 1.75 mil BTU 52.20
issues ce, a 2t I . se 341 h pYe, 11) >50HP; absorb unit >1.75 mil BTU 87.20
-
pY
of all licenses City /State Zip Phone �b 12) Air handling unit to 10,000 CFM
are required if 'Q r(-1 O1 ct /ziirccE 1 3 5' 3f 3 10.00
expired in COT Oregon Const. Cont. Board Lic.# Exp Date i 13) Air handling unit 10,000 CFM+
database 0 C 3 3 17 317-810-2, 17.20
Architect Name 14) Non - portable evaporate cooler
10.00
Or Mailing Address 15) Vent fan connected to a single duct
6.80
16) Ventilation system not included in
Engineer City /State Zip Phone appliance permit • 10.00
17) Hood served by mechanical exhaust
Describe work to be done: 10.00
18) Domestic incinerators
New it Repair 0 Replace with like kind: Yes 0 No 0 17.40
Residential 0 Commercial A Modification O 19) Commercial or industrial type incinerator
Additional information or description of work: 69.95
20) Other units, including wood stoves
10.00
NOTE: For Commercial projects only; Units over 400 lbs., located on the 21) Gas piping one to four outlets
roof, require structural calcs. prepared by licensed engineer. 5.40
Type of fuel: oil 0 natural gas 0 LPG 0 electric 22) More than 4 -per outlet (each) 7,
1.00
Minimum Permit Fee3,50s0'( SUBTOTAL .'i ° ` °.i: : !,, =• 7 � ...5-0
I hereby acknowledge that I have read this application, that the Vie` ' "' x'°'
information given is correct, that I am the owner or authorized agent of 8% SURCHARGE liMaM 5, SCE
the owner, that plans submitted are in compliance with Oregon State PLAN REVIEW 25% OF SUBTOTAL 'R \Ts,
Ni, laws. Required for ALL commercial permits only "-)
TOTAL k a, .'`' C�
Signatu of Owner gent Date ,:x °.a /ai�
1 �
20 � Other Inspections and Fees:
• c 9 1. Inspections outside of normal business hours (minimum charge -two hours)
Contact Person Name Phone $72.50 per hour
2. Inspections for which no fee is specifically indicated (minimum charge -half hour)
$72.50 per hour
Footnotes for commercial projects only: 3. Additional plan review required by changes, additions or revisions to plans (minimum
1. Provide full schematic of existing and proposed gas line and pressure. charge- one -half hour) $72.50 per hour
2. Provide drawings to scale showing existing and proposed mechanical *State Contractor Boiler Certification required
* *Residential A/C requires site plan showing placement of unit
units.
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