Permit MECHANICAL `'(�-
C11Y OFTIGARD PERMIT # PERMIT jw
• MEC94 -0108
COMMUNITY DEVELOPMENT DEWiRteAJJVT DATE ISSUED: 05/09/94
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171
PARCEL: 1S136CC -01001
SITE ADDRESS...: 11747 SW PACIFIC HWY
SUBDIVISION • ZONING:
BLO :K LOT •
CLASS OF WORK.. :ALT FLOOR FURN • EVAP COOLERS:
TYPE OF USE •COM UNIT HEATERS..: VENT FANS...:
OCCUPANCY GRP..:B2 VENTS W/O APPL:1 VENT SYSTEMS:
STORIES •1 BOILERS /COMPRESSORS HOODS
FUEL TYPES 0 -3 HP • DOMES. INCIN:
: /GAS/ / / 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..:
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.:
FURN < 100K BTU : 1 <= 10000 cfm: GAS OUTLETS. :1
FURN > =100K BTU: ) 10000 cfm:
Remarks: Rasmussen Chevron— replace oil furnace with a as furnace
Owner: FEES
CHEVRON USA, INC. type amount by date recpt
11747 SW PACIFIC HIGHWAY PRMT $ 25.00 — 04/28/94 94- 251845
PLCK $ 6.25 — 04/28/94 94- 251845
TIGARD OR 97223 5PCT $ 1.25 — 04/28/94 94- 251845
Phone #:
Contractor:
PORTLAND METRO —AIRE
10010 SW BEAVERTON HILLSDALE HWY
BEAVERTON OR 97005
Phone #: 626 -7818 $ 32.50 TOTAL
Reg #.. : 61219
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
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 Sig ature 77,
Issued By:
Call for inspection — 639 -4175
City_of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION \ ,% Permit # ii'lfC...gy -8
0)a
Tigard, OR 97223 Vt v (503) 639 -4171
Nano of w.aoo«n Description
:/ 1 / 7 y7 Ste• FO,e1 fi C- , Table 3A Mechanical Code QTY PRICE AMT
Job u 1) Permit Fee -0- -0- 10.00
Address Cn5taio
77 C q '72-z3 2) Supplemental Permit 3.00
NiTe (a ' * ° a ""'' Furnace to 100,000 Bl U
C kreA rail 1) incl. ducts & vents / 6.00 ‘, C)a
kw. Adore" PhOAe Furnace 100,000 B I U +
Owner 2) incl. ducts & vents 7.50
G1 zip Floor Fumance
3) incl. vent 6.00
Name io■ nano of tus..s, Suspended heater, wall heater
4) or floor mounted heater 6.00
M....a AOi... VII.* Vent not Incl. in
Occupant 5) appliance permit I 3.00 .. , 1)1)
CAWS we DP Repair of heating, retng.
6) cooling, absorption unit 6.00
Nano Boiler or comp, heat pump, air cond.
O� Port, rt, Mt+-1-79 )h-rz, 6 ;i k7glg 7) to 3 HP; absorp unit to 100K BTU 6.00
kwnp AThSA ,,'1 Pen^• Boiler or comp, heat pump, air cond.
Contractor icc 1G SW v - 141 I ` dstae 8) 3 -15 HP; absorp unit to 500K BTU 11.00
U1yS hU boiler or comp, heat pump, air cond.
B p v, o R / $ 1 1t -r 9) 15 -30 HP; absorp unit .5 -1 mil BTU . 15.00
aw. P.P.' c.,. B. T..ii66o Boiler or comp, heat pump, air cond.
to 1 Z 1 1 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 37.50
of the owner, that plans submitted are in compliance with State Air handling unit to
laws, that I am registered with the Construction Contractors Board, 12) 10,000 CFM 4.50
that the number given is correct. (If exempt from State registration, Air handling unit
please give reason below.) 13) 10,000 CTM + 7.50
Non portable
r/4 / G ' VP ∎a 14) evaporate cooler 4.50
U J Vent fan connected
- —e? 15) to a single duct 3.00
/ Ventilation system not
/ - I "C-cL — & rS. -$ `-t__, 16) included in appliance permit 4.50
9 • io..noe Of .Pont) °aa Hood served by
17) mechanical exhaust 4.50
Describe work new U addition U alteration 9 repair U Commercial or mdustnal
to be done residential 0 non - residential 0 18) type incinerator 30.00
Existing use of Other i.e., woodstove, water
building or property S 1 ems. t°\, 0? 19) heater, solar, clothes dryers, etc. 4.50
Proposed use of 20) Gas piping one to four outlets ) 2.00 2, ° °_�
building or property
Type of fuel - oil 0 natural gas ) LPG 0 electric 0 21) More than 4 -per outlet
NOTICE
Minimum Fee $25.00 SUBTOTAL Z46 -• PERMITS BECOME VOID IF WORK OR CONSTRUCTION -- - / 2S
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 b
AFTER WORK IS COMMENCED.
TOTAL 2.5
Special Conditions
Date issued by
k.1AECNP1dr
A 6 f , Yk t° .2 4 - 7 •
3 /7 /00 Activities for Case #: MEC94 -00108
3:47:32 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECC007 Application received 4/27/94 MAB 4/29/94
MECC010 Plan check by 5/9/94 MB APPR MAB 5/9/94
MECC799 Final Inspection 6/3/94 GS APP GES 6/3/94
MECC705 Gas Line Insp 4/29/94 5/11/94 GS N/P GES 5/11/94
MECC710 Mechanical Insp 4/29/94 5/11/94 GS DIS GES 5/11/94 PROTECTION FOR METER
30" MIN WORKING
CLEARANCE AND
PLATFORM ON FIREBOX
SIDE
MECC060 (F) Issue permit 5/9/94 MB PASS MAB 5/9/94
MECC705 Gas Line Insp 6/2/94 GS DIS GES 6/2/94
MECC710 Mechanical Insp 6/2/94 GS APP GES 6/2/94 REPLACEMENT FUR
CLEARANCES NOT
POSSIBLE
MECC800 Case Finaled 6/3/94 GS APP GES 6/3/94
MECC705 Gas Line Insp 6/3/94 GS APP GES 6/3/94
Page 1 of 1
FAX 5208733 PORT METRO AIRE P01
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INSPECTION'NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec- O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection:
Footing Plbg. Underslab Mech. Rough -in Appr /Sdwlk
Found. Plbg. Top Out 4111110P FINAL:
Post /Beam Struct. San. Sewer Framing -Bldg.
Post /Beam Mech. Rain Drain Insulation - Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mach.
Date Requested: J /�
!� y Time: AM PM
/
Address: // / / / P GF-G Pei 9 V-- 0/0e
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
VIN
G 3- `'i H g :5
Inspector: Date: - c P
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.