Permit CITY OF T MECHAN I CAL
PERMIT
^�� DEVE SERVICES DA ISSUED: SSUED : O8 • MEC98 -0335 /98
PARCEL: 1S135DD -03301
SITE ADDRESS...: 11945 SW PACIFIC HWY ; #228
SUBDIVISION • HOFFARBER TRACTS NO.1 ZONING: C —G
BLOCK • LOT •002 JURISDICTION: TIG
CLASS OF WORK..:ALT FLOOR FURN : 0 EVAP COOLERS: 0
TYPE OF USE °COM UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:B VENTS W/0 APPL: 0 VENT SYSTEMS: 0
STORIES • 1 BOILERS /COMPRESSORS HOODS • 0
FUEL TYPES 0 -3 HP • 1 DOMES. INCIN: 0
:GAS 3 -15 HP • 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15 -30 HP • 0 REPAIR UNITS: 0
FIRE DAMPERS ?..: N 30 -50 HP • 0 WOODSTOVES..: 0
GAS PRESSURE...: M 50+ HP • 0 CLO DRYERS..: 0
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.: 0
FURN < 10OK BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Remarks : Replace existing A/C unit.
Owner: FEES
TIGARD PROPERTIES type amount by date recpt
2106 SE OCHOCO ST PRMT $ 25.00 JSD 08 /28/98 98- 308669
MILWAUKIE OR 97222 PLCK $ 6.25 JSD 08/28/98 98- 308669
SPCT $ 1.25 JSD 08/28/98 98- 308669
Phone #:
Contract or:
ROTH HEATING
ROTH ZACHERY HEATING INC
PO BOX 1265 $ 32.50 TOTAL
CANBY DR 97013
Phone #: 503 - 266 -1249
Reg #..: 000140
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 -0010 through OAR 952- 001-0080. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
Issue By: /'! • Permittee Signature: ,- ,,, /AWN411
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + ++ + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Plan Check # ( A✓u
CITY OF TIGARD Mechanical Permit Application Recd By
,13125 SW HALL BLVD. Commercial and Residen - , Date Redd //- QK
TIGARD, OR 97223 e+ Date to P.E. P / 9P
(503) 639 -4171, x304 l , , ! 1 (f Date to DST NV 9 1 - .)1 F
Print or Type ,1 Permit # /`1EC9F�a 33$
1 Incomp or illegible applications will not be accepted
�
Name of f j��P� C r - S Description
Table A Mechanical Code Price Amt
Job Street ^dares'
- i�/O�� A) Permit Fee 10.00
Address I11 Q�C1f N�'y 2-2-<4 1) Furnace id � Bents 6.00
BIdgA CKylState 2) Furnace 100,000 BTU+
►ci f. 0- 1 a . 9/721 including ducts & vents . 7.50
Name (or name of business) 3) Floor Furnace
.. Owner 'l �Qlo PLA2p J� 11.1. O{ Pia Including vent -
4) Suspeneeater, waeae 6.00
dd hll htr
Mere Address or floor mounted heater 6.00
2106 se Ocjq oCo sr . 5) Vent not included in appliance permit
City/State ZIP Phone 3.00
tAII.V4AV litti, OR • `17Z 6S4 -l13 6 CHECK ALL 'Boiler Heat Air
Name (or name of business) THAT APPLY: or Pump Cond Qty Price Amt
Comp
,SCAT Q) . 3aN CN \'----, It.uf et- c.d S 6) <3HP;absorb unit to
Occupant " Address At 100K BTU 6.00
1 \ ,v, �hc,1 l \ c 1 k`,y ZZ% 7) 3-15 HP;absorb unit
City/State ZIp Phone 100k to 500k BTU 11.00
T G /4� . C , 7 2 8) 15-30 HP; absorb
unit .5-1 mil BTU 15.00
Contractor m8 S H G 9) 30-50 HP; absorb
unit 1 -1.75 mil BTU 22.50
Prior to permit O Mamng Address 10) >50HP; absorb unit
issuance, a copy - [.O. )C»( 17h_5 >1.75 mil BTU 37.50
of all licenses CMS Zip Phone • 11) Air handling unit to 10,000 CFM
are required if (AN (23\1,612. G 1 O 13 2-6(..- fl 4q - 4.50
expired in COT Oregon Cast. Cont. Board Lici D 12) Air handling unit 10,000 CFM+
database 1 A►o O$ 7i77 7.50
Architect NaAe 13) Non - portable evaporate cooler
4.50
A d dress 14) Vent fan connected to a single duct
or 3.00
15) Ventilation system not included in
Engineer csy/Smte 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 isi No O 7.50
Residential 0 Commercial, 18) Commercial or industrial type incinerator
30.00
Additional information or description of work: 19) Repair units
.12. 4" g .Acif U)c iV 1P Airs. 6oND1floNlf'Q_ 20) Wood stove 4.50
\r4 rilA 4 101 • 4.50
21) Clothes dryer, etc.
4.50
Type of fuel: otl 0 natural gas . LPG 0 electric 0 22) Other units
4.50
I hereby acknowledge that I have read this application, that the infonnaton 23) Gas piping one to four outlets -
given is correct, that I am the owner or authorized agent of ` 200
the owner, that plans submitted are in compliance with Oregon State laws. 24) More than 4 -per outlet (each)
.50
B SI re of Owne 0 , Date n �
�j Minimum Permit Fee 525.00 SUBTOTAL !�
I / -9 " 5% SURCHARGE 1 49$ y
ortact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL
�' Required for ALL commercial permits only _
G at- (.6 0) &int, zlag S'i) TOTAL
*State Contractor Boiler Certification required
"Residential NC requires site plan showing placement of unit
De -r16-41,;;110- , (-/-alf/JA . am pae.� PAC r /` e-R(
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Page No. 1 CASE HISTORY FOR CASE NO.: MEC98 -0335
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FIREPLACES .& MORE
11945 SW PACIFIC HWY Unit: 228
11/18/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
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•
-- -- - -- -- - - - - -- ---
MECC007 Application received / / / / 08/11/98 RECD GEO 08/11/98 DLH
MECC008 Permit created / / / / 08/11/98 DONE DLH 08/11/98 DLH
MECCOII Routed to Plans Examiner / / / / 08/11/98 SENT DLH 08/11/98 DLH
MECC014 Plan checked /Approved by P.E. / / / / 08/25/98 APPR RDP 08/25/98 RDP
MECC015 Reviewed Plans Routed to DSTS / / / / 08/26/98 APPR JHF 08/26/98 JHF
MECCO50 (F) Ready to issue / / / / 08/27/98 PASS GEO 08/27/98 GEO
MECC090 (F) Issue permit / / / / 08/28/98 PASS JSD 08/28/98 DST
MECC706 Mechanical Insp 08/25/98 / / 09/02/98 ELC98 -0502 needs to be signed off. No FAIL RB 09/03/98 RB
inspection made this date.
MECC706 Mechanical Insp / / / / 09/04/98 PASS RB 09/04/98 RB
MECC799 Final Inspection / / / / 09/04/98 - PASS RB 09/04/98 RB
MECC800 Case Finaled / / / / 10/08/98 10/08/98 JT
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