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Permit CITY OF TIGARD ME AL PERMIT ' " DEVELOPMENT SERVICES DATE ISSUED: Og/28 I MEC98-0334 PARCEL: 1S135DD -03301 SITE ADDRESS...: 11945 SW PACIFIC HWY #232 SUBDIVISION • HDFFARBER 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 < 1O0K BTU: 0 (= 10000 cfm: 0 GAS OUTLETS.: 1 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 #: Contractor: ROTH HEATING ROTH ZACHERY HEATING INC PO BOX 1265 $ 32.50 TOTAL CANBY OR 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: G �� Permittee Signature: / ' 4�� ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for inspections needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ c ar - a - Plan Check CITX OF TIGARD Mechanical Permit Application Recd By1_ • 13125 SW HALE:. BLVD. Commercial and Residen •a Date Recd / / TIGARD, OR 97223 4 Ot Date to P.E. // e (503) 639 -4171, x304 4 \ Date to DST /u / c •71) ��,,,�/ \\1•\ Print or Type �I Permit # /t 9F O33 y /a"'" )1 Incomplete or illegible applications will not be acce d -a ��� - Name of Deveiopme l9 ST,97- Description /n/fruRHNCE- Table 1A Mechanical Code Qty Price Amt • S treet Address suite*/ A) Permit Fee 10.00 Job 1) Fumace to 100,000 BTU Address 11045' Sv∎ hC1 Fl Cl1w y Z including ducts & vents 6.00 D/ eldrio 1 City/State 2) Furnace 100.000 BTU+ r l(3I.O -D) OZ.. C ITU4 including ducts & vents 7.50 Name (or name-of business) 3) Floor Furnace Owner 1-t tJa120 PiA2A ■1tsi . OPPl r including vent 6.00 - r�reiung Address 4) Suspended heater, wall heater 2106 0 tJL� or floor mounted heater 6.00 5) Vent not included in appliance permit ,,,, Ciy/State Zip Phone 3.00 4L-VIM )1c.1,ti, OR . c 17Z Z 6C4-113 (o CHECK APPLY: LY: 'Boiler Pump Cond Q ty Price Amt Name (or name of business) Comp /k1 -lam'}- Sr 6) <3HP;absorb unit to / / Occupant Mailing Address 100K BTU J 6.00 ( p 11 1 V'Ac fl C 1-‘4-1)/ Z• - 7) 3 HP;absorb unit City/State zip - Phone 100k to 500k BTU 11.00 T1 G fx U • ( _ 8) unit . 5-1 mi l absorb • • Contractor Name t unit .5 1 mil 9) 30-50 HP; absorb BTU 15.00 �r ik kifG unit 1 -1.75 mil BTU 22.50 Prior to permit Mailing Address • 10) >50HP; absorb unit • issuance, a copy -O. )C)( 12- .5 >1.75 mil BTU 37.50 of all licenses y� Zip Phone • 11) Air handling unit to 10,000 CFM are required if CAN 6y C) e- G7 O 13 Z-M - jL4q • 4.50 expired in COT � coma. Cont. Board LAS o 12) Air handling unit 10,000 CFM+ database t DLO ©$ If ri oo 7.50 Architect Name 13) Non - portable evaporate cooler 4.50 or Na iMg Adder 14) Vent fan connected to a single duct 3.00 15) Ventilation system not included in Engineer city/state rip 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 No 0 7.50 Residential 0 Commercial 18) Commercial or industrial type incinerator 30.00 Additional information or description of work: ried r 19) Repair units E X1571Nt. is / t)t�lL1 W tdif`U 4.50 "MOO 20) Wood stove • 4.50 21) Clothes dryer, etc. 4.50 Type of fuel: oil 0 natural gas LPG 0 electric 0 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 !� 0 the owner, that plans submitted are in compliance with Oregon State laws. 24) More than 4 -per outlet (each) .50 Signature of OwnerfAgent Date �� Minimum Permit Fee $25.00 SUBTOTAL • i Cp" C r(/ / tq g . __ _ 5% SURCHARGE Contact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL Required for ALL commercial permits only :_ _ (p' 61YR. UD,6a 7 -S ; TOTAL v 'State Contractor Boiler Certification required "Residential A/C requires site plan showing placement of unit VOI Page No. 1 CASE HISTORY FOR CASE NO.. MEC98 -0334 ALL STATE INSURANCE 11945 SW PACIFIC HWY Unit: 232 11/18/98 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By MECC007 Application received / / / / 08/11/98 RECD GEO 08/11/98 DLH MECC008 Permit created / / / / 08/11/98 DONE DLH 08/11/98 DLH MECC011 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 -0501 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 • • • • •