Permit CITY OF TIGARD MECHANICAL
�4,.�, ,r . DEVELOPMENT SERVICES PERMIT
- �-t+� �J 1 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PERMIT # MEC98- 0040
DATE ISSUED: 02/05/98
PARCEL: 2S1O2AA -00602
SITE ADDRESS...: 11960 SW PACIFIC HWY
SUBDIVISION • TIGARD HIGHWAY TRACTS ZONING: CBD
BLOCK • LOT -010 JURISDICTION: TIG
CLASS OF WORK..:ALT FLOOR FURN • 0 EVAP COOLERS: 0
TYPE OF USE •COM UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:M VENTS W/0 APPL:1O VENT SYSTEMS: 1
STORIES • 0 BOILERS /COMPRESSORS HOODS • 0
FUEL TYPES 0 -3 HP • 0 DOMES. INCIN: 0
:GAS 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.: 7
FURN < 1O0K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 1
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Remarks: Mechanical TI
Owner: FEES
AMAN ENTERPRISES INC type amount by date recpt
PO BOX 230849 PRMT $ 78.00 B 02/05/98 98- 303072
TIGARD OR 97281 5PCT $ 3.90 B 02/05/98 98- 303072
Phone #:
Contractor:
OWNER
$ 81.90 TOTAL
Phone #:
Reg #..: 000000
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 Misc. Inspection
approved plans. This permit will expire if work is not started Final Inspection
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 ey e.MUS"uue--`-- Permittee Signature-_-_, ./
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Plan Check #
CITY OF TIGARD Mechanical Permit Application Recd By Z g $
13125 SW HALL BLVD. Commercial and Residential Date Recd
TIGARB, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST
Print or Type
`� Permit Z
t n
Called 0
Incomplete or illegible applications will not be accepted
N me of Development/Project rt, Description
�1 �. S IOC: . Table 1A Mechanical Code
QTY PRICE AMT
Job • Street Address Sunei A) Permit Fee -0 -0- 10.00
Address I I !C» O S > , o 1.410 (o
Bldg# cltyis a 1.) Furnace to 100,000 BTU 6.00
' (22 1 j including ducts & vents
. Name (or name of business) q 2.) Furnace 100,000 BTU+ 7.50
Owner A/.4 6� *6S t ft/(. including ducts & vents
in . ddr 1 ss 1 3.) Floor Furnace 6.00
�7 including vent
a I t a° trag0 (-y -� 4.) Suspended heater, wall heater 6.00
1 ` M ` me or floor mounted heater
�Q- Name (or n of business m � 5 143c-.: 5.) Vent not included in appliance permit t 9 3.00 DO
Occupant c ling Address" A O 6.) Boiler or comp, heat pump, air cond. 6.00 atel O. � 1J� !/ to 3 HP; absorb unit to 100K BUT
city/srat �,s,Zi Phone 7.) Boiler or comp, heat pump, air cond. 11.00
� � �"1 ` 62-c, ? 4' 3-15 HP; absorb unit to 500K BTU"
Contractor Name 8.) Boiler or comp, heat pump, air cond. 15.00
A4444 • jj 55 14-,4--. 15-30 HP; absorb unit.5 -1 mil BTU"
Prior to permit Mailing Address � � 9.) Boiler or comp, heat pump, air cond. 22.50
issuance, a copy a. +i�C 23064/ 30-50 HP; absorb unit 1- 1.75mi1 BTU"
of all licenses Cny /State oone �' 10. Boiler or comp, heat pump, air cond. 37.50
are required if T('MV > 50 HP; absorb unit 1.75 mil BTU" •
expired in COT Oregon �; •Co Lic.# en Date 11.) Air handling unit to 10,000 CFM 4.50
database 3 tLit a
Architect Name 13.) Non - portable evaporate cooler 4.50
or Mailing Address 14.) Vent fan connected to a single dud 3.00
Engineer City /State Zip - Phone 15.) Ventilation system not included in 4.50 d �' r�
appliance permit
Describe work New 0 Addition 0 Alteration Repair 0 16.) Hood served by mechanical exhaust 4.50
to be done Residential 0 Non - residential$,
Additional Description of work: 17.) Domestic incinerators 7.50
!MVP l G7ttot.7k -
A ��.yy��,, ���d 18 Commercial or industrial type 30.00
ft ucost�� Incinerator
Existing use of 19.) Repair units 4.50
building or property
`'
20.) Wood stove 4.50
Proposed use of 146 SSsKre " 21.) Clothes dryer, etc. 4.50
building or property
22.) Other units t 4.50 '2 ,r
6.0- S iitif - ii? 9 J
Type of fuel - oil O natural gaspc LPG 0 electric 0 23.) Gas piping one to four outlets ' 2.00 z )1)
I hereby acknowledge that I have read this application, that the 24.) More than 4 -per outlets (each) .50
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with Oregon State QTY. SUBTOTAL
W9 / ' er /Agent Date 'SUBTOTAL B() i / , 'Z 5% SURCHARGE
Contact Person Name A - Phone PLAN REVIEW 25% OF SUBTOTAL
ta
k . Ap L ) c. Z,Q, �l �' TOTAL Q I _ j�
Pl
i:\mechpmt.doc (rev 9 `- " i ' 'Minimum permit fee is $25 + 5% surcharge u V
"Residential NC requires site plan showing placement of unit.
•
Page No. 1 CASE HISTORY FOR CASE NO.: MEC98 -0040
AMAN ENTERPRISES INC
11960 SW PACIFIC HWY
02/17/99
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MECC007 Application received / / / / 02/05/98 RECD B 02/05/98 BON
MECC008 Permit created / / / / 02/05/98 DONE B 02/05/98 BON
MECC090 (F) Issue permit / / / / 02/05/98 PASS B 02/05/98 DST
MECC705 Gas Line Inep 02/05/98 / / 02/27/98 This work was inspected with MEC97 -0342. PASS GS 02/27/98 J *H
All work approved.
MECC706 Mechanical Insp 02/05/98 / / 02/27/98 Approved by review. See MEC97 -0342. PASS GS 02/27/98 J *H
. MECC799 Final Inspection 02/27/98 / / 02/24/98 PASS TLP 02/27/98 J *H
MECC800 Case Finaled / / / / 02/24/98 Approved with final BUP97 -0388. PASS TLP 02/27/98 J *H