Permit PICA-411
PERMIT
CITY OF T DATE I ISSUED: 08/29/96 -0079
COMMUNITY DEVELOPMENT DEPARTMENT
PARCEL: 2S1 10DB -00600
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 ((503 839 -4171
SITE ADDRESS...: 15,x48 SW PACIFIC HWY
SUBDIVISION • WILLOW BROOK FARM ZONING: C —G
BLOCK • LOT • 10
CLASS OF WORK..:NEW FLOOR FURN : 0 EVAP COOLERS: 0
TYPE OF USE •COM UNIT HEATERS..: 0 VENT FANS...: 6
OCCUPANCY GRP..:B2 VENTS W/O APPL: 0 VENT SYSTEMS: 0
STORIES • 2 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 ?..: Y 30 -50 HP • 0 WOODSTOVES..: 0
GAS PRESSURE...: 50+ HP : 0 CLO DRYERS..: 0
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.: 4
FURN < 100K BTU: 1 <= 10000 cfm: 0 GAS OUTLETS.: 1
FURN ) =100K BTU: 2 ) 10000 cfm: 0
Remarks: 13,236 sq. ft. retail tire store
Owner: FEES
LES SCHWAB type amount by date recpt
PO BOX 667 PRMT $ 69.00 DST 08/29/96 96- 283412
PLCK $ 17.25 DST 08/29/96 96- 283412
PRINEVILLE OR 977554 5PCT $ 3.45 DST 08/29/96 96- 283412
Phone #: 503- 447 -4136
Contractor:
OWNER
Phone #: $ 89.70 TOTAL
Reg #...
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 Heat ing Unt Insp
applicable laws. All work will be done in accordance with Duct Inspection
approved plans. This permit will expire if work is not started Fire Damper Insp _ _
within 180 days of issuance, or if work is suspended for more Final Inspection
than 180 days.
Permittee Si natl_lre.
Issued By:
Call for inspection — 639 -4175
'City of Tigard MECHANICAL PERMIT Planck/Rec. # � -5 -/WG +
13125 SW Hall Blvd. I • PL CATION Permit # ( EC- Ile -0o71
Tigard, OR 97223 i ` t
(503) 639 -4171 ,'�, , -i' I ((,01 4�I V��O U^^"'
Name of Developmen crl tion �`
es '
P
I.■ _/ r •i !A , Table 3A Mechanical Code QTY PRICE AMT
—
•t. ass � 1^ ' � C / 7 ; ��
Job C%r • Y Y • .. o '1 Vvv1 ' 1) Permit Fee - 0- 10.00
Address /Ste a wd '
e 9 *y7'j
r n ame a ax ,ea ' • 2) Supplemental Permit 3.00
Furnace to 10,000 BTU
a a / i /ail,r la 1) incl. ducts & vents I 6.00 , 6 0
'a' g eMress °n "- Furnace 100,000 BTU +
Owner 411 (q-1) -qI , 2) incl. ducts & vents d. 7.50 1 S ,ao
/Slate ___ ��� nnn — Froor Furnance
7JJ'/. r� /y�f7'y�J/,I� /�/j�/ \) 3) incl. vent 6.00
' Name ollllrl osmes� Suspended heater, wall heater
4) or floor mounted heater 6.00
One Phone Vent not incl. in
Occupant 5) appliance permit 3.00
GrylStale 7✓P Repair ofheating, refrig.
6) cooling, absorption unit 6.00
Name Boiler or comp, heat pump, air cond.
l 7) to 3 HP; absorp unit to 100K BTU 6.00
Madmg /address Phone Boiler or comp, heat pump, air cond.
Contractor 1 8) 3 -15 HP; absorp unit to 500K BTU 11.00
City/Stale Zw Boiler or comp, heat pump, air cond.
9) 15-30 HP; absorp unit .5-1 mil BTU 15.00
Slate Regatratton No. CO Sus. Tax No. Boiler or comp, heat pump, air cond.
10) 30-50 HP; absorp unit 1 -1.75 mil BTU 22.50
I hereby acknowledge that l have rea.T this application, that the Boiler or comp, heat pump, air cond.
information given is correct, that I am the owner or authorized 11) > 50 HP; absorp unit 1.75 mil BTU 37.50
agent of the owner, that plans submitted are in compliance with Air handling unit to
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4.50
Board, that the number given is correct. (If exempt from State Air handling unit
registration, please give reason below.) 13) 10,000 CTM + 7.50
on Aorta e
14) evaporate cooler 4.50
Vent fan connected
15) to a single duct `0 3.00 1 %,
-- CIF - Mon atton system not
.- u `� Z���` d _ a —A. 16) included in appliance permit 4.50 I
ova: w e agent ate 00 serve by
17) mechanical exhaust 4.50
Describe work new me addition 0 alteration 0 repair 0 — Commercial or industrial
to be done residential 0 non - residential 0 18) type incinerator 30.00
Existing use of Other i.e., woodstove, water
building or property 19) heater, solar, clothes dryers, etc. L i ' 4.50 & I %
Proposed use of 20) Gas piping one to four outlets k 2.00 a .dc
building or property V' I '1-J
i 21) More than 4 -per outlet (each) 2.00
Type of fuel - oil Q natural gas 1 LPG Q electric Q —
NOTICE - � �
Minimum Fee $25.00 SUBTOTAL \A10
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE 3
IF CONSTRUCTION OR WORK IS SUSPENDED OR �[
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL i -
AFTER WORK IS COMMENCED.
TOTAL 31.00 , f
Special Conditions • Q
Date issued by
H:\LOGI MDSTSIMECHPM T
•
Page No. 1 CASE HISTORY FOR CASE NO.: MEC96 -0079
LES SCHWAB TIRE CENTERS INC
15348 SW PACIFIC HWY
09/17/97
Action Description Reg/ Schd/ End/ Action Notes Diep By Update Upd
Code Sent Done Done Date By
•
---- - -- -- - - ---- - --
MECC007 Application received / / / / 03/26/96 RECD JD 04/02/96 BON
MECC008 Permit created / / / / 04/02/96 PEND B 04/02/96 BON
MECC015 Routed to Plans Examiner / / / / 04/02/96 1p2a PEND B 04/25/96 DS
MECCO25 Reviewed Plans Routed to.DSTS / / / / 08/16/96 1p2a, plans reviewed 6/5/96, no response APPR DS 08/16/96 DS
till 8/5/96
MECCO28 DST Post- Review Completed / / / / 08/23/96 READY TO ISSUE WHEN SURVEY FOR'MIS HOLD JH 08/24/96 J•H
RECEIVED OR OK FROM ENGINEERING.
MECC080 (F) Ready to issue / / / / 08/24/96 SEE LOG NOTES ON BUP96 -0153 HOLD JMH 08/24/96 J*H
MECC090 (F) Issue permit / / / / 08/29/96 PASS JDA 08/29/96 - JDA
MECC705 Gas Line Inep 08/16/96 / / 02/28/97 tested as to press APP GS 02/28/97 GES
MECC715 Heating Unt Insp 08/16/96 / / 03/12/97 # -1- provide clearance at B vents DIS KS 03/13/97 KBS
suspended heaters, omega type.
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MECC799 Final Inspection / / / / 03/31/97 PASS TLP 03/31/97 TLP
MECC800 Case Finaled / / / / 03/31/97 PASS TLP 03/31/97 TLP
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