Permit MECHANICAL
• CITY OF T IGA$ PERMIT
�'E RMIT # • MEC95 -0344
COMMUNITY DEVELOPMENT $ NT DATE ISSUED: i 0/ 1 1 /95
13125 SW Hell Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171
PARCEL: 281 10DC -00100
SITE ADDRESS...: 15570 SW PACIFIC HWY
SUBDIVISION • WILLOW BROOK FARM ZONING: C —G
BLOCK • • LOT •11
CLASS OF WORK..:NEW FLOOR FURN EVAP COQ ERS:12
TYPE OF USE :COM UNIT HEATERS..: VENT FANS...:
OCCUPANCY GRP :B2 VENTS W/O APPL: VENT SYSTEMS:
STORIES BOILERS /COMPRESSORS HOODS
FUEL TYPES 0 -3 HP DOMES. INCIN:
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: <= 10000 cfm: GAS OUTLETS.:
FURN ) =100K BTU: > 10000 cfm:
Remarks: 54,142 sq. ft. single story grocery store
Owner: FEES
STERLING DEVELOPMENT CORPORATION type amount by date recpt
LA JOLLA CORPORATE CENTER PRMT $ 64.00 JDA 10/11/95 95 -271567
3252 HOLIDAY COURT, SUITE 225 PLCK $ 16.00 JDA 10/11/95 95- 271567
LA JOLLA CA 92037 5PCT $ 3.20 JDA 10/11/95 95- 271567
Phone #: 619 - 546 -8841
Contractor:
CONTRACTOR NOT ON FILE
Phone #: 8 83.20 TOTAL
Reg #..
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 Cooling Unt 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.
Permittee Signature: )I1/(
Issued By:
Call for inspection — 639 -4175
City of Tigard MECHANICAL PERMIT . Planck/Rec. #4,5 715
131 SW Hall Blvd. PPLICATION / /Permit # Cga'
Tigard, OR 97223 .o a I' 4
g TN r i
(503) 639 -4171 �� �� q�4� o-i 8 (&p yi,.9
Name ol Ommlavmeat ^ Descnption -
4 F I N
/.— 14 ga ( Pvc .\ Table 3A Mechanical Code QTY PRICE AMT
Address
Job 5570 VII �acijk d w_j 1) Permit Fee -0- -0- 10.00
Address Gay/State
Ti r t 2) Supplemental Permit 3.00
Norm Ns (e. oe,e 7.1-_,,j( Furnace to 100,000 BTU
S 4 F Pw A' S - } - o r es .. 1) incl. ducts & vents 6.00
Mama °a° Furnace 100,000 BTU +
Owner C / (10 o(• • 2) incl. ducts & vents 7.50
GdylSlste r ' e Floor Fumance
' 3) incl. vent 6.00
Nerve ter name or am.aa.t Suspended heater, wall heater
S AFE wiy .�fOrrS -:� 4) or floor mounted heater 6.00
Memo Address / "'°"° Vent not incl. in
Occupant 7 - y#ro 5) appliance permit 3.00
CatpSt.le CAP Repair of heating, refng.
6) cooling, absorption unit 6.00
Nand tfr.S.y . act / Boiler or comp, heat pump, air cond.
o kko e•Q --J e v ,41 7) to 3 HP; absorp unit to 100K BTU 6.00
Meeeg Address Ph am Boiler or comp, heat pump, air cond.
C � t r ?,3 70 f i Pi. e Oof ,CS •
Get/Slate .q 8) 3-15 HP; absorp unit to 500K BTU 11.00
Boiler or comp, heat pump, air cond.
E f/ ( ,Q �� OcCe 97,72a.„.. 9) 15-30 HP; absorp unit .5-1 mil BTU 15.00
S late R trehen No. Boiler or comp, heat pump, air cond. • b Q 10) 30-50 HP; absorp unit 1 -1.75 mil BTU 22.50
I hereby acknowledge that I have read this ap cation, that the Boiler or comp, heat pump, air cond.
information given is correct, that I am the owner o 'a.' 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
Non portable
14) evaporate cooler /2.-__ 4.50 54,cs
Vent fan connected
15) to a single duct 3.00
Ventilation system not
/ . . 0 0 r • . L PCI- Z -5f - C 16) included in appliance permit 4.50
arcorature {goner or a Dace Hood served by
17) mechanical exhaust 4.50
Describe work new addition O 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 h1 ilk < <e_T • 19) heater, solar, clothes dryers, etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property /77 fZ K
21) More than 4 -per outlet (each) 2.00
Type of fuel - oil 0 natural gas Q LPG 0 electric 0
NOTICE �� r O p
Minimum Fee 325.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 0 AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR '� r o0
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL
AFTER WORK IS COMMENCED.
TOTAL $3, 20
Special Conditions
Date issued 10 I I ' s by
:i:lLOOI MDSTSIMECHPMT
1/21/00 Activities for Case #: MEC95 -00344
4:28:03 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECC799 Final Inspection 2/4/96 TLP PASS TLP 4/2/96
MECC720 Cooling Unt Insp 10/10/95 2/4/96 TLP PASS TLP 4/2/96
MECC710 Mechanical Insp 10/10/95 2/14/96 TLP PASS TLP 4/2/96
MECC755 Misc. Inspection 10/10/95 10/20/95 TLP PASS TLP 10/20/95 refrigeration lines
MECC060 (F) Issue permit 10/11/95 JDA PASS JDA 10/11/95
MECC705 Gas Line Insp 2/8/96 2/7/96 TLP PASS TLP 2/8/96 branch line only
MECC705 Gas Line Insp 2/8/96 TLP FAIL TLP 2/12/96 no pressure
MECC705 Gas Line Insp 2/15/96 2/14/96 TLP PASS TLP 2/15/96
MECC800 Case Finaled 4/2/96 TLP PASS TLP 4/2/96 •
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