Permit MECHANICAL
PERMIT
CITY OF TIGARD
PERMIT # • MEC96—@272
COMMUNITY DEVELOPMENT DEPARTMENT
DATE ISSUED: 09/09/96
131oamw Hall Blvd. Tigard, Oregon 9722308199 (503) 839-4171
PARCEL: 2S110DC-00200
SITE ADDRESS...: 15660 SW PACIFIC HWY #4
SUBDIVISION - WILLOW BROOK FARM ZONING: C—G
BLOCK • LOT -11
CLASS OF WORK..:ALT FLOOR FURN • N EVAP COOLERS: 0
TYPE OF USE ^COM UNIT HEATERS..: 0 VENT FANS...: 2
OCCUPANCY GRP..:M VENTS W/O APPL: 2 VENT SYSTEMS: 0
STORIES • 0 BOILERS/COMPRESSORS HOODS • 1
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...: M 50+ HP • 0 CLO DRYERS.. : 0
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS. : 0
FURN < 100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN >=100K BTU: 0 > 10000 cfm: 0
Remarks: Tenant improvement
Owner: FEES
STERLING DEVELOPMENT CORP type amount by date recpt
LA JOLLA CORPORATE CENTER PRMT $ 26.50 JSD 09/09/96 96-283704
3252 HOLIDAY CT *225 PLCK $ 6.63 JSD 09/09/96 96-283704
LA JOLLA CA 92037 5PCT $ 1.33 JSD 09/09/96 96-283704
Phone *: 619-546-8841
Contractor: —
BEWLEY MECHANICAL
7721 SW CIRRUS DR
BEAVERTON OR 97005
Phone #: 626-8986 $ 34.46 TOTAL
Reg #..: 63582
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 Duct Inspection
applicable laws. All work will be done in accordance with Final Inspection
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.
Permittee Signature: 0 ^
I ssued — '
Call for inspection — 639-4175
mil) RE- %- is-1(. c)T3�%�
City of Tigard MECHANICAL PERMIT Planck/Rec. # C 57- I I -c
13125 SW Hall Blvd. APPLICATION Permit # Vi C. an,- b27Z
Tigard, OR 97223 C
(503) 639 -4171 1 N /
Name of Development Description l , /
15112610 ale. WV712 -AJ/9 DE
Table 3A Mechanical Code QTY PRICE AMT
D c a.)1 G� - Wee, y 1) Permit Fee -0- -0- 10.00
Address Gh/ . `l
r � - Ib �..lal" 9722/' 2) Supplemental Permit 3.00
Jo d f / Furnace 100,000 BTU
,V,n , " � � 1) incl. ducts s & vents 6.00
7� ` _ vi Furnace 100,000 BTU +
Owner h 5`t� , ��s,.� e vZ - `�7 2) incl. ducts & vents 7.50
a a' Floor Furnance '
/Stel
aAd4 ate- 9��', 3) incl. vent 6.00
Name lot name of business) f Suspended heater, wall heater
4) or floor mounted heater 6.00
Occupant
' Phone Vent not incl. in
5) appliance permit 3.00 b
Gh,llate Z4, Repair of heating, refrig.
6) cooling, absorption unit 6.00
Name �,,� Tf /J BM Boiler or comp, heat pump, air cond.
Q l U 11 p K Q�17 Gn ley � 7) to 3 HP; absorp unit to 100K B 6.00
unp Md,eu ` ` _ in
Boiler or comp, heat pump, air cond.
Contractor 772/ ,5k9 L��� d 4 2eO els& 8) 3 -15 HP; absorp unit to 500K BTU 11.00
/State 7,p
Boiler or comp, heat pump, air cond.
F l V" Slate Reyspeean No. /21. Gh a, ,., raa No 9) 15-30 HP; absorp unit .5 -1 mil BTU 15.00
&44 b.44.. Boiler or comp, heat pump, air cond.
'" ' �i(a .3 3' 7 10) 30 -50 HP; absorp unit 1 -1.75 mil BTU 22.50
I hereby acknowledge tat h ave read 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
Non portable
14) evaporate cooler 4.50
Vent fan connected
15) to a single duct 2- 3.00 G
Ventilation system not
16) included in appliance permit 4.50
""e (erne` or apentl-9 tom Hood served by �/
7 -72e) -� 17) mechanical exhaust C 4.50 y 5 /
escnbe work new 0 addition 0 alteration 0 repair (� Commercial or industrial
to be done residential 0 non - residential 0 18) type incinerator 30.00
Existing use of 1 Other i.e., woodstove, water
'
building or property 1 19) heater, solar, clothes dryers. etc. 4.50
Proposed use of i�Jfl FZ _A �� v 20) Gas piping one to four outlets 2.00
building or property 7 % J�jG /
21) More than 4 -per outlet (each) 2.00
Type of fuel - oil 0 natural gas 0- LPG 0 electric
NOTICE p
' Minimum Fee 525.00 SUBTOTAL . 2 G
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE /
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL I J-
AFTER WORK IS COMMENCED.
TOTAL 3 y Cl
Special Conditions
Date issued by
N:LLOGI NIDSTS\MECHPM T
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Page No. 1 CASE HISTORY FOR CASE NO.: MEC96 -0272
NOAH'S BAGELS
15660 SW PACIFIC HWY Unit: 4
09/17/97
Action Description Reg/ Salad/ End/ Action Notes Diap By Update Upd
Code Sent Done Done Date By
MECC007 Application received / / / / 07/30/96 RECD JD 08/08/96 BON
MECC008 Permit created / / / / 08/08/96 PEND B 08/08/96 BON
MECC015 Routed to Plans Examiner / / / /. 08/08/96 1p2a PEND B 08/14/96 DS
MECCO20 Plan checked /Approved by P.S. / / / / 09/04/96 DS 09/04/96 JHF
MECCO25 Reviewed Plans Routed to DSTS / / / / 09/04/96 APPR DS 09/04/96 JHF
MECC080 (F) Ready to issue / / / / 09/06/96 NOTIFIED BEWLEY, 1800, 09/09/96, ADVISED APPR JMH 09/06/96 J•H
THAT HE NEEDS
TO SIGN APPLICATION, PERMIT, PAY FEES
AND PROVIDE COPIES
OF BUS TAX OR METRO AND A RENEWED CCB.
MECC090 (F) Issue permit / / / / 09/09/96 PASS JSD 09/09/96 JD
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MECC710 Mechanical Insp 09/04/96 / / 09/11/96 PASS TLP 10/15/96 TLP
MECC740 Duct Inspection 09/04/96 / / 09/11/96 PASS TLP 10/15/96 TLP
MECC799 Final Inspection / / / / 10/14/96 PASS TLP 11/07/96 TLP
MECC800 Case Finaled / / / / 10/14/96 PASS TLP 11/12/96 TLP
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