Permit CITYOFTIGARD MECHANICAL
PERMIT
, COMMUNITY DEVELOPMENT DEPARTMENT PERMIT # • MEC96-0013
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171 DATE ISSUED: 02/05/96
= - —
PARCEL: �Si1`DA 00700
SITE ADDRESS...: 06650 SW REDWOOD LN #390
SUBDIVISION • ZONING:
BLOCK........... LOT •
CLASS OF WORK..:NEW FLOOR FURN • 0 EVAP COOLERS: 0
TYPE OF USE •COM UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:52 VENTS W/O APPL: 0 VENT SYSTEMS: 0
STORIES - 3 BOILERS /COMPRESSORS HOODS • 0
FUEL TYPES-- - - - ---- 0 - 3 HP • 1 DOMES. INCIN: 0
3 -15 H P : 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. : 0
FURN < 100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS. : 0
FURN } =100K BTU: 0 > 10000 cfm: 0
Remarks: Tenant improvement.
Owner : - - -• -- FEES - -- • -- PACTRUST type amount by date recpt
15350 SW SEQUOIA PKWY STE 300 PRMT $ 25.00 B 02/05/96 96 -- 275627
PLCK $ 6.25 B 02/05/96 96- 275627
PORTLAND OR 97224 5PCT $ 1.25 B 02/05/96 96- 275627
Phone #: 503 -624 -6300
Contractor: -- —•
CONTRACTOR NOT ON FILE
Phone #: $ 32.50 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 lint Insp
applicable laws. All work will be done in accordance with Duct Inspection
approved plans. This permit will expire if work is not started Misc. Inspection
within 180 days of issuance, or if work is suspended for more Final Inspection
than 180 days.
Permittee Signature: 7 ' /J� 1 .
Issued By: _ I IAd1Ly.eLr t
Call for inspection — 639 -4175
City of,Tigard
MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. / (t° ,< APPLICATION Permit # 2'' 94 - oil /)
Tigard, OR 97223 ' - e»(1 . �I
(503) 639 -4171 0 96 1
- Nam. of Davaio Descnption
' 7A-6 S V k t cif P y J Table 3A Mechanical Code QTY PRICE AMT
Job G G S"v ry gel. v u ice 1. 1) Permit Fee -0- -0- 10.00
Address Cd,„Stai.
/i ? '70 2) Supplemental Permit 3.00
Name for name of buenew) Furnace to 100,000 BTU
�` /fa ail c 1F i w ] It 1) incl. ducts & vents 6.00
a •a g ' i 0 . Furnace 100,000 BTU +
"`" Owner 2) incl. ducts & vents 7.50
CA '- Floor Fumance
3) incl. vent 6.00
Name ON name of b.,weSal Suspended heater, wall heater
Z? 7M 's C 67. _ , ` d... _ tee 4) or floor mounted heater 6.00
?., u� Vent not incl. in
Occupant 5) appliance permit 3.00
C* zi3 Repair of heating, refng.
6) cooling, absorption unit 6.00
Boiler or comp, heat pump, air cond.
Yp4.N� - 7) to 3 HP; absorp unit to 100K BTU ( 6.00 6
.\ddreea 4 Alone Boiler or comp, heat pump, air cond.
Contractor '' 8) 3-15 HP; absorp unit to 500K BTU 11.00
'y "ta1e zv Boiler or comp, heat pump, air cond.
9) 15 -30 HP; absorp unit .5-1 mil BTU 15.00
State Regatrauen No. CTy &n. 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 I have 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 3.00
Ventilation system not
16) included in appliance permit 4.50
aagnature .owner or agent. vote Hood served by
17) mechanical exhaust 4.50
Describe work new 0 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. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property
Type of fuel -oil natural gas 21) More than 4 -per outlet (each) 2.00
YP 0 g 0 LPG Q electric Q
NOTICE
Minimum Fee 525.00 SUBTOTAL V
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE / 2 S.
IF CONSTRUCTION OR WORK IS SUSPENDED OR ��,
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL
AFTER WORK IS COMMENCED. ./ i
TOTAL
Special Conditions
3 L ✓'/
Date issued by t / /��
H: \LOG I MOSTS\M ECHPMT
05/26/2000 Activities for Case #: MEC96 -00013
1:22:58 PM -
•
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECC007 Application received 12/29/1995 N/A PASS JD 01/24/1996 This permit was created by Jim
Funk due to a building permit
which was submitted on
12/29/95. Although the
applicant did not indicate a
mechanical permit was needed,
Jim Funk created one as it
appears one is needed. jsd
MECC008 Permit created 01/19/1996 JHF PASS JD 01/24/1996
MECCO20 Plan checked /Approved by P.E. 01/19/1996 JHF APPR JHF 01/19/1996
MECCO25 Reviewed Plans Routed to DSTS 01/19/1996 JHF PASS JD 01/24/1996
MECCO28 DST Post - Review Completed 01/24/1996 JSD PASS JD 01/24/1996
MECC799 Final Inspection 03/08/1996 TLP PASS TLP 03/11/1996 •
MECC080 (F) Ready to issue 01/24/1996 JSD PASS JD 01/24/1996 This permit was returned to Jim
Funk along with BUP96 -0002
on 01/24/96. While this permit
• is "ready ", BUP96 -0002 was
forwarded up to the DSTs
without some significant work
being completed by Jim F. '
When BUP96 -0002 comes
• back to us and is made ready,
this permit may be issued.
ALSO... need CCB info!!!
MECC090 (F) Issue permit 02/05/1996 B • PASS B 02/05/1996
•
MECC800 Case Finaled 03/11/1996 TLP PASS TLP 03/11/1996
•
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