Permit C'WOFTIGARD MECHANICAL
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT
13125 SW Ha I Blvd. Tigard, Oregon 97223.8199 (503 639 -4171 PERMIT # • MEC9 3 -0327
639 - 171 DATE ISSUED: 11/18/93
PARCEL: 2S113AB -00300
SITE ADDRESS...: 16075 SW UPPER BOONES FERRY RD
SUBDIVISION FANNO CREEK ACRE TRACTS ZONING: I —P
BLOCK LOT °36
CLASS OF WORK.• :ADD FLOOR FURN EVAP COOLERS:
TYPE OF USE •COM UNIT HEATERS..: VENT FANS...:
OCCUPANCY GRP °• :B2 VENTS W/0 APPL: VENT SYSTEMS:
STORIES •1 BOILERS /COMPRESSORS HOODS
FUEL TYPES 0 -3 HP • DOMES. INCIN:
:/GAS/ / / 3 -15 HP° ... , : COMML. INCIN:
MAX INPUT: BTU 15 -30 HP REPAIR UNITS :1
FIRE DAMPERS?..: 30 -50 HP • WOODSTOVES..:
GAS PRESSURE...: 50+ HP CLO DRYERS..:
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.:
FURN < 100K BTU :1 <= 10000 cfm: GAS OUTLETS.:
FURN > =100K BTU: ) 10000 cfm:
Remarks: Northwest Landscaping— conference addition
Owner: FEES
NORTHWEST LANDSCAPING, INC. type amount by date recpt
16075 SW UPPER BOONES FERRY RD PRMT $ 25.00 JF 11/18/93 —
PLCK $ 6.25 JF 11/18/93 —
TIGARD OR 97224 5PCT $ 1.25 JF 11/18/93 —
Phone #: 684 -1450
Contractor:
CONTRACTOR NOT ON FILE
Phone #: $ 32.50 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 Mechanical Insp
applicable laws. All work will be done in accordance with Duct Inspection
approved plans. This permit will expire if work is not started Final Inspection
within 1:% of issuance, or if work is suspended for more
than 180 days.
Permittee Signature: Ta--- 614YJ`
Issued By:
Call for inspection — 639 -4175
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit # APP, 93 -33
Tigard, OR .47223
(503) 639 :4171
Non* "°ovo10PO1a't Descnpbon
Table 3A Mechanical Code OTY PRICE AMT
PolOroes
Job
Address
/101P- 5" Sio `Jr e "? c El i 1) Permit Fee -0- -0- 10.00
�(, v. � o
." )2 , 2) Supplemental Permit 3.00
°'" '� « Furnace to 100,000 BTU
1442114/065 r,) scrapho f, "°"• f f ,.) c., 1) incl. ducts & vents 1 6.00
� Furnace 100,000 B rU +
Owner dkvR 5w Upj26it- ayA6S 2) incl. ducts & vents 7.50
Floor Fumance
T (,+atn f� 60-• 3) incl. vent 6.00
Nom aouin«c) ` Suspended heater, walFheater
l'1. 4) or floor mounted heater A v S ) 6.00
Maim a" P101' Vent not incl. in �-�=—
Occupant
5) appliance permit 3.00
mo ay Repair of heating, refng.
6) cooling, absorption unit 6.00
"`"' Boiler or comp, heat pump, air cond.
s,6tt,, j,,XL�) (Dy✓l' �y d 7) to 3 HP absorp unit to 100K BTU 6.00
Hol "t 51J L P ' °" ' Boiler or comp, heat pump, air cond.
Contractor C,y„b,. CM ZS- SIV1 exhr c 4inc 8) 3 -15 HP absorp unit to 500K BTU 11.00
Boiler or comp, heat pump, air cond.
'WI &
IL.S 0ttc,6' q2, 940 9) 15 -30 HP absorp unit .5-1 mil BTU 15.00
"yataaon N0. ) 01y a. 7u
Boiler or comp, heat pump, air cond.
0,C-, ,2 i $S Z 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 agent 11) > 50 HP absorp unit 1.75 mil BTU 31.50
of the owner, that plans submitted are in compliance with State Air handling unit to —
laws, that I am registered with the Construction Contractors Board, 12) 10,000 CFM 4.50
that the number given is correct. (If exempt from State registration, Air handling unit
please give reason below.) 13) 10,000 CTM + 7.50
—
Non portable
' 4 rO1 Ica 14) evaporate cooler 4.50
Vent tan connected
15) to a single duct 3.00
Ventilation system not
16) included in appliance permit 4.50
S■goiFaa town. OF M oar
_ Mang Hood served by
17) mechanical exhaust 4.50
Descnbe work new fJ addition $ alteration 0 repair 0 Commercial or industrial
to be done residential 0 non - residential 0 18) type incinerator 30.00
basting use of Other i.e., woodstove, water
building or property OFF( c-8, 19) heater, solar, dothes dryers, etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property (69t4314C (2 ,, �
21) More than 4-per outlet
Type of fuel - oil 0 natural gas O LPG 0 electric
NOTICE
Minimum Fee $25.00 SUBTOTAL 2 r. iso
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE J, 2S
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL C. z
AFTER WORK IS COMMENCED.
TOTAL 3) yp
•
Special Conditions
Date issued by
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