Permit MECHANICAL
CI1YOFTIGARD PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT # - • MEC95 -0412
, 13125 SW Hell Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171 DATE ISSUED: 12/27/95 .
PARCEL: 2S113AB -00600
SITE ADDRESS...: 16160 SW UPPER BOONES FERRY RD
SUBDIVISION ZONING: I -L
BLOCK • LOT •
CLASS OF WORK. .: ALT FLOOR FURN ° 0 EVAP COOLERS: 0
TYPE OF USE °COM UNIT HEATERS..: 0 VENT FANS...: 0 .
OCCUPANCY GRP.. :B2 VENTS W/O APPL: 0 VENT SYSTEMS: 0
STORIES •_1 BOILERS /COMPRESSORS HOODS ° 0
FUEL TYPES 0 -3 HP ° 1 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
FURI* < 100K BTU: 1 <= 10000 cfm: 0 GAS OUTLETS. : 1
FURN > =100K BTU: 0 > 10000 cfm: 0 .
Remarks: Tenant improvement.
Owner: FEES - - --
PACIFIC REALTY ASSOCIATES type amount by date recpt
Iii 15350 SW SEQUOIA PKY S -300 PRMT $ 25.00 B 12/27/95 95- 274309
PLCK $ 6.25 B 12/27/95 95-274309
TIGARD OR 972:2:4 5PCT $ 1.25 B 12/27/95 95- 274309
Phone #: 624 -6300
Contractor: - •- -
PROTEMP ASSOCIATES INC.
807 N. E. COUCH .
PORTLAND OR 97232 - - - -- - - - ---
Phone #: 233 -6911 $ 32.50 TOTAL
Reg #.. : 38868
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 Heating Unt Insp
approved plans. This permit will expire if work is not started Coo ling Unt Insp _ •
within 180 days of issuance, or if work is suspended for more Duct Inspect ion
than 180 days. Misc. Inspection __ ____
Final Inspection _� _ ___
�
Permittee S i iat�_tre :`0��� .. _� _' __ __�_ _ _- _T - -
Issued B y : _ _ _ ,�_� � L� _ _ . _ e _ �. _.____ - --
Ca I I for inspection - 639 -4175 •
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J IM F. iz -i -' -- rte dl 11 -z�i - ti
City of Tigard �� M
c- EC AN I CAL PERM I T Planck/Rec. # 11 g C. '
13125 SW Hall B d. IZ% S ' 6(4'' PPLIC' T 0 Permit # 1 15 - vglZ
Tigard, OR 97223 y l
(503) 639 -4171 (� \ t
\ v _ —
Nam of °i•"°P""" Description
2E42..1 <A-KI SLk i C16--r Table 3A Mechanical Code QTY PRICE I AMT
Job 16 I (o 0 SW UPPER ►3oofJ E.s Fy. eri 1) Permit Fee -0- -0- 10.00
Address �wsm• aP
Ir0 <r1A.1D t( 012ex6ot4 97224 2) Supplemental Permit 3.00
Nano (of nom of 01n^ Fumace to 100,000 BM
F14C'C elA.S -r 1) incl. ducts & vents 1 6.00 6
"" ' ^ o "°"" Won* — Furnace 100,000 BTU +
Owner 1535o SW S€Qu,OIA PiCYJ Y 4 300 2) incl. ducts & vents 7.50 S
'°" O Floor Fumance
N * (of aNd � < 97 "7.7. 3) Suspended heater, wall heater 6.00
NaIM (Of nano Of Own
4 . 11 EI2 VA.tJ S14-ow M Ge-r 4) or floor mounted heater 6.00
Occupant Vent not incl. in
j471(QC) S l g E , el Rd. 5) appliance permit 3.00
Repair of heating, refng.
ort10.0 D f DPmONI C(7 4 6) cooling, absorption unit 6.00
N. Boiler or comp, heat pump, air cond. i
v+- r1 7) to 3 HP; absorp unit to 100K BTU ( 6.00 ��
"' """'� Boiler or comp, heat pump, air cond.
Contractor ? h1t? . �U� �37233 \1 8) 3 -15 HP; absorp unit to 500K BTU 11.00
"'" °p Boiler or comp, heat pump, air cond.
�� e� & porTlo�Jd fir, Q7Z3 9) 15 -30 HP; absorp unit .5 -1 mil BTU 15.00
L 'mt.wg...donNO. CAN Bus. Tax No. Boiler or comp, heat pump, air cond.
L 38818 j ?-964-/ 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 37.50
of the owner, that plans submitted are in compliance with State Air handling unit to
laws, that I am registered with the Construction Contractor's 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 + 1 7.50
Non portable
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
'tea°`• ( of n , °v " Hood served by
(eLe //-2 fj / 17) mechanical exhaust 4.50
D cube work new XI addition p alteration U repair U 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 • l —
building or property
Type of fuel -oil 21) More than 4 -per outlet
yp 0 natural gas 6 LPG 0 electric 0
NOTICE vtr
Minimum Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION I y� ,
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR 2
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL
AFTER WORK IS COMMENCED.
TOTAL
Special Conditions � 5/
Date issued by
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