Permit MECHON T f 'l
PERMIT
CI1Y OF TIGARD -
DATE 11/07 —O � J
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171 PARCEL: 25101 DB -00901
SITE ADDRESS...: 07145 SW VARNS ST
SUBDIVISION ° VARNS ACRES ZONING: C —P
BLOCK LOT °12
CLASS OF WORK.. :ALT FLOOR FURN 0 EV(P COOLERS: 0
TYPE OF USE °COM UNIT HEATERS..: 0 VENT FANS..: 0
OCCUPANCY GRP.. :B2 VENTS W/O APPL: 0 VENT SYSTEMS: 0
STORIES ° 0 BOILERS /COMPRESSORS HOODS ° 0
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: 1 GAS OUTLETS.: 1
FURN > =100K BTU: 0 > 10000 cfm: 0
Remarks: Installing one air handling unit to 10,000 sqf and gas piping.
Owner: FEES —
FIRST PORTLAND LEASING ✓ type amount by date recpt
7145 SW VARNS PRMT $ 25.00 JSD 11/07/95 95- 272616
PLCK $ 6.25 JSD 11/07/95 95- 272616
PORTLAND OR 97223 5PCT.$ 1.25 JSD 11/07/95,95-272616
Phone #: 684 -3417
Contractor: - --
MARKMAN, INC.
9955 SE ASH
PORTLAND OR 97216 -- --
Phone #: 503- 255 - -9923 $ 32.50 TOTAL
Reg #..: 102857
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 Cooling Unt Insp
within 180 days of issuance, or if work is suspended for more Misc. Inspection
than 180 days. Final Inspection
Permittee Si•. -._re de
Issued
° " -0°' ,>47›.--175)c-
- - f ` = — C -
Call for inspection — 639 -4175
•
City of
Cla �s' MECHANICAL PERMI "n c Rec. # 9`�( �'
13125 SW Hall Blvd. � I APPLICATION Permit # Mee-
Tigard, OR 97223
(503) 639 -4171
ffl' t `"(/,, '
Name et Development ( p lescnption
p - _
S� \ �U'�Zc`kAdL L..Q 41 a(ble 3A Mechanical Code QTY PRICE AMT
� f/
Job • 1) Permit Fee -0- -0- 10.00
- 1 ��� SC.� Uctlf`Iq,S
Address ct„ts,ete TV
5) (t ji 4 , f a - R. G 2) Supplemental Permit 3.00
1,, iA1e (ef name of bue^ee•) Q ( Furnace to 100,000 BTU
I -1- j r ( 7 -3((7 1) incl. ducts & vents 6.00
Mary ess (J Pt,eee Furnace 100,000 BTU +
Owner 1(-( J S'4) VO,.U > 2) incl. ducts & vents 7.50
�tst^te zm Floor Furnance
44.v.k Q k q,Z'.1j 3) incl. vent 6.00
for name et twneeel I Suspended heater, wall heater
0.uA'Q-- as ,C.K)\ 1-L'r. 4) or floor mounted heater 6.00
Mailing mete °hone Vent not incl. in
Occupant 5) appliance permit 3.00
6viblate ry Repair of heating, refng.
6) cooling, absorption unit 6.00
NamO Boiler or comp, heat pump, air cond.
NA.1344S∎AACl t✓\ -�-Q- � Qq 7) to 3 HP; absorp unit to 100K BTU 6.00
Mtumg Address Phone Boiler or comp, heat pump, air cond.
Contractor C'q'SS �S
S- "\ 8) 3 -15 HP; absorp unit to 500K BTU 11.00
GtyiStete T+P Boiler or comp, heat pump, air cond.
L r tinQ tk 9,11.1 co 9 ) 15-30 HP; absorp unit .5 -1 mil BTU 15.00
State Regaaauon No. / CdY hue. Tao Na. Boiler or comp, heat pump, air cond.
(,)-i'--C 10) 30 -50 HP; absorp unit 1 -1.75 mil BTU 22.50
I hereby acknowieage 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 1 4.50 L' eV
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
u se Y ' ' 1d •4 r - . q
• , -'�5' -ct T 16) included in appliance permit 4.50
( ]owner or agent] Data Hood served by
17) mechanical exhaust 4.50
Describe work new 0 addition 0 alteration 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 ), i
building or property
21) More than 4 -per outlet (each) 2.00
Type of fuel - oil 0 natural gas. LPG 0 electric 0
NOTICE
- Minimum Fee 525.00 . SUBTOTAL 25 =
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 t r' --
AFTER WORK IS COMMENCED. '
TOTAL -2' 11
Special Conditions
Date issued by
HALLOGIMDSTSIMECHPMT
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested AM PM BLD
Location / / � V ia/141J_ 5 414 Suite • MEC qs- b333
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall _ ELR l�'� X93
Footing A G - c. Cti„ . � .
Foundation NOT NOT D ) FPS
Ftg Drain
Crawl Drain FOUND DURING RESEARCH — SGN
Ir
Slab NO INSPECTION(s) IN FILE — SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling -
Roof C Misc:
Final
PASS PART FAIL
. PLUMBING
Post & Beam
Under Slab
Top Out
Water Service •
Sanitary Sewer
Rain Drains
Final
PART FAIL
� ANICAL •
Rough In
Gas Line
S e Dampers
•ART FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk �
Date � / Inspector � 1 Ext Other ate /� 1. p �
Final
PASS PART FAIL. DO NOT REMOVE this inspection record from the job site.