Permit i2ecea -p-t qti - mss / Fr"
CI lY OF TIGARD
MECHANICAL
PERMIT
COMMUNITY DEVELOPMENT D RI SIT
PERMIT # ° MEC94 - 0168
P
13125 SW Hall Blvd. Tigard, Oregon 97223•1319V15'0-3111394i - 71 DATE ISSUED: 06 / 23 / 94
PARCEL: 1S126OC -01403
SITE ADDRESS...: 09300 SW WASHINGTON SQUARE RD
SUBDIVISION • ZONING: C —G
BLOCK LOT
CLASS OF WORK °•:ALT FLOOR FURN ° EVAP COOLERS:
TYPE OF USE °COM UNIT HEATERS..: VENT FANS...:
OCCUPANCY GRP•'.:B2 VENTS W/0 APPL: VENT SYSTEMS:
STORIES •2 BOILERS /COMPRESSORS HOODS •
FUEL TYPES 0 -3 HP DOMES. INCIN:
: /GAS/ / / 3 -15 HP • COMML. INCIN:
MAX INPUT: BTU 15 -30 HP • REPAIR UNITS:2
FIRE DAMPERS?..: 30 -50 HP • WOODSTOVES..:
GAS PRESSURE...: 50+ HP • CLO DRYERS..:
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.:
FURN < 1O0K BTU: <= 10000 cfm: GAS OUTLETS.:
FURN ) =1O0K BTU: ) 10000 cfm:
Remarks: Meier and Frank interior permit (Juniors— delta 17). Note: Type of Cons
t.
5N, allowed as OSSC Sec. 106 Modification. See file.
Owner: FEES
MAY DEPARTMENT STORES type amount by date recpt
611 OLIVE ST PRMT $ 25.00 SW 06/23/94 —
PLCK $ 6.25 SW 06/23/94 —
ST. LOUIS MO 63101 SPCT $ 1.25 SW 06/23/94 —
Phone #:
Contractor:
DAVCON INC.
15055 SW DAPHNE CT }�
BEAVERTON OR 97007
Phone #: 641 -7825 $ 32.50 TOTAL
Reg #..: 82448
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Duct Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. 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:
Issued By:410.x-
Call for inspection — 639 -4175
_ 1y
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit # gr1 -0/ S
Tigard, OR 97223
(503) 639 -4171
one of Development Description
f F z„k-- Table 3A Mechanical Code QTY PRICE AMT
Job ro 51-AJ §R 1) Permit Fee -0- -0- 1000
Address C1Yt to Zq
2) Supplemental Permit 3.00
Name (or name of bus.teu) Furnace to 100,000 BTU
1) incl. ducts & vents 6.00
Wang Address Phoe Furnace 100,000 BTU +
Owner 2) incl. ducts & vents 7.50
C y to LP Floor Furnance
3) incl. vent 6.00
Name (or name of a°"e6s) Suspended heater, wall heater
4) or floor mounted heater 6.00
Mang Adds ess Phone Vent not 'incl in
Occupant
5) appliance permit 3.00
Co nLe Repair of heating, refrig.
6) cooling, absorption unit Zj 6.00 l Z. .v
Name Boiler or comp, heat pump, air cond.
C'13 - Nr1 0 G • 7) to 3 HP; absorp unit to 100K BTU 6.00
Mary `°Qe5s Phone Boiler or comp, heat pump, air cond.
Contractor 8) 3 -15 HP; absorp unit to 500K BTU 11.00
`a Boiler or comp, heat pump, air cond.
9) 15-30 HP; absorp unit .5-1 mil BTU 15.00
l j L.. ' a Regis-trepan No C"�' Tar 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
&cincture (owner or agent) Date Hood served by
17) mechanical exhaust 4.50
Describe work new U addition 0 alteration 0 • repair 0 Commercial or industrial
to be done residential p 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 0 natural gas Q LPG 0 electric O 21) More than 4 -per outlet
NOTICE
Minimum Fee $25.00 SUBTOTAL • - 23; as
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE I,, 7 •
IF CONSTRUCTION OR WORK IS SUSPENDED OR ---
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL g,?�
AFTER WORK IS COMMENCED.
TOTAL
Conditions
Date issued by
talMEC1PNT
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