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Permit CITY M ECHANICAL OF TIGARD PERMIT. COMMUNITY DEVELOPMENT DEPARTMENT PERMIT # ° MEC94 -0169 13125 SW Hall Blvd. Tigard, Oregon 97223•819 MD41979.71 DATE ISSUED: 0Zl8/ 15 / 94 PARCEL: 1S1260C -01107 SITE ADDRESS...: 09350 SW WASHINGTON SQUARE RD SUBDIVISION ZONING: C —G BLOCK LOT ° CLASS OF WORK..:ALT FLOOR FURN ° EVAP COOLERS: TYPE OF USE -COM UNIT HEATERS..:2 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 UN I TS : 4 FIRE DAMPERS ?..: 30 -50 HP :1 WOODSTOVES..: GAS PRESSURE...: 50+ HP : CLO DRYERS.. : NO. OF UNITS ------ A I R HANDLING UNITS OTHER UNITS. : FURN < 1O0K BTU: <= 10000 cfm: GAS OUTLETS. :1 FURN > =1O0K BTU: > 10000 cfm: Remarks: JC Penny remodel to a furniture store Owner: -- — FEES . WINMAR- CASCADE INC type amount by date recpt 700 5TH AVE #2600 PRMT $ 70.50 JG 08/15/94 — PLCK $ 17.63 JG 08/15/94 — SEATTLE WA 98104 -5026 5PCT $ 3.53 JG 08/15/94 — Phone #: Contract or: DE TEMPLE CO 1951 NW OVERTON ST PORTLAND OR 97209 Phone #: $ 91.66 TOTAL Reg #..: 02510 —•- REQUIRED INSPECTIONS This per ©it is issued subject to the regulations contained in the Gas Line Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Heating Unt Insp applicable laws. All work will be done in accordance with Cooling U n t Insp approved plans. This peroit will expire if work is not started Duct Inspect ion within 180 days of issuance, or if work is suspended for Bore Misc. Inspection than 180 days. Final Inspection Permittee Signature: ���J� Issued By: g _ — Call for inspection 639 -4175 City of Tigard MECHANICAL PERMIT Planck/Rec. # 13125 SW Hall Blvd. APPLICATION Permit # Tigard, OR 97223 (I 141,(1-01/q1 11 ff n , G , I ^ eU 0 i (503) 639 -4171 1 N0 P Y -01/40 ( � "t li . C. Description ` � PI - �j /XI � , Table 3A Mechanical Code QTY PRICE AMT Address i''.5-00.S;eJ �" ' /n 9 " " 'l� / 1) Permit Fee -o- -0- 10.00 AS ,it y 7 u3 2) Supplemental Permit 3.00 a.n. iwoonto ora Furnace to 100,000 BTU 6- 1',Q J 1) incl. ducts & vents 6.00 Malaya Abkosa Plena Furnace 100,000 BTU + Owner /90/ 1 V• KOSege kty 2) incl. ducts & vents 7.50 • Floor Fumance ! - _ tL ..d ' . L. L_ /_/ 3) incl. vent 6.00 Suspended heater, wall heater �� ' - 4) or floor mounted heater 6.00 Occupant Using .. rxeao r ent not iin 5) appliance permit 3.00 C"yS i. bp Repair of heating, refrig. 6) cooling, absorption unit 6.00 al-- 1,_/ Boiler or comp, heat pump, air cond- l l--' - % 7) to 3 HP absorp unit to 100K BTU 6.00 �( /� Boiler or comp, heat pump, air cond. Contractor a , i 10 - 'V�+►'I 8) 3 -15 HP absorp unit to 500K BTU 11.00 °" DA , or comp, heat pump, air cond. D/ (9/ 4 7Lo 9) 15 -30 HP absorp unit .5-1 ml BTU 15.00 Sow moon No. Coy Ooo. Tao No. ' Boiler or comp, heat pump, air cond. j I � 10) 30 50 HP absorp unit 1 1.75 mil BTU 2250 I hereby acknowl ge that'1 read this application, that �e 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 Contractoes 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 + I 7.50 Non portable 14) evaporate cooler 4.50 Vent fan connected 15) to a single dud 3.00 lie Ventilation system not % + / i 7.22, 16) included in appliance permit 4.50 . • .•''‘ Dar Hood served by 17) mechanical exhaust 4.50 Describe work new 0 addition Q alteration pa repair Q Commercial or industrial to be done residential Q non - residential Q 18) type incinerator 30.00 Existing use of Other ie., woodstove, water building or property 414 (... y vre -rz. 19) heater, solar, doilies dryers, etc. 4.50 Proposed use of Q-4/11/1. 9.. 20) Gas piping one to four outlets I 2.00 t y bui ng or properly / Type of fuel - oil 21) More than 4 -per outlet ype Q natural gas LPG Q electric Q NOTICE � Minimum Fee $25.00 SUBTOTAL 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 AFTER WORK IS COMMENCED. TOTAL o Special Conditions Date issued by / /) V\\ W AECNPMT J �, .mdbondoo