Permit C ITY' O F TIGARD
PERMIT 44. . e .. . e. :. e {�IEC95- Q111�E
- COMMUNITY. DEVELOPMENT DEPARTMENT ., • • ' D1 TF ,I SSUED 0 o 05/26/95
13126 SW Hall Blvd. Tigard; ; Oregonr 9722306199 •(503) 639 -4171 - - . , . . •
..Y. ' . PARCEL_ .1S 1 .C: -01107
• SIT{ - ADDRESS... • 09651•,' SW WASH IIVGTON. S QU RE 13D.•. -
- SURD I V 1 I ON.. ..:. e • - :... - ' . ..' .. - Z ON i NG•e.. t;'.:C •. r '
. BLOCK,. ' . ..... - L131-,.. : . • ' CLASS •OF-" WORK. ;•;•' .'rLOOP 'rl.if?]d... ' EVAP "OOL - RS - e 1' . - -
TY•PE . OF USE... : COM ° : ; 'UN'I f Hr i,T,ERS. VENT FANS, -" '
OC ' CARP „.. ; B. ' • VENTS- 14/O A{='PL .1 T • S ENV1f'. SYST':MS.' -
'STDR.L u n .' n6= ,- BOILERS/COMPRESSORS .� . , HO3DS.'.-.e... :, i'
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r: . F I'RE- DF•)IYiPERS ?'.. o y ,•. .301- S lit .HP. • WOODSTOVES. ton • • ' • . •
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GAS F f�F;...�1lRE..... ,�a.l . ,.I i ... s CL ;O . _ DRYERS—
NO.. OF' • UN I TO- __.- : _•,-- ___ -.. ••.,.A I R ;'rHANDL:1 NG - 'UNIT ?'' ., ' OTHER .UN I TS. 0 1' '
• TURN ( '1001-< • BTU: - r . <_ iO21000 of is N '2• • • •• OFFS CUTLETS. e % ; . .
FC:1RN • ) _:1001-< ETU . • ••• - 1 0.01710' otoll . •
Remark•s: TI' for - 1-6staur ant 1nc1i_[des smoke evac 'in:L'b Other unit 'duct heater - . •
.
-------- •- • --- - -- - - -- - -- - =- - =- -- -
FEES.'
MPCHEEZNO itiOUf3E RESTAURANT ' • . .. :t yype amount .• .. 'by : • d:at e ;
10=0 SW TAY1 OR Q11TTE . =.B5 - - -..rl ,M_r -. r: :__ 5.0. r.. _ /a�.-/ c.• 95-E-,',659-60.-• . . .
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. r _._T�. .. r J _ ' - f -RM - r/l.v LY_ J',, 1()� /r L_ �% - 7r!
- . . . - PLC{.. $ .. 8.13 JD . .0 5/26/95, 9S- -2650 0
PORTLAND• OR-97210 - .. . .. . ' SECT: $ . 'L62, JD • `
O5 /b /95 )5 _- 265960
Phone . 74" -000`1 ,
Co n v t r or :. - __---- -- •---- __. - - ---- -• -- - , - -- - - ., .
r O1 ChP _ ASSOC I RTES INC.' •
• S07 N. E. COUCH r ' . - f . ' • • • '
PORTLAND OR 97 ,3` • .. _ _- -- - --- - - - - -• - - -- --- - - - -- ...:-.-:..g.-, . -
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I 'I',.o.n a # 0 .233-.-.69,11. - • = r . $ . 42'. 26 i O T AL'
. Re G' n 1330 6 • . -
. • • - . , . - - - -- REQUIRED INSPECTIONS -•-
••This peroit is issued :object "to the reg• iatipris..coitained in the - Fi•nall In •'. Tigard Municipal •Code,. State of the.''- ;ipeciait'y• Codes -and ali oth r` . _ -__ ; • - •
applicable laws. All work will be done in'ar.cordance with _,___ _ _ __ •
• approved plans. This peoit will expir�e.if tier'^ ;e_ not Start�:d.' : . '. T _ ' . •
ilithin, 16++ d -7s,of issuance or' if w 'wo01 is suspended for nore'. • . . - _..._. • __._. . •
than 180 ,says.
Per'ni'i't Si gnat,_[�;e g / ? %. - - _ - �•--- - .
I s sued 1 y . .,._ -`'' . - --
Cal 1` 'P inspection 6 , j- -4175 _
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City Tigard MECHANICAL PERMIT Planck/Rec. # 6 - (S G
13125 SW Hall Blvd. APPLICATION Permit # /)7 Pc -- 93 -0 06
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Tigard, OR 97223 e.Cbt 51,44(
,
(503) 639 -4171
NMI °' °i"'°u'""' Description
\/ -,/_tit -Katz, 9■-1 �,C >i 7.4.K- Table 3A Mechanical Code OTY PRICE AMT
Job C 5/ (,,7/90h o /d • 1) Permit Fee -0- -0- 10.00
Address
7 7 l Q lam. R` 2) Supplemental Permit 3.00
" - "' �/
a Furnace to 100,000 BTU
1) incl. ducts & vents 6.00
Mann nearw rnar Furnace 100,000 Bl U +
Owner 2) incl. ducts & vents 7.50
`'°i'""• ay Floor Fumance
3) incl. vent 6.00
N`"' (a """ a 01i Suspended heater, wall heater
kAbe- 1„1, ��-7 ) MDU5,F .4) or floor mounted heater 6.00
Vent not Incl. in
Occupant l WAs )4I N4 - rC1.i scpuARE pc, 5) appliance permit 3.00
x101' DP SFACO Repair of heating, retng.
222 6) cooling, absorption unit 6.00
"`"' Boiler or comp, heat pump, air cond.
7S5C . 7) to 3 HP; absorp unit to 100K BTU 6.00
v"° "' Boiler or comp, heat pump, air cond.
O-7 /j= GCX�._ LA ' " _ -t-t 1 I 8) 3 -15 HP; absorp unit to 500K BTU 11.00
Contractor aW
Bolter or comp, heat pump, air cond.
°" L T7 /� Lin dP Cf7 9) 15-30 HP; absorp unit .5-1 mil BTU 15.00
` r " - Tu Boiler or comp, heat pump, air cond.
30.668 a4- 2=t69' 10) 30 -50 HP; absorp unit 1 -1.75 mil Bill 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 Contractors Board, 12) 10,000 CFM a 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
14) evaporate cooler I 4.50
Vent tan connected
���� 15) to a single duct 3.00
Ventilation system not
!W
- 17Lt 16) included in appliance permit 4.50
Hood served by
17) mechanical exhaust I 4.50
Describe work new U addition U alteration U repair tf Commercial or industrial
to be done residential 0 non - residential 0 18) type incinerator 30.00
Existing use of Other i.e., woodstove, water pug r
building or property 19) heater, solar, clothes dryers, etc. )4 fr 1 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property
Type of fuel - oil 0 natural gas 0 LPG 0 electric 0 21) More than 4 -per outlet
NOTICE
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Minimum Fee $25.00 SUBTOTAL 3 2 .� O
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE J 63
" IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL ET. _1
AFTER WORK IS COMMENCED.
TOTAL 4,/ �� Q
Special Conditions U
Date issued )5- 9 " b '..____
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krMECHPMT
worthicenciev
CITY OF TIGARD BUILDING, IaPECTION NOTICE
Inspectio Line (Rec -O- hone): 639 -4175 Business Phone: 639 -4171
Inspection: VI) '
Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough -in FINAL:
Post/Beam Mech. San. Sewer Gas Line sC1) /Y
Plbg. Underfloor Rain Drain Framing `Mir - /q-, IA,
Alarm Water Line Insulation CI,.
Underflr. Insul. Shear / Wall L 7 Gyp. Bd. - Elect.
6 Date Requested: /c Time: AM ■ '�
Address: 96,57 z%)/1-, 56.
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Builder: Permit #: 5-0 '1 f3
THE FOLLOWING CORRECTIONS ARE REQUIRED: in G673.0 ( U,c,
®/ '+,."�- ,,4 ?- 0/.0 .tit/
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Inspector: /4/ / Date: ‘— 2. 1 93
APPROVED DISAPPROVED L APPROVED SUBJECT TO ABOVE
_Call For Reinsp.