Permit _ r
.. MECI-IAN I CAL
< . P F_RMIT I
• - IT1 (OF TI GAI RD : PERMIT #.. MEC95 - -0093
COMMUNITY DEVELOPMENT DEPARTMENT . . DATE ' I.;SSUED : 05/12/95
, • 13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171 ' '
. PARCEL.: 151260C - -..0 1.07. -
S I TE ADDRESS. -.. e ' ,096 .SW • WASHINGTON SQUARE RD ,. _
'SUD'DIV I SIGN..'. ae. ,ZONING . 0 -G-.. ,
DI__JCI�• ` , . .LOT....... .. . .
CLASS . OF WORK. ; c ALT - • - : FLOOR I EVAP COOLERS: -
- TYPE OF USE : COM - • IJ HEATERS..: VENT FANS..,. e -
'OCCUF';aINiCY GRP.. o B2' VENTS. W/O " :=IPPL:e I . • • • " ,VENT ' SYSTEMS z 2 • . ,
• STORIES. :... e �2 . BOILERS/COMPRESSORS . HOODS... •.... e 1 • ,
'FUEL. TYPES- 0 =3 'HP. 0 1 DOMES. I NC I N g .
: /GAS /. / / - 3 -15. HP...: - COMML. I NCI N: • •
MAX .'.IM=1:ife • OTiU 15- '00: 'i-1F'. -.. ,REPAI'R UNiTSa l - .
FIRE= Dr1MPERE.S ?.. 30 -50 HP.-,. ... .WOODSTOVES. e . ,
GAS PRESSURE a M . . - - L , 504- • P,. , . ' ' . CL DRYC RS.-'.... = -
NO= OF• ,UN ITS• =' ' , -- - -- AIR HANDLIi\IC UNITS ' • ' OTHER - UNITS.': •
FURlkl ( 100K BTU - (= 101Z100 'cf m : 1 GAS OUTLETS. 1 .
FUI'ZN • > =100K .. BTUs. ' ,> , ...10000 cfi:.nir,
Ren rksi' TI .
O wner — -. -- _:._ - - -. -- • - - - - -- -- -7.7----7-- ' . . -- - FEES, - -- - - -•
GYROS - TYROS INC • type' amou_4�n,t •by date r�ecpt. '
PANT $ - 45.,:.00 .SW,, -71.I5/•:1.c'/'j5 , --
11 SE TAYLOR ....f :4LCK $ • i 1 a 25 SW .05/12/95' " , '
, PORTLAND OR" 97214 : " SPCT $ . 2.-25 SW ; .05/12/95 - : •
PI"ion.e 1* 5031- •235= a'1:Fi5 . ' •
'Cantt -act or - - -
•-- - _ -
-- -- -• - - - - -._ ,
H. V. A C. 'INC. • ,
815 SE SHERMAN - ' ' , ' - ..
.P'OR T LAND OR 97214 " - = - -- - - ------- • - - - - -- •
r, r r. - c
. ;:r-hione V 2.:3�- (:122 1 • 58.50 ; „
Reg doe g 50397:
----- -,-"' REOU I RED I NSr'EC.T IONS '.-••- - - -. -•
This persit • is issued ,Subject t0 the rcnulatioiis contained in .the •' Gas Line I n s l7 . —_ ____—
Tigardd 111inicipal Code, State of ,Ore. Specialty Godey and all 'other Mech an i ca 1.. I n b p �_ __
,applicable ia. s. P,11 _:yore; tyi ll be done in accordance with . Final ' Inspection .. "
aoaroved plans.. This perait will ,expire if work is net ,s acted. _ _�_, • ' — _. ". •
within. 1E4, days of issuance, or if work is• suspended for core,. • . _.
than 122 days... .' -
P o r- m i L t e e • S i q ri a t.� -t,r' c' C U_lQiUt �Q D ` �__- _ _ _ _ _
I s =>:.ted By . _cJ, %_.__ __- _ , ' — ,_ . � �_
. . Cal 1 . .for . " i . ri,spErct ,ion • 6 39 -4175 . - - •
•
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit # /YVEC 9s (16
Tigard, OR 97223 r
(503) 639 -4171 F1 s c , ti•-e lie-„` (_ _ � .
J o- -r
- Nam u.vekapnad Uescnption
iiiS / ti 6/ / Y05 Table 3A Mechanical Code OTY PRICE AMT
Job 6 t ) lid' (M 5Q • 1) Permit Fee -0- -0- 10.00
Address LP
- 1 - ‘5 . 4c.24 (a 172-2-5 2) Supplemental Permit 3.00
Nane (of °uaa4e) Furnace to 100,000 BUJ
1) incl. ducts & vents 6.00
way A ame "hone Furnace 100,000 B tU +
Owner 2) incl. ducts & vents 7.50
`•` 'a• L. Floor Fumance
3) incl. vent 6.00
Name (of none a Mamma Suspended heater, wall heater
Gyv y65 4) or floor mounted heater 6.00
u °°'•u Mate Vent not Incl. in
Occupant 5) appliance permit ) 3.00 3e fla7
kW kip Repair of heating, refng. 4 i _
6) cooling, absorption unit 05 I 6.00 4.
/�� NI" Boiler or comp, heat pump, air cond.
/°" �. V� 7) to 3 HP; absorp unit to 100K BTU 6.00 4 �D
� G ( t �i ( �� um", Ads PhOAe Boiler or comp, heat pump, air cond.
r ctor 8) 3 -15 HP; absorp unit to 500K BTU 11.00
"' m'e ay Boiler or comp, heat pump, air cond.
9) 15 -30 HP; absorp unit .5 -1 mil BTU 15.00
S. N•p•aaaan Na Gay Bus. Tax 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 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 v
laws, that I am registered with the Construction Contractors Board, 12) 10,000 CFM I 4.50 , s
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 4.50
Vent tan connected
15) to a single duct 3.00
Ventilation system not
16) included in appliance permit (2.-- 4.50 9,,z>72
N (ownef of aping Bab Hood served by
17) mechanical exhaust I 4.50
Descnbe work new U addition U alteration U repair U Commercial or industnal
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 g. 2.00 Lit i
building or property
21) More than 4 -per outlet
Type of fuel - oil 0 natural gas LPG 0 electric O
in -
NO ICE ��� ,40
Minimum Fee $25.00 SUBTOTAL r�
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE c91 '7."
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. r i J
TOTAL . tI .+ •
Special Conditions
n t
Date issued by
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