Permit CITY OF TIGARD
MECHANICAL
PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT # MEC93 -0276
13925 SW Hall Blvd. Tigard, Oregon 97223.819, :493419-M71 DATE ISSUED: 02/24/94
PARCEL: 1S126OC -01107
SITE ADDRESS...: 09689 SW WASHINGTON SQUARE RD #C -8
SUBDIVISION ZONING: C —G
BLOCK LOT
CLASS OF WORK..:ALT FLOOR FURN • EVAP COOLERS:
TYPE OF USE °COM UNIT HEATERS..: VENT FANS...:1
OCCUPANCY GRP..:B2 VENTS W/O APPL: VENT SYSTEMS:
STORIES •1 BOILERS /COMPRESSORS HOODS
FUEL TYPES 0 -3 HP • DOMES. INCIN:
: /ELE/ / / 3 -15 HP • COMML. INCIN:
MAX INPUT: BTU 15 -30 HP • REPAIR UNITS:1
FIRE DAMPERS ?..: 30 -50 HP • WOODSTOVES..:
GAS PRESSURE...: 50+ HP • CLO DRYERS..:
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.:
FURN < 1O0K BTU:1 <= 10000 cfm: GAS OUTLETS.:
FURN > =1O0K BTU: > 10000 cfm:
Remarks: Tenant Mod: Brookstone— new partition walls, one —hour corridor at the
back of the store, ADA rest room. Permit amended 3/6/90 to show changes relating
to
bracing for the rear wall in public area of showroom.
Owner: FEES
BROOKSTONE type amount by date recpt
9689 SW WASHINGTON SQ. RD. PRMT $ 25.00 JH 02/24/94 —
PLCK $ 6.25 JH 02/24/94 —
TIGARD OR 97223 5PCT $ 1.25 JH 02/24/94 —
Phone #:
Contractor:
ARROW MECHANICAL CONTRACTORS
10330 SW TUALATIN RD.
TUALATIN OR 97062
Phone #: 692 -1565 $ 32.50 TOTAL
Reg #° .: 05193
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Heating Unt Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Duct Inspection
applicable laws. All work will be done in accordance with Misc. Inspection
approved plans. This permit will expire if work is not started Final Inspection
within 180 days of issuance, or if work is suspended for more
than 180 days.
r! ,
Permittee Signature: Adr rte
Issued By: , •
4( Call for inspection — 639 -4175
City of Tigard MECHANICAL PERMIT Planck/Rec. #
N .
13125 SW Hall Blvd. APPLICATION Permit it iY)ec- 93 -0 a 5 16
Tigard, OR 97223
(503) 639 -4171
- N . i1 °•••lepi""' Description
S, C ^8 Table 3A Medtatical Code QTY PRICE AMT
Job g 689 sw wa, d h Ton S-Y, 1) Permit Fee -0- -0- 10.00
Address . l z
2) Supplemental Permit 3.00
Nam to mow •1 bu"""r Furnace to 100,000 BTU
By-..k soh e 1) ind. ducts & vents ( 6.00 k a,
r ... Furnace 100.000 BTU +
Owner 2) ind. ducts & vents 7.50
ceps 7 p Floor Furnance
74P.T �Y boug , 14/1/ 3) ind. vent 6.00
b tj a'"•"t Suspended heater, wall heater
► e 4) or floor mounted heater 6.00
pb. ,,,, // Vent not irtci in '
Occupant 96R9 5W (/o J / / SQ . R , 5 ) apples permit 3.00
cdpsu1• Z ° Repair of heating, refrig.
1 9( 7 b4 e 9'72;9-3 6) cooling. absorption unit Du�s / 6.00 ‘, as
Boiler or comp, heat pump, air cond.
7) to 3 HP absorp unit to 100K BTU 6.00
"Wing Address POono Boiler or comp, heat pump, air cond.
8) 3 -15 HP absorp unit to 500K BTU 11.00
Contractor moo,. zo Boiler or comp, heat pump, air cond. `
9) 15-30 HP absorp unit .5-1 ml BTU 15.00
Sou R.Pw•oon No. Coy A. Tao No. Boiler or comp, heat pump, air cond.
10) 30-50 HP absorp unit 1 -1.75 ml 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 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 Contractor's Board, 12) 10,000 CFM 4
that the number given is correct (If exempt from State registration, Air handling unit
please give reason below.) 13) 10.000 CTM F 7.50
Non portable
14) evaporate cooler 4.50
' Vent fan connected
15) to a single duct / 3.00 3 oa
Ventilation system not
16) included in appliance permit 4.50
59 0.I• (mow or 00011 ) o° Hood served by
17) mechanical exhaust 4.50
Describe work new 0 addition 0 alteration ® repair 0 Commercial or industrial
to be done residential Q non - residential et 18) type incinerator 30
Existing use of 1 Other i.e., woodstove, water
building or property get U i' 19) heater, solar, dothes dryers, etc. 4.50
Proposed use of ,/� 20) Gas piping one to four outlets 2.00
building or property ea 1
21) More than 4 -per cutlet
Type of fuel - oil Q natural gas Q LPG Q electric 0 ,
NOTICE
Minimum Fee $25.00 SUBTOTAL gS
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 X
AFTER WORK IS COMMENCED.
TOTAL .1
Special Conditions
Date issued b
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