Permit CITY OF TIGARD MECHANICAL
PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT # • MEC93 - 0152
13125 SW Hall Blvd. Tigard, Oregon 97223.81 g0o34.13p -4171 DATE ISSUED: 12/20/93
PARCEL: 1S1260C -01107
SITE ADDRESS...: 09640 SW WASHINGTON SQUARE RD #G -11
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/0 APPL: VENT SYSTEMS:
STORIES • 1 BOILERS /COMPRESSORS HOODS .
FUEL TYPES 0 -3 HP • DOMES. INCIN:
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 < 100K BTU: <= 10000 cfm: GAS OUTLETS.:
FURN > =100K BTU: > 10000 cfm:
Remarks: Interior Remodel: new partition wall, tiolet room.
Owner: FEES
KINNEY SHOES _ - type amount by date recpt
9451 SW WASHINGTON SQUARE RD. PRMT $ 25.00 JF 12/20/93 —
PLCK $ 6.25 JF 12/20/93 —
TIGARD OR 97223 SPCT $ 1.25 JF 12/20/93 —
Phone #:.620 -0114
Contract or:
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 Mechanical Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Duct 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: j
Issued By: .
Call for inspection — 639 -4175
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit # /r1 cc_ 93 -0151
Tigard; OR 97223
(503) 639 -4171
Name a Denieprnent Descnption
i q 0 y Foo T Lv' ,ems Table 3A Mechanical Code QTY PRICE AMT
Job
U Address S u W RSHI N 6 rO a 1) Permit Fee -0- -0- 10.00
1 2) Supplemental Permit 3.00
an. (cif nYAe of mwaNaa) Furnace to 100,000 B fU
.NA)64( SNad (P, ,. 1) ind. ducts & vents 6.00
Furnace 100,000 Bl U +
Owner ,-a iiOn)w/Q V 2) ind. ducts & vents 7.50
°p Floor Fumanoe
/VcLA) 5 /a x iJ V 3) incl. vent 6.00
Name (ar name of Suspended heater, wall heater
L 1 p 1 ao I o c ie ,- 4) or floor mounted heater 6.00
M r g a s rmaw Vent not Ina in
Occupant ab SGJ 'Josh/floc-nit / St 5) appliance permit 3.00
� Repair of heating, refng.
ZI6/9/1 D i)i 6) cooling, absorption unit ) 6.00 ‘, 6
6)q ,-- Boner or comp, heat pump, air cond.
/�Q ,q �
OLr7 P rECNn9 Q,( /^ (oS 7) to 3 HP absorp unit to 100K BTU 6.00
'" Boiler or comp, heat pump, air cond.
Contractor /, ,„W SW TohGA /&V4 8) 3 -15 HP absorp unit to 500K BTU 11.00
. Boiler or comp, heat pump, air cond.
rI r 9 z n G 2 . 9) 1530 HP absorp unit .5-1 mil BTU 15.00
`� �•'�,• Boiler or comp, heat pump, air cond.
A/ere° ^ • 7 .93 10) 30-50 HP absorp unit 1 -1.75 mil BTU 2250
I hereby acknowledge that have read this application, that the Boner or camp, 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 4.50
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 4.50
Vent fan connected
15) to a single duct 1 3.00 3
Ventilation system not
a anw �, a-e � /J ,z d .• 3 16) included in appliance permit 4.50
Hood served by
17) mechanical exhaust 4.50
Describe work new () addition (.) alteration (19 repair U Commercial or industrial
to be done residential 0 non - residential 0 18) type incinerator 30.00
Existing use of Other i.e., woodstove, water
building or property .S /O E S T02 6 19) heater, solar, dothes dryers, etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property .5/ 6 E 5 7a z E
Type of fuel - oil 0 natural gas 0 LPG 0 electric
0 21) More than 4-per outlet
NOTICE
Minimum Fee $25.00 SUBTOTAL 5,5
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE AI.Z' ,
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25 %OF SUBTOTAL i�(Z,C. i
AFTER WORK IS COMMENCED.
TOTAL 3-2 '
Special Conditions
Date issued 6A0/1 by C -
kalactipla
wadbenWev
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Ph ,): 639-4175 Business Phone: 639 -4171
Inspection: fiY 1
Footing Plbg. Underslab Mech. Rough -in Appr /Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post /Beam Struct. San. Sewer Framing -Bldg.
Post /Beam Mech. Rain Drain Insulation - Plumb.
Plbg. Underfloor WWate Line Gyp. Bd. -Mech.
Date Requested: o`- �/ T : AM PM
Address: - (! ./ / / /'` = � '
- / 'Pfarmit (1727‘60—/&./-
/
Builder: 6 24Uk►/
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date: /Z
! APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.