Permit -- -__ ` - � ' '
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• . CiTY . . . . �ECHAmICAL �� PEAMIT • � TIGARD PERMIT #,. ..... : MEC95-0�105 ' .,DATE ISSUEDi 05/12/95
• COU�]�K����Y��EVEL0PU�ENT��EPARTMENT �
• 1u1osmw*w a*m Tigard, 97223°8199 (503) w�w�171 .
Hall ' - PARCEL: 151260C-01107
' SITE ADDRESS...: 09627 SW WASHINGTON SQUARE RD
SUBDIVISION....: . . ZONING: C-G
BLOCK. . . . .;. . . . . : - LOT - ^ �
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CLASS OF WORK.. :ALT FLOOR FURN......: EVAP COOLERS:
` TYPE OF USE ^COM UNIT HEATERS..: VENT FANS.-..: ' �
OCCUPANCY GRP..:B2 VENTS W/O APPL: VENT SYSTEMS:4
STORIES.. . . ^. . . :2 . ' BOILERS/COMPRESSORS RS HOODS. . . . . . . �2 `
FUEL TYPES------------ 0 HP....: DOMES. INCIN:
: / 3715 HP....: COMML. INCIN:
MAX INPUT: BTU 15-30 HP ~ . RE'AIR NITS: ' .
FIRE DAMPERS?..,;: ' 30-50 HP. . . . : WOQDSTOVES. . : .
GAS PRESSURE...: 50+ • HP ' CLO DRYERS..:
NO. OF UNITS AIR HANDLING UNITS ' OTHER UNITS.: ' •
FURN < 100K BTU: ' <= 10000 cfm: GAS OUTLETS.:
FOR�� >=100K BTU: 1 . ' ) .10000 cfm:
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Remarks: TI for �estaur�nt �
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Owner:--7- - ' - FEES ---
WESTERN ROASTERS INC. ' ' ' . type amount by date recpt
-` ` . PRMT $ 44.50 SW 05/12/95 -
1680 WILLAMETTE FALLS DR ' PLCK � �1.13 SW 05/12/95 -
'WEST LINN OR 97068. ' . ' ' ' 50CT '$ 2.23 SW-05/12/95 - .
Phone #: . ' • �� `
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. Contractb: , ------ � -- .
PACIFIC STAINLESS PRO DUCTS '
9560C S.. W. HERMAN RD • .' ' ` �
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, ' TUALATIN OR 97062 - ----- -- .
^' Phone # : 691-'2511 $ 57 86 TOTAL '
, Reg #..: 63640 � � � .
, ' . , � � ------- REQUIRED INSPECTIONS .
This perait is issued subject to the regulations contained in the . |4echanical Insp ' ___
' Tigard Municipal Code, State of Oro Codes and all (psi Mi sc. Inspect ion _______ ___
_ applicable laws. 'All work will be done in �zo��nce with • 'Final Inspect ion � __
approved plans. This Aerait will expire work is not started . _ _
within 188 days of issuance', ,or if work is _Suspended fvroore • :- _______________ ____________
than IN days. ' � `. '. _ ___• _ __
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1pecmittee Sign
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� Iss�ed By: - c�� -- `�' ___ _�____ _ _
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Call for inspection - 639-4175 �
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MEC 75— x/05
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit # FnE,C°t 5 -oI 17-
Tigard, OR 97223
(503) 639 -4171
rump a O.wapnant n Descnption
LGUAAA o R I� et Table 3A Mechanical Code OTY PRICE AMT
Job
Address � Z? L`kt3 h • `), • ci • 1) Permit Fee -0- -0- 10.00
\a,cLA.cl d>Z ol D 2) Supplemental Permit 3.00
NaAe tom a Oua Furnace to 100,000 BTU
"� j n o - , � 1) incl. ducts & vents 6.00
�.?.n � aa«. -- o lI ho a Furnace 100,000 B fU +
Owner � C j Oct-5k ScL Y nn -cA 2) incl. ducts & vents I 7.50
Floor Fumance
1 1 0 Dye_ q - 7 ,?•D-3 3) incl. vent 6.00
NOM (Of, a Maness s , Suspended heater, wall heater
0Z0..0YL1 et I�Oct.. S 4) or floor mounted heater 6.00
Vent not Incl. in
Occupant 5) appliance permit CAO 51100 w Repair of heating, refng.
6) cooling, absorption unit 6.00
Name Boiler or comp, heat pump, air cond.
a � i In � ) e - j 7) to 3 HP; absorp unit to 100K BTU 6.00
«. Pmae Boiler or comp, heat pump, air cond.
Contractor 8) 3 -15 HP; absorp unit to 500K BTU 11.00
GIr' ' a D Boiler or comp, heat pump, air cond.
9) 15 -30 HP; absorp unit .5-1 mil BTU 15.00
� 1..., star. H.p.raMn N0. ory 0.4. a. is: NO. Boiler or comp, heat pump, air cond.
!� (�G((� 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
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 tan connected
15) to a single duct 3.00
Ventilation system not
16) included in appliance permit 1 4.50
} (owner or agent) Uae Hood served by
17) mechanical exhaust Z 4.50
Describe work new U addition U alteration (.) 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 2.00
building or property
Type of fuel -oil 21) More than 4 -per outlet
yp 0 natural gas 0 LPG 0 electric O
NOTICE
Minimum Fee $25.00 SUBTOTAL U '
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 2
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE •Z
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL • j. -4
AFTER WORK IS COMMENCED.
TOTAL 5 !
Special Conditions
Date issued 5\1 1 9 5 by 1 wA( _ �Q
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