Permit (14) e.. CITYOFTIGARD • MECHANICAL
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT
FERMI "f # • MEC94 -0329
13125 SW Hall Blvd. Tigard, Oregon 97223.819 4031 81 9l .q 1171 DATE ISSUED: 1 1 / 1 7/94
PARCEL: 28101B8- 00401 •
SITE ADDRESS • 11880 SW PACIFIC HWY
SUBDIVISION • TIGARD ROAD GARDENS ZONING: C —G
BLOCK • LOT •4 -5
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:
STORIES • BOILERS /COMPRESSORS HOODS
FUEL TYPES 0 -3 HP . DOMES. INCIN:
: /GAS/ / / 3 -15 HP • COMML. INCIN:
MAX INPUT: BTU 15 -30 HP ° REPAIR UNITS:
FIRE DAMPERS ?..: 30 -50 HP • WOODSTOVES..:
GAS PRESSURE...: 50+ HP • CLO DRYERS..:
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.:
FURN C 100K BTU: C= 10000 cfm: GAS OUTLETS.:
FURN > =100K BTU:1 > 10000 cfm:
Remarks: REPLACE GAS FURNACE
Owner: FEES
RUSS CHEVROLET type amount by date recpt
11880 SW PACIFIC HWY PRMT $ 25.00 JG 11/17/94 —
5PCT $ 1.25 JG 11/17/94 —
TIGARD OR 97223
Phone #:
Contractor:
AAA HEATING & COOLING
2915 NE MLK BLVD
PORTLAND OR 97212
Phone #: 284 -2173 $ 26.25 TOTAL
Reg #..: 00222
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 Final Inspect Inspection
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for sore
than 180 days.
Permittee Signature: -- —
Issued By: _ — _
Call for inspection — 639 -4175
T
City,of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit # q t-(- 0 32_
Tigard, OR 97223
(503) 639 -4171
NW e1 ° p ^r " Description
1� 1 S S G l"t EQ e_o C%_ T Table 3A Mechanical Code OTY PRICE AMT
AddreM
Job \ \ 01 S W f'A t:l Ft c M" y 1) Permit Fee -0- -0- 10.00
Address •
11 G AR--) ^7223 2) Supplemental Permit 3.00
!lane Na nano orwsn"e( Furnace to 100,000 BI U
5,4. n� 1) incl. ducts & vents 6.00
"""" v Ad N4I MINN Furnace 100,000 Bl U +
Owner 2) incl. ducts & vents ( 7.50
' 01e °p Floor Fumance
3) incl. vent 6.00
Name No now of a Suspended heater, wall heater
S A si.,t. I: 4) or floor mounted heater 6.00
""f10 AOdfe" MINN Vent not Incl. in
Occupant 5) appliance permit 3.00
C.r+stat• LP Repair of heating, refng.
6) cooling, absorption unit 6.00
'''a"` Boiler or comp, heat pump, air cond.
A A A HE747 /nJ G9 Coe c/ A 7) to 3 HP; absorp unit to 100K BTU 6.00
McYg Address ""°» Boiler or comp, heat pump, air cond.
J_' 15 N E M (-(C Z84 Z 11 3 8) 3 -15 HP; absorp unit to 500K BTU 11.00
Contractor 41y7 ,,,, a " Boiler or comp, heat pump, air cond.
RO/z-rido Alb a" 9 7 Z I Z 9) 15 -30 HP; absorp unit .5 -1 mil BTU 15.00
Stale wgsrenar Me. Gay Bus. Tao No. Boiler or comp, heat pump, air cond.
Z Z Z 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 Contractors 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
.6.. Al Il' i�e_� ( I, l q 1. 16) included in appliance permit 4.50
�' e.ra °" , ' / Hood served by
17) mechanical exhaust 4.50
Descnbe work new U addition 0 alteration 0 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 /dv 7 5.4 ' 9f- 19) heater, solar, clothes dryers, etc. 4.50
Proposed use of 5 �/ e--C_ 20) Gas piping one to four outlets 2.00
building or property 5A Ail t
21) More than 4 -per outlet
Type of fuel - oil 0 natural gas ji LPG 0 electric 0
NOT ICE
Minimum Fee $25.00 SUBTOTAL
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
AFTER WORK IS COMMENCED.
TOTAL
Special Conditions
Date issued by
kWMECHPMT
.adroemder
7/18/99 Activities for Case #: MEC94 -00329 •
6:16:31 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes •
MECC799 Final Inspection 12/9/94 TLP PASS TLP 1/26/95
MECC710 Mechanical Insp 11/17/94 12/9/95 TLP PASS TLP 1/26/95
MECC060 (F) Issue permit 11/17/94 JLG PASS JG 11/17/94
MECC800 Case Fineled 1/26/95 TLP PASS TLP 1/26/95
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