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MECHANICAL
COMMUNITY DEVELOPMENT DEPARTMENT
PERMIT
,31oasW Hall Blvd. Tigard. Oregon e7223°e199 (503) 639
PERMIT # ^ MEC94-0305
639-4171 DATE ISSUED: 11/08/94
•
PARCEL: 2S112AD-00600
SITE ADDRESS...: 14750 SW 72ND AVE
SUBDIVISION : ZONING: I—L
BLOCK..........: LOT
—
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 ^1 BOILERS/COMPRESSORS HOODS
FUEL TYPES 0-3 HP • DOMES. INCIN
:/GAS/ / / 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:1 <= 10000 cfm: GAS OUTLETS. :1
FURN >=1061K BTU: > 10000 cfm
Remarks: Ryder Truck Rental— repair units= ducts
Owner: FEES
RYDER type amount by date recpt
14750 SW 72ND AVENUE PRMT $ 25.00 JF 11/08/94 —
PLCK $ 6.25 JF 11/08/94 —
TIGARD OR 97224 5PCT $ 1.25 JF 11/08/94 —
Phone #:
Contract or:
JACOBS HEATING
1421 SE HOLGATE BLVD
PORTLAND OR 97202
Phone #: 234-7331 $ 32.50 TOTAL
Reg #..: 01441
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
applicable laws. All work will be done in accordance with Duct 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.
1/4
Permittee Signature: ^k V
Issued By:
Call for inspection — 639-4175
. wO 4 1
City o&Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit # h EC 9 5
Tigard, OR 97223
(503) 639 -4171
Name •N Development Descnption
�.; ::; r. DC/ 4 , y . 66; 4 / -4.,d Table 3A Mechanical Code QTY PRICE AMT
:`.Job / //4�S0 S t .. Z w D 4 ✓ - 1) Permit Fee -0- -0- 10.00
Address ` farss ' e m
776 •f-12o O2 97 gz L 2) Supplemental Permit 3.00
name (or name m ) Fumace to 100,000 BTU
k wYkee-/� 1) inc.'. ducts & vents ! 6.00 6`25-'-
Phone Fumace 100,000 BTU +
Owner 2) ind. ducts & vents 7.50
cur/Sta. DO Floor Fumance
3) incl. vent 6.00
Nam (« name •+e•u,ess) Suspended heater, wall heater
— R` 4 0 ela 4) or floor mounted heater 6.00
Miry w• Phone Vent not incl. in
Occupant 5) appliance permit 3.00
CIS• Lv Repair of heating, refng.
6) cooling, absorption unit 4d -e, I 6.00 (' :9
"�"" Boiler or comp, heat pump, air cond.
J Ac,O 8 3 j4-r�i 4 tfo Q eoi o • 7) to 3 HP; absorp unit to 100K BTU 6.00
M•Ynp AOdress , / ' Pharo
Boiler or comp, heat pump, air cond.
Contractor
/421 5 a 6-.4—r� �3 5 / 8) 3-15 HP; absorp unit to 500K BTU 11.00
, +"saa vv Boiler or comp, heat pump, air cond.
a R 'fZ,4.w o on . 97242- 9) 15-30 HP; absorp unit .5-1 mil BTU 15.00
sac. i+•wtr•�•m "° Gay ew. r° No. Boiler or comp, heat pump, air cond.
/ e./4 / / 2 (o5 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 11) > 50 HP; absorp unit 1.75 mil BTU 37.50
agent of the owner, that plans submitted are in compliance with Air handling unit to
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4.50
Board, that the number given is correct. (If exempt from State Air handling unit
registration, 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 3.00
Ventilation system not
16) included in appliance permit 4.50
r a . ,) _ Hood served by
/ /Z 7 /9)L 17) mechanical exhaust 4.50
Des new addition alteration O repair (i Commercial or industrial
to be done residential 0 non - residential )8* . 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 Z.. 00
building or property
21) More than 4 -per outlet
Type of fuel - oil Q natural gas ® LPG 0 electric 0
L
NOTIC
Minimum Fee $25.00 SUBTOTAL 25 va
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE /. 2...S
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL Ip . ZS
AFTER WORK IS COMMENCED.
TOTAL 3Z• 5D
Special Conditions
Date issued by
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested /act AM PM BLD
Location 1 - l - 1 7- Suite MEC 6 o d 3 d5
Contact Person Ph PLM
Contractor Ph W
SR
BUILDING Tit/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation --- /'�4 -1� FPS
e _;
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL EXPIRED
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
Approach /Sidewalk Date Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.