Permit MECHANICAL
✓
CITY OF TIGARD CHRNIT
COMMUNITY DEVELOPMENT DEPARTM�jNT PERMIT # • MEC94 -0050
13125 SW tall Blvd. Tigard, Oregon 97223.81 �{ 3}' DATE ISSUED: 02 / 15 / 94
PARCEL: 2S113AA -00100
SITE ADDRESS...: 16350 SW 72ND AVE
SUBDIVISION ROSEWOOD ACRE TRACTS ZONING: I —L
BLOCK • LOT •A
CLASS OF WORK..:ALT FLOOR FURN EVAP COOLERS:
TYPE OF USE •IND UNIT HEATERS..:1 VENT FANS...:1
OCCUPANCY GRP..:B VENTS W/O APPL: VENT SYSTEMS:
STORIES •1 BOILERS /COMPRESSORS HOODS
FUEL TYPES 0 -3 HP •1 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 < 100K BTU: <= 10000 cfm: GAS OUTLETS.:1
FURN > =100K BTU: > 10000 cfm:
Remarks: Spec Office— Tenant Impr., offices and a ADA toilet room.
Owner: FEES
PAC TRUST type amount by date recpt
15115 SW SEQUOIA PARKWAY PRMT $ 27.00 JH 02/15/94 .
SUITE 200 PLCK $ 6.75 JH 02/15/94 .
TIGARD OR 97224 5PCT $ 1.35 JH 02/15/94 .
Phone #:
Contractor:
CLIMATE CONTROL HTG & A —C
3315 NW 26TH AVE
PORTLAND OR 97210
Phone #: 223 -4393 $ 35.10 TOTAL
Reg #.. : 62196
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 persit will expire if work is not started Final Inspection
within 180 days of issuance, or if work is suspended for more
than 180 days.
Permittee Signature: AO AIMAP
Issued By: 6--e-446
Call for inspection — 639 -4175
•
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City of Tigard MECHANICAL PERMIT Planck/Rec. #
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13125 SW Hall Blvd. APPLICATION Permit # /lit q---o/ 8 i "
•
Tigard, OR 97223
(503) 639 -4171
- Karoo Description
x -
Lj PE . ic e 5piip AMT
Job - Table 3A Mechanical Code QTY PRICE /63 Sv' 514J 2 ,D 1) Permit Fee -0-.
Address
-o- 10.00
j 02- 9'7 2 2 3 2) Supplemental Permit 3.00
"a � 14Y1 Furnace to 100.000 BTU
g�C 1 yt S / 1) ind. ducts & vents 6.00
Warp p kick's. P " ° " Furnace 100,000 BTU +
Owner l>/I S 51-a S64vo 5 ;a" 2) Ind. duds & vents 7.50
_ J Floor Fumance
r>jb �ad o7e 97 22 / 3) incl. vent 6.00
Nano (« . el buinesal Suspended heater, wall heater
ZE OF vs! p p / l CE 4) or floor mounted heater 6.00
Occupant Vent not Incl. in
5) appliance permit 3.00
m's* 4 Repair of heating. refrig.
6) cooling. absorption unit (d vc 5) / 6.00 g G2�
"""' Boiler or comp, heat pump, air nd. r
7) to 3 HP absorp unit to 100K BTU 1 6.00 6,
M+ie "d'"' Pats Boiler or comp, heat pump, air cond.
Contractor c,„,.. 3 -15 HP absorp unit to 500K BTU 11.00
.. zo Boiler or comp, heat pump, air cond.
9) 15 -30 HP absorp unit .5.1 mil BTU 15.00
State A. si °a No Cq Bun. Tax No. Boiler or comp, heat pump. air cond.
10) 30-50 HP absorp unit 1 -1.75 and BTU 22.50 •
1 hereby acknowledge that 1 have read this application, that the Boiler or comp, heat pump, air cond.
information given is oomect, 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 dud 1 3.00 3.66
• Ventilation system not
16) included in appliance permit 4.50
s to... «.o«w Dar Hood served by
17) mechanical exhaust 4.50
Describe work new 0 addition 0 alteration 0 repair 0 Commercial or industrial
to be done residential 0 non - residential 0 18) type incinerator 30.00
Existing use of Other r.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
21) More than 4-per outlet
Type of fuel - od 0 natural gas 0 LPG 0 electric 0
NOTICE
Minimum Fee $25.00 SUBTOTAL —22
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS. OR 5% SURCHARGE 1 .3s J v2S
IF CONSTRUCTION OR WORK IS SUSPENDED OR /
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY T 6
'TIME PLAN REVIEW 25% OF SUBTOTAL .73
AFTER WORK IS COMMENCED.
TOTAL I /I)s
• Special Condtions
Date issued by
WMEO1PMT
.ae,nonw.+