Permit crry oF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT MECHANICAL
13125 SW Hall Blvd. Tigard, Oregon 9722368199 (503) 639-4171 PERMIT
PERMIT # : MEC94-0297
639-4171 DATE ISSUED: 10/27/94
PARCEL: 2S113AD-601800
SITE ADDRESS...: 16640 SW 72ND AVE #B-10
SUBDIVISION ^ ROSEWOOD ACRE TRACTS ZONING: I—L
BLOCK ^ LOT ^11
CLASS OF WORK..:ALT FLOOR FURN ^ EVAP COOLERS:
TYPE OF USE ^lND UNIT HEATERS..: VENT FANS...:
OCCUPANCY GRP..:B2 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: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.:1
FURN >=100K BTU: > 10000 cfm:
Remarks: Precision Interconnect— Tenant Remodel: add offices in the corner of th
e
wharehouse next to the process development room. Repair units= ducts
Owner: — FEES
PACIFIC REALTY ASSOCIATES type amount by date recpt
111 SW 5TH AVE, SUITE 2950 PRMT $ 25.00 JF 10/27/94 —
PLCK $ 6.25 JF 10/27/94 —
PORTLAND OR 97204 5PCT $ 1.25 JF 10/27/94 —
Phone #: 224-6540
Contractor:
PROTEMP ASSOCIATES INC.
807 N. E. COUCH
•
PORTLAND OR 97232
Phone #: 233-6911 � $ 32.50 TOTAL
Reg #..: 38868
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.
Permittee Si gnat ur-
Issued By:
Call for inspection — 639-4175
°
1 lo,9-' \61
city of 'Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit # a,ec 9 y - aa9ri
Tigard, OR 97223 .
(503) 639 -4171
Sterne of Derelo Description - -
Oe " t)c - ) S i Mr PAEK 1 Table 3A Mechanical Code QTY PRICE AMT
ma...
Job (CitfO S W -72"° 1) Permit Fee -0- -0- 10.00
A)dress
Y 2) Supplemental Permit 3.00
Mere (« name Od1Qe1°t) Furnace to 100,000 BTU
1) ind. ducts & vents 6.00
Mr.p Address P,10ne Fumace 100,000 BTU +
Owner 2) incl. ducts & vents 7.50
QtylState LP Floor Fumance
3) incl. vent 6.00
Name ter name of °1Aeete Suspended heater, wall heater
L IT .... -c_isic),Li i N Ecoml.l I 4) or floor mounted heater 6.00
Address Phone Vent not incl. in
Occupant tk ic' SIN 72NP 4V 5) appliance permit 3.00
zo Repair of heating, refrig.
6) cooling, absorption unit �,v ) 6.00 , �j
Nam. Boiler or comp, heat pump, air rid.
f -- -A As5ft � _ 7) to 3 HP; absorp unit to 100K BTU / 6.00 6, 0
NON Add Boiler or comp, heat pump, air cond.
W ��
Lv 8) 3-15 HP; absorp unit to 500K BTU 11.00
Contractor Boiler or comp, heat pump, air cond.
CItC1-1.4t1Q19 / OkZ.- IZz32 9) 15-30 HP; absorp unit .5-1 mil BTU 15.00
R.aaa.o.n Ne. Tax No. Boiler or comp, heat pump, air cond.
� CTC{'' 2.1&‘2.1&‘-t 1 "" 10) 30-50 HP; absorp unit 1 -1.75 mil BTU 22.50
I hereby acknowledge tthat av 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 and
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
`� f II —1 -4 16) included in appliance permit 4.50
..re • '.rei■ a •a1e Hood served by
17) mechanical exhaust 4.50
eescnbe work new ( 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 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 jjD
budding or property .
21) More than 4 -per outlet
Type of fuel - oil 0 natural gas ® LPG 0 electric 0
frm)
NOTICE
Minimum Fee $25.00 SUBTOTAL ) . 5 - ,
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE 47-5"
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL 4,2c
AFTER WORK IS COMMENCED.
TOTAL 3)..cd
-
Special Conditions
Date issued by
.NMECHPMT
worakonw.r