Permit A CITY OF TIGARD MECHANICAL
%�,�;� DEVELOPMENT SERVICES PERMIT
PERMIT I T #.......: MEC9B -•0229
DATE ISSUED: 06/16/98
1bq(T
PARCEL: 15135CA- -00700
SITE ADDRESS...: 1095 SW GREENBURG RD
SUBDIVISION....: - ZONING: I -P
BLOCK........... LOT.............: JURISDICTION: TIG
CLASS OF WORK..: ALT FLOOR T=URN....: 0 EVAP COOLERS: 0
TYPE OF USE.... :COM UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP.. :? VENTS W/O APPL: 0 VENT SYSTEMS: 0
STORIES........: 0 BOILERS /COMPRESSORS HOODS.......: 0
FUEL TYPES - - - - - -- 0 -3 HP....: 0 DOMES. INCIN: 0
:GAS 3 -15 HP....: 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15--30 HP....: 0 REPAIR UNITS: 0
FIRE DAMPERS ?..: 30 -50 HP....: 0 WOODSTOVE:S..: 0
GAS PRESSURE...: 50+ HP....: 0 CLO DRYERS..: 0
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.: 0
FURN < 1O0K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 1
FURN > =1OOK BTU: 0 > 10000 cfm: 0
Remarks: Tigard Auto Body gas piping
Owner: -- - - -- - - -- ---- - -• - -- FEES -------- -' - - --
TIGARD AUTO BODY <KADEL'S) type amount by date recpt
10925 SW GREENBURG ROAD PRMT $ 25.00 JSD 06/16/98 98-306569
TIGARD OR 97223 •PLCK $ 6.25 JSD 06/16/98 98- 306569
'`SPC.T $ 1.25 JSD 06/16/98 98- 306569
Phone #:
Contractor:
XLENT FIRE SAFETY
PO BOX 87597 --- . --
$ 32.50 TOTAL
VANCOUVER WA 98687
Phone #: 360 -904 -1305
Reg #..: 70010
-- - - - - -- REQUIRED INSPECTIONS -----
This pewit is issued subject to the regulations contained in the Gas Line I n s p — _
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance with _______ —. ._�___
approved plans. This peroit will expire if work is not started — -__
within 180 days of issuance, or if work is suspended for Dore „__, -_, __
than 180 days. ATTENTION: Oregon law requires you to follow rules — _-__
adopted by the Oregon Utility Notification Center. Those rules are .
set forth in OAR 952 -irvr1 -0010 through OAR 952 -001 -0080. You Day �___
obtain copies of these rules or direct questions to OUNC by calling — _____
(503)246- 9187.
i / /
Issue By: � / Permittee Signature : J_ '/ r4 _-
0
4-1- + + ++•l- -F- {- ++ + + + + + ++ ++ + +-1 -±±- + ++ + + +-F ++ + + + +- +-1 ++++++ + + + + ++ ++ + + + + + + + + + + + + + + ++ ++ + + °t- 1-+
Call 639 -4175 by 7 :00 p.m. for inspections needed the next business day
+ + ++ +++ + + + + + + +-s +++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + +a- + + + +-r + + + + ++ ++
1
l
Plan Check #
- CITY TIGARD Mechanical Permit Application Rec'd By
13125 SW HALL BLVD. Commercial and Residential v Date Rec'd d6 /Ce
TIGARD, OR 97223 � � `` �� Date to P, E.
(503) 639 -4171, x304 O v` Date to DST
Print or Type Permit # M- CZ `n -OZ -
Called
Incomplete or illegible applications will not be accepted
Name of Develops ent/Proje r / /' Description
1
1�!} et d Rt�f� ff ald t./ l 41e- P) Table 1A Mechanical Code QTY PRICE AMT
Job / stFket address / Suite# A) Permit Fee -0- -0- 10.00
Addres �5 5 !✓ G� e,•ak l� ®/ )e,
V G Bldg# City /State Zip 1.) Furnace to 100,000 BTU 6.00
q g -(,1R OR ?7,Z Z3 including ducts & vents
Name (or name of busines 2.) Furnace 100,000 BTU+ 7.50
Owner '~ ^ ic .44-e_ �---- including ducts & vents
Mailing Address 3.) Floor Furnace 6.00
including vent
City /State Zip Phone 4.) Suspended heater, wall heater 6.00
or floor mounted heater
Name (or name of business) 5.) Vent not included in appliance permit 3.00
� G �
Occupant Mailing Address 6.) Boiler or comp, heat pump, air cond. 6.00
to 3 HP; absorb unit to 100K BUT**
City/State Zip Phone 7.) Boiler or comp, heat pump, air cond. 11.00
3-15 HP; absorb unit to 500K BTU"
Contractor NamQ /� 8.) Boiler or comp, heat pump, air cond. 15.00
X ZE-- A 7- r;,,... 54 T �' 7j 15-30 HP; absorb unit.5 -1 mil BTU"
Prior to permit Mailing Address 9.) Boiler or comp, heat pump, air cond. 22.50
issuance, a copy p O Box $ 759 7 30-50 HP; absorb unit 1- 1.75mi1 BTU*'
of all licenses city /state VA (� Zip Phont36C) 10.) Boiler or comp, heat pump, air cond. 37.50
are required if (/G , .cvu v Fr ,l &8 7 por /,J05 > 50 HP; absorb unit 1.75 mil BTU**
expired in COT Oregon Const. Cont. Lic.# Exp. Date 11.) Air handling unit to 10,000 CFM 4.50
database i 200/0 c/0 -9
Architect Name 12.) Air handling unit 7.50
10,000 CTM+
or Mailing Address 13.) Non - portable evaporate cooler 4.50
Engineer City /State Zip Phone 14.) Vent fan connected to a single duct 3.00
Describe work New 0 Addition 0 Alteration 0 Repair 0 15.) Ventilation system not included 4.50
to be done Residential 0 Non - residential 0 in appliance permit
Additional Description of work: 16.) Hood served by mechanical exhaust 4.50
/, / 1 17.) Domestic incinerators 7.50
Existing use of QQ , pp 18.) Commercial or industrial 30.00
building or property d7 4 / r .. T 5h 0 rCJ type incinerator
/ 19.) Repair units 4.50
Proposed use of 20.) Wood stove 4.50
building or property •Sit w.. e_
21.) Clothes dryer, etc. 4.50
Type of fuel - oil 0 natural gas El LPG 0 electric 0 22.) Other units 4.50
I hereby acknowledge that I have read this application, that the information 23.) Gas piping one to four outlets 2.00
given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with Oregon State laws. 24.) More than 4 -per outlet (each) .50
Signature of Owner /Agent Date *SUBTOTAL % ' .4 , 2 < �
i/ ....-- P ✓ - /� „, g 5% SURCHARGE u � 4_.;r;_ "' ai
Contact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL °:., ` '',4 /j/
Required for all commercial permits only. -0:: ,. I
rr ) TOTAL ` v
*Minimum permit fee is $25 + 5% surcharge
S ��J O"Residential NC requires site plan showing placement of unit.
I:\rnechprmt.doc rev 4/15/98 9 � (/p ( /%" /7