Permit r MECHANICAL_
't CITY TIGARD
PCP M I T DATE 'SLUED: 04/27/05
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171
PARCEL: 1S136DB -02601
SITE ADDRESS.... 11603 SW PACIFIC HrSY
SUBDIVISION ZONING: C --G
BLOCK LOT
CLAM CF WORE..: D� FLOOR FURN " f;P COOLERS:
TYPE OF USE •COM UNIT HEATERS..: VENT FANS...: -
OCCUPi-NCY GR2h..: B2 `; ENTC W/0 APPL : VENT SYSTEMS:
STORIES •1 BOILERS /COMPRESSORS HOODS
FUEL TYPES -- 0-3 HP....: 1 :MMES. INCIN::
: /GAS/ / / 3 -15 HP COML. INCIN:
MAX I NF UT : BTU 1:-30 HP. ; .. REPAIR UNITS:
FIR` DAMPERS ?..: 30 - -50 HP WOODSTOVES.. :
GAS P'RES:TURE„ ... 50+ HP . OLD DRYERS'..;
NO. OF UNITS- •------ -. - - -- AIR HANDL I NG UNITS OTHER UNITS.:
FURN : 100K i BTU : {= 10000 : f In : 1 SAS OUTLETS.: 1
FURN > =1021R BTU: 3 10000 cfm:
Rena s INSTALL COMMERCIAL AIR- CONDITIONING UNIT.
Own - _ - - -- - - FEES - - - - -- --
CASH CONNECTION type amount by date r e::pt
11608 SW PACIFIC HWY PRMT $ 25.00 SW 04/27/95 -
SPCT $ 1.05 SW 004/27/c:.r - -
TIGARD OR 97253
Phone #:
Contractor: —_..._— _.__.._— ._._. -- -- -•- --- -_._•_
HOLLAND'S I ;EAT I NC
1445 SW 206TH
ALOHA OR 97006 - - -- - -- - __ -- ------- ___ - __ -
o;r e . 7 -5333 $ 26.25 TOTAL
Reg ;#... 75295
REQUIRED INSPECTIONS - -- -- - -•-
Thiss permit is issued suu,lect to the regi lath, hs contai led ill the Gas Line Insp
Tina,d Muicipa: Co.* State of Ore. Cpnialty Codes and ail other Mechanical Insp
applicable laws. All work will be done in accordance with Final Inspect ian
approved plans. This permit will expire if worn is not started
within 180 days of issuance, or if or is suspended for more
than :80 days.
I _ ,
By
Call for inspection - 639 -4175
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit # fl4 C q 5 -O J , S
Tigard, OR 97223
(503) 639 -4171
•
Hem 0f °i Description
(2 J16 COA-WE 7 7cK/ Table 3A Mechanical Code QTY PRICE AMT
Job Atla °M
wys //bog 3W FI C 1(10 1) Permit Fee -0- -0- 10.00
Address
"r] 4A42() OR 2) Supplemental Permit 3.00
nom. (of roar of ou4n°11) Furnace to 100,000 BTU
1) incl. ducts & vents 6.00
Maim radar.°° Mane e Furnace 100,000 BTU +
Owner 2) inc.!. ducts & vents 7.50
"f' up floor Fumance
3) incl. vent 6.00
n.n° (a name of } Suspended heater, wall heater
CAS II CO)'-8 a 4) or floor mounted heater 6.00
Vent not ind. in
Occupant 5) appliance permit costal* Repair of heating, refng.
its � 6) cooling, absorption unit 6.00
"'m'/ / f /],� / Boiler or comp, heat pump, air cond.
C( ` Wr ` OS �/�� l it IC 7) to 3 HP; absorp unit to 100K BTU / 6.00
2/ //0 O J�/ urJ ' � � 9 Boiler or comp, pump, air cond.
Contractor f-t 8 ) 3-15 HP; absorp uni t to SOOK BTU 11.00
4ly/ShY S g% boiler or comp, heat pump, air cond.
�So Ode 6 77/Z4 9 ) 15 -30 HP; absorp unit .5 -1 mil BTU 15.00
Stele Rrgw°°°n oa. Gag &O. ra■ No. Boiler or comp, heat pump, air cond.
7s2gs 22 5 10) 30-50 HP; absorp unit 1 -1.75 mil BTU 22.50
I hereby acknowledge that I have read this application, that a 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 Contractor's Board, 12) 10,000 CFM 1 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 duct 3.00
Ventilation system not
16) included in appliance permit 4.50
Signature (°rnef of agent) u°• Hood served by
17) mechanical exhaust 4.50
Describe work new, addition U alteration U repair U Commercial or industrial
to be done residential 0 non - residential 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 1 2.00
building or property
21) More than 4-per outlet
Type of fuel - oil 0 natural gasK LPG 0 electric 0
NOTICE �i
Minimum Fee $25.00 SUBTOTAL , —
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 25
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE I ,
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 2.6 , —
Special Conditions
Date issued 2112 - 7 I 1 5 by e lZ k
ImMECHRAT
.awns..
4/24/00 Activities for Case #: MEC95 -00118
5:07:48 PM
•
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECC799 Final Inspection 5/10/95 TLP PASS TLP 5/11/95
MECC705 Gas Line Insp 4/27/95 5/10/95 TLP PASS TLP 5/11/95
MECC710 Mechanical Insp 4/27/95 5/10/95 . TLP PASS TLP 5/11/95
MECC060 (F) Issue permit . 4/27/95 SKW PASS SW 4/27/95
MECC800 Case Finaled 5/11/95 TLP PASS TLP 5/11/95
•
•
•
•
Page 1 of 1 •
CITY OF TIGARD BUILDING INSPECTION NOTICE � j .. ��
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 63• 1 1
Inspection: 61 --4--'k Q lLJL Z. � _. , ;JA i l ,
U , —
Footing Susp. Ceiling Sprink. Rough -in Ap•r /Sdwlk
Foundation Plbg. Underslab ec . Rou• • -.• Fireplace
Post /Beam Struct. Plbg. Top Out Elec. Rough -in
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing - Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall . Gyp. Bd. - Elect.
5 /
Date Requested: S1S7 Time: AM PM
Address: I HO 0 O_ ii'" , ry
Builder: ( (- ' 3 ? 3 Permit #: J7 -1- 5 a 1 i b
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Insp tor: Date:570X
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.