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Permit I CITY OF T MECHAN I CAL A -Ni ard,OR97223 503 ( ) DEVELOPMENT SERVICES PERMIT pp , _ ' 13125 SW Hall Blvd.,Ti 639.4171 PERMIT # MEC98 -0219 9 DATE ISSUED: 07/09/98 � "v ``� PARCEL: 1S136CD -01401 SITE ADDRESS...: 11 SW PACIFIC HWY SUBDIVISION • ZONING: C —G BLOCK • LOT • JURISDICTION: TIG CLASS OF WORK..:ALT FLOOR FURN • 0 EVAP COOLERS: 0 TYPE OF USE •COM UNIT HEATERS..: 0 VENT FANS...: 0 OCCUPANCY GRP..:B VENTS W/0 APPL: 0 VENT SYSTEMS: 0 STORIES • 0 BOILERS /COMPRESSORS HOODS • 0 FUEL TYPES 0 -3 HP • 0 DOMES. INCIN: 0 :GAS 3 -15 HP • 4 COMML. INCIN: 0 MAX INPUT: 1500000 BTU 15 -30 HP ° 0 REPAIR UNITS: 0 FIRE DAMPERS ?..: 30 -50 HP • 0 WOODSTOVES..: 0 GAS PRESSURE...: M 50+ HP • 0 CLO DRYERS..: 0 NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.: 4 FURN < 100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 1 FURN > =100K BTU: 4 > 10000 cfm: 0 Remarks: Mechanical TI Owner: FEES WESTSIDE DANCE ACADEMY type amount by date recpt 11632 SW PACIFIC HWY PRMT $ 104.00 B 07/09/98 98- 307224 TIGARD OR 97223 PLCK $ 26.00 B 07/09/98 98- 307224 5PCT $ 5.20 B 07/09/98 98- 307224 Phone #: Contract or: CLIMATE CONTROL INC 3315 NW 26TH AVE $ 135.20 TOTAL PORTLAND OR 97210 Phone #: 223 -4393 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 Heating Unt Ins p approved plans. This peruit will expire if work is not started Cooling Unt Insp within 180 days of issuance, or if work is suspended for wore Duct Inspection than 180 days. ATTENTION: Oregon law requires you to follow rules S. D. Shut—down adopted by the Oregon Utility Notification Center. Those rules are Final Inspection set forth in OAR 952 - 01-0010 through OAR 952 - 0014080. You lay obtain copies of these rules or direct questions to OUNC by calling (503)246 -9187. Issue By: Permitt Si nature` Y " 9 l,O, ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + ++ + + + + ++ + ++ Call 639 -4175 by 7:00 p.m. for inspections needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + ++ + + + + + + + + + + + + + + + + + + ++ Plan Chec • (S1 v CITY OF TIGARD Mechanical Permit Application Recd By /. Il.,. 1, - - b. 13125 SW HALL BLVD. Commercial and Residential Date Recd t/' - 0 - TIGARD, OR 97223 Date to P.E. (D - I E - fib (503) 639 -4171 X304 Date to DST ' • 4 • Print or Type Permit # �E T . -02_19 Incomplete or illegible applications will not be accepted Called �'IA2� /9��� Name of Development/Projed Description ' (-tie C /CL /4C 92_ Table 1A Mechanical Code QTY PRICE AMT Job Street Address Suite A) Permit Fee -0- -0- 10.00 Address 1/6 32- SGu 14-/,c Aiey4 . Bldg,/ City/State Zip 1.) Fumace to 100,000 BTU 6.00 77 OR, including ducts & vents Name (or name of business) 2.) Furnace 100,000 BTU+ 7.50 • .. Owner eeiGS'/ 5 -- � f)Ci9JC-nJ?7 including ducts & vents 4 Mailing Address 3.) Floor Fumace 6.00 /(C32 5 w P.ge,,Q 7 /&y( including vent City /State Zip Pone 4.) Suspended heater, wall heater 6.00 7 7G'9(D 02, or floor mounted heater Name (or nam business) 5.) Vent not included in appliance permit 3.00 5g , 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. / 7 11.00 3-15 HP; absorb unit to 500K BTU** 7f 66 I Contractor Name - 8.) Boiler or comp, heat pump, air cond. 15.00 et( .. // COi(/ j 2740 C - 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 3 3/.. 'l/&) 2 6Y 30-50 HP; absorb unit 1- 1.75mi1 BTU 1 of all licenses C" l State Zip Phone 10.) Boiler or comp, heat pump, air cond. 37.50 are required if Poe77, .0, .7,e. q 7.ZrG 223-Y393 > 50 HP; absorb unit 1.75 mil BTU" expired in COT Oregon Const. Cont. Board Uc.,/ Exp. Date / 11.) Air handling unit to 10,000 CFM 4.50 database as %9‘ /G -9? t 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 Alterati Repair 0 15.) Ventilation system not included 4.50 to be done Residential 0 Non - residential in appliance permit Additional Description of work: 16.) Hood served by mechanical exhaust 4.50 17.) Domestic incinerators 7.50 Existing use of - 18.) Commercial or industrial 30.00 building or property & ,V/ 1 ( /Ce //7 type incinerator 19.) Repair units 4.50 Proposed use of - 20.) Wood stove 4.50 building or property 7 .- 7 21.) Clothes dryer, etc. 4.50 Type of fuel - oil 0 natural gas," 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 1 2.00 2..4.0, 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 fr. :�-. ? , . i- ;; 4 j .ira:4 ; Lf�� �/` � - / -Q 5 %.SURCHARGE :,;74' ;';'"`" iy�� S Contact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL 'rx* r' ,, ., Required for all commercial permits only. ` WIA '. ', / 77/9 / ` / e I Z- ZZ - 3 93 TOTAL r :'. a;.- s , x}" 'Minimum permit fee is S25 + 5% surcharge "Residential NC requires site plan showing placement of unit. I:\mechprmt.doc rev 4/15/98 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Ispection Line: 639 -4175 Business Line: 639 -4171 // / BUP Ab5/ Date Requested G a ' 7 --(78. I AM PM BLD Location I cf/ 5 5C 1 KJ " U Suite ® C M - t, 0 c - Contact Person A Ph PLM Contractor Q, Ceriae-b Ph 3 3 SWR BUILDING Tenant/Owner 0 )JxiJ t"2,(CEQ QAtiet ELC Retaining Wall ELR Footing Access: Foundation I ( &b FPS Ftg Drain �J V Crawl Drain Inspection Notes: SGN Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear /1.) Framing 0 Asz 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 FAIL MECHANICAL as Line Smoke Dampers Final PASS PART FAIL ELECTRICAL 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 Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA 1 Q Otheoach /Sidewalk Date ✓ © ' ' 0 Inspector I e • Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.