Permit CHANICAL
CITY OF TIGARD M
PERM IT
% �, � , , D EVELOPMENT SERVICES PERMIT # MEC98 -0069
"�ti - ���' DATE ISSUED: 02/`4/98
All : _- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171
SITE ADDRESS...: 11670 SW PACIFIC HWY PARCEL: 1S136CD -01601
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..:? 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 : 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15 -30 HP • 0 REPAIR UNITS: 0
FIRE DAMPERS ?..: 30 -50 HP • 0 WOODSTOVES.. : 0
GAS PRESSURE...: 50+ HP : 0 CLO DRYERS..: 0
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.: 0
FURN ( 100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS. : 1
FURN ) =1O0K BTU: 0 > 10000 cfm: 0
Remarks: Installation of 2 gas piping outlets.
Owner: FEES
J P DOUGHTY type amount by date recpt
10150 SW CANYON ROAD PRMT $ 25.00 DRA 02/24/98 98- 303561
BEAVERTON OR 97005 SPCT $ 1.25 DRA 02/24/98 98- 303561
Phone #:
Contract or:
FULLMAN SERVICE CO LLC
5805 SW HOOD AVE
$ 26.25 TOTAL
PORTLAND OR 97201 -3716
Phone #: 224 -5221
Reg #..: 122310
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 Misc. 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 sore
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- 001 -0010 through OAR 952-001 -0080. You say
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
Issue By k o Per mittee Signature: / %�,
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Plan Chec,
CITY OF TIGARD Mechanical Permit Application Recd By /
13125, SW HALL BLVD. Commercial and _Residential Date Recd - - "
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 64C/t- Date to DST
Print or Type Permit # �1
Called
Incomplete or illegible applications will not be accepted
Na of Developmentpi.roW. Description
/Z& ? (: Table 1A Mechanical Code QTY PRICE AMT
Job Street Address Suite# A) Permit Fee -0- -0- 10
Address ‘754/c,9 f
Bldg# •- City/State p 1.) Furnace to 100,000 BTU 6.00
//� 9772,3 includingductsz ve
Name (o ame of business Fuma 100,000 BTU+ 7.50 0
Owner ` �7 y / e-r inGudin ents ,r____---,
Mailing Address 3.) Floor Furnace I 0 6.00
/d /_� Scd �i-., ,,N . •,Q including vent
xC' rate ! ip Phone 4.) Suspended heater, wall heater, 6.00
Y f2 �/ , #S U 26 52 or floor mounted heater
Name (or name of business) 4 5.) Vent not included in appliance permit 3.00
Occupant Mailing Address 6.) Boiler or comp, heat pump, air cond. . 6.00
to 3 HP; absorb unit to 100K BUT
City/State! Zip I Phone 7.) Boiler or comp, heat pump, air cond. 11.00
\ 3-15 HP; absorb unit to 500K BTU"
Contractor / Name $) Boiler or comp, heat pump, air cond. 15.00
-f / j ����� f 15-30 HP; absorb unit.5 -1 mil BTU"
Prior to per I mit Maili g Address " 9.) Boiler or comp, heat pump, air cond. 22.50
issuance, a copy 30-50 HP; absorb unit 1- 1.75mil BTU"
of all licensee C to Zip - Phone 10.) Boiler or comp, heat pump, air cond. 37.50
are required if e, 0� 2zys�/ > 50 HP; absorb unit 1.75 mil BTU"
expired in COT / Oregon Const. Cont. Board Lic.# Exp. Date 11.) Air handling unit to 10,000 CFM 4.50
database
Architect Name 13.) Non - portable evaporate cooler 4.51)
or Mailing Address 14.) Vent fan connected to a single duct 3.00
•
Engineer City /State Zip I Phone 15.) Ventilation system not included in 4.50
appliance permit
Describe work New 0 Addition 0 Alteration" Repair 0 '16.) Hood served by mechanical exhaust 4.50 y p
/�
to be done Residential 0 Non - residential d 4,/ b {'//
Additional Description of work: 17.) Domestic incinerators 7.50 , ( V
18.) Commercial or industrial type 30.00
Incinerator
Existing use of 19.) Repair units 4.50
building or property 1 ____
20.) Wood stove 4.50
Proposed use of 21.) Clothes dryer, etc. 4.50
building or property
22.) Other units 4.50
Typ of fuel - oil O natural gaA LPG O electric O 23.) Gas piping one to four outlets
■
r - ( 0 -16°
r -(1-_ t
I hereby acknowledge that I have read this application, that the 24.) More than 4 -per outlets (each) \ \ .50
information given is correct, that I am the owner or authorized agent of -----
the owner, that plans submitted are in compliance with Oregon State QTY. SUBTOTAL
laws.
Signature of Owner /Agent Date *SUBTOTAL sa\C,
�� J z 5% SURCHARGE / ��
ontact - erson Name Pho • - PLAN REVIEW 25% OF SUBTOTAL
■
��e-GzCw WC(./cia - 7 / Y� TOTAL
i:\rnechpmt.doc (rev 9 *Minimum permit fee is $25 + 5% surcharge
•
i 0 ?- 0 9 4 - "Residential NC requires site plan showing placement of unit.
Get_ 012424 - .-/-- - e xec-fL'i-4
a0
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: c2.c -- 7 11 - 7 0 : K P.M. MST:
Location: l ! �p 70 d� Q G ` BUP:
Tenant: C.41 Suite: Bldg: MEC: CP.
Contractor: Niteeg _AJ/e Phone: ( ? 0 - / 1- / -0 00 PLM:
Owner: r Phone: ELC:
/_ . 1 # 2 A !_!1, , r '/t //! ELR:
Z- SIT:
BUILDING BLDG (con't) PLUMBING C ELECTRICAL SITE
Site Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Hood7lf Rough -In UG Sprinkler
Foundation Insulation Sewer ct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump_ Low Volt
Approved Approved Approv Approved Approved
Appr /Sdwlk Not Approved Not Approved o pproved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
„......7 7; / 2 4 9 /
0 Call for reinspection �� O Reinspection fee of $ required before next inspection O Unable to inspect
Inspector: �i 4/1 Date: 2,- 2i 7 - 7f Page of
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