Permit CITY OF T D MECHANICAL
DEVELOPMENT SERVICES PERMIT
DA
1i� 1 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE I S 8 /977 -0413
T
DAT ISSUED: 11/18/97
PARCEL: 1S136CD -CARTY
SITE ADDRESS...: 11710 SW PACIFIC HWY
SUBDIVISION • ZONING: C -G
BLOCK....... ....: LOT JURISDICTION: TIG
CLASS OF WORK..:NEW FLOOR FURN ° 0 EVAP COOLERS: 0
TYPE OF USE °COM UNIT HEATERS..: 0 VENT FANS...: 2
OCCUPANCY GRP..:M VENTS W/0 APPL: 0 VENT SYSTEMS: 0
STORIES ° 1 BOILERS /COMPRESSORS HOODS ° 0
FUEL TYPES 0 -3 HP ° 0 DOMES. INCIN: 0
:GAS 3 -15 HP • 0 COMML. INCIN: 0
MAX INPUT: 500000 BTU 15 -30 HP : 0 REPAIR UNITS: 0
FIRE DAMPERS ?..: Y 30 -50 HP : 0 WOODSTOVES..: 0
GAS PRESSURE...: M 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 > =1O0K BTU: 4 > 10000 cfm: 0
Remarks: 5,864 sq. ft. retail building
Owner: FEES
CAR TOYS type amount by date recpt
11710 SW PACIFIC HWY • PRMT $ 48.00 GEO 11/18/97 97- 301059
TIGARD OR 97223 PLCK $ 12.00 GEO 11/18/97 97- 301059
5PCT $ 2.4O GEO 11/18/97 97- 301059
Phone #:
Contractor:
JULIANO HVAC & GENERAL CONTR
2525 SE 176TH PL
62.40 TOTAL
PORTLAND OR 973E
Phone #: 760 -9175
Reg #..: 000111
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 Insp
approved plans. This permit will expire if work is not started Duct Inspection
within 180 days of issuance, or if work is suspended for more S. D. Shut -down
than.188 days. ATTENTION: Oregon law requires you to follow rules Final Inspection
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952 -1 -0010 through OAR 952 -001 -0080. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
or
Issue By: .41
� �, i,. - - mittee Signatur -_� ,_. `.� mm.a..
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + ± + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD Mechanical Permit Application Rec'd B eck# I D y 13116 SW HALL BLVD. Commercial and Residential Date Rec'd , S?
TIGARD, OR 97223 Date to P.E. /t) - Z '
(503) 639 -4171, x304 Date to DST t tat
Print or Type Permit #M �•I *
Incomplete or illegible applications will not be accepted Called tiff n- - 24 - C .
Name of D Description ./ /�J �(. efr, J
C "� -'T t ( S Table 1A Mechanical Code QTY PRICE AMT
Job Street Address Suite#
(� A) Permit Fee -0- -0- 10.00
Address � PCic;ccLl4
. Bldg# I /State Zip 1.) Furnace to 100,000 BTU 6.00
/ t C cA f( including ducts & vents ( -f
Name (or name of business) 2.) Furnace 100,000 BTU+ 7.50
/
n
Owner C F-t A r\
( !s including ducts & vents
ss t
Mailing Address
0 ,- 3.) Floor Furnace 6.00
Cad. sc a- S' . ' including vent
City/State Zip Phone q-`■&) 4.) Suspended heater, wall heater 6.00
Sea J- 'e LO tllt ' y y3 - 07eb or floor mounted heater
Name (or name of business) 2 5.) Vent not included in appliance permit 3.00
C - To
Occupant Mailing Address
P 6.) Boiler or comp, heat pump, air cond. 6.00
-cc, `'-' S 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 *IF 8.) Boiler or comp, heat pump, air cond. 15.00 •
v ��Ct.vi O f' ` ,r q 0 A tiiC 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 a S S C (? b ' 1- ` ., • �✓ 30-50 HP; absorb unit 1- 1.75mi1 BTU"
of all licenses CA/State. zip Phony„ �( f_ 10 Boiler or comp, heat pump, air cond. 37.50
are required if )S . 6aL d_ ca % 723L '7L0 - �y /7,t i 7/ 5 ) > 50 HP; absorb unit 1.75 mil BTU"'
expired in COT , Oregon Const. ont. Board Lic.# Exp. Date 11.) Air handling unit to 10,000 CFM 4.50
database ./ L i 7 f CI- 5
Architect Name 13.) Non - portable evaporate cooler 4.50
or Mailing Address
14.) Vent fan connected to a single duct J ^ 3.00
Engineer City /State Zip Phone 15.) Ventilation system not included in ` 4.50 .
appliance permit
Describe work New k Addition 0 Alteration 0 Repair 0 16.) Hood served by mechanical exhaust 4.50
to be done Residential 0 Non - residential 0
Additional Description of work: 17.) Domestic incinerators 7.50
1�
18.) Commercial or industrial type 30.00
0 �� bk0 ' Incinerator
Existing use of 19.) Repair units 4.50
building or property
20.) Wood stove 4.50
Proposed use of 21.) Clothes dryer, etc. 4.50
building or property
22.) Other units 4.50 •
Type of fuel - oil 0 natural ga4,0_, LPG 0 electric 0 23.) Gas piping one to four outlets 2.00
I hereby ack owl e that I have read this application, that the 24.) More than 4 -per outlets (each) .50
inform. ion «iven is rr , that I am the owner or authorized agent of
the o r er` at la s itted are in compliance with Oregon State QTY. SUBTOTAL
law / /C2- -� I - `? 7
g . ture of Owner /Agent Date *SUBTOTAL 1(46
� r� /
5% SURCHARGE r G
L.L. l iQ�IFJ CAA. O�1 S 76C> 4/ 7 S `�
Contact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL
e Obt t 2 7 0p71 3
TOTAL
6•,e)
i:\rnechpmt.doc (rev 9 lq ,, /564 -Minimum permit fee is $25 + 5% surcharge
( p "Residential A/C requires site plan showing placement of unit.
Page No. 1 CASE HISTORY FOR CASE NO.: MEC97 -0413
CAR TOYS
11710 SW PACIFIC HWY
06/17/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MECC007 Application received / / / / 10/21/97 RECD JD 10/23/97 BON
MECC008 Permit created / / / / 10/23/97 DONE B 10/23/97 BON
MECCO11 Routed to Plans Examiner / / / / 10/23/97 SENT B 10/23/97 BON
MECC015 Reviewed Plans Routed to DSTS 10/24/97 / / 11/07/97 APPR RDP 11/07/97 RDP
MECCO50 (F) Ready to issue / / / / 11/12/97 DST: Work performed without permit, see PASS JSD 11/18/97 DST
if DS wants to double fee. Tom did
inspection of gas line (pressure test)
only.
NO ONE TO ASK - DID NOT DOUBLE FEE - GEO
MECC090 (F) Issue permit / / / / 11/18/97 PASS GEO 11/18/97 DST
MECC705 Gas Line Insp 10/24/97 / / 11/10/97 Gas line pressure test performed for PASS TLP 11/12/97 J *H
safety. Advised GC that permit is still
pending. 6opsi approved.
MECC706 Mechanical Insp 11/07/97 / / 12/01/97 PASS TLP 12/04/97 J *H
MECC725 Heating Unt Insp 10/24/97 / / 12/01/97 PASS TLP 12/04/97 J *H
MECC735 Duct Inspection 10/24/97 / / 12/04/97 PASS TLP 12/04/97 J *H
MECC799 Final Inspection 10/24/97 / / 12/04/97 PASS TLP 12/04/97 J *H
MECC800 Case Finaled / / / / 12/04/97 PASS TLP 12/04/97 J *H