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Permit .1 CITY OF TIGARD MECHANICAL a, .. DEVELOPMENT SERVICES PERMIT ��� PERMIT # MEC98 -0496 !+ - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/06/98 PARCEL: 2S1O2CB -02500 SITE ADDRESS...: 13090 SW PACIFIC HWY SUBDIVISION • FREWINGS ORCHARD TRACTS ZONING: C —G BLOCK LOT °007 JURISDICTION: TIG CLASS OF WORK..:ALT FLOOR FURN • 0 EVAP COOLERS: 0 TYPE OF USE •COM UNIT HEATERS..: 0 VENT FANS...: 0 OCCUPANCY GRP..:A3 VENTS W/0 APPL: 0 VENT SYSTEMS: 0 STORIES • 1 BOILERS /COMPRESSORS HOODS • 0 FUEL TYPES 0 -3 HP • 0 DOMES. INCIN: 0 :ELE 3 -15 HP • 1 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 < 1O0K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0 FURN > =1O0K BTU: 0 > 10000 cfm: 0 Remarks : 3 -15 HP absorbtion unit. Owner: FEES JACK —IN— THE —BOX type amount by date recpt 13030 SW PACIFIC HWY PRMT $ 25.00 JSD 11/06/98 98- 310618 TIGARD OR 97223 PLCK $ 6.25 JSD 11/06/98 98- 310618 5PCT $ 1.25 JSD 11/06/98 98- 310618 Phone #: Contractor: SHEPLER REFRIGERATION. PO BOX 12146 $ 32.50 TOTAL PORTLAND OR 97212 Phone #: 282 -7255 Reg #..: 000923 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Mechanical Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspect ion applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more 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 - 0014080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -9187. Issue B . Permittee Signature: /ir ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for inspections needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + ++ + + + + + + + + ++ . - • I Plan Application Rec'd CITY OF TIGARD Mechanical Permit A By .;)4 41/ PP Recd By .;)4 13125 SW HALL BLVD. Commercial and Residential Date Rec'd ii- y - 9P TIGARD, OR 97223 Date to P.E. /1- 4-03$-4-- (503) 639 -4171, x304 Date to DST - Print or Type /rI Permit# R 9 a 4� 4 Incomplete or illegible applications will not be acce e d Call // p Name of Development/Project Description Table 1A Mechanical Code Qty Price Amt Job Q Street Address / n L Suite# A) Permit Fee 10.00 Address 1 3O CI G c� v S/y /"" 'f ,q 1) Furnace to 100,000 BTU c / including ducts & vents 6.00 Bldg# City/State Zip 2) Furnace 100,000 BTU+ 7 ;�. m d [21,1 3 including ducts & vents 7.50 Name (or name of business) 3) Floor Furnace including vent 6.00 --� Owner . / a r , „ l . �o 4) Suspended heater, wall heater Mailing A dress / or floor mounted heater 6.00 /F) 0 90 < r �; P� c: �r i' . / ' 5) Vent not included in appliance permit City /State Zip phone 3.00 / r ,, ._ J on f'7 ,.i-3 `3 c h[6 -V CHECK ALL *Boiler Heat Air Nae (or name of business) THAT APPLY: Pump Cond Qty Price Amt Com " 6) <3HP;absorb unit to Occupant Mailing Address 100K BTU 6.00 7) 3-15 HP;absorb unit City /State Zip Phone 100k to 500k BTU f 11.00 I 8) 15 -30 HP; absorb . unit .5-1 mil BTU 15.00 Contractor Name,� e r / �� f �S i vvcc 9) 30 -50 HP; absorb 1.-- P r, , r G unit 1 -1.75 mil BTU 22.50 Prior to permit Ming dd 10) >50HP; absorb unit issuance, a copy n u iii. / 1 1 ' ? £ >1.75 mil BTU 37.50 of all licenses /s' Zip Phone , hone T 11) Air handling unit to 10,000 CFM are required if p - , a. © v'cr ff J . o 07A.K.. 4.50 expired in COT Oreg Cont. Board Lk.# exDate 12) Air handling unit 10,000 CFM+ database % �, a -7// 7/ 57 7.50 Architect Name 13) Non - portable evaporate cooler 4.50 Or ) Mailing Address 14) Vent fan connected to a single duct 3.00 15) Ventilation system not included in Engineer City /State Zip Phone appliance permit 4.50 16) Hood served by mechanical exhaust Describe work to be done: 4.50 17) Domestic incinerators New 0 Repair Replace with like kind: Yes 0 No 0 - 7.50 Residential 0 Commercial 0 18) Commercial or industrial type incinerator 30.00 Additional information or description of work: 19) Repair units 4.50 20) Wood stove 4.50 21) Clothes dryer, etc. 4.50 Type of fuel: oil 0 natural gas 0 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 given is correct, that I am the owner or authorized agent of 2.00 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 / /�( /y \5-� / � Minimum Permit Fee $25.00 SUBTOTAL / +/' cP ^ k a ,i w 1 5% SURCHARGE () ' ontact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL �I. N c.) ,- � � Required for ALL commercial permits only I rdh /6 G�"� / c , 7A l 3,- TOTAL *State Contractor Boiler Certification required "Residential NC requires site plan showing placement of unit � I:Umechperm.doc rev 07/20/98 • Page No. 1 CASE HISTORY FOR CASE NO.: MEC98 -0496 JACK -IN -THE -BOX 13090 SW PACIFIC HWY 12/28/98 Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By • MECC007 Application received / / / / 11/04/98 RECD DLH 11/04/98 GEO MECC008 Permit created / / / / 11/04/98 DONE GEO 11/04/98 GEO MECCOII Routed to Plans Examiner / / / / 11/04/98 SENT GEO 11/04/98 GEO MECC014 Plan checked /Approved by P.E. / / / / 11/05/98 APPR RDP 11/05/98 RDP MECC015 Reviewed Plans Routed to DSTS / / / / 11/05/98 APPR RDP 11/05/98 RDP MECC016 DST Post - Review Completed / / / / 11/05/98 PASS JSD 11/05/98 JSD MECCO50 (F) Ready to issue / / / / 11/05/98 PASS JSD 11/05/98 JSD MECC090 (F) Issue permit / / / / 11/06/98 PASS JSD 11/06/98 JSD MECC705 Gas Line Insp / / / / 11/13/98 refrigeration test for walkins PASS RC 11/13/98 J *H MECC706 Mechanical Insp 11/05/98 / / 12/10/98 PASS RB 12/10/98 RB MECC799 Final Inspection 11/05/98 / / 12/10/98 PASS RB 12/10/98 RB MECC800 Case Finaled / / / / 12/10/98 PASS RB 12/11/98 J *H