Permit A CITY OF T MECHANICAL
PERMIT
� %Ln � � 1 i 1 , i 1 DEVELOPMENT LOPMEN SERVICES 6CES DATE ISSUED: 07/2 7-0260 9/97
PARCEL: 2S103DD -00500
SITE ADDRESS...: 13701 SW PACIFIC HWY #BLD.
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..: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 • 1 COMML. INCIN: 0
MAX INPUT: 300000 BTU 15 -30 HP : 0 REPAIR UNITS: 0
FIRE DAMPERS ?..: N 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 < 100K BTU: 1 <= 10000 cfm: 1 GAS OUTLETS. : 1
FURN > =100K BTU: 0 > 10000 cfm: 0
Re marks: Mechanical TI
Owner FEES
CENTRAL PROPERTIES t ype amount by date recpt
1815 NW 169TH PRMT $ 36.50 JSD 07 /29/97 97- 297708
BEAVERTON OR 97223 PLCK $ 9.13 JSD 07/29/97 97- 297708
SPCT $ 1.83 JSD 07/29/97 97- 297708
Phone #:
' Contractor:
DAMAR HEATING IANC
2825 NE 34TH
$ 47.46 TOTAL
PORTLAND OR 97212 EXPIRE
Phone #: /�
Reg #.. : 008725
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 Ins p
applicable laws. All work will be done in accordance with Duct Inspect ion
approved plans. This permit will expire if work is not started F i n a l Inspection
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- 001 -0080. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
41111 '
Issue By: _� Permittee Signature: �/''
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 6:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Plan Check - qr-
CITY OF TIGARD Mechanical Permit Application Recd By
13125 SW HALL BLVD. Commercial and Residential Date Recd -15
TIGARDOR 97223 Date to P.E. ' 12)--
(503) 639 -4171, x304 K Date to DST 7 -v'-`t?
1 &y J,Nn f , Print or Type Permit# lit Vii- D1-(2o
Called tY7 ?C'9 9/I
Name of
Incomplete or illegible applications will not be accepted % �.-s 11 -e.�
r
Description
,A- fWM Go , �A,✓s :mss j ;'a•4 Table 1A Mechanical Code OTY PRICE AMT
J Street Address Suites A) Permit Fee -0- -0- 10.00
Address / 3 7 D / s'w 1,k c
Bldg# City/State Zip B) Supplemental Permit 3.00
T4 4-2 0 o/L Z
Name (or name of busines 1.) Furnace to 100.000 BTU 6.00
Owner ee/frf ecL /1 A�G)12�;;c S incl. ducts & vents / / •
Mailing Address 5 N 44-) f �� 2.) Furnace 100,000 BTU + 7.50 (�
/J / fr incl. ducts & vents
C� /State Zip Phone 3.) Floor Furnace 6.00
ied'r O f 7d 0 4 incl. vent
Name (or name of business) 4.) Suspended heater, wall heater 6.00
i- '9/11 C v 7R/0 j� ; 5%'0 / or floor mounted heater
Occupant Mailing Address r 5.) Vent not in t. in 3.00
` 37 o 1 56.) /1...:4.-. ` G appliance permit
City /State Zip - Phone 6.) Boiler or comp, heat pump, air cond. 6.00
TzetaO 0 1� fI - �'7Z7J to 3 HP; absorp unit to 100K BTU
N 7.) Boiler or comp, heat pump, air cond. 11.00
• 3-15 HP; absorp unit to 500K BTU
Contractor Mailing Address 8.) Boiler or comp, heat pump, air cond. 15.00
, "1 A 15-30 HP; absorp unit .5-1 mil BTU / 1 c-- (Prior to A /State Zip Phone 9.) Boiler or comp, heat pump, air cond. 22.50
issuance a copy 0 /"L 3 L 1 761-0 30-50 HP: absorp unit 1 -1.75 mil BTU
of all licenses are Oregon Const. Cont. Board Licit Exp. ate 10.) Boiler or comp, heat pump, air cond. 37.50
required if } 7.2-5 w /d / 7 > 50 HP; absorp unit 1.75 mil BTU .
expired in C.O.T COT Business Tax or Metro a Exp. Date l/ 11 Air handling unit to 4.50
data base) _ 3 3 4 .S y// - 9a 10.000 CFM / Lis()
Architect Name
N1'Q' 12.) Air handling unit 7.50
10,000 CTM +
or Mailing Address 13.) Non portable 4.50
evaporate cooler
Engineer City/State Zip - Phone 14.) Vent fan connected 3.00
to a single duct
Describe work New 0 Addition 0 Alteration 0 Repair 0 15.) Ventilation system not 4.50
to be done Residential 0 Non - residential 0 included in appliance permit .
Additional Description of work 16.) Hood served by mechanical exhaust 4.50
4 RhoP 7;)f) g ,v ;A c /,oic , A.Ac e /9_$ ? 17) Domestic incinerators 7.50
isting use of � � � �� / 18.) Commercial or industrialtype 30.00
building or property T incinerator
19.) Repair units 4.50
Proposed use of 20) Woodstove 4.50
building or property
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 23) Gas piping one to four outlets / 2.00
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with Oregon State 24) More than 4 -per outlet (each) .50
laws.
Signature of er /Agent Date QTY.SUBTOTAL
A 1)' W A4ei'A .3-9,0-d _ y 9 � 'SUBTOTA 54�
ontact Person Name Phone 7 5% SURCHARGE _ I p?
f
PLAN REVIEW 25% OF SUBTOTAL (,.
� /'��/ `� � IA ' l �,,, 4 �/. 1- TOTAL ��
r�lt Y ll`[n 1�(j,�/
i:ldstlmechpmt.doc (rev 7/96) 'Minimum permit fee is 525 + 5% surcharge
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested:l./L a R-4- l "7 A.M. P.M. MST:
Location: 13-701 P /� /° a f,, �1J nf BUP:
Tenant: A4MLO - \ Suite: Bldg: MEC:9' 7 -Q, ,Q
Contractor: fi h V Phone: 68 ii- OA, , / PLM:
Owner: Phone: ELC:
ELR:
SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Po /: eam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab -410171ffno Ceiling Water Line
Slab Framing Top Out aftgara0 • Rough -In UG Sprinkler
Foundation Insulation Sewer - . . 0r II 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 ErS72131i. Approved Approved
Appr /Sdwlk Not Approved Not Approved Not A proved Not Approved Not Approved
FINAL FINAL AL FINAL FINAL
O Call for reinspection O Reinspection fee of $ requir before next inspection O Unable to inspect
Inspector: 922- Date: f/ 4 , 7 Page 1 of ,