Permit CITYOFTIGARD MECHANICAL
PERMIT
COMMUNITY DEVELOPMENT TNT PERMIT # 9/9
13125 SW Hall Blvd. Tigard, Oregon 97223.81 639 -4171 DATE ISSUED: 10 / 19 / 95 55 -0266
PARCEL: 2S110DC- 00100
SITE ADDRESS...: 15570 SW PACIFIC HWY
SUBDIVISION • WILLOW BROOK FARM ZONING: C —G
BLOCK LOT •11
CLASS OF WORK ,,.:NEW FLOOR FURN EVAP COOLERS:1
TYPE OF USE •COM UNIT HEATERS..:3 VENT FANS...:1
OCCUPANCY GRP..:B2 VENTS W/O APPL: VENT SYSTEMS:
STORIES -1 BOILERS /COMPRESSORS HOODS -5
FUEL TYPES 0 -3 HP •2 DOMES. INCIN:
: /GAS/ / / 3 -15 HP •1 COMML. INCIN:
MAX INPUT: BTU 15 -30 HP • REPAIR UNITS:
FIRE DAMPERS ?..:Y 30 -50 HP • WOODSTOVES..:
GAS PRESSURE. .. :M 50+ HP • CLO DRYERS..:
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS. :2
FURN < 100K BTU:2 <= 10000 cfm:12 GAS OUTLETS. :3
FURN > =100K BTU:2 > 10000 cfm
Remarks: 54,142 sq. ft. single story grocery store
Owner: FEES
STERLING DEVELOPMENT CORPORATION type amount by date recpt
LA JOLLA CORPORATE CENTER PRMT $ 177.00 JSD 10/19/95 95- 271865
3252 HOLIDAY COURT, SUITE 225 PLCK $ 44.25 JSD 10/19/95 95- 271865
LA JOLLA CA 92037 SPCT $ 8.85 JSD 10/19/95 95- 271865
Phone #: 619 - 546 -8841
Contractor:
S DEACON CORPORATION
P.O. BOX 25392
PORTLAND OR 97225 --
Phone #: 503 -297 -8791 $ 230.10 TOTAL
Reg #..: 38138
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 Cooling Unt Insp
within 180 days of issuance, or if work is suspended for more Shaft Inspection _
than 180 days. Hood Inspection
Fire Damper Insp
Misc. Inspection
Final Inspection
Permittee Signa e: Final Inspection
Issued B .
Call for inspection — 639 -4175
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. AI Ilk 10 -t'77-
_P�` - _
• City of Tigard MECHANICAL PERMIT Planck/R #
13125 SW Hall Blvd. APPLICATION h e # I v 1 � C ' 5 � 2 4 1 e
Tigard, OR 97223 irt7111‘ 1
(503) 639 -4171
wm. al OwMOym— Description
...... i dM131 ei Table 3A Mechanical Code QTY PRICE AMT
Job --- 6'& J►J et : 4.42.1 1) Permit Fee -0- -0- 10.00
Address CaNiSide — �� +
+F}4 . 2) Supplemental Perm t 3.00
N... cQ Furnace to 100,000 BTU
1 /F'A 0 e.. (r - 1) incl. ducts & vents I 1 6.00 1 2- ,
Tf/ '::�. (1f 1 Furnace 100,000 BTU +
Owner f 2) incl. ducts & vents I t ` 7.50 /
Floor Fumance
•t- 10
P1 al 1 91,351 3) 6.00
Suspended heater. wall heater
\v G 4) or floor mounted heater 1 I / 6.00 _
Occupant I 6 4E . ts.'1•r14 -o Vea not end in
`� 5) appliance permit 3.00
Repair of heating, refrig.
og . �' 6) cooling, absorption unit 6.00
(� w Boiler or comp, heat pump, air cond. / _
G C- 1 7 GZc 0 7) to 3 HP; absorp unit to 100K BTU (/ ' 6.00 l
Boiler or camp, heat pump, air cond.
Contractor �, 8) 3-15 HP; absorp unit to 500K BTU / 11.00 Il '—
Boiler or camp, heat pump, air cond.
9) 15-30 HP; absorp unit .5-1 mil BTU - 15.00
Stobt Ragman No. GeV Om T° No. Boiler or gyp, heat pump, air cond.
10) 30-50 HP; absorp unit 1 -1.75 mil BTU 22.50
I hereby acknowledge that I have read this application, that the Boiler or comp, heat pump, air cond.
information given is correct, that I am the owner or authorized 11) > 50 HP; absorp unit 1.75 mil BTU 37.50
agent of the owner, that plans submitted are in compliance with Air handling unit to
State laws, that I am registered with the Construction Contractors 12) 10,000 CFM I- , 4.50 5
Board, that the number given is correct (If exempt from State Air handling unit
registration. please give reason below.) • 13) 10,000 CTM + 7.50
- Non portable
14) evaporate cooler I • 4.50 L I
Vent fan connected
15) to a single duct 3.00 3 —
Ventilation system not
16) included in appliance permit 4.50
y ,,, , pp
__ I fiA ii i • / 4J 17) mechanical exh exhaust 04 4.50 2.,'Z
• _- - 1 • : w. " ' ' • . •n ■ a =ration • repair • Commercial or industnal
to • : done res'. -ntial 0 non - residential 0 18) type incinerator 30.00
Existing use of Other i.e., woodstove, water
building or property 19) heater, solar, clothes dryers. etc. I I r 4.50 9
Proposed use of a lit _ , . a / g u �1 , 20) Gas piping one to four outlet 2.00
building or property (�I�( I CA %a
21) More than 4 -per outlet (each) 0- 2.00 1-I --
Type of fuel - oil Q natural gasX LPG Q electric
NOTICE -
Minimum Fee 525.00 SUBTOTAL In -?,
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS. OR 5% SURCHARGE' ��
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL
AFTER WORK IS COMMENCED. \
TOTAL
( Rlai'..--(7
J Secial Conditions /
Date issued by
IttlOGIMOSTSWECHPUT re ii 11- 244( -s .D. ,4 , y
1/21/00 Activities for Case #: MEC95 -00266
4:27:47 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECC007 Application received 7/28/95 JD PEND B 8/8/95
MECC010 Plan check by 8/8/95 10/11/95 JHF APPR JHF 10/11/95
MECC710 Mechanical Insp 9/13/95 3/29/96 TLP PASS TLP 4/2/96
MECC725 Shaft Inspection 9/13/95 2/9/96 TLP PASS TLP 2/12/96
MECC730 Hood Inspection 9/13/95 . 3/29/96 • TLP PASS • TLP 4/2/96
MECC799 Final Inspection • 9/13/95 3/29/96 TLP • PASS TLP ' 4/2/96 •
MECCO50 (F) Ready to issue 10/16/95 JDA PASS B 10/16/95 Need contractor info. •
• MECC060 (F) Issue permit 10/19/95 JSD PASS JD 10/19/95
MECC060 (F) Issue permit 10/19/95 JSD PASS • . JD 10/19/95
MECC060 (F) Issue permit 10/19/95 JSD PASS JD • 10/19/95
MECC800 Case Finated - 3/29/96 TLP PASS TLP 4/2/96
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