Permit _
CJITY OF T I GARD PERMIT h1E ��PM � C
ISSUED: O8 /,-n:6 -0247 V G CO UNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171 PARCEL: 251 1 ODC- -00200
SITE ADDRESS...: 15660 SW PACIFIC HWY #4
SUBDIVISION • WILLOW BROOK FARM ZONING: C - -G .
BLOC........... LOT •11
CLASS OF WORK..:ALT FLOOR FURN : 0 EVAP COOLERS: 0
TYPE OF USE.... :COM UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:B VENTS W/0 APPL: 0 VENT SYSTEMS: 0
STORIES • 0 BOILERS /COMPRESSORS HOODS • 0 ■
FUEL TYPES • - - -- 0 -3 HP • 1 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...: M 50+ HP • 0 CLO DRYERS..: 0
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.: 0
FURN < 100K BTU: 1 <= 10000 cfm: 0 GAS OUTLETS.: 1
FURN > =100K BTU: 0 > 10000 cfm: 0
Remarks: Tenant improvement setting units only with as connection
plans reflect that A3 &A4 are combined into 1 tenant space. A1= Suite 1; A2= Suite
2; A3/4= Suite 3; (Suite 4 will not be used now, but will be available if in the
future A3 /A4 subdivides) A5= Suite 5; A6= Suite 6; A7= Suite 7; AB= Suite 8; A9 =Suit
e
9.
A9 =Suite 8.
Owner: FEES
STERLING DEVELOPMENT CORPORATION type amount by date recpt
LA JOLLA CORPORATE CENTER PRMT $ 25.00 JMH 08/26/96 96- 283279
3252 HOLIDAY COURT, SUITE 225 PLCK $ 6.25 JMH 08/26/96 96- 283279
LA JOLLA CA 92037 SPCT $ 1.25 JMH 08/26/96 96- 283279
Phone #: 619 - 546 -8841
Contractor:
HVAC INC
815 SE SHERMAN
PORTLAND OR 97214
Phone #: 239 -4822 $ 32.50 TOTAL
Reg #..: 050897
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 Final Inspection — •
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. _
F'ermittee Signature: MVO _
I s s u e d B Y = _ - _ ( ___r -� - �— -- _`
Call for inspection - 639 -4175
— 71&te )97E C96 - C27. 411w-ell
ii.,.. . .
lo P,C. 7-2-1-1
City of Tigard MECHANICAL PERMIT . Planck/Rec. # '7 -73C.)
13125 SW Haft Blvd. ? APPLICATION �.? 3 ' Permit # r1�Ib -ozi{�
Tigard, OR 97223 1 \ OJK-H 7 zz 26
I)/ . 503 639 -4171
( ) WV, Ce a) i Cc no, %'l t t1'L a /s leglie - 19q2sor
Name o1 D°°° e Descnption
/)p -tS Q AG'EL Table 3A Mechanical Code QTY PRICE AMT
Address A _ 1 �� #`r
Job 1) Permit Fee -0- -0- 10.00
Address
I C A 2 -i� , OrLE., 4 t 7 a - 1._3 2) Supplemental Permit 3.00
Wme (or name et business) Furnace to 100,000 BTU
1) incl. ducts & vents 1 6.00 b j /
Maine Address Plume Furnace 100,000 BTU +
Owner 2) incl. ducts & vents 7.50
Cd z.9 Floor Fumance
3) incl. vent 6.00
Name (° name °I Pewee Suspended heater, wall heater
/g�y gdarL 4) or floor mounted heater 6.00
Occupant l a �0 .5(00 � / Vent not incl. in
! T�1 I 5) appliance permit 3.00
Repair of heating, refng.
I G A ( Oa E 6) cooling, absorption unit 6.00
Name Boiler or comp, heat pump, air cond.
Vi ),..,)
,/,'� "(ei° y� �4/ � 7) to 3 HP; absorp unit to 100K BTU 6.00 G
�V "°"° B oiler or comp, heat pump, air cond.
`J 15 S S �w� mar 4 �
) c�� GiFi 8) 3 -15 HP; absorp unit to 500K BTU 1 1.00
Contractor \n1 Boiler or comp, heat pump, air cond. '
.-- Mate T `W , D (a_ 9 7a 1 9) 15-30 HP; absorp unit .5-1 mil BTU 15.00
q tOtO Reesv.Dm. Na. � Bas. Tel No. Boiler or comp, heat pump, air cond.
k - t2- 1 cpte9 7 7./2- 10) 30-50 HP; absorp unit 1 -1.75 mil BTU 22.50
I hereby acknowlecge that have read this application, that t e 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 Contractor's 12) 10,000 CFM 4.50
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 4.50
Vent fan connected
15) to a single duct 3.00
Ventilation system not
16) included in appliance permit 4.50
opname to r ate Hood served by
7i ; G 17) mechanical exhaust 4.50
Des . new I alteration ■.• repair 0 Commercial or industrial
to be done resid ntial non- residential ':4 18) type incinerator 30.00
Existing use of Other i.e.. woodstove, water
building or property 19) heater, solar, clothes dryers, etc. 4.50
Proposed use of 20) Gas piping one to four outlets / 2.00
building or property
Type of fuel - oil 0 natural gas 0 LPG 0 electric 0 21) More than 4 -per outlet (each) 2.00
NOTICE
Minimum Fee $25.00 SUBTOTAL c /
PERMITS BECOME VOID IF WORK OR CONSTRUCTION tV
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 O
AFTER WORK IS COMMENCED. ��
TOTAL
Special Conditions
Date issued by
N:1L0GIMDSTS MECNPMT
Page No. 1 CASE. HISTORY FOR CASE NO.: MEC96 -0247
STERLING DEVELOPMENT CORPORATION
15660 SW PACIFIC HWY Unit: 4
09/17/97
Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
' MECC007 Application received / / / / 07/22/96 RECD JH 07/29/96 BON
MECC008 Permit created / / / / 07/29/96 PEND B 07/29/96 BON
MECC015 Routed to Plans Examiner / / / / 07/29/96 PEND B 07/29/96 BON
MECC017 Plan Review Ltr. to Ofc. Svcs. 08/09/96 / / 08/09/96 PEND JHF 08/09/96 JHF
MECC019 Revised plans received 08/09/96 / / OB/23/96 JHF 08/23/96 JHF
MECCO20 Plan checked /Approved by P.E. / / / / 08/23/96 JHF 08/23/96 JHF
MECCO25 Reviewed Plans Routed to DSTS / / / / 08/23/96 APPR JHF 08/23/96 JHF
MECC080 (F) Ready to issue / / / / 08/23/96 need butax information PASS CJS 08/23/96 CJS •
MECC090 (F) Issue permit / / / / 08/26/96 PAID JMH 08/26/96 J *H
MECC705 Gas Line Ihsp 08/09/96 / / 10/09/96 PASS TLP 10/14/96 TLP
MECC799 Final Inspection / / / / 10/14/96 PASS TLP 11 /12/96 TLP
MECC800 Case Finaled / / / / 10/14/96 PASS TLP 11/12/96 TLP
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