Permit r
s.
•
•
RECEIVED
•
Mechanical Permit Application
Plan
13125 SW HALL BLVD. and Residential Recd CO
CITY OF T[GARD ,� %]�
Commercial 2000 -
TIGARD, OR 97223 JUN 2 2 Dat Recd /i ' i i `i
(503) 6394171, x304 COMMUNITY DE VELOPMENT Date to P -E.��
Date to DST
•
Print or Type Permit
# .. ,�,
Incomplete or illegible applications will not be accepted Calle
Name otDevaropmenU?,uject
Street Address
Description ��
Table 1A Mechanical Code
• Price Amt
Ob SuBeJi
A) Permit Fee
Add
13745 21/ 8d' ? n71.1 +, ., :,,,,.r 16.00
1) Furnace to 100,000 BTU
eldgu � L , indudin. duds &vents see footnote 1.2 . (QS C 2) Furnace 100,000 BTU+ imi
duding ducts & vents see footnote 1,2 12.00
Name (or name of bus$� ) . ! Furnace
I
•
Owner �a/�1 s O�ih /,e GJtJ �/ � Including vent
Maiing Andress v� / g see footnote 1,2 9 -65
4) Suspended heater, wall heater
13 � j /4) �� or floor mounted heater see footnote 1,2 9.65
C a Zip Phone 5) Vent not inducted in appliance permit
2 � Check all that a y: 4.75
/ ? -7 . . 2� - 7 Pv "v 'f3o Heat CoAir
nd (or name business) / � � � S� Fo items 6 -10, see or Pump Cord Q y Pricy Amt
footnotes 1,2 Comp
3me
6) <3HP;absorb unit to f _
Occupant Mailing Address -
100K BTU 9.65 I • 7) 3-15 HP;absorb unit
100k to 500k.8TU 17.65
City/stele Zip I Phone 8) 15 HP; absorb
• unit .5-1 mii BTU 24.15
Contractor Nam 9) 30 50 HP; absorb
( .$6--/- unit 1 -1.75 mil BTU
Prior-to permit ARaI' Add ss ��/ 1 0) >5OHP; absorb unit 36.00
issuance, a copy ( ' c }`�_ 8 7 >1.75 mil BTU
11 Air handling 60.15
of all licenses cMStare Phone
g unit to 10,000 CFM
/ %� � D �{ �� zip 77 ? j.'� (o/I 7.00
are required if !
ex pi in COT Oregon Ce:u;. Can:. 8aard Lice E.'7376.2, 12) Air handling unit 10,000 CFM+
database a-3 -74( 13) N I
11.75
Architect Name ) on- portable evaporate cooler
14) Vent fan connected to a single dud 7.00
Or Malting Address
15) Ventilation system not included in 4.75
Engineer I Ctty /State I Phone
16) H appliance , rmit
� served b 7.00
Hood by mechanical exhaust
Describe work to be done: 17) Domestic incinerators 7.00
New y9 Repair 0 Replace with like kind: 'le r; O No O 18) Commerical or industrial 12.00
Res' e 56 Commercial O type incinerator I
19) Repair units I I 48 .25
Additional information or description of work
20) Wood stove /gas FP /other units /clothe dryer /etc. 8.40
NOTE: For Commercial projects only; Units over 400 lbs. require I 21) Gas oipina one to four outlets I 7.00
sUucurai gas catcs-
Type of fuel: oil 0 natural gas 0 LPG O See footnote 1
electric O 4-per outlet (ea
22 More than 3.75
c
I hereby acknowledge that I have read this application, that the information Minimum Permit Fee $50.00 a SUBTOTAL � - ���
3
given is correc that I am the owner or authorized agent of •
the owner that plans submitted are in compliance with Oregon State laws. PLAN REVIEW commercial erc OF SUBTOTAL
Requ for ALL commercial . rmlts onl P'y =�
i ( • e nature of Owner/Agent •
Date TOTAL.,?;T
1 �� . Other inspections and Fees: �u,•
ct Person :erne 1. Inspections outside of normal business hours (mininum charge -two
Phone hours) $50,00 per hour
/ yZ / /4- J �llu r S �3�/1 �/ 3f 2. Inspections for which no fee is s
Foonotes for commercial projects only. 7 pacifically Indicated (minimum
charge -haft hour) 550.00 per hour
1. Provide full schematic of extsbn and proposed 3. Additional plan review required by changes, additions or revisions to
9 existing 9 ro osed mechanical line and pressure.
2. Provide drawings to sceJe stern plans (minimum charge-one-half hour) $50.00 per hour
units. 8 r^J proposed I
Certi
'e raer fication qui
' R Stat .rid Cont nt ctor i plan sho la
cement rev 02/4/99 9 red P cement of unit
I.
8000! - 02 :I(1 A.Lr 1
r
s.
•
•
RECEIVED
•
Mechanical Permit Application
Plan
13125 SW HALL BLVD. and Residential Recd CO
CITY OF T[GARD ,� %]�
Commercial 2000 -
TIGARD, OR 97223 JUN 2 2 Dat Recd /i ' i i `i
(503) 6394171, x304 COMMUNITY DE VELOPMENT Date to P -E.��
Date to DST
•
Print or Type Permit
# .. ,�,
Incomplete or illegible applications will not be accepted Calle
Name otDevaropmenU?,uject
Street Address
Description ��
Table 1A Mechanical Code
• Price Amt
Ob SuBeJi
A) Permit Fee
Add
13745 21/ 8d' ? n71.1 +, ., :,,,,.r 16.00
1) Furnace to 100,000 BTU
eldgu � L , indudin. duds &vents see footnote 1.2 . (QS C 2) Furnace 100,000 BTU+ imi
duding ducts & vents see footnote 1,2 12.00
Name (or name of bus$� ) . ! Furnace
I
•
Owner �a/�1 s O�ih /,e GJtJ �/ � Including vent
Maiing Andress v� / g see footnote 1,2 9 -65
4) Suspended heater, wall heater
13 � j /4) �� or floor mounted heater see footnote 1,2 9.65
C a Zip Phone 5) Vent not inducted in appliance permit
2 � Check all that a y: 4.75
/ ? -7 . . 2� - 7 Pv "v 'f3o Heat CoAir
nd (or name business) / � � � S� Fo items 6 -10, see or Pump Cord Q y Pricy Amt
footnotes 1,2 Comp
3me
6) <3HP;absorb unit to f _
Occupant Mailing Address -
100K BTU 9.65 I • 7) 3-15 HP;absorb unit
100k to 500k.8TU 17.65
City/stele Zip I Phone 8) 15 HP; absorb
• unit .5-1 mii BTU 24.15
Contractor Nam 9) 30 50 HP; absorb
( .$6--/- unit 1 -1.75 mil BTU
Prior-to permit ARaI' Add ss ��/ 1 0) >5OHP; absorb unit 36.00
issuance, a copy ( ' c }`�_ 8 7 >1.75 mil BTU
11 Air handling 60.15
of all licenses cMStare Phone
g unit to 10,000 CFM
/ %� � D �{ �� zip 77 ? j.'� (o/I 7.00
are required if !
ex pi in COT Oregon Ce:u;. Can:. 8aard Lice E.'7376.2, 12) Air handling unit 10,000 CFM+
database a-3 -74( 13) N I
11.75
Architect Name ) on- portable evaporate cooler
14) Vent fan connected to a single dud 7.00
Or Malting Address
15) Ventilation system not included in 4.75
Engineer I Ctty /State I Phone
16) H appliance , rmit
� served b 7.00
Hood by mechanical exhaust
Describe work to be done: 17) Domestic incinerators 7.00
New y9 Repair 0 Replace with like kind: 'le r; O No O 18) Commerical or industrial 12.00
Res' e 56 Commercial O type incinerator I
19) Repair units I I 48 .25
Additional information or description of work
20) Wood stove /gas FP /other units /clothe dryer /etc. 8.40
NOTE: For Commercial projects only; Units over 400 lbs. require I 21) Gas oipina one to four outlets I 7.00
sUucurai gas catcs-
Type of fuel: oil 0 natural gas 0 LPG O See footnote 1
electric O 4-per outlet (ea
22 More than 3.75
c
I hereby acknowledge that I have read this application, that the information Minimum Permit Fee $50.00 a SUBTOTAL � - ���
3
given is correc that I am the owner or authorized agent of •
the owner that plans submitted are in compliance with Oregon State laws. PLAN REVIEW commercial erc OF SUBTOTAL
Requ for ALL commercial . rmlts onl P'y =�
i ( • e nature of Owner/Agent •
Date TOTAL.,?;T
1 �� . Other inspections and Fees: �u,•
ct Person :erne 1. Inspections outside of normal business hours (mininum charge -two
Phone hours) $50,00 per hour
/ yZ / /4- J �llu r S �3�/1 �/ 3f 2. Inspections for which no fee is s
Foonotes for commercial projects only. 7 pacifically Indicated (minimum
charge -haft hour) 550.00 per hour
1. Provide full schematic of extsbn and proposed 3. Additional plan review required by changes, additions or revisions to
9 existing 9 ro osed mechanical line and pressure.
2. Provide drawings to sceJe stern plans (minimum charge-one-half hour) $50.00 per hour
units. 8 r^J proposed I
Certi
'e raer fication qui
' R Stat .rid Cont nt ctor i plan sho la
cement rev 02/4/99 9 red P cement of unit
I.
8000! - 02 :I(1 A.Lr 1