Permit CITY OF TIGARD
MECHANICAL PERMIT
r DEVELOPMENT SERVICES PERMIT #: MEC2000 -00011
r�l I- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/10/00
PARCEL: 2S102BA -00303
SITE ADDRESS: 09806 SW TIGARD ST
SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND. ZONING: I -P
BLOCK: LOT: 021 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 30 HP: •
REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: 1 <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 1
Remarks: Install (1) one 5 ton - 120k BTU gas pack and gas piping.
Owner: FEES
TIGARD INDUSTRIAL LLC Type By Date Amount Receipt
11336 SW BULL MOUNTAIN RD #103 PLCK GEO 1/10/00 $10.00 00- 321053
TIGARD, OR 97224 • 5PCT GEO 1/10/00 $4.00 00- 321053
PRMT GEO 1/10/00 $50.00 00- 321053
Phone: Total $64.00
Contractor:
GEORGE MORLAN PLUMBING
9806 SW TIGARD
(CCB EXP 6/2002) REQUIRED INSPECTIONS
TIGARD, OR 97223
Gas Line Insp
Phone: 503- 624 -6895 Mechanical Insp
Reg #: LIC 00002734 Duct Inspection
PLM 26 -60p Final Inspection
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ORI
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This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and.all other 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 in the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -001 -0010 throug •AR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC by
calling (503)246 -91: •
Issue By: _ Permittee Signature: .
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
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a:RN -03 -26170 15: 13 r . e i
I, Plan Check #
CITY OFTIGARD Mechanical Permit ApplicatiNk Recd By
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13125 SW HALL BLVD. Commercial and Residential Date Recd .
TIGARD, OR 97223 JAN 0 7 2000 Date to P.E.
(503) 639 -4171, x304 . Date to D
Permit # 1 C• 2 - 0 00 - 0601(
I-0k at /054.33a- C QMMUN1iY DEVELOPMENT
Print or Type Called
Incomplete or illegible. applications will not be accepted
Name of Development/Project , Description
G -eo • Mort tin PI air L 1,- Table 1A Mechanical Code Q Price Amt
` J A) Permit Fee ' 16.00
Job Street Address suite
1) Furnace to 100.000 BTU
Address 9806 m5) 77 rd 6.1 including ducts & vents see footnote 1,2 9.65 . - .
81dg# /State Zip 2) Furnace 100,000 BTU+ r �.t7 K I
l Qn f ,.,) O 97,2 including ducts & vents s footnote 1,2 12.00 0.3/
Name ter name of business) 3) Floor Furnace
including vent see footnote 1.2 • °•65
Owner , (S' o. s r Lay) PIE xflIDl ) �q 4) Suspended heater, wall heater
mailing Address �J or floor mounted heater see footnote 1,2 9.65
`7 SO C t ofd , 5) Vent not included in appliance permit , 4.75
City/State Zip Phone Check all that apply: 'Boiler Heat Air
l l l rel, < > 9%2=236c2•1/- For Items 6 -10, sea or Pump Cond Oty Price Amt
tvemaJW of business), footnotes 1.2 Comp • 6) .c3HP;absorb unit to
�� h1 t OOK BTU _ 9.65
Occupant MaIUnaAddnrsa 7) 3.15 HP;absorb unit
1001c to SOOk BTU -" 17.65
CiprfState . Zip Phone 8)15 - HP; absorb
unit .5-1 mil BTU 24.15 •
• 9) 3050 HP; absorb
Contractor Nafe unit 1 -1.75 mil BTU 36.00
Gen , rilor (a.n P1 iLr i (r"1j 10) >50HP; absorb unit
Prior to permit Malting Address c 1 J >1.75 mil BTU 60.15
:stance. a copy Q w)( S1 r) 1 Qo_rd l it 11 Air handling unit to 10,000 CFM
of as licenses CNy/Srate .J Zip Phone 7.00
are required if 1 r o_rc1 Or 9 7c:7 � 3 ( I- 12) Air handling unit 10,000 CFM+
expired In COT oreg onsr. Cont. Board Lic.re Ep eats -- • 11.85 •
database *7,3 U OIo /O .,i pt 13) Non - portable evaporate cooler 7.00
Architect Name
14) Vent fan connected to a single duct
4.75
or Malting Address
15) Ventilation system not included In
appliance permit 7.00 ,
Engineer CilyISlate Zip Phone 16) Hood served by mechanical exhaust
7.00
esclibe work to be done: 17) Domestic incinerators
12.00
New O Repair 0 Replace with like kind: Yes)" No 0 18) Commercial or industrial type Incinerator
Residential0 CommerdalX 48.25
19) Repair units
iditional information or description of work: 8.40
O 3 pa c K- 20) Wood stove/gas FP /other units/clothe dryedetc
7.00
7 For Commercial projects only; Units over 400 lbs. require 21) Gas piping one to four outlets (
structural gas talcs. See footnote 1 3.75 1. 1 b
rpe of fuel: oil 0 natural gas 0 LPG 0 electric 0 22) More than 4 -per outlet (each) 75
Minimum Permit Foe $50.00 SUBTOTAL 1i i i CU
ereby acknowledge that I have read this application, that the Information -- 8% SURCHARGE . , 06
ten is corec, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL ,a,,, ',fit
Required for ALL commercial permits only ''t;�� , ' r ': ` . a'' f
owner, that plans submitted are in compliance with Oregon State laws. TOTAL ": ?i, . ; �' „• ; y f �?
Anatu of OwrmeNAgent - Dam Other Inspections and Fees: VJ 1
, / 1 /` �.Z.. < 422 199 1. Inspections outside of normal business hours (minlnum charge -two
intact Person Name 7- Phone hours) $50.00 per hour
,/, / 2. Inspections for which no fee Ls specifically indicated (minimum
...Jbi i� /DQ vJ S �2v- (obi charge -half hour) $60.00 per hour
onotas for commercial projects only: 3. Additional plan review required by changes, additions or revisions to
Provide full schematic of existing end proposed gas line and pressure. plans (minimum charge - one -half hour) $50.00 per hour . 1 (,�►
Provide drawingo to scolo showing oxisting and proposed mochanical
unlls. •State Contractor Bolter Certlficatlon required V 1l
••Residential A/C requires site plan showing placement of unit g
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TOTAL P.02