Permit i
CITY OF T MECHANICAL
r , ,, DEVELOPMENT SERVICES PERMIT
�!LJ. )J 1 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE 06/24/97 -02O8
PARCEL: 1S126OC -01107
SITE ADDRESS...: 09499 SW WASHINGTON SQUARE RD
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...: 2
OCCUPANCY GRP.. :M VENTS W/0 APPL: 0 VENT SYSTEMS: 0
STORIES • 0 BOILERS /COMPRESSORS HOODS • 0
FUEL TYPES 0 -3 HP • 0 DOMES. INCIN: 0
:ELC 3 -15 HP : 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15 -30 HP • 0 REPAIR UNITS: 0
FIRE DAMPERS ?..: N 30 -50 HP • 0 WOODSTOVES..: 0
GAS PRESSURE...: 50+ HP - 0 CLO DRYERS..: 0
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.: 0
FURN < 1O0K BTU: 3 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN ) =1O0K BTU: 0 ) 10000 cfm: 0
Remarks : Mechanical TI
Owner: FEES
SQUARE LAND CO type amount by date recpt
BY WINMAR PACIFIC INC PRMT $ 34.00 DRA 06/24/97 97- 296349
PO BOX 21545 PLCK $ 8.50 DRA 06/24/97 97- 296349
SEATTLE WA 98111 5PCT $ 1.70 DRA 06/24/97 97- 296349
Phone #:
Contractor:
ALLIED MECHANICAL CONT
1300 NE 48TH AVE
STE 1000 $ 44.20 TOTAL
HILLSBORO OR 97124
Phone #: 693 -7553
Reg #..: 005807
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Duct Inspection
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. 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 -8080. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
4
�
Is B y: ., - / 1 0 - ./u . ��__ 1 Permittee Signature: � ���
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 6:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
i Pe (,,20-q1
City of Tigard _,MECHANICAL PERMIT Planck/Rec. # 06-27-6C
1125 'SW Hall Blvd. Permit # 110141-62-0(o Tigard, OR 97223 : - � Q( /
(503) 639 -4171 I
Caul (,,..—))5---1117
Name of Development Description
Table 3A Mechanical Code QTY PRICE AMT
Address
Job 1199 SW 104 H S Q RV 1) Permit Fee -0- -0- 10.00
Address ury, rate w
f /4a29 97273 2) Supplemental Permit 3.00
s Name for name of business) Furnace to 100,000 BTU e1e C
WAShWtJ&'' ON Set u'•i{ea 1) incl. ducts & vents ) 3 6.00 `g/
Malang Addles. Pha^e Furnace 100,000 BTU +
Owner x}'99 SK) WAIN go 2b 2) incl ducts & vents 7 50
uhrstate w Floor Furnance .
11 040 j'72,3 3) incl. vent 6.00
Name to name of busnessi Suspended heater, wall heater
3I NYONs LYE(,1d r l r, 4) or floor mounted heater 6.00
Malang Address Phone Vent not incl. in
Occupant 9499SW WP,SR4 SQ IV SPACE A 1 5) appliance permit 3.00
atPState w Repair of heating, refrig.
Ti cArto 9722.3 6) cooling, absorption unit 6.00
' gy m° ( 4N` — t Boiler comp, heat pump, air cond.
f}t M 7) to 3 HP, P, abso rp unit to 100K BTU 6.00
Malang Address Phan° Boiler or comp, heat pump, air cond.
Contractor ( 3e, 1.4*- ` 8) 3 -15 HP; absorp unit to 500K BTU 11.00
C.hnState DP Boiler or comp, heat pump, air cond.
Hi`..LS4 te, 91 12 9) 15 -30 HP; absorp unit .5 -1 mil BTU 15.00
Stale Regsuauon No C.ty Bus. Tax No Boiler or comp, heat pump, air cond.
O9Wc17 Mscl -o 12.9'S 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 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 1, 3.00 4 N
OOrellr, (0--047 16) system not
16) included in appliance permit 4.50
o■gnatp,e (owner or ag t, V Ud Hood served by ,
17) mechanical exhaust 4.50
Describe work new Cr addition U alteration IN repair (T Commercial or industrial
to be done residential 0 non - residential 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
21) More than 4 -per outlet (each) 2.00
Type of fuel - oil 0 natural gas 0 LPG 0 electric X
NOTICE (– -'m-z
Minimum Fee 525.00 SUBTOTAL 1_ ,
PERMITS BECOME VOID IF WORK OR CONSTRUCTION -- 1"
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE f ?�
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. �- 20
TOTAL 7._
Special Conditions 1
Date issued by
H 1LOGIMDSTS1i.1_CHPMT
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: )' " r A.M. P.M. -liW" /' I
Location: 7L/ 9 ci W4 .5 Q. q'V BUP: < Q
7 Cc 45
Tenant: 121 tyt 1 4.---? Suite: Bldg: MEC: , C O `e
Contractor: Phone: PLM:
Owner: Phone: ELC:
ELR:
SIT:
BUILDING : LD 'con't) PLUMBING E LECTRICAL SITE
Site 'ost/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing pi Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceil - Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr Crawl/Found Dr Heat Pump Low Volt
q• pprov • • — Approved prov Approved Approved
Appr /Sdwlk Not • pproved Not Approved No pproved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
6...- � t/�•.A _ ..e.-....„... _ i �ist 'A1� .?1.[:.a. in
C2r =7 ,eri"..X.
fi
O Call for reinspection O Reinspection fee of $ required before next inspection O Unable to inspect
Inspector: , �!Zt/ Date: 7- 2/- , 7 Page of