Permit CITY OF TIGARD MECHANICAL
r'Ertr *1I T
PERMIT # ° MEC95- -0193
COMMUNITY DEVELOPMENT DEPARTMENT
DATE ISSUED: 06/22/9
13125 SW Hall Blvd. Tigard, Oregon 97223.8199(5033) 639-4171
PARCEL: 1S1260C- 1211107
SITE ADDRESS... : 1219637 SW WASHINGTON SQUARE RD
SUBDIVISION ZONING: C —G
BLOCK... ° . ° ..... ° LOT
•
CLASS OF WORK. .:TEN FLOOR FURN. ° °. EVAP COOLERS:
TYPE OF USE °COM UNIT HEATERS. .° VENT FANS. .
OCCUPANCY GRP.. :B2 VENTS W/O APPL: VENT SYSTEMS°
STORIES °1 BOILERS /COMPRESSORS HOODS
FUEL TYPES - -• —• -- 0 -3 HP DOMES. INC I N
/GAS/ / / 3 -15 HP COMML. INCIN
MAX INPUTS BTU 15 -30 HP. ...a REPAIR UNITS
FIRE DAMPERS ?.. 30 -50 HP ° WOODSTOVES. °
GAS PRESSURE... a 50+ T-P CLO DRYERS. .
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.:
FURN ( 100K BTU: (= 10000 cfm: GAS OUTLETS. e1
FURN ) =100K BTU: ) 1017100 cfm
Remarks: Food Court Restaurant
Owner: - - - -- — FEES - -- --
SBARRO -- type amount by date recpt
•
9637 PRMT $ 25.00 JDA 06/22/95 95
SW WASHINGTON SQ. RD. PLCK $ 6.25 JDA 06/22/95 95 - - -.—
TIGARD. OR SPCT $ 1.25 JDA 06/2`/95 95--- - - - -- --
Phone #:
Contractor: —• - - --
NAT IONfAL ELECTRICAL_ SERVICE S
25432 74TH AVENUE
KENT WA 98032 - - - - - -- - — - - - --
Ph on e # ; 206• -850- -1616 $ 32.50 TOTAL
Reg #..: 37605C
REQUIRED INSPECTIONS - - - - - --
This peroit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance with
approved plans. This peroit will expire if work is not started
within 180 days of issuance, or if work is suspended for pore
than 180 days.
Perm ittee Si. gnat '_lr;e:
Issued By:
Call for inspection — 639 -4175
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit # C it -- / 3
Tigard, 'OR 97223
(503) 639 -4171
Naar of o...maa.r Description
L 2.SL21 YK 71 (!ape Table 3A Mechanical Code CITY PRICE AMT
Job g.--,.7 7 ( » c / . J� j 1) Permit Fee -0- -0- 10.00
Address ` $
/ tT� / C 7 -2 Q � 2) Supplemental Permit 3.00
,. a... of / Furnace to 100.000 BTU -
1) incl. ducts & vents 6.00
Ma.p Acidness Mane Furnace 100,000 BTU +
Owner 2) inc. ducts & vents 7.50
•ii• ZO Floor Fumance
3) incl. vent 6.00
Name is norm a A....) Suspended heater, wall heater
F . 2G 4) or floor mounted heater 6.00
warp 5ra&.o" c) P) Vent not incl. in
Occupant 2, ? 7 GO/1
B .S ) 7 5) appliance permit 3.00
Repair of heating, refng.
� ,-.a -mod / ' 7,2 '3 6) cooling, absorption unit 6
t��,„; Boiler or comp, heat pump, air cond.
(4 C /� 74/ feirliin ,ett 7) to 3 HP; absorp unit to 100K BTU 6.00
d . ,rL� R Boiler or comp, heat pump, air cond.
z_4 8) 3-15 HP; absorp unit to 500K BTU 11.00
Contractor -.7,1 �• . Boiler or comp, heat pump, air cond.
<141
� �- GO 2i 9) 15-30 HP; absorp unit .5-1 mil BTU 15.00
d Boiler or camp, heat pump, air cond.
IQJ�(� >. ethis � 10) 30-50 HP; absorp unit 1 -1.75 ml BTU 22.50
1 hereoy acknowledge tha � iie p lca , that' t he p 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
Vent fan connected
15) to a single duct 3.00
�- � - -
Hood 16) included Ventilation in appliance system not permit 4.50
served by
17) mechanical exhaust 4.50
Describe work new J addition Q;( alteration 0 repair 0 Commercial or industrial
to be done residential 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. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property
21) More than 4 -per outlet
Type of fuel - oil 0 natural gas Q LPG 0 electric 0
NOTICE �^
Minimum Fee $25.00 SUBTOTAL F 7 ---
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 CO
AFTER WORK IS COMMENCED.
TOTAL - 3'z SZ
Special Conditions
Date issued ��
i
kaiMEC1lPMT
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CRY OF TIGARD BUILDING INSPECTION NOTICE
Ins Line (Rec- O- Phone): 639 -4175 Business Phone: 6 -4171
Inspection:
S frtt V w .,.r
Footing Susp. Ceiling Sprink. Rough -in pr dwlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough -in FINAL:
Post /Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing - Plumb.
Alarm Water Line Insulation - Mech._
Underflr. Insul. Shear Wall / Gyp. Bd. - Elect.
Date Requested: 7 // 015,5 Time: AM PM
Address: 9`v 3 7 6- f 5 61 - P-- O'er -r
Builder: Permit #:01 _55".- O ( 9 3
THE FOLLO CORRECTIONS ARE OUl I"1�
0ZIS� ,Y
Ins ect• ��
p ��` Date:
AP' - OVED DISAPPROVED APPROVED SUBJECT TO A OVE
_Call For Reinsp.