Permit i
.." .. :4, ' C I: I . . I. tj r ,.:TIGARD: .- : ...- teic,d10:1,p ,''''''. .
� DEVELOPMENT SERV,9CE'S PERM e :11•r° •:• -. " t t lE 97 - 045a •
__ 13125 :SW Hal Blyd,•Tigard,-OR'97223 :,(503) 639-4171 - ' �-E � ,¢ 1,1.14•1,97
/�y}'��'jj'�� 1 jj ff r , ?AX' r= i -' .1+9.1;3 :�11.
:IITR Ai ri E0..•v . _ ,1•+JC2.J OW _. S11'11H AV ' ,. " •
1: B 1 r O r. , , r ' I _ t c • "
utJ t'� . 0 1 �iI.1�rIAGE1�' �L,JF ? "` : :Ch_'fi'�ua. .?
B LOCK, = LOT"; a - 1 l� !. 7'� �• •*Y,' O T L ]a 0 ' ' ' "" 1
L'.�I_1_71.r [- �' I n .-.- 4 . _... e v v a , s 4- �t.al r _ , .,. -...- ,_.._ �'1v'4X ;,.!LJ L,�.: , ��{J 1�a ..
CLASS'� � r � ..... v ' ' ' • �`�n 1 ' L 1 ., [�r i 1 l�r •` ,e ... - .
, C AS ' . ',OF WORK.' . ALT FLO -R.. FiJRI'�° v ° ,v ,YZ EVA COOLER'•!-" : Y
TYPE Or USE = SF Ut'dIT HEATERS.— ERS.= ° = • 0 VENT i= N5> > ; :, „
OCCUPANCY 'G:Rp-'., e r f:.:J{ VENTS. +S "W/O1'i,- i�.rP-'L :: 0 • .• - VE1 T, •J� "�.1•+E.-14811. :',}dpi I ,
• .STORIES.. _ .. ' _ ° ° _, ,0 ° }3O'ILERS /OGi+'1V'PF_SSORE; HCIL�D3 e o a '„. '!7_t, _
l� UE1L. 'TYPES. - - - -• -- - '- - ' - - - -- , 0 -3 Nth °- • .' .: 2 ' • • DOMES , . INC I I'd i j7f I
,:GAS' 1' . '' "HP'= ar "_ . 0 , COMN ►_', I:4 CINe - I• I, '
MAX' INPUT 0. BTU 1b_,..30 HP. ,, : : , k' 4 4' - REPAIR UNiTSo 0 .
1•t I RE, 'DAMPE RS? ° 1 . 30- - -80 1 IPd r ."• : . . 0, •, WO�_ID. STOV'ESS '... •0 " 'i,•
u _
GAS PRESSURE:'..:: ' '..- " 50* i•,i '. ,, ° , : •0 '- . CLO '•LR't;ERS e sn. • , , • r' „
Noe, OF UNIT •__. - :..- ' - - - -- ti ' AI R F',i NDL 1;UNi ITS • OTHER • • UNITS.. g 0 , , -• „ '
FURN ( 101 .iS• 'ETU; ' ' , {= i .0000 t : _ 0 ' - , , '!3 S i_1`,_7LET8 i . - 's. - „ ' ,
F l �`RN •_) = •00'K; P T U 0 ) 1 :000 c f ri ' { , .
' Ilerrar
} <s L';. ' installing two furnaces, t' o airy conditioners•and 2.gas outlets, AL II• - n ' •
units east not encroach into 5' side and rear yard setback, „ • ' • . . " •
.
• _L� . , ...._ _ — - _ _- __._ -- rEEvrf ..,...._,. - . ' --- --
D;JE OAP RET'T ' +,
tt „ a n,o�'mt " b data , dat n: u
' :ecr.., ' "
1 `625 SW 10TR -i Wig E ,' „ ' PR 1T, $ . - 36'. r 0 , .g.,'. 1 -1/14/97,' :,9z -- 3x`00 • ,
T I GARD' OR •97E '3 ' -- SPF.1T .$ . ,,t - , i -. 80" 13 .1•j. 41.4' /'� 3 r '',:� ' � : •
Ph o n '.'t X3 9- 4E':'i 1, • ' . ; ' ' 1
C o nt r�ac� t;'o r• ° v — e . - - - -. , , -. - - - - -- ., , z ,
' f- POD,E HEAL I NO 'flt4Dm' i4 /C. ' , ° ' .
• - „ ,, _ ,, , 37.80 TOT a:_y ' „ - „ , 1 •
P ^••L�'.,,.OI�A•OR 7007 '',,t'q ''' - - ,d., ''
Re r .1; ., :: 00,76.11 , , ; ^ ' , „
r, :y, - - - -- , i Eis t.1 -I RED I NSP'�.C:1' I - - -- •
• 'this pertit is issued subject to the. regulation's citntained'in ohi IF- 7. 1na1, I rrs';7r:,i i "on r "„ ' '
' Tigard 1�Iunicipal• Code. State -of Ore. Specialty Codes and all• 'ut, Si) s 'La•n•e' • _ - • ' . -- _ ---- - _ '
dppiica4le lai's.• All work will be dane in accordance „witfi Mactiariic ] ; n�sFp _: Y -
app.'oyed plats. '' :his aergit :il "} %Spire if'tdCPk aa•nnt „stnrtev . _,_ :+~ • Within 18 days cz ,issuance o' it- wont i5; suspended , for^ Dore. r' •
I, than 1S days. , .ATTTEtIT:O,N9 'ilre ;on law:'requir -es, voi:, ; :a foll'oh rules • 0,' - -- - .I'° _ ,,, ';•
adb ted,.by- .-he.Oregoii Lti1it,y Netifaaat,iol Center: Ttusel°;rUl•e.5 are .• ” ' '
'set r'ort1+• in tra 952 - +i -`Z. 1O throu -6 R s.w. +1= .' ' You- eay ' • 1 • ' a
"obta ; Qf''.thEse rules •orb: dir'ect'•quelst?ons to O C y calling ____._ f . ' . °r `
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e l r 4-�.- 1:. -• �•F`.•h'.i-=! •
' C'a,lI •£ 9- •43.75 ry,,7•;0,0, =''n'. 'r " i;n'a:pe.c,�t 1. ori''s• needed yhe' n :ct' :is +_es .n °e5s, ,.ria,y ' 'T
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Plan Check #
CITY OF TIGARD Mechanical Permit Application Recd By
13125 SW HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST
Print or Type Permit # mc-o 1- Dec 7Y
Called
Incomplete or illegible applications will not be accepted
Name of Development/Project Description
Table 1A Mechanical Code Ti' Q PRICE AMT
Job Street Address Suite# A) Permit Fee -0- -0- 10.00
Address 1 62S
Bldg# City/State Zip 1.) Furnace to 100,000 BTU n 6.00 I
�' / 0,s O 9' 722 including ducts & vents .[-
Name (or name of business) 2.) Furnace 100,000 BTU+ 7.50
Owner ( 77e7((/-- including ducts & vents
Mailing Address 3.) Floor Furnace 6.00
2 S t9,/ / //Q k including vent
City/State , Phone 4.) Suspended heater, wall heater 6.00
`r i,1 QP� 8412. 63'7 4 1/2S - 1 or floor mounted heater
Name (or name of business) 5.) Vent not included in appliance permit 3.00
eru>K P
Occupant Mailing Address 6.) Boiler or cornp, heat pump, air cond. 6.00 1 Zi
to 3 HP; absorb unit to 100K BUT
City/State Zip Phone 7.) Boiler or comp, heat pump, air cond. 11.00
3-15. HP; absorb unit to 500K BTU"
Contractor Name 8.) Boiler or comp, heat pump, air cond. 15.00
hE 15-30 HP; absorb unit5-1 mil BTU"
Prior to permit Mailing Address 9.) Boiler or comp, heat pump, air cond. 22.50
issuance, a copy , Li (� fit(/ 30-50 HP; absorb unit 1- 1.75mi1 BTU"
of all licenses Clty /City/tat? Zip Phone 10.) Boiler or comp, heat pump, air cond. 37.50
are required if 4.. p (tires (3R 974973 - ac . W > 50 HP; absorb unit 1.75 mil BTU"
expired in COT Oregon Const. Cont. Board Lic # Exp. oat 11.) Air handling unit to 10,000 CFM 4.50
database 7l / /S /' /
Architect Name 13.) Non - portable evaporate cooler 4.50
or Mailing Address 14.) Vent fan connected to a single duct 3.00
Engineer City /State Zip Phone 15.) Ventilation system not included in 4.50
appliance permit
Describe work New 0 Addition 0 Alteration 0 Repair 0 16.) Hood served by mechanical exhaust 4.50
to be done Residential 0 Non - residential 0
Additional Description of work: 17.) Domestic incinerators 7.50
18.) Commercial or industrial type 30.00
Incinerator
Existing use of 19.) Repair units 4.50
building or property
20.) Wood stove 4.50
Proposed use of 21.) Clothes dryer, etc. 4.50
building or property •
22.) Other units 4.50
Type of fuel - oil 0 Cnatur gas O LPG 0 electric 0 23.) Gas piping one to four outlets 2.00 �p
L
I hereby acknowledge that I have read this application, that the 24.) More than 4 -per outlets (each) .50
information given is correct, that I am the owner or authorized agent of
the owner, ) h , pl - ns submitted are in compliance with Oregon State QTY. SUBTOTAL PC •
Ia . wg: __ .. 1 / -Ij -?7
_Si, • - . •: • er Agent Date *SUBTOTAL
5% SURCHARGE
J� , Kelit 1P4!S 6 2 WO I ,
Con Person Name Phone PLAN REVIEW 25% OF SUBTOTAL
TOTAL ` 7 Q G
i:V nechpmt.doc (rev 9 *Minimum permit fee is $25 + 5% surcharge Q
"'Residential A/C requires site plan showing placement of unit.
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CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: I I_ 13 -q 7 q A.M. P.M. MST:
. .d
Location: .'LL/ 0 ti— BUP:
Tenant: Suite: Bldg: MEC: C r 7 - Q LL5cD
Contractor: C,l'U { i ini t‘akte )14." Phone: / 7.,)- 7/ PLM:
Owner: u AI Phone: ELC:
•
/ _ / ■ G 1 ' 1 ! I / A / _. %,J - I 0 p - ELR:
(J7 7 7 SIT:
BUILDING BLDG (con't) PLUMBING I' CHANICAL � ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab • ough- Ceiling Water Line
Slab Framing Top Out Q. Rough -In UG Sprinkler
Foundation Insulation Sewer H.•. I ct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr H t A, Low Volt
Approved Approved S v Approved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL �INAL -> FINAL FINAL
O Call for reinspection O Re' spection fee of $ required before next in lion O Unable to inspect
Inspector: _ Date: // %/79 Page of
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