Permit r F
; - i.. DEVELOPMENT SERVICES ' .. . r-'ERMI'T r ' RE 13125 SW Hal Blvd., Tigard, O R�97223, (503). 639 -4171 „ : ' DATE .'ISSUED, ;1' / ti 2,/ 67, ' • '
PARCEL g, 2 S 1 "23CDA- 0.46 sr ,
SI TE-.iDDREs3 1 '7C+ S t "' g_ ' '
B11BD I V "I'S"I ON° a ° FANTASY • •H•I LL. • .ZONING'° F ° 5
'BLOCK. ° ° ° V ° ° ' ° .. ° -R ., a .o r0:01 . . • ' JURISDICTI'ONNs TIC'''. , ,
.CLASTE, OF 'WORK-- z.ALT • -FLOOR . 'FUIRN. . ,. „ '0' ,. EVF4P f ,OQLERS
TYPE Or USE ° °. ,',:.SF •• ' .UN HEA -° ,e 'G. VENT FANN3° ° ' 'iZ: .
A
D lliN ' SYSTEMS TEMS t : 0,
i✓CU� ° A; ~ aC. "f' f1R� ='° ° • e� R,� ..VENTS i S 'vJ / t7 PPL r, '�� • r ,-. ���-
;3fO'RIES. n ° „ a ° ° , ° .0., ' - - , BOILERS /COMPRESSOR „ 'HOODS °,° ° D . -
F,UEL TYPES - - - - - - - -- - - ' 0 3 - HP.. ° ° 0 DOMES. INCIN "0 '
J
� ° .. Y CElh�Ml.-
1.
NFUT�_ � BTU, � t,5_: HO_ ° ° ��•; REr- �AIR, UNII,Sq 0 " ....,,, ; , • F IRE_ , DANPERSS :' .- , ,. • COE -50- NF'. '° ° ° 0 ` 4-10ODS:TOUES.' ° ° 0
.BAS PRESSURE° °'>< , •„ ' 50 +. HP. „ ° o 0: .' ..CL0 DRYE,6 5',.° 0, ;1. •
I O° OF UNIT:-- - ----- . '. ''F?I'' HANDL..ING 'UNITS .r „ ` • -,ER -Uki.:E' S. '° 2+ ,`
F4:JF;iti ( ''100K :.BTU F. • I. ` f-= ,.1x0001 rfin.a .0. • :r (aAS' OUTLETS. 1' „ '
• FU -ii60K PT U'° v0 ' : „ • ) 9. 00 c "f'm'e :0, - .. ', - • •
_', Re. k
'ar�•s'; "' Instal of. One, furnace and' gas oi`oiny.
'not fiil
• -• -_, &- --- - - -__ -
DAVE '���
���- h _ =__- __ �iT'' — , -- -
R Et t'y�pe ,
7.0,' are Quilt b '.d ,t e,, r3,e,e j��,', ';.,
1.05„ '6W,',. PARK. ST : . ':; :>
F'RNT, °,,, 25. 17.a' DRM , , 1 / X2;$ . 9 .�0i8 & &f;' ''
' 7I - T. ail RD' 'OR' '`97c:c',�� _ , .' .5PC`I"'., , , ' 1 .25 ' 1 ' . 1.1'! 1 , 7, 97, - . 0 13,GG'. , •
LL, :I MATE CONT L °T NC ,,. ., , ,
�„ t, '
33,1x ' - Ni . c'6T1-!' • : . • , " , , , ' -
y� ... -�$ - 2u° 257fO T F;L . ,. .. - , ' •
P OR 57210 • '
F 4 :: 223-;14393 . ' ,; .
R ?.,ter, 4* „0006-21: ' • • - - -- • - - --� RE-?U I RED. ',i NSPEC [INS' - - -._.- _. --- '
This peroit -'.is issued subj t, to,the reoul'at'ions cont'a:ned, in they • . , Gas Li Re • •Ins'p,-•
Tigard F4unicipal:, CodE, - St o Ore. .Special 'y Codes - ard`all other M.edin an'i ca I, I n.s,p,• _ ”
'applicable Peas. • All work Wi1I he' dnne'a in acco dance with .; -h at.i'ri :",Lin . l; I n s'p _-
,' approved plans. This'�'perbit. will eipir'e 'i'f, €pa i5'not .started. r, .I isc ' I risper�t ion. ' -
within 1 8 a � ,days of issuance, or if Work `i,s .suspended "for. pore ' . F i n al I n s'p e L t.i o n '
than 8Z 'days: ATTENTION: Oregon ,law reouires' .you 'to -follow rules ' , __ . •
'adopt ad' by the'=Or, egon ltiiity‘Notification Center. • Those rules,ar,e " • - " . .. ° '
set : forth` in' ORR q.52-101 tfirough',OAR-'352 -2r 1 -X8-0. ;You nay'' • • . - — ,
'obtain comes . of these' rules or', direct'quest•ions "4o itli,4� •by 'ca'lling,., , . - --
f503/'246-9187. ., -f. , ,•a. - _ .
Iss1'.e: L-1y - ' 4 /':I. :. :/ P(aym'itt SiD.nrit«r -e _ __ _ _ „..
' .f, _ , 44 1111‘ a
-f +++ S:+ f++�I••. ++ ,,....„,, F•+ r +.4-•i-+-F-t+,++ ++.+-F•-'r 1 +=I u — , +- 7--i'i•t-i - i ++-I•+`„...ri-+.4 +-F. +4.+-i + .H ..„•'� ,,,.. i-�--h-1-i'. . =..
Cali °539. -4 .,7S, -by 7,e 0 0rp. in a•' - e co-' , i_neipec�t, ci h,sa , ;t.eeded• the n0.xt harsirress,' _ r ,
-t- + ++ ++ i- ; 1- •4-• -}-4 - - F^} -i--i- 4 +. -, - +- 14 + ++- , 1- ++ + ++i- +i -+++• 4• ++-I-- +4: -N+ i- •+4-- f• + ++ +•i-- 6 I--4--'r, •t•d- - -•4 4-- :- •:S-4•4ra-
Plan Ch
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 W2-11j Date to DST
Print or Type Permit tat ARK ai s
Incomplete or illegible applications will not be accepted Called
ti tiL ve M al CAL r l n6 I t Dv f / Ta p Mechanical Code QTY PRICE MIT
A d d o r e s s / 0 5 7 0 OV V A r l \ S � A) Perrot Fee - 10.00
Bade ' Cay(Snce Zip B) Supplemental Permit 3.00
Nene (or name of animus)
Owner U6k0 ` � 0 �� �/ j� ,) Furnace to vents BTU 6.00 t 6 3
cn e t J ind ducts &vents
�" ' t ° 'n 2.) Furnace 100.000 BTU + 7.50
�' V�� (q722-2-, incl. ducts & vents
rrd a (p2,(-1-(.00c7.5 3. Floor Furnace 6.00
k or name ot ( J business) 4.) Suspended heater, wall heater 6.00
nt Address or floor mounted heater
Occupant 5.) Vent not izid. in 3.00
appliance permit
C41"State aP Phone 6.) Boiler or comp. heat pump, air pond. 6.00
to 3 HP: absoip unit to 100K BTU
l� 1 11Y rile Condit i
7.) 3-15 HP �p unit to 500K�BTU 11.00
Contractor Aae+eas Q �- 8 Boiler or comp. heat pump. air Dona 15.00
� t1 W 2�` '? / I 15-30 HP, absotp - unit .5=1 and BTU - - • -
Attach urrent Licenses `T1 1� -4-1 of
Current ; �i1 0 r C ' l / o ! v /77,-433 9.) 3 Boiler or comp, absorp at pump 1. 7 mV BTU 2250
C L
l J� „� Board Lies Exp. Date 10.) Boiler or comp, heat pump. air cond. 37.50
lc ' > 50 HP: absorpund1.75miIBTU
COT 8usr ` /T/ a; Tr . s E � �d 6 11.) Air handling and to 4.50
I l� I 10.000 CFM
Architect Nano 12.) Air handing unit 7.50
10.000 CTM +
or Using Address 13.) Non portable 4.50
evaporate cooler
Engineer GellSUm zip Rhone 14.) Vent fan connected
3.00
I to a single duct
Descnbe work New O ition 0 Alteration$ Repair 0 15.) Ventilation system not 4.50
to be done Residential Non- residential 0 included in appliance permit
Additional Descnption of wo 16.) Hood served by
mechanical exhaust 4.50
17) Domestic incinerators 7.50
Existing use of 18.) Commercial or industrial 30.00
budding or property
type incinerator
19.) Clothes dryers. etc. 4.50
Proposed use of 20) Other units • 4.50
building or property
Type of fuel - oil 0 natural
gas LPG 0 electric 0 21) Gas piping one to four outlets 2.00
/iii I hereby acknowledge that I have read this application, that the 22) More than 4 -per outlet (each) .50
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with Oregon State QTY. SUBTOTAL r �p C
I laws. 2° / .i
Signature of OwnedAgent Date 'SUBTOTAL
" 1/1 / ' 5%SURCHARGE
1
Contact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL
TOTAL 219, 2
1dstYnechpmtdoc 'Minimum permit fee is 525 + 5% surcharge
Rev 7/96
e
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -417�1
Date Requested: , I ( / i
AM. / P.M. �' MST:
Location: /' ,S 76 I , BUP:
Tenant: Suite: Bldg: MEC: / Q
7 cc/VS
Contractor:
IJ.....erl/l_...) / Phone: ' - 2 , Z– '" 4-/3 5 3 PLM:
Owner: Phone: ELC:
ELR:
SIT:
BUILDING BLDG (con't) PLUMBING o e am ELECTRICAL SITE
Site Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab ; _ Ceiling Water Line
Slab Framing Top Out - - '; :.:.5 Rough -In UG Sprinkler
Foundation Insulation Sewer •6•11111 t Reconnect Vault
Bsmt Damp Drywall Storm == Temp Service MISC.
Masonry Ceiling Rain Drain 1 _ UG Slab
Shear /Sheath Fire Spk1r/Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved .prov-. Approved Approved
ppr /Sdwlk Not Approved ce, s d Not Approved
; e C Not Approved
FINAL FINAL Approved . ` 0.� 7 FINAL FINAL
GAS — —
eS - 334',
Not
' 2 SZ-- e N \AA - -%--‘----- (3;1 - -a:-/,)? ,-- ...).4 .
.5 sit,,,A_)2_ __5L. A
w� Y. c v-
J c� „- --c._ - r --- 1... r N - - s X11. -
1,-In 5 u u.,".._, 5 4-1„ `K (-12.—, •
f
all for reinspection O Reinspection fee of $ r uired before next inspection O Unable to inspect
;25)
Inspector: 1Z 1,7/ Date: � � 1 Page of