Permit CITY OF TIGARD MECHflNI J��A
,H' DEVELOPMENT SERVICES ' PER NIT 44 . , . .. 9 ;EOS7 - -o44S
- DATE I SSUr D; 11/14/97
3 111 L•u 2S I d yf CD- .i 3 1 [
'5T. _ ADD EST... _. ` f ` 6 -t i 1R VACT?. :r'KW 'gr
SUBDIVISION--; . RINS 'C1T't NO. 7 ZONINOr, .
BLOCK......... LO ... - - - - .. . _ _ . r07 URISDICTION; KIN
' G ?_.ASS WLirci�. . 4\1 'E. Fl._wlt�Ri''cJ11�1. . uI;0C;;i -';?'= Cf_7!JLi= yaa , .____...._,_ , _._._
TYPE ,OF USE.... ;SF i.NIT' iHllEATERS.. 0. VENT FANS.. e, . 0 '
OCCUPANCY GRP. : R3 VENTS W/O Ar:'i L 0 - VENT SYSTEMS ; 0 ,
STORIES. . . _ .... - 0 BOILERS /COMPRESSORS HOODS.. _ ..... 0
FUEL TYPES_.- ___._- _. - - -_. ' ' 0-3 0 n 1 _ I ,7
� iJ� �_ TYPES rL, ,J .. ._. �Jl. �•. �-�r'a . e n v rte DOMES. .l NCI �4 a Y..j
' ;LPG --15 HP..... 0 C MIL_ . INCIN'o 0
.MAX I NPUT e 0 BTU 15-30 HP.... 'J 0 REPAIR UNITS: 0
FIRE DAMPERS?..: 30-50 HP'.... , 0 WOODSTOVES... 0
CAS PRESSURE...; 51Z+ HP.. 1 C. 0 OLD DRYERS.. , 0
NO. OF UNITS- _______ -_._.- AIR H€±NDL I NC UNITS OTHER UNITS. a 0 .
FUf•riN,1 { 100K' BTU.; 1 <_ i•
10000 c In ; 0 OAS OUTLETS. ; 0
FURN > =100K BTU : 0 > 1.0000 c in: 0
R e n ar k s, Replace furnace
ROGER CHR ISTI1 NSON - type amount .by date reept
15+625 SW ROYALTY PARKWAY. PRMT $ „ E5.00 TJH . 1 1. / i & / 9 7 ' H I NS C I V
RING . CITY OR 9722 , `iPCT $ ' 1.23 TJH 11./ 4/97 `:INS CITY
' Phone ; 503-598-8077
Contractor; -- _----.__.__-._ a...__._ _.,___.- ___ ...__._._. -_.
A--1 AIR' CONDITIONING' CO INC ,. .
i
3455 SE CEDAR ST
$ 26.•2'3 TOM._ .,
HILLSEORO OR 97123 '
Phone 4t; 642 - •-5900
Re El #. . . CHZ 1 .
-- ._--- - -- REQUI RED I NSPEO i I DNS -_. - .- -- - - - --
This percit is issued subject to the regulations contained in the Gas Line Insp.) _________.— -
Tigard Municipal Code Stan of Ore. Specialty Codes and all other - Mechanical Insp --_ ___
applicable Taws. All work will be done? in accordalce : Heat . n � Un'L I n s p _ --_._ _ _._ ._.�_.._
approved pans. This percit win expire if work i s not started M i sc . Inspection "_.__ •-,!_
within 18,Z days of issuance, el' if work is, suspended for more' 1- in .1 Inspect, ion _• ________
than in , days. 'ATTENTION: Oregon law requires you to follow rules ___________ _ ____ _
adopted by the Grepa Utility Notification Center. Those rules are _______ _ _.•_._,___,____,_• -____
set forth in CAR 552-g01 -C21'e through OAR 552 -Z2r1-TZSZ, You , __ _ ._.___________..__..___. _ ____
obtain copies of these rules or direr. t questions to OJ' by calling
I s s �� e Fz ', . -%� a - -�� �� ' _ Per r �i t �'e e S i i� n at r.► r e ._ � f Y 2r
}.�c.1--1 +-4 -.-1- i--1 -1 - 1-4.4.-- 1- 4..}..- F• +•-1--F•,-0-•i-•�•-6.._F.++- -i-4 h' -.;..,Q.-r..1.. {...f�-= --1-'r•i--I-.1- i•. h f - -- i••- s- i -.;_..}..I.._ .
Call 639-4175 by 7 ;00 P.M. for inspections needed the next business day'
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1 Si -
'NOV- 13 -'97 THU 09:52 ID:
FAX NO: 11616 P01
CITY OF TIGARD Mechanical Permit Application Plan Check #___�
13125'SIN HALL BLVD. Commercial and Residential Date R y d
'TIGARD, OR 97223 Date Recd J I- , S7
(503) 639 -4171, x304 Date to P.E.
Date to DST ) - / F
Print or Type Permit # L(EC g 7-
Incomplete or illegible applications will not be accepted called
Name of Developmenyproted
Description
Job street Morass Soo; 1A Mechanical Code 1:1
PRICE T
SuSoo; Address; A) Permit Fee 0 - 0. AM 1Q.OQ
Bldg* ciyrscate z; Y.-
7ZZ9- B) Supplemental Permit 3.00
Name (or mammal business)
Owner ) Fumace to 100,000 BTU 6.00
L - s 4 - eo U incl. ducts & vents
Moiling A .S. - .• ddress (Q • U 6
1 642
Moiling � 2.) Furnace 100,000 BTU + 7.50
ClrylState L • z p y, incl. ducts & vents
Zip Phone 3.) Floor Furnace
k r w Jr.... e7 ! !1 6.00
Name (or name or buainess) ' V? incl. vent
4.) Suspended heater, wall heater 6.00
"' " or floor mounted heater
Occupant Mailing mom..
5) Vent not Incl. in 3.00
a•pliance permit
C ryl5tate
-- Zip I Phone 6,) Boiler or comp, heat pump, air cond.
Name
to 3 HP, absorp unit to 100K BTU 6.00
7,) Boller or comp, heat pump, air cond. 11.00 '
f "4 ees,. • " , so A 3 - HP; abso
Contractor Mailing Address rp unit to 500K BTU
3) Boiler or comp, heat pump, air cond. 15.00
Attach copy or 15 30 HP; abscrp unit 5 -1 mil BTU
Current urErse•s 9.) Boiler or comp, heat pump, air cond. 22.50
.e. ' ' 30-30 HP: abeorp unit 1 -1.75 mil BTU
Canal Cont. rtgon GonsOnt. sawn t. cfl Exp. awe "
4 (
0 10,) Boiler or comp, heat pump, air cond. 37.50
COT Business Tax or Metre# t U 6 -9li > 50 1-IP: absorp unit 1,75 mu BTU
Exp. Date 11) Air handling unit to
Architect Name
i & /d ` / - 93 10,000 CFM
4,50
12.) Air handling unit 7.50
or Mailing Address 10.000 CTM
13.) Non portable 4.50
Engineer C rylState ZIp Phone evaporate cooler
14.) Vent fan connected 3.00
Describe work New to a single duct
Describe
to s done R New m. Addition Non-residential o Aio 0 Repair 0 15,) Ventilation system not 4.50
Additional Description of work
included in appliance permit
16.) Hood served by
mechanical exhaust 4.50
..7 17 ) Domestic incinerators 7.50
<,„ a. F u.C/cA/ - (_ -
Existing use of
building or properly r ,,, ti .„�,�, e_. 13.) Commercial or industnal 30.00
type Incinerator
19) Clothes dryers, etc. 4.50
Proposed use of
building or property 20) Other units 4.50
Type of fuel - oil C) natural gasAt LPG 0 elednc 0 21) Gas i in one
P D 9 to four outlets 2.00
I hereby acknowlec:ge that I have read this application, that the
information given is correct, that I am the owner or authorized agent of 22) More than 4-per outlet (each) .50
the owner, that plans submitted are in compliance with Oregon State
laws. QTY. SUBTOTAL c
Signature of Owni r /Agent - Date 2!
"
�j . SUBTOTAL
5% SURCHARGE
f'1.� `r ~'s1 c_ /3 � • Contact Person Name I _ t y ' �, �S
Phone PLAN REVIEW 25% OF SUBTOTAL .
Re) S =' � � $ S - /
i:ldstlrnechpmt.doc TOTAL lh
Rev 7 /96 `Minimum permit fee Js S25 + 5% surcharge
RECEIVED
NOV 1 = 1997
COfrgfdIJNITY DEVELOPMENT
C- )
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
t I 1
/03q
•
Date Requested: q � P.M. MST:
Location: . 4— IL -.A 1 _, i / • BUP:
Tenant: i 0' S uite: Bldg: MEC d ¥i'
Contractor: .4 ./4 — .4 0 � / VS ' Phone: (' PLM:
Owner: k .I �L / - �
� �
� tom 'j �� p0 ! ,. Phone: « — O / ELC:
(
1 ELR:
SIT:
BUILDIN BLDG (con't) PLUMBING ELECTRICAL SITE
Site Post/Beam Post/Beam o Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Ceiling Water Line
Slab Framing Top Out inc - Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Temp Service MISC.
Masonry Ceiling Rain Drain UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr eat • I.. Low Volt
Approved Approved • pprov •.. Approved Approved
Appr /Sdwlk Not Approved Not Approved _ vicA. .. ed Not Approved Not Approved
/FINA/,L FINAL FINAL FINAL ,,Lyt,. . ), - 61 -1- de
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1 0 A) st / try C .i-- ■ 4.-- ,
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a VN A z- -e_.e_ `.. / Ste.`- '
C-4
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\el\ ..42...-e-,""... 6 A--
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Call for reinspection O Reinspection fee of $ required before next inspection O Unable to inspect
r
tor: ‘. C ? Date: 1 Vt 1 Page of