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Permit - . . | iie, , CITY � TIGARD MECHANICAL DEVELOPMENT SERVICES MECHANICAL ,, .,.„ ��''� 13125 SN/ Hall 8hvd.' ��r�D8��� ��>G��/�Y PERMIT #. . . . . . . : MEC98 Blvd., Tigard, ' ' DATE ISSUED: 06/16/98 PARCEL: 15134BC-00600 SITE ADDRESS...: 12390 SW SCROLLS FERRY RD SUBDIVISION....: MLP93-0006 ZONING: C—G BLOCK..........: LOT.............:002 JURISDICTION: TIG ___ ___ _ _ _ __ _ CLASS OF WORK..:NEW FLOOR FURN....: 0 EVAP COOLERS: 0 TYPE OF USE.... .. :COM UNIT HEATERS..: 2 VENT FANS.. . : 1 OCCUPANCY GRP..:B VENTS W/O APPL: 0 VENT SYSTEMS: 1 STORIES........: 1 BOILERS/COMPRESSORS HOODS....... : 0 FUEL TYPES — 0-3 HP....: 0 DOMES. INCIN: 0 :GAS 3-15 HP ^ 0 COMML. INCIN: 0 MAX INPUT: 100000 BTU 15-30 HP....: 0 REPAIR UNITS: 0 FIRE DAMPERS?..: N 30-50 HP ^ 0 WOODSTOVES..: 0 GAS PRESSURE...: M 50+ HP....: 0 CLO DRYERS..: N NO. OF UNITS-- --- AIR HANDLING UNITS OTHER UNITS.: 0 FURN ( 100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 1 FURN >=100K BTU: 0 > 10000 cfm: 0 Remarks: Mechanical shell Owner: --- — FEES -------------- THOMPSON/DAVIDSON LEASE type amount by date recpt 12475 SW MAIN ST PRMT $ 31.50 B 06/16/98 98-306572 TIGARD OR 97223 PLCK $ 7.88 B 06/16/98 98-306572 _ 5PCT $ 1.58 B 06/16/98 98-306572 Phone #: Contractor: ---------- ----------- ARROW MECHANICAL 10330 SW TUALATIN RD --------------------------- — $ 40.96 TOTAL TUALATIN OR 97062 Phone #: 692-1565 Reg #..: 000051 REQUIRED INSPECTIONS — This permit is issued subject to the regulations contained in the Gas Line Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp _ ____ applicable laws. All work will be done in accordance with Duct Inspection ____ ________ approved plans. This permit will expire if work is not started Final Inspection _ ____ within 18■ days of ismonce or if work is suspended for oorp _ ____ ____ __________ than 1813 days. ATTENTION: Oregon law requires you to follow rules ___ __ ' ___ ______ adopted by the Oregon Utility Notification Center. Those rules are _ ___ _____. set forth in OAR 952-N1-0010 through OAR 952-N01-MO. You oay � ____� _ ____ obtain copies of these rules or direct questions to OUNC by calling __ ___ ________ (503)246-9187. ___ __ __ __- . i ` I Issue By: w� / / � ^---� Permittee Signature: +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ | Call 639-4175 by 7:00 p.m. for inspections needed the next business day / ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ CIT Application Plan Byck ( e � " d /o �- OF TIGARD Mechanical Permit A pp Recd By (g, midi/vow 13125 SW HALL BLVD. Commercial and Residential Date Recd fo - 12 - `It TIGARD, OR 97223 Date to P.E. (0 I Z 3 (503) 639 -4171, x304 Date to DST G 5 Print or Type Permit # men i - 0 Incomplete or illegible applications will not be accepted Called 9AJ j �,3N/� P 9� PP P S�� irr Name of Development/Project Description fAc / G /C Cm'L tutu") Table 1A Mechanical Code QTY PRICE AMT Job Street Address Suite# A) Permit Fee -0- -0- 10.00 Address 113') C 5.L.). Sc Haas ekrzy Bldg# Crty/State Zip 1.) Furnace to 100,000 BTU 6.00 17&- izD Ok including ducts & vents Name (or name of business) 2.) Furnace 100,000 BTU+ 7.50 Owner /&i1 '5O;T( /iOAv DSo,/.f i_esK including ducts & vents Mailing Address 3.) Floor Furnace • 6.00 /14 75 S 4) MOM ST including vent - City/State Zip Phone 4.) Suspended heater, wall heater 6.00 l 1 &AIL 1, o 2 q or or floor mounted heater Name (or name of business) 5.) Vent not included in appliance permit ' 3.00 AC/ Pic Cite WASH Occupant Mailing Address 6.) Boiler or comp, heat pump, air cond. 6.00 4239 () $CJ SCr0LLS FL }/ 12dA-D to 3 HP; absorb unit to 100K BUT"' City /State Zip phone 7.) Boiler or comp, heat pump, air cond. 11.00 / air Act D O 3-15 HP; absorb unit to 500K BTU" Contractor Name 8.) Boiler or comp, heat pump, air cond. 15.00 NRDi..) M EC/M - Af1C4 L 15-30 HP; absorb unit.5 -1 mil BTU" Prior to permit Mailing Address 9.) Boiler or comp, heat pump, air cond. 22.50 issuance, a copy /0330 SW Ta.ALA1 t go* 30-50 HP; absorb unit 1- 1.75mi1 BTU" of all licenses City/State Zip Phone 10.) Boiler or comp, heat pump, air cond. 37.50 are required if i/, LA T /Al oa 1 7b(, (09c1-154.5" > 50 HP; absorb unit 1.75 and BTU" expired in COT Oregon Const. Cont. Board Lic # Exp Date 11.) Air handling unit to 10,000 CFM 4.50 database O5 3 Architect Name 12.) Air handling unit 7.50 N I COL 1 P-NCy1NLuQrJJ( 10,000 CTM+ Or Mailing Address , 13.) Non - portable evaporate cooler 4.50 R wits s (,J c,4,77.111. 5 ) Engineer C /State Zip - Phone 14.) Vent fan connected to a single duct 3.00 / Ga9g� ©6Z 9 7.23 (92o; Describe work New All Addition 0 Alteration 0 Repair 0 15.) Ventilation system not included 4.50 to be done Residential 0 Non - residential 0 in appliance permit Additional Description of work: 16.) Hood served by mechanical exhaust 4.50 17.) Domestic incinerators 7.50 Existing use of 18.) Commercial or industrial 30.00 building or property type incinerator 19.) Repair units 4 50 Proposed use of I/ 20.) Wood stove 4.50 building or property COMMi /CA C ma 4.3/4-.5 )# 21.) Clothes dryer, etc. 4.50 Type of fuel - oil 0 natural gas X LPG 0 electric 0 22.) Other units 4.50 I hereby acknowledge that I have read this application, that the information 23.) Gas piping one to four outlets I 2.00 given is correct, that I am the owner or authorized agent of the owner, that plans submitted are in compliance with Oregon State laws. 24.) More than 4 -per outlet (each) .50 Signature of Owner/ nt Date *SUBTOTAL 'c ': x ;,- ///l/111.0 & - 12 _ 9 O 5% SURCHARGE r. „.` , F '.9`-; ) a Contact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL .r`+v- 1 ;'- ;,(# QQ /� Required for all commercial permits only. • t;� i 74,:... v" DAN (2- toct). - iS ('oS- TOTAL /W.-4 *Minimum permit fee is $25 + 5% surcharge "Residential A/C requires site plan showing placement of unit l:lmechprmt.doc rev 4/15/98