Permit ��O�TY F Ti ARD . .
O G
' ' • COMMUNITY DEVELOPMENT DEPARTMENT _
13125 SW Hell Blvd.'Tigard, Oregon 97223.8199 (503) 639 -4171 MECHANICAL
PERMIT
- ' ' PERMIT #.......: h1EC95- -0066
• ' , . S39 -4171 DATE ISSUED: 05/09/95
PARCEL : 1 S 1 �60C --01 107 .
SITE ADDRESS...: 09463 SW WASHINGTON SQUARE RD
SUBDIVISION....: ZONING: C -G
BLOCK....... ' 1,0T
CLASS OF WOR1;.. :(LT FLOOR FIJRN EVAP COOLERS: '
TYPE OF USE - COM UNIT HEATERS..: VENT FANS...: • _
OCCUPANCY GRP.. -: B2 VENTS W/O APPL: VENT SYSTEMS: 1
STORIES°.. ..... : BOILERS /COMPRESSORS HOODS.......:
FUEL TYPES 0 -3 H P . . . . : _DOMES. I NC I N :
. 3 -15 HP ° COMML. I NC I N:
MAX INPUT: BTU 15 -30 HP -. REPAIR UNITS: '
FIRE DAMPERS ?..: 30 -50 HP WOODSTOVES..a
GAS PRESSURE...: 501. HP • CLO DRYERS..: .
NO. OF UNITS - - - - -- • AIR HANDLING. UNITS OTHER UNITS.:
FURN < 100K BTU:- <= 10000 -cfm: GAS OUTLETS.:
FURN >=100K BTU : . ' > 10000 c-f m :
Remarks: TI . .
Owner: --- - FEES' -
SUNGLASS HUT type' amount' by' date recpt
255 ALHAMBRA CR. - PRMT 25.00 SW 05/09/95'-
,
PLCK $ -4.25 SW 05/O9/95 -
CORAL GABLES FL _33134 5PCT !i 1.25 SW 05/09/95 -- .
Phone #: 305 - 461 -6100 -
Contractor: ----,--- - - - - -- .
ARROW MECHANICAL CONTRACTORS -
10330 SW TUALAT I N RD. - `
TUALAT I N OR 97062 ' ' --- --------
.
Phone #: 692-1365 t 32.50 50 TOTAL
Reg #..: 05193
' --_ RREQUI.RED INSPECTIONS:
This permit is issued subject to the regulations contained in - the ,Mechanical .Insp ..
Tigard {Municipal Code, State of Ore. Specialty Codes and all other F i n a l Inspection _ • .
applicable laws. Ail work will be done in accordance with .
approved plans. This permit will expire if , work is not started ' _ ___
within 180 days of ,issuance, or if -work is 'suspended for sore
-than 180 days. _, _ — ...____ _
Permittee Signature::__
Issued : B y . � - W ___� `
. Call for inspection --• 639 -4175
10:29 $503 684 7297 CITY OF TIGARD Q)003 /0;03
4. • _
MECHANICAL PERMIT Planck/Rec. #
1, Hall Blvd. APPLICATION Permit V' C e tt Oabb
Tigard, OR 97223
(503) 639 -4171
aims sal w ••a s —a l uescnpnon
lo5 ) /� ffisv, �uv04eg- �� Table 3A Mechanical Code On' PRICE AMT
Job S' A�� 4 ,., / Z 1) Permit Fee -0- -0- 10.00
Address ?pi a ----
tativitie / y, 0,¢ 2) Supplemental Permit , 3.00
Maas (s. A Orewr.n Fumaaa to 100,000 1IU
hi/0 4 Py^ , Z/t/c. 1) incl. ducts & vents • 6.00
Sre.Ike, Furnace 100,000 BTU +
Owner DD Arm /l✓e- 2622.3 -q5b) 2) find. dual & vents 7.50
d4r umartce
.06.011491.12, 'Silt 3) Ind vent 6.00
i•.e. (. COMP dhdirr• Suspended heater, wall heater
SKnJ6-t-4vSS / rT 4) or 8aor mounted hear 6.00
�CCUpBl1t ...�.. Vent not incl in
, if / ._( ,s/t 6 /60 5) apps permit 3.00
� — Repair of heating, retng.
i�e ti.- ‘0,14-4.f k 3S/ 34/ 6) cooing, absorpdon unit 6.00
Boiler or comp, heat pump, air coed_
-- $17 r co 6C 7) to 3 HP; absorp unit to 100K BTU 6.00
Boiler or comp, heat pump, air cond.
Contractor 8) 3 -15 HP; absorp unit to 500K STU 11.00
n... tloiler or comp, heat pump, au rand.
9) 15-30 HP; absorp unit .5.1 mil BTU 15.00 P
SM. ms ++ +Ar kiss ,�,e " Boiler or comp, heat pump. air rand.
10) 30-50 HP; absorp unit 1 -1.75 mU BTU 2250
ere.) ac • ow - -•ge . - =ve nit:..: is ap• ica on, =t . a Hosier or comp, heat pump, air cond. i I
information given is correct, that I am the owner or orized agar 11) a 50 HP; absorp unit 1.75 mU BTU 37.50 i
of the owner, that plans submitted are in compliance wi rate ).ir]hanoirng unit to
laws, that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that the number given is correct (If exempt from State registration, Air handling unit _ ,
please give reason below.) 13) 10.000 CTM + 7.50
Non portable
-
14) evaporate cooler 4.50
•en - tonne r-
15) to a single duct 3.00
Ventilation sysaem not c, -t c..AM
16) included in appliance permit <o c^t*Iwe k 4.50 L i • 6
:v'• I.— d . 1.1+ Hood served by
17) mechanical exhaust 4.50
Descnoe work new Q addbon altsranon W repair () Commeraal or inductnal
to be done residential 0 non-residential Q 18) type incinerator 30_oo
Existing use at Other Le., woodstove, water
building or moony grCT/f Sirsl.GS 19) heater, solar, clothes dryers, etc. 4.50
•
Proposed use of 20) Gas piping one to four outlets 200
building or property ,q. iL ;GrAS - '
21) More than 4-per outlet
Type of fuel - oil 0 natural gas 0 LPG 0 electric 0
NOTICE - 1 o-o
Minimum Fee $35.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION /
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR A
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY T i IME PLAN REVIEW 25% OF SUBTOTAL 8
AFTER WORK IS COMMENCED_
TOTAL /' j
Special Condtions y S'6 1
Date issued 5 b} , /.01/∎Le J A �, . ■j
4Yr91iVT r
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