16135 SW 72ND AVENUE ADDRESS:
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CITY O F T I G A R D MECHANICAL
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd., ;!gaud,OR 97223 (503)639-4171 F'EPMI7 -f. . . . . . . : IYIEC98-0190
DATE ISSUED: 06/03/98
PIARCEL: 2S1. 13AB-00600
SITE ADDRESS. . . : 161335 SW 72ND AVE #PREV
SUBDIVISION. . . . : FANNO CREEK ACRE TRA(7TS ZONING: I--L_
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . JURTSDICTION: TIG
---------------------------------
CL_AE,'S OF WORK. . :AL.T FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF L)SE. . . . :COM UN T T HEATERS. . : 0 VENT FANS. . . : -1
OCCUP,ANCY GRP,. . :B VENTS WIO P11-OL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . :TORIES. . . . . . . . .. 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 1
FIJEL 0-3 H1__",. . . . : 4 DOMES. INCIN- 0
:GAS 3-15 HVI. . . . : 0 COMML. TNCIN.- 0
MAX INP,UT- 2500000 13TH 15-1,30 HPI. . . . 0 REPIAIR UNITS: 11.1
HPI. . . . 0 WOODSJOVES. . : 0
FIRE DAMPERS?. . : Y 30
GAS P,RESSURE. . . . 11 50+ Hl* . . 'A C1...0 DRYERS. . : 0
NO. OF UNITS—------ AIR HANDLING UN I TS OTHER UNITS. : 0
FURN ( 100K PTO: 1: 117.1000 cfin - 0 GAS O!1UTLETS. : I
FURN ) =100K BTU: 0 > 1.0000 C-fal : V,
Remarks : Add mechanical to a commercial tenant ocepy.
Owner-: FEES
PAC TRUST type Amnl..tnt by date r-e c P t
15350 SW SEQUOIA PIKWY P,RMT $ 72% 50 DI H 06/03/98 98-3061--157.1
GTE 300 P L.C V, $ 18. 38 DLH 06./03/98 98-30625.1.
FIORTI.AND OR 97224-7199 5P,CT $ 3. 66 DL_H 06/03/98 98-3O6 'J1
Pl-ionr.., #:
Contractor: -.___._--_-..._-_----------------_---
ARROW
------------------------------
ARROW MECHANICAL
17x330 sw -rUALATIN RD ______._______.___________.--_--____----__.
$ 95:'. 56 TOTAI.-
TUALATIISI (IR 9*7062
("'hone #: 69F-1565
Edey it'.. 0004'x51
REQUIRED INSFIECTIONS
This permit is issued subject to the regulations contained in the Gar, Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
applicable licable laws. All work will be done in accordance with Heating Unt Insp
approved plans. This permit will expire if work is not started Co o I i ng 1-)n4-. Insp
oithin 180 days of issuance, or if work is suspended for more D1.trt Tnsper--tion
than 180 days. ATTENTION: Oregon law requires you to f3llaw rules Fir,e Damper Tnsp
adopted by the Oregon Utility Notification Center. Those rules are S. D. Shi-it-down
set forth in OAP 952-001-0010 through DAR 952-00I-0080. You may Misc. Inspection
Ititain copies of these rules or direct questions to OUNC by calling ( (RFINSPECTION) )
(503)246-9187. Final Inspect- ion
------ .......
1.0
ISSI-IP By :
4-++++A..............4....4...........4'++++++ ..................................4
Call 6313-4173 by 7:00 F . m. for, inspections needed the next business day
............ .......+.................f.........................4-.........
Plan Check# `�--�/
CITY OF TIGARD Mechanical Permit Application Recd By -7-/,-
1312A SW HALL BLVD. Commercial and Residential Date Recd
TiGiAD, OR 97223 Date to P.E. -
(503) 639-4171, x304 ISA Date to DST �, ?/�f i.; �
Print or Type �� Permit#/►Z SR a_o/ed
CaIIed�7
Incomplete or illegible applications will not be accepted
Name of DevelopmeftPro)ect Description
1l if( )j,:-i; ' '(' (l Table 1A Mechanical Code QTY PRICE A...
JobStreet Add Sudso A) Permit Fee -0- -0- 1000
` Bldg# I C lyrstate Zip 1.) Furnace to 100,000 BTU 6.00
including ducts&vents _ Z4
Name(or name of business) 2.) Furnace'100,000 BTU+ 7.50
Owner fifiel"floe e ) f including ducts&vents
Melling Address 3.) Floor Furnace 6.00
r r''co Lt') r( ' A �' �)' including vent_
Colstate Zip Phone 4.) Suspanded heater,wall heater 6,00
or floor mounted heater
Name(or name of business) 5.) Vent nct included in appliance permit 3.00
NAjj0j,;j,LLS a<
Occupant Mailing Address 6.) Boiler or comp,heat pump,air cond. 600
l to 3 HP;absorb unit to 1 OOK BUT" L
cay`rstate Zip PINX 7.) Boiler or comp,heat rump,air Gond. 11.00
0)t 3-15 HP;absorb unit to 500K BTU"'
Contractor Nam 8.) Boiler or cornp,heat pump,air cond. 15.00
kA 1"Y'1/09'A /(//( 15-30 HP;absorb unit.5-1 mil BTU"
Prior to permit Mailing Address 9) Boiler or comp,heat pump,air Gond. 22.50
issuance,a copy O t to , -;; 30-50 HP;absorb unit 1-1.75rnil BTU**
of all licenses CIw5tete ZIP Phone 10.) Boiler or comp,heat pump,air Gond. 37.50
are required 9 it');!,/ (1, U 1 /?.G" >50 HP;absorb unit 1.75 mil BTU"
expired in COTOregon Const. .Board Lic.N EXP.Dau 11.) Air handling unit to 10,000 CFM 4.50
database I
Architect Name fit(,!�7 C Lf- 13.) Non-portable evaporate cooler 4.50
1, ""
or Melling Address 14.) Vent fan connected to a single dud 3.00
Engineer CMyl8ute Zip Phone 15.) ✓entilation system not included in 4.50
appliance permit
Describe work New O Addition O Alteration Qt Repair O 16.) Hood served by mechanical exhaust � 4.50
to be done Residential O Non-residential O
Additional Lescription of work: a Df) (ij) 17.) Domestic incinerators 7.50
1(. r�l t�UC WJ•� t �s /�/ f; r C.3) 1g.) Commercial or industrial type 30.00
Fn Incinerator
Existing use of 19.) Repair unds
4.50
building or property QOM M11 tr
20.) Wood stove T i 4.50
Proposed use of 21 ) Clothes dryer,etc. 450
building or property
22) Other units 4.50
Type of fuel-oil O natural gas Q LPG O electric O 23.) Gas piping one to four outlets / 2.00
cn 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,that plans submitted are in compliance with Oregon State QTY.SUBTOTAL
laws. _
Signature of Owner/Agent Date *SUBTOTAL
/� r-• - ' ---- --�
51A SURCHARGE
Contact Person Name Phone PLAN REVIEW 25%OF SUBTOTAL
154 5 TOTAL
i Unechprnt doc (rev 9 'Minimum permit fee is$25+5%surcharge
"Residential A1C requires site plan showing placement of unit.
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 639-4171
Date Requested: c& 0 A.M. P.M. MST:
Location: BUP: —
Tenant: .� L Suite: Bldg: _ NEC:
qtf 61 17
/� �
Contractor: l�(,/1.t /A Phone: 62 " 1,56 5 PLM:
Owner: Phone: _ ELC:
ELR:
SIT:
BUILDING BLDG(con't) PLUMBING ELECTRICAL SITE
Site Post/Beam Post/Bea,n Post/Beam Cover/Service Sewer/Storm
Footing Roof UndFl/Slnbo Ceiling Water Line
Slab Framing Top Out as ,me Rough-In UG Sprinkler
Foundation Insulation Sewer ct Recrnnect Vault
Bsmt Damp Drywall Storm Furnace Tema Service MISC.
Masonry Ceiling Rain Thain A/C UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr I Leat Pump Low Volt
Approved Approved A roved Approved Approved
Appr/Sdwlk Not Approved Not Approved of Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL
L!Et
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0 Call for rei /ti 0 Reinspection fee of S nuired b fo ent ig
Date: /apxtion 0 Unable to inspect
inspector. Page of