15585 SW 116TH AVENUE-1 i
ADDRESS:
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MECHANICAL ✓
C' CSF
ER11i11Y TIGARD PERMIT #. .P. . . . r. : MEC95--0345
COMMUNITY DEVELOPMENT dgkgM'IiNT DATE ISSUED: 10/06/9 :,
113125 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639.4171 PARCEL: 2S110CD-07600
SITE ADDRESS— : 13585 SW 116TH AVr:-,
SUDUTVISION. . . . ZONING:
Bl-OCV�. . . . . . . . . . .. LOT. . . . . . . . . . . . . Ck
CLASS OF WORK. . :NEW FLOOR TURN. . . . : EVAP COOLERS:
TYPE OF USE. . . . .COM UNIT HEATERS. . : VENT FANS. . .
OCCUPANCY GRP. . B2 VENTS (410 AP111-- VENT SYSTEMS:
Sf'ORIES. . . . . . . . POILERS/COMPRESSORS HOODS. . . . . . . :
FUEL TYPES--- 0-3 1-4171. . . . DOME:3. I NC I N:
. /GAS, 3-15 HP. . . . COMML. INCIN:
MAX INPUT: BTU 15-3121 HP. . . . REPAIR UNITS:
FIRE DAMPERS?. 30-50 HP. . . . WOODSTOVES. . :
GAG PRESSURE. . . 50+ IAP. . . . CLO DRYERS. . -,
NO. OF AIR HANDLING UNITS OTHER UNITS. .-
TURN ( 100K BTU. l= 10000 C-Fm. GAS OUTLETS. . l
FURN ) =IIZII?K BTU: > 10000 cfm :
Remarks : Gas piping on e to F o 1-a, a 1-tt I rt s I
Uwnev-. FEES- ------
KINGS CLEANERS type 'Amor-tnt by date recpt
15585 SW 116TH AVE PRMT $ 25. 00 CS 10/06/95 KINGCTTV
55PCT $ 1. c5 C 9 10/06/95 1-1,1 NGC I TY
TTGARD OR 13-72",i2,4
Phone #:
Contt~actr—:
PIONEER FURNACE
3615 NE S;'ROADWAY
PORTLAND OR 97232
Phone #: 249-5000 26. 25 TOTAL.
Req #. . : 36102
REOUIREI) INSPECTIONS
This persit is issued subject to the regulat.ons contained in the Gas 1-ine Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Ins;pection
applicable laws. All work will be done in accordance with
approved plans. This persit will expire if work is not started
within 180 days Of issuance, or if work is suspended for tore
than 180 days.
Permittee Siqnatur-e:
I s s led By : ;0�
Call for inspection 639-4175
-- -• MAR-09-'00 FR 20:25 ID: ~r� FAX N0: #134 P01
City of Tigard MECHANICAL P rL---RM IT Planck/Rec. # klNe"cIM
13125 SW Hall Blvd. APPLICATION Permit # Mec9'5-0311-
Tigard, OR 97223
(503) 639-4171
son on Table 3A Mecttaniral Code QTY PRICE AMT
Jab Sri 'S-W Il -f� li b ,, Permit Fee 0 -010.00
Address 3.00
/.77-1r,A&D OAy+ (� 2) Supplemental Permit
1) Incl.duds b venth :7t_ �oo
_ — �T6�stRft1 BTl7
2) incl. ducts t vents 7.60
Owner _ — — -> uma„oe
3) skid.vent
—f�111�pHa�-w—�'-- .-- w7p6fRr�+�10ftAf.w 6A.r4F
00
4) or floor ounted hearer 6
m _
en not .t7 -- 3,00
Occupant 5) appuenee permit
Wrf of T1 -"Ili.g,rT-
gra
b) cooling,absorption unit 6,00
_ '�com--ppump,air w xT
00
UN CER F U r) to 3 HP abrtorp unit to 1ooK®TU 6
��� er nr tomo. 't pump,ax
2 s e e) 3-15 HP absotp unit w 500K RTU
11.00
6IS G4 9 019 D YVHY omP• Wtop.aeonContractor _
foQTL/;M6) 09- cl7232 9) 1S3OHPabVXPUnit.&1mg8N _ 15-00
.. er or oomp,heat pump,air coirld.
1J) 31150 HP absorp_un4 1-1.75 mtl 9Tll 22.50
ac ` nave re��its a 1, t i. comp, Pump.aK
inkorrnawn given la correct,drat I am Qte owrwr or audtodiad agent 11) ,50 HP absmp unit 1.75 mil BTU 37.50
of dw owner,1h91 plans nubmitWd aro in cort>Etfatnoa with Slate Air handing unl fto 4.50
laws,that I am rwgisttarod wilt the Consuuciion C.oritnwioes Board, 12) 10,900 CFM --
tltet the number givwn is correct- (if axmnpt harm State registration, Air et Ung int 7.50
please give reason l etnw) 13) lo,00o CTM•Won
P 4.50
14) wwpmata Cooler _
--- - —'irixtt tan wuxra�3-- -
16) to a rJngla durst -- 3.00 -
_._ -- ev n fon sys in rwi
16) kxkrded in aWliam+permit 4 50
saintudbY
ry 4.50
17) rTttocl•'.iucal..hantst _
iasot-'6e worms rw+v-�T�-C - r t ropatr mmek w•c�1•rw? -`__
non AN 18) rypv irldneratx 30.1)0
trt bw date rtesidprtdN Q _---��-�---
-ziF ng USO � Nit t.b..ItRlOcl if tR7�v.`��TO(
building or pror`arQ� -
19) I.Mter,sdar,do*ww dryam.AM, 4.60
0 20) Gas piping ons+to four outlttds 2.00
Pro rnrerl usa of -- --
building or property
(A 21) ►bore tlIM 4-par outlet
r Typo of fttet - of 0 mental gat� L>'a Q O --
F-
..
---- kArlYt"Fee:25.00 SUBTOTAL r�
pFAMITS BFC.OMF VOID IF WORK OR CONSTRUCTION /
AUTHORITFD is NOT COMMENCED W MIN 180 DAYS,OH sx SURCNJIRCiE _ J
IF CONSTRUCTON Oct WORK M SUSPENDED OR --
A9ANDO oKID FOR A PERIOD OF leo DAYS AT ANYTIME PIAN RIEVIEW 2SIL OF SUBTOTAL------ q- i
-
__ TOTAL
�st•It'brand fax transmittal memo 7671 M m page•! -
iroe
J� Data issued - --- _by
n
CITY OF T IGAR®
CHAN MEPC RMI CAL
IT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . — : MEC95-0133
13125 SW Hall Blvd.Tigard,Oregon 9722:3e8199 (503)639-4171 OPTE. ISGUED: 135/111"35�j
?nr?CEL; 2S11OCD-07G00
i"E. -,
SUBDIVISION. . . . ; ZONING:
. . . . . . . L07. .. . .. . . . . . . . . . . EXPIRED
-JIGG OF WORK,. . ;()LT FLOOR I`URN. . V AP COOLC'r):
OF USE. . . . :COM UNIT HEATERS. . VENT FANS. . . : I
)CCUPANIC"y i.RP. . :B11 VrNTS W/O nnPL:-` VENT -:)Y S 7 E W3
OR I Z7E;. . . . 110 1 LERS/COMPRESSORS 1-40ODS. . . . . . . : 1
0_.,3 HP. I)OMi=-1,3. INCIN.
3---15 HP. . . . COMML. INCIN:
1A It,4,rUj-
BTU 1., -30 tip. . . . : REPAIR UNITS.-
'IRE DnMPC.RS?. . - 30-50 i-(r.. . . . .. WOODSTOVEIC. . .
.,PC- P'REE3S1JR!17. . 11 . + CLO Dr'%%'t7M,j.
`40. OF AIR HANDLING u,,4 IT s OTHER UNITS. .
iizoiK snj.- (= 10e,010 cirm -. 4. GAS OUTLCI'S.
'URN )=1013K BTU-. > 10000 cfm:
mar k S : Vamylt i.I at i a n s V St e m t 0 'r eim 0 Y e h .and v --tpt:-i F, fro m 1.)u i I d i
jwn er
14 G� C L E P N r R:� -t ype 'am r1 ur)t t:r y dat e
8w-, CW 116TH P,RMT $ 1`5. 00 B 05/11/95
15PCT t 1. Z* r, 05/11 11071
I IN C 1 T N" `1R ')7 2'
.-,15 NE nA0qDwPy
-V�TLnND OR 97E*32
eq 3 6 10
REQUIRLI) INSPECTIONC,
-lir, perC.t is issued subject to the rquIations contaiud in the MetJu.cii,.E.1 Irisp
ipi-d &niclpal Cade, State f Ore, Specialty ccells and all Aheo F"i,nLi I 'A'ri s pielct i uri
-PI�cab' " A I
41 le laws, All work will to done in accordance 14ith
rr pla-i. 7';ii T2rliiit will eqpiz-e if work s not started
�2 :f lSiLanCe, V if work is v4sper-.-4 We
Ar !W days,
..___ �. w__. __.-_ y'_ .
to i
. ...................
irit .)putiori 6:3 9. 4 .1
City of Tigard MECHANICAL PERMIT Pianck/Rpc. # W-73C.
13125 sw Han Blvd. APPLICATION Permit # MCC "15 0199
Tigard, OR 97223
(503) 539-4171
IR —
L -� Table 3A Mechanical Coda OTY PRICE AMT
Job `rrF r c'g21) Permit Fee -0- -0- 10.00
Address o —
C7rA R p n,e � as' ( 2) Supplemental Permit 3.00
01.�.1 urn ace 67ZIT:0WTiTU"
E S 1) incl, ducts d vents 6.00
"` Furnace BTU-+
Owner sto A C 2) incl, ducts&vents 7.50
_ oar umance
c�a 3) incl. vent 6.00
uspen o—o heater,',wall heater --
4) or floor mounted heater 6.00
—�---- °' Vent not incl.in
Occupant 5) appliance permit 3.00
�o epair of heating,re ng.
6) cooling,absorption unit 6.00
Boiler or comp, ea pT ump,air con .
7) to 3 HP;absorp unit to 100K B rll 6,00
Boiler or comp, heat pump,air uon .
Contractor ,r RICo OWL 8) 3.15 HP;absorp unit to 500K BTU 11.00
Ii er or coi,ipTaf pump, an cond.
f,flh '` TL,/�f'1J�� ��_� 9) 15.30 HP;absorp unit.5.1 mil BTU 15.00
'"-u— — i er ocomp, eat pump,air cond.
IC 2 143 ;)Vlt 10) 30-50 HP;absorp unit 1.1.75 mil BTU 22.50
ere y acknowledge Inat I have read this application, Mat[fie Boiler or comp,heat pump, air con .
inform4non given is correct, that I am the owner or authorized agent 11) >50 HP;absorp unit 1.75 mil BTU 37.50
of the owner, that plans submitted are in compliance with State "�flan Ing unit to
laws, that I am registered with the Construction Contractor's board, 12) 10,000 CFM 4.50 LI,`.
that the number given is correct. (If exempt from State registration, it handling unit—`
please give reason below.) 13) 10,000 CTM+ 7.50
— on porta a —w
VC/V % T -r( To 14) evaporate cooler 4.50
Vent an connected
tr M 6 V V/9 PC, /�S 15) to a single duct 3.00
Ventilation system not
F ' c 16) included in appliance permit 4.50
Hood served y
17) mechanical exhaust 4.50
yscn a wont new addition alteration U repair ommercia orin Nis tria —to be done residential p non-residential Rr 18) type incinerator 30.00
Existing use at Other i.e.,woodslove,water
building or property 19) heater, solar, clothes dryers,etc 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
CL. building or property_ —
ct 21) More than 4-per outlet
Type of fuel •oil Q natural gas (D LPG O electric O
r--
-� Minimum Fee$25.00 SUBTOTAL j
s PERMITS BECOME VOID IF WORK OR CONSTRUCTION —
r� AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE Z `�
Lu IF CONSTRUCTION OR WORK IS SUSPENDED OH -
J ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME
PLAN REVIEW 25°6 OF SUBTOTAL
AFTER WORK IS COMMENCED
I--- TOTAL
Special Conditions — -
Date issued 777 I by
k.MECNPMI
KING CITY
�s 16300 3W.116th Avenue,King City,Oregon 97224 Phone:639.4082
MEL-CHAN I C9A'L PERM 3 T APDL I C-'AT I L?IV
DATE ( / t � / KING CITY BUSINESS LICENSE NO.
NAME OF APPLICANT: �AN G �N PHONE . 6 Z o_ 2.S 3 2
I
ADDRESS: I ,�S S g t� x/6 1. ���r/ia�2D �/Z 9 -22 z
NAME AND ADDRESS OF PROPOSED JOB : S/9 N► 6_/9S /? B 0 V E
PHONE:
NAME OF CONTRACTOR:_PDQ NE Ffz RN C C PHONE: 24-9- 5 0 o O
ADDRESS: 36 6- _ A/6- (39e&_2 CCA LICENSE NO. ODOo ) 360
lob RTL119Y0 ,--o/X7 97 2 3Z
DESCRIPTION OF WORK TO BE DONE: ` T/�L�/>7Tivr! of VEN T ski
FOR INSTALLATION OF AIR CONDITIONEPS PLEASE FILL OUT THE FOLLOWING
AND ATTACH TO THE APPLICATION A DIAGRAM OF WHERE THE COMPRESSOR IS
SITUATED ON THE PROPERTY .
HRAND OF AIR CONDITIONER:__
BTU'S: NO. OF DECIBELS (BELLS) : tt
SIGNATUREyOF `APPLICANT: Z�� ��r-^� r•r
E• **APPROVED APPLICATIONS 4RE VALID. FOR SIX MONTHS ONLY"
NOTE: Oregon Homebuilders Law requires that all persons who contract for work
� • • on a residence be registered with the Builders Board which means the . �F
contractor'49i bonded and insured on the job sit. For your protection,
be'certain" our contractor is re b n registered f Y g Y calling the Construction
Contractors Board at 1-503-378-4621 Extension 5000.
+SNF. FOR OFFICE USE ONLY
APPLICATION RECEIVED BY , _ _ DATE_y-f 1 4 _
V,
APPLICABLE FEE RECEIVED CONDITIONS/COMMENTS
G APPROVED BY DATE
V) _
Note: A permit mus also be obtaine from the City of Tigard Department of
Community Development
Yes No
J
CITY OF TIGARD INSPECTION REPORT_
This project has been inspected and Approved_ Deniedy
Comments
_Signature !i
_ Date___
(City of Tigard please return one copy to King City)
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