Permit IYlLUHHN 1 U L
CITY OF TIGARD PERMIT
PERMIT # MEC96 -0018
DATE ISSUED: 05/03/96
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hell Blvd. Tigard, Oregon 97223.8199 (503) 539 -4171 PARCEL: 2S101 AA - 09001
SITE ADDRESS...: 12585 SW 68TH AVE
SUBDIVISION • WEST PORTLAND HEIGHTS ZONING: C —P
BLOCK LOT •29
CLASS OF WORK..:NEW FLOOR FURN • 0 EVAP COOLERS: 0
TYPE OF USE -COM UNIT HEATERS..: 0 VENT FANS...: 3
OCCUPANCY GRP..:B2 VENTS W/0 APPL: 0 VENT SYSTEMS: 0
STORIES • 0 BOILERS /COMPRESSORS HOODS • 0
FUEL TYPES 0 -3 HP • 3 DOMES. INCIN: 0
: /ELE/ / / 3 -15 HP • 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15 -30 HP • 0 REPAIR UNITS: 0
FIRE DAMPERS ?..: 30 -50 HP • 0 WOODSTOVES..: 0
GAS PRESSURE...: 50+ HP • 0 CLO DRYERS..: 0
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.: 0
FURN < 100K BTU: 3 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN ) =100K BTU: 0 ) 10000 cfm: 0
Remarks: Associated mechanical
Owner: FEES
MARK DANA type amount by date recpt
PRMT $ 55.00 JSD 05/03/96 96- 278962
PLCK $ 13.75 JSD 05/03/96 96- 278962
5PCT $ 2.75 JSD 05/03/96 96- 278962
Phone #:
Contractor:
TRI— COUNTY TEMP CONTROL
13651 SE AMBLER RD
CLACKAMAS OR 97015
Phone #: 777 -3874 $ 71.50 TOTAL
Reg #..: 72623
REQUIRED 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 Cooling Lint Insp
applicable laws. All work will be done in accordance with Duct Inspect ion
approved plans. This permit will expire if work is not started Misc. Inspection
within 180 days of issuance, or if work is suspended for more Final Inspection
than 180 days.
Ar IP/
Permittee Signatur- :
Issued By �
Call for inspection — 639 -4175
�; ' - � (riv ,�-
,- - ( Ore / � 4
City of Tigard MEGHANFCAL PERMIT Planck/Rec. # 4(- 2 ,-
13125 SW Hall Blvd. APPLICATION - Permit # me c 96. - a °(2
Tigard, OR 97223
(503) 639 -4171
4 '
- Name el Deveiopment Descripti
7 2 � d Table 3A Mechanical Code CITY PRICE AMT
Job i a S J 1,0 O t K / 1) Permit Fee -0- -0- 10.00
Address wait.
2) Supplemental Permit 3.00
Name tot naAe of t Fumace to 100,000 BTU
�� / C �Hc- 4t21:37 1) incl. ducts & vents 1) I 6.00 )
Gc Fumace 100,000 BTU +
Owner 44 SuJ h87 Ir 2) incl. ducts & vents 7.50
10 v
4"— Floor Fumance
r9 Ql� � 7 2-23 3) incl. vent 6.00
Name lee name of aooap Suspended heater, wall heater
hifi, /` �� 4) or floor mounted heater 6.00
e+ero Aaao. Phone Vent not incl. in
Occupant 5) appliance permit 3.00
a,Uu/1.44- cm+stete ZO Repair of heating, refng.
6) cooling, absorption unit 6.00
Name Boiler / Boiler or comp, heat pump, air cond.
-
/ TO C� . t v / 7) to 3 HP; absorp unit to 100K BTU (I 1 6.00 le
Maim Animas Boiler or comp, heat pump, air cond.
D . Contractor 8) 3-15 HP; absorp unit to 500K BTU 11.00 LP Boner or comp, heat pump, air cond.
I 9) 15-30 HP; absorp unit .5-1 mil BTU 15.00
e CAV aus. Tao # Boiler or comp, heat pump, air cond.
Qj{ DT 10) 30-50 HP; absorp unit 1 -1.75 mil BTU 22.50
1 hereby acknowledge that I have read this appltcationthat the Boiler or comp, heat pump, air cond.
information given is correct, that I am the owner or authorized 11) > 50 HP; absorp unit 1.75 mil BTU 37.50
agent of the owner, that plans submitted are in compliance with Air handling unit to
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4.50
Board, that the number given is correct. (If exempt from State Air handling unit
registration, please give reason below.) 13) 10,000 CTM + 7.50
Non portable
14) evaporate cooler 4.50
- Vent fan connected .
15) to a single duct Ill 3.00 7
iv ,2_,_ Ventilation system not
/.- /4- 7,6 16) included in appliance permit 4.50
e tm.a« 0e ) °a° Hood served by
17) mechanical exhaust 4.50
Describe work new qi9 addition 0 alteration 0 repair 0 - Commercial or tndustnal
to be done residential 0 non - residential ® 18) type incinerator 30.00
Existing use of Other i.e., woodstove, water
building or property /ht. G- P..1C- 19) heater, solar, clothes dryers, etc. 4.50
Proposed use of �LQ 20) Gas piping one to four outlets 2.00
),,,r building or property ),,,r ' ,•
21) More than 4 -per outlet (each) 2.00
Type of fuel - oil 0 natural gas S( LPG 0 electric 0
NOTICE
Minimum Fee $25.00 SUBTOTAL f/
PERMITS BECOME VOID IF WORK OR CONSTRUCTION /
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE }-�7
IF CONSTRUCTION OR WORK IS SUSPENDED OR •
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL i '; 7� —
AFTER WORK IS COMMENCED.
(7-0A '''''
TOTAL i 71 e-
Special Conditions •
Date issued /U by ' _.. A .. .La . A
N:LL000AOSTSVAEOMPwT ///
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4 1
Footing Rain Drain Cover /Service /// F IINAL:
Foundation Water Line Ceiling -Plumb.
,�rr
Post/Beam Mech. Shear /Sheath Framing .c!
Plbg.Und/FIr/Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other: c, %�'
Date: D a' ( •q A.M. P.M. ntry:
Address: a E. O tY
Tenant: Ste: MST:
r0- :000
Con /Own:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
3 /T —000
'/( —coc3
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7 e �
1/ q � �
//
I nspector: Date( 277
PROVED _ DISAPPROVED /CALL FOR REINSP. CF CO