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Permit • - - CITY OF TIGARD MECHANICAL PERMIT 00 I ' DEVELOPMENT SERVICES ER # : 6/8/99 : /g 99999 00243 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -417 PARCEL: 2S1126C 08900 SITE ADDRESS: 14733 SW 80TH AVE SUBDIVISION: RAZE MEADOWS 4 b 3; ZONING: R -4.5 BLOCK: LOT: 012 J ' " 4 39ICTION: TIG CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Add air conditioning to an existing dwelling. A/C unit cannot be placed within the required setback areas. Owner: FEES PATRICIA DUFORT Type By Date Amount Receipt 14733 SW 80TH AVE PRMT GEO 6/8/99 $50.00 99- 315984 TIGARD, OR 97 24 5PCT GEO 6/8/99 $2.50 99- 315984 Total $52.50 Phone: Contractor: �� • SERVICE NOW OF OREGON INC PO BOX 551 WEST LINN, OR 97068 REQUIRED INSPECTIONS Cooling Unt Insp Phone: 655 -7558 Final Inspection Reg #: LIC 00110214 ELE 265LHR ORIGINAL This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All 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 more than 180 days. ATTENTION: Oregon law requires you to follow r les adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 rough OAR 52- 001 -0080. You may obtai opi= . these • -s or direct questions to OUNC b 41w (503) 46 -9189. / Si r Issue B ` � �� ' • rmi ttee S g atu e: ' � . CaII (503) 639 , 175 by 7:00 P.M. for inspections needed the next business day Plan Check # CITY OF TIGARD Mechanical Permit Application Rec'd By 13125 SW HALL BLVD. Commercial and Residential Date Rec'd • TIGARD, OR 97223 Date to P.E. (503) 639 -4171, x304 ri Date to DST Print or Type L -/ Permit# • Incomplete or illegible applications will not be accepted Called Name of Development/Project Description Table 1A Mechanical Code Qty Price Amt Job Street Address , Suite# A) Permit Fee t 16.00 Address t 47 33 6(Q) SC) kv 1) Furnace to 100,000 BTU including ducts & vents see footnote 1,2 9.65 Bldg# City /State Zip �^ A 2) Furnace 100,000 BTU+ 6 u / On- `I 7L "' including ducts & vents see footnote 1,2 12.00 Name (or name of business 3) Floor Furnace Owner - ut_l,. ,I_ te:r including vent see footnote 1,2 9.65 Mailing Address 4) Suspended heater, wall heater 41 6-LO � O c�� or floor mounted heater see footnote 1,2 9.65 `6(J 5) Vent not included in appliance permit 4.75 City /State Zip Phone Check all that apply: *Boiler Heat Air 1 #- 3 6 Z2Z 4" w7(. ? For items 6 -10, see or Pump Cond Qty Price Amt Name (or name of business) footnotes 1.,2 Comp ,p � , �� L 6) <3HP;absorb unit to i/ I`1 r 100K BTU I / 9.65 i S Occupant Mailing Address 7) 3 -15 HP;absorb unit 100k to 500k BTU 17.65 City /State Zip Phone 8) 15 -30 HP; absorb • unit .5 -1 mil BTU 24.15 Contractor Name 9) 30 -50 HP; absorb - `'IC& ©g- E2 J j� 10) 1-1.75 mil BTU 36.00 6 �/ rc_. 10) >50HP; absorb unit Prior to permit Mailing Address / -,�,� >1.75 mil BTU 60.15 issuance, a copy AD 4 S U - mac,=( -�- � � ZZce 11 Air handling unit to 10,000 CFM of all licenses City/State Zip Phone 7.00 are required if D .Arc Dg_ at ,655`76 661 12) Air handling unit 10,000 CFM+ • expired in COT Oregon Co s Cont. Board Lic.# Exp. Date q 11.75 database 6 (2, 1' e ` G7 13) Non - portable evaporate cooler Architect Name 7.00 . 14) Vent fan connected to a single duct Or Mailing Address 4.75 15) Ventilation system not included in appliance permit 7.00 Engineer City /State Zip Phone 16) Hood served by mechanical exhaust • 7.00 Describe work to be done: 17) Domestic incinerators 12.00 New Repair 0 Replace with like kind: Yes 0 No O 18) Commercial or industrial type incinerator Resi entiar- Commercial O 48.25 1/ 19) Repair units Additional information or descri tion of work: 8.40 �FIT ` 20 Wood stove /gas FP /other units /clothe dryer /etc. C� k) P L 7.00 NOTE: For Commercial proje only; Units over 400 lbs. require 21) Gas piping one to four outlets structural gas calcs. See footnote 1 3.75 Type of fuel: oil 0 natural gas 0 LPG 0 electric' 22) More than 4 -per outlet (eac .75 Minimum Permit Fee $50.00 SUBTOTAL g o I hereby acknowledge that I have read this application, that the information 5% SURCHARGE " _ a.YO given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL the o wner, that plans submitted are in compliance with Oregon-State laws. Required for ALL commercial permits only i�'re of • Agent Date TOTAL sly. � . � . >�o?• - D j / � . / I le _ t - 6 7 Other Inspections and Fees: . 1. Inspections outside of normal business hours (mininum charge -two Contact Person Name Phone hours) $50.00 per hour 1q.■ (06-5- _� 1 ; sg 2. Inspections for which no fee is specifically indicated (minimum v charge -half hour) $50.00 per hour Foonotes for commercial projects only: 3. Additional plan review required by changes, additions or revisions to 1. Provide full schematic of existing and proposed gas line and pressure. plans (minimum charge- one -half hour) $50.00 per hour 2. Provide drawings to scale showing existing and proposed mechanical units. *State Contractor Boiler Certification required '*Residential A/C requires site plan showing placement of unit I:\mechperm.doc rev 02/4/99 • • , �- --L