Permit C ITY OF TIGARD MECHANICAL PERMIT
,4r DEVELOPMENT SERVICES PERMIT #: MEC2002 -00101
,.� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/12/02
PARCEL: 2S1 12 B C -03400
SITE ADDRESS: 14660 SW 83RD AVE
SUBDIVISION: HAMBACH PARK ZONING: R -4.5
BLOCK: LOT: 018 JURISDICTION: 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: DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: < =10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Install gas furnace.
Owner: FEES
WALDO, KENNETH E AND Type By Date Amount Receipt
JANICE E PRMT CTR 3/12/02 $72.50 2720020000
14660 SW 83RD 5PCT CTR 3/12/02 $5.80 2720020000
PORTLAND, OR 97223
Total $78.30
Phone:
Contractor:
MA HEATING + COOLING
2915 NE MARTIN LUTHER KING BLV
PORTLAND, OR 97212 REQUIRED INSPECTIONS
Mechanical Insp
Phone: 284 -2173 Final Inspection
Reg #: LIC 222
EXPIRED
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 rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -9189.
Issue By: 6a Permittee Signature: a AO (J . -- )Y2 &
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next busin ss day
f
11/14'2001 12:00 R4% 5035981980 CITY OF TIGARD 4 002
i ' y •
•
MeC � r t J 1 r ' y I ., i f I
40. 7 ... : ° . D ateJl ived .
:: City of Z Z l D2 Ana.. III -'e,. 2. DO/ / /
C lryo n and Address: 13125 SW Nall Blvd, Tig MAIL. 2002 O7° Fr
Phone: (503) 639 U up - Date issued: Mika Receipt no.:
Fax: (503) 598-1960 BUILDING DIVISIO : file no -:
Land use approval: Buildingpennitno.:
I) Pr. O1 -PI 12 Ill r
A1 & 2 family dwelling or accessory ❑ ConsmercialAndustrial 0 Multi -famil ❑
0 New construction Q Add itionfallerationheplacement 0 Other y Tenant icaproveascnc
Jolt arrr I. \FOl2\J:1TtO1 CO i . U . . \ \ ( . ( \ i 3 ( \ S( 111-1)1 l.l:
Bldg. di Suite ' a — Indicate equipment quantities in boxes below. Indicate the dollar
value of all mechanical materials, equipment, labor, overhead.
Tax map4tax lot/account no.: pro& Value $ _
Imo: Block Subdivision: *See checklist for important
Pm name: PI112L.� ! . poa le application Information and --
jurisdiction's Tor �ia�tri�l . a fee.
City /county: k 721P: •
. N M, J ,S:J -\li1L) li \\ ?Au .v, !'l:ltAlil yI:I_ S 1.1 >L
Dosed a nd 3 FU J�-N4
�� J. L� _ �� 1 \l) (( \I \111 57121 \ f. 12Q1 11'.111 . .CC tlf
Est. date of completioslinspecdon: -
• Teneat meat or change of rise: :T • pi _
Ts existing space heated or • , :...'rioted? Yes CI No AirhandJing snit CAA
Is existing space insulated? -•".. Yes 0 Airco^dttmnin tsitfep • : , )
• 4:oration •. -. :.,, : VAC ,..
Mi. it 1.:\1('11, 'C O\ J It \(• 1 OI2 i
cAiDpTBSSOt9
Btismess name: A ,A,Z\ }-} 1 a d- O 0.1..1 N State boiler permit no.:
Address: ' L HP Tons BTU/I3
City: r t � m S e_ ..4— L �� ' �� +
. � m / r`�y'"^"��
tpu>mp(satc
Phone: d gc-p -4-113 WEEDS= . all: , i , ace m1-T177 ., Jr �r g - r `f
GCS no_: _ a Intl • ducawcaidvent liner O Yes 4 No i ) N •-IS� i Li- e
Gsty/mean fie. no.: wall, m - re eaters
Name (please print): JD WKI ' S 2 219- cutter app • . coo si see ...., , •
Nate: units BTU/H
Millets HP
peas: >sora _ HP
City: , State: r� �tl c ve ea : , v
�� Fax: E-mail: AAPlimtacvent .
a ,.
Li) h o o d ft ro
s
illIlIllIllIll
uppression
sing e system
Name:
Msilia9 address: I - to , 0 5 $ J1 :ts � 1° t (bath fans)
■ City: Cr A-21) s... .(� • ,..a.
Phone: , , CRala011 Fax: E-mail: _ . LPG Aver Oil
pi � : ea ea': r. tror+a) over • outlets
1: \(;1 \T.! It . Proven ,. . (s -. , . , erequired
Name:
Number of outlets
Address: Oe m orequ> tt ,
ZIP: Dr7. -- -type i • arc
City: State:
_ Applicant's signature: m • pate 63 - _02
Name (print):l l >�K-ZZ -R. F -7 .'l did- � •
t7
Nat an Visa a Me„d *ma tan
(]s coat. 1 , notice: This Permit fee $
uit ma •mm bx N ices if pIDmit application wni fee S - 17:37/7 .
P permit is not obtained Plum review ( at
i within 180 days after icliasbeen %) $
Name of and atoor as same m tread card accepted as complete. S (8%) .._ $ g •'$ C3
Canlb older d �mrata Amami, 1 $ 40.4 • 3 O
aao•at 17 (6,00100M)
EXPIRED