Permit .. A CITY OF T MECHANICAL
DEVELOPMENT SERVICES PERMIT
V PERMIT # • MEC97 -0109
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 04 / 30/ 97
PARCEL: 28111AA -07200
SITE ADDRESS...: 14377 SW 88TH AVE
SUBDIVISION • GREENSWARD PARK NO. 2 ZONING: R -4.5
BLOCK • LOT •058 JURISDICTION:
CLASS OF WORK... :NEW FLOOR FURN • 0 EVAP COOLERS: 0
TYPE OF USE •SF UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP.. :H2 VENTS W/O APPL: 0 VENT SYSTEMS: 0
STORIES • 0 BOILERS /COMPRESSORS HOODS : 0
FUEL TYPES 0 -3 HP • 1 DOMES. INCIN: 0
:GAS 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 < 1O0K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Remarks: instl boiler /coop heat punp II job $ 88153
Owner: FEES
JOSH /LORA BAUMANN type amount by date recpt
14377 SW 88TH AVE PRMT $ 25.00 TAT 04/30/97 97- 293897
TIGARD OR 97224 5PCT $ 1.25 TAT 04/30/97 97- 293897
Phone #:
Contract or:
Phone #: $ 26.25 TOTAL
Reg #..:
REQUIRED INSPECTIONS
This per ■it is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
applicable laws. All work will be done in accordance with Misc. I n s p e ct ion
approved plans. This peroit will expire if work is net started Final Inspection
within 180 days of issuance, or if work is suspended for sore
than 188 days.
Permittee Sign J tur *J #I''./ 4. .
Issued By: 1,1—d( / i etd d
, for inspection — 639 -4175
Plan Check At
CITY OF TIGARD Mechanical Permit Application Recd By
13125 SW.HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 � � ' U` � Date to P E.
(503) 639 -4171, x304 > Date to DST
Print or Type Permit #
Called
Incomplete or illegible applications will not be accepted
��vam�. �G ill -C cq ()I6'I .
lC� > C} i N mQ� TTabeIA Mechanical Code QTY PRICE AMT
Job istrest �� 1 1 5m �U( rp �i A) Permit Fee -0- -0- 10.00
Address
--74 :c4 rel cdyrstate ^,_i L( 7rJ-1.4. B) Supplemental Permit 3.00
for name or txrsness► 1.) Furnace to 100,000 BTU
6.00
Owner ind. ducts & vents
Mea Adams 2.) Furnace 100,000 BTU + 7.50
ind. ducts & vents
coyrstate zip Phone 3.) Floor Furnace 6.00
j ind. vent
1 nam d Marne for e Dune
sas) 4.) Suspended heater, wall heater mounted 6.00
I or floor unted heater
Occupant mai'ng 1 ° 0 rass 5.) Vent not ind. in 3.00
appliance permit
Cayrstaes Zip Phone 6.) Boiler or comp, heat pump, air cond. '\ 6.00 < - {-
to 3 HP: absorp unit to 100K BTU V ;,
7.) Boiler or comp, heat pump, air cond.
l_ I (1crinf 11.00
mc k V1 (', _ 3-15 HP; absorp unit to 500K BTU
Contractor Aci ss A /� / e 8.) Boiler or comp, heat pump, air cond. 15.00
_D I V V V Ave_ 15-30 HP: absorp unit .5-1 mil BTU
Attach copy of cr iN l ��p '' 9.) Boiler or comp. heat pump, air cond. 22.50
Current Licenses [ 1 �(�� ' �� c� L7.2-j -9 3 30-50 HP; absorp unit 1 -1.75 mil BTU
Oregon C cons tics Date 10.) Boiler or comp, heat pump, air cond. 37.50
�.1 1 CI' Ai✓AI Ci 1 > 50 HP: absorp unit 1.75 mil BTU
`
COT
Busner Tax ar ►,' at Da 11.) Air handling unit to 4.50
�� ileov (� 10,000 CFM
Architect Marne 12.) Air handing unit 7.50
10,000 CTM +
Or Mailing A001es3 13.) Non portable
4.50
evaporate cooler
Engineer Cayrsrae Zip Phone 14.) Vent fan connected 3.00
to a single dud
Describe work New 0 Addition 6. _ Alteration 0 Repair 0 15.) Ventilation system not 4.50
to be done Residential Non - residential 0 included in appliance permit
1 Additional Description of work - - 16.) Hood served by
mechanical exhaust 4.50
I 17) Domestic uidnerators 7.50
i
Existing use of 18.) Comercal or industrial 30.00
building or property 0_%k rn type incinerator
19.) Clothes dryers, etc 4.50 1
Proposed use of 20) Other units 4.50
building or property
Type of fuel - oil 0 natural gas LPG 0 electric 0 21) Gas piping one to four outlets 2.00
I hereby acknowledge that I have read this application, that the 22) More than 4 -per outlet (each) .50
information given is corm that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with Oregon State CITY. SUBTOTAL
!aws.
Signature of Owner/Agent Date 'SUBTOTAL 2_c)w
r
r 1I ill SAC u n tr 5% SURCHARGE i t � (
Contact Person Na e Phone PLAN REVIEW 25% OF SUBTOTAL "r)
l �� --L-1 TOTAL 21 k , 1
: dst'nechtpmt.doc 'Minimum permit fee is 525 + 5% surcharge
Rev 7/96
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CITY OF TIGARD BUILDING INSPECTION DIVISION /
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 2
Date Requested: 6 // 7 /9 7 A.M. /./� P.M MST: 2
Location: / 43 77 ..5t-<) p# i�� BUP:
Tenant: ,, ¢ Suite: Bldg: MEC: 9 7-0/07
Contractor: /A/ ���l a..t. i i • , A. II Phone: _2..2.3 - L3 93 PLM:
Owner: ..._JA P,- ,. itA_a _ , ' J 10 - nom Phone: ELC:
ELR:
SIT:
BUILDING BLDG (con't) PLUMBING �u I ELECTRICAL SITE
Site Post/Beam Post/Beam ost7searn Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Low Volt
Approved Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved Not ved Not Approved Not Approved
FINAL FINAL ( AL FINAL FINAL
O Call for : I O *0 i Reinspection fee of $ r uired before next inspection O Unable to inspect
IF
C
Inspector: ► „`_ Date: ( Page of