Permit _
cI1YOFTIGARD
COMMUNITY DEVELOPMENT DEPARTMENT MECHANICAL
1u1camw 'Hall Blvd. Tigard, Oregon 9722 3.8199 (503) 639-4171 PERMIT
PERMIT #.......: MEC94-0353
639-4171 DATE ISSUED: 12/06/94
PARCEL: 1S135DB-04300
SITE ADDRESS...: 11285 SW 92ND AVE
SUBDIVISION....: DOGWOOD RIDGE ZONING: R-4.5
BLOCK..........: LOT. ... ...... ...:1-2
_________________
CLASS OF WORK.. :ALT FLOOR FURN....: EVAP COOLERS:
TYPE OF U8E....:SF UNIT HEATERS..: VENT FANS...:
OCCUPANCY GRP..:R3 VENTS W/O AWL: VENT SYSTEMS:
. . . . :' BOILERS/COMPRESSORS HOODS
FUEL TYPES — 0-3 HP : DOMES. INCIN
:/GAS/ / / 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.. :
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.:
FURN < 100K BTU:1 <= 10000 cfm: GAS OUTLETS. :1
FURN >=100K BTU: > 10000 cfm:
Remarks: OIL TO GAS CONVERSION
Owner: --------- — FEES
BILL WEBBER type amount by date recpt
11285 SW 92NT PRMT $ 25.00 JG 12/06/94 —
5PCT $ 1.25 JG 12/06/94 —
TIGARD OR 97223
Phone #:
Contractor: —
ARROW MECHANICAL CONTRACTORS
10330 SW TUALATIN RD.
TUALATIN OR 97062 ------ —
Phone #: 692-1565 $ 26.25 TOTAL
Reg #..: 05193
REQUIRED I NSPECT I ONS
This permit 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 Final Inspection _
approved plans. This pernit will expire if work is not started
within 180 days of issuance, or if work is suspended for core -
than 180 days.
Permittee Signatur , ^
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Issued By: .' /
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all for inspection — 639-4175
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C.ity-oi'Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit #
Tigard, OR 97223
(503) 639 -4171 0/L 7-' g4__v-
Nano of D.w »rR lopn Description
2 /a at--RBe-ri_ Table 3A Mechanical Code QTY PRICE AMT
Job 1 V /2 8s ‘ 92 —''= 1) Permit Fee -0- -0- 10.00 .
Address
r /6,4/) a f7Z23 2) Supplemental Permit 3.00
Nat. (« nom. of °i° j Furnace to 100,000 Bl U
‘3 f 3234 1) incl. ducts & vents X. 6.00
MatTrog Addro. S, Allift6 Furnace 100,000 BTU +
Owner Z r''''
2) incl. ducts & vents 7.50
" ' a ' ° or
3) ind vent Fumance 6.00
Nam. (« norm of °ut^oss) Suspended heater, wall heater
ofAt 4) or floor mounted heater 6.00
Mang MO.. c c Pna• Vent not incl. in
Occupant
/V 5) appliance permit 3.00
cuySwo L p Repair of heating, refng.
6) cooling, absorption unit 6.00
Nan" Boiler or comp, heat pump, air cond.
u al e.e.l e . • 7) to 3 HP absorp unit to 100K BTU 6.00
"e _/ /rte l Phone Boiler or comp, heat pump, air cond.
Contractor 4-t3go Jo , N/`7/ j R. 8) 3 -15 HP absorp unit to 500K BTU 11.00
'au Boiler or comp, heat pump, air cond.
127•444/7/t/ ®, ‘77662.-- 9) 15 -30 HP absorp unit .5 -1 mil BTU 15.00
5cate Rogcracon No. / city Boo. Tax No. ' Boiler or comp, heat pump, air cond.
05/93 10) 30-50 HP absorp unit 1 -1.75 mil BTU 22.50
I hereby acknowledge that I have read this application, that the Boiler or comp, heat pump, air cond. • •
information 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 Air handling unit to
laws, that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that the number given is correct (If exempt from State registration, Air handling unit
please give reason below.) .. 13) 10,000 CTM + 7.50
Non portable
14) evaporate cooler 4.50
• Vent tan connected
15) to a single duct 3.00
Ventilation system not
16) included in appliance permit 4.50
. ---
o (om« agong Dais Hood served by
sf5 /A,-.� 17) mechanical exhaust 4.50
Des w new rtion U alteration (.) repair U Commercial or industrial -
to be done residential non - residential 0 18) type incinerator 30.00
Existing use of n Other i.e.,'woodstove, water
building or property , e f 2
/,I/(-� 19) heater, solar, clothes dryers, etc. 4.50
•
Proposed use of 20) Gas piping one to four outlets )( 2.00
building or property -
•
Type of fuel -oil 21) More than 4 -per outlet
ype 0 natural gasX( LPG 0 electric O
NOTICE
Minimum Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION .
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5 %SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR _ . •
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL .
AFTER WORK IS COMMENCED.
TOTAL
Special Conditions
Date issued by
konAECNRAT
wol oo,ndov
CITY OF TIGARD BUILDING INSPECTION NOTICE )
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection: ,cam g 4'/�4 V2/' 2
Footing Susp. Ceili Sprink. Rough -in Appr /Sdwlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post /Beam Struct. Plbg. Top Out Elec. Rough -in
Post /Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing - Plumb.
Alarm Water Line Insulation
Underflr. Insul. Shear Wall Gyp. Bd. - Elect.
Date Requested: 1 IQ-49 �'c- Time: ..)%00Pm
Address: / io��� Te.)- ., ,
Builder: 6 r� - / 5< Permit #;/17 ,Y 0 353
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: A , P' Date: /,2 (e q5
'PROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec- O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection:
Footing Plbg. Underalab Mech. Rough-i. r Appr /Sdwlk
Found. Plbg. Top Out FINAL:
Post /Beam Struct. San. Sewer Framing -Bldg.
Post /Beam Mech. Rain Drain Insulation - Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
//Z SS �a "eo /9
Date Requested: Time: AM PH
Address: �i a t r :0/ 6 / -635
Builder: - /S4
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: G/1 �I Date:
`° APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinap.