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Permit ' , i i ts „, CITY OF TIGARD MECHANICAL AL a phhe i l i f, DEVELOPMENT PERMIT • ~�"��"�~~��. "nn"�n�" SERVICES PERMIT # ^ MEC96-0375 =�� 11. 13125 SW Hall Blvd., Tigard, OR (503)639-4171 ` ~-- DATE ISSUED: 10/31/96 PARCEL: 1S135DB-05700 SITE ADDRESS.'.: 11450 SW 95TH AVE SU8DLVISION.�..': MILLER - - ZONING: R-4.5 BLOCK..........: LOT ^8 _ _____ � CLASS OF WORK..:ALT FLOOR FURN ^ 0 EVAP COOLERS: 0 . TYPE OF USE....:SF UNIT HEATERS..: 0 VENT FANS...: 0 'OCCUPANCY GRP..:R3 VENTS W/O APPL: 0 VENT SYSTEMS: 0 STORIES ~' 0 � . `` 'BOILERS/COMPRESSORS HOODS... . . . . : 0 FUEL TYPES ---- 0-3 HP • 0 DOMES. INCIN: 0 :/GAS/ • ^ ' / ' , .' ' �' ` " 3-15�HP.��.:`/D� '` ``COMML.,INCIN: 0 MAX INPUT: 0 BTU 15-30 HP....: 0 REPAIR UNITS: 0 FIRE DAMPERS?�.: ' ' • /' • -~` HP....:,'.0' - WOODSTOVES..: 0 GAS PRESSURE...: L 50+ HP • 0 CLO DRYERS..: 0 NO. OF UNITS ' •:. • AIR HANDLING. _ UNITS OTHER UNITS..: 0 FURN < 100K BTU: 1 <= 10000 cfm: 0 GAS OUTLETS.: 0 FURN >=100K'BTU: 8m '^^''.• )'. 10000 cfmi •0'', ' .. Remarks: FURNACE CHANGE FROM OIL TO GAS — RESIDENTIAL Owner: • — .FEES'. . �' X AIR PR ING AND AC INC _ 0 « �pe amount by date recpt 7405 WELL '� ��uW� .PMT,$' ` 0' 25. ea. 10/31/96 96-28592 5PCT $' 1.25 JMH 10/31/96 96-28592 PORTL 97206 � . � �� Phone : 71-7871 �� �' Contractor: — . '� ---_ . AIR PRO HEATING & A/C • 7405 SE POWELL PORTLAND OF6 9720E, ' • ^ � � ' ' - . ` ' ' Phone #: 771-7871 $ 26.25 TOTAL Reg #..: 72086 . • . -- REQUIRED INSPECTIONS ------- 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 Misc. Inspect ion approved plans. This-permit will expire if work . is not started ` Final Inspect ion _____ within 180 days of issoaoco or if,workris suapendedfortnrp''^.' `'' � , __ than 180 d a y s . - . . . 1.. ' ' . ' - - .• � . � � -- . � J / �� � �� �� . ' __' Permittee Signature: '~ ' . . I ssued By: �m^�^��L��- __ 94-1 `- • Call for inspection '-639-4175 • Plan Check # CITY OF TIGARD Mechanical Permit Application Recd By 13125 SW HALL BLVD. Commercial and Residential Date Rec'd TIGARD; '©R 97223 / r ' •/ V?f -- 0375- Date to P.E. (503) 639 -4171, x304 Date to DST Permit # Print or Type Called incomplete or illegible applications will not be accepted Name of Development/Project _ Description Table 1A Mechanical Code QTY PRICE AMT Job Street Address Suite# A) Permit Fee -0- -0- 10.00 Address 1 1 St) S (AJ, q-S Bldg# /State Zip B) Supplemental Permit 3.00 I t' a, 0‹. 972 2,3 Name (or name of business) c/ 1.) Furnace to 100,000 BTU 6.00 Owner 6 r 1 ao. Imo(- 0U1 --€. incl. ducts & vents I Mailing Address 2.) Furnace 100,000 BTU + 7.50 1'4 6 5 , W 1 ( � incl. ducts & vents City/Stale Zip Phone 3.) Floor Fumace 6.00 1 t v'l °P 97 a 3 Gym Y incl. vent Na (or name of business) 4.) Suspended heater, wall heater 6.00 or floor mounted heater Occupant Mailing Address 5.) Vent not incl. in 3.00 appliance permit City /State Zip Phone 6.) Boiler or comp, heat pump, air cond. 6.00 to 3 HP; absorp unit to 100K BTU e n 7.) Boiler or comp, heat pump, air cond. 11.00 l r T ✓D I l ► I • G ` v� L, 3-1 HP; absorp unit to 500K BTU Contractor Mai Address _ ✓ p r 8.) Boiler or comp, heat pump, air cond. 15.00 7 ` j , - .- POW I 15-30 HP; absorp unit .5-1 mil BTU Attach copy of }� /state Z ip Phone 9 Boiler or comp, heat pump, air cond. 22.50 Current Licenses r p ,riAGvv � 1 f dad 6 7 7 1- 7111 30-50 HP; absorp unit 1 -1.75 mil BTU regon Const. Cont. Board Lic.# Exp. Date 10.) Boiler or comp, heat pump, air cond. 37.50 7 07 C7 S° > 50 HP; absorp unit 1.75 mil BTU COT Business Tax or Metro # Exp. Date 11.) Air handling unit to 4.50 / 7 Tit 3 _ 10,000 CFM Architect Name 12.) Air handling unit 7.50 10,000 CTM + Or Mailing Address 13.) Non portable 4.50 evaporate cooler Engineer City/State Zip Phone 14.) Vent fan connected 3.00 to a single duct Describe work New 0 Addition 0 Alteration t Repair 0 15.) Ventilation system not 4.50 to be done Residential XS Non - residential O included in appliance permit Additional Description of work 16.) Hood served by mechanical exhaust 4.50 F r y' a (-L- 0 \ G v\ C f () ( ( ) o 6r-4_5 17) Domestic incinerators 7.50 Existing use of ( U 1 18.) Commercial or industrialtype 30.00 building or property incinerator 19.) Repair units 4.50 Proposed use of 20) Woodstove 4.50 building or property 21) Clothes dryer. etc. 4.50 Type of fuel - oil 0 natural gas 0 LPG 0 electric 0 22) Other units 4.50 I hereby acknowledge that I have read this application, that the 23) Gas piping one to four outlets I 2.00 information given is correct, that I am the ., ner or authorized agent of the owner, that plans ub itted are2 .fiance with Oregon State 24) More than 4 -per outlet (each) .50 Signature of Owner /Agent Date QTY.SUBTOTAL . 1M & k- /' 6liP /l 77/-"7 F -7/ 'SUBTOTAL Contact Person Name y ( Phone l 5% SURCHARGE PLAN REVIEW 25% OF SUBTOTAL TOTAL i:k1st\mechpmt.doc (rev 7/96) *Minimum permit fee is 825 + 5% surcharge • CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639 -4175 Business Phone: 639 -4171 Footing Rain Drain Cover /Service FINAL: Foundation Water Line Ceiling - Plumb. Post/Beam Mech. Shear /Sheath Framing ecYi. PIbg.Und /Flr /Slab Plbg. Top Out Insulation - Elect. Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg. San. Sewer a- Appr /Sdwlk Reins. Foz414..ci // 4 Other: / ✓ Date: 1/— V ' / ft `.M. Entry: Address: 1/ 4 S U Lc> l S Tenant: Ste: MST: Con /Own: _A/ ll - 2� - 787/ M EC: M - 7 � PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: Inspector: -. ;y Date: /1_ `!PPROVED DISAPPROVED /CALL FOR REINSP. CF CO