Permit •
MECHANICAL ^�
^ PERMIT ^~
CI1YOFTIGARD PERMIT #.......: MEC96-0278
DATE ISSUED: 08/13/96
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 97223°8199 (503 ouw-«�r�
' PARCEL: 25111BA-04700
SITE ADDRESS...: 14025 SW 97TH AVE
SUBDIVISION....: OMEGA ZONING: R-4.5 • •
BLOCK..........: LOT..... ........ :3
CLASS OF WORK..:NEW 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 ^ 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 < 100K BTU: 0 <= 100p0 cfm: 0 GAS OUTLETS.: 0
FURN >=100K BTU: 0 > 10000 cfm: 0
Remarks: Installing a Carrier air conditioner.
Owner: FEES -
MCPHILLIP type amount by date recpt
14025 SW 97TH AVE PRMT $ 25.00 CJS 08/13/96 96-282852
5PCT .$ 1.25 CJS 08/13/96 96-282852
TI8ARD OR 97223
Phone #:
Contractor: --
SUNSET FUEL CO
PO BOX 42287
PORTLAND OR 97242 - - - ----
Phone #: 503-234-0611 $ 26.25 TOTAL
Reg #..: 002374
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 Final Inspection
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.
'------- ---- --
` �
Permittee Signature: �l�l'/p,-°
Issued By: C
Call for inspect - 639-4175
P PIS f Tigard .. MECHANICAL PERMIT Planck/Rec. # 9l - 8a85 L
13`125 SW Hall Blvd. APPLICATION Permit # Cr46 °D a7R
Tigard, OR 97223
(503) 639 -4171
Name or Development Description
Table 3A Mechanical Code QTY PRICE AMT
Armiess SAACN
Job ) 0c5 S"3 q 1) Permit Fee -0- -0- 10.00
Address �
T Liity,State p J
\ C' OR— CI hdT 2) Supplemental Permit 3.00
Name for na or business) 1 Furnace to 100,000 BTU
�� r . (Y\ cP �, \ `, p 1) incl. ducts & vents 6.00
Rlamn ;,agree, C11 1 , ... Furnace 100,000 BTU +.
Owner 11 tO. Th - C\ - 2) incl. ducts & vents 7.50
•,_ __ ,S4.,i. z,i, Floor Furnance
-- CZ � q 1 3) incl. vent 6.00
Name for na of business) Suspended heater, wall heater
4) or floor mounted heater 6.00
Malang Addfess ' ° ' one vent not Incl. in _
Occupant
5) appliance permit 3.00
ut Repair of heating, refrig.
6) cooling, absorption unit 6.00
Name �� � _,�(n� Q Boiler or comp, heat pump, air cond.
�Ll`, 3' n x t_ 7) to 3 HP; absorp unit to 100K BTU 1 6.00 (0,00
'g Address Boiler or comp, heat pump, air cond.
4- I'D - oZp1 -0 8) 3 -15 HP; absorp unit to 500K BTU 11.00 a"-----
Contractor ' t
- { b /` � i Q O /� CA 1 7 r' � 15 Boiler r comp, heat pump, air cond.
• y f i- `-' 'k�+ 9) 15 -30 30 H HP; absorp p , unit .5 -1 mil BTU
15.00
orate Registrauon No. ty 3us..ar No. Boiler or comp, heat pump, air cond.
�� o'._cz 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 11) > 50 HP; absorp unit 1.75 mil BTU 37.50
agent of the owner, that plans submitted are in compliance with Air handling unit to
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4.50
Board, that the number given is correct. (If exempt from State Air handling unit
registration, please give reason below.) 13) 10,000 CTM + 7.50
Non portable
14) evaporate cooler 4.50
Vent fan connected
15) to a single duct 3.00
Ventilation system not
16) included in appliance permit 4.50
' ;owner or agent) � 1,1e Hood served by
17) mechanical exhaust 4.50
Describe work new 17) U alteration U repair U Commercial or industrial '
to be done residential non - residential 0 18) type incinerator 30.00
txtsting use of Other i.e., woodstove. water
building or property 19) heater. solar, clothes dryers. etc. 4.50
Proposed use of 20) Gas piping one to four outlets . 2.00
building or property
21) More than 4 -per outlet (each) 2.00
Type of fuel - oil 0 natural gas 0 LPG 0 electric 0
NOTICE
Minimum Fee 525.00 SUBTOTAL 9,_,C57
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.
G.�-� r (, I TOTAL ,q(O ,
Special �Conditiions�� e�f
O-' V�`t \ k \ Qf\ Date issued 8 1 3 • q6 by C)1 &., /r Sr�=6/,
H:ILOGIMDST S11.iECHP.IT
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 Mec7
PIbg.Und /Flr /Slab Plbg. Top Out Insulation
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other i r i ./1 v/L ,
C.'
Date: L C - A.M. P.M. 4 Entry
Address: `f 0
Tenant: Ste: MST:
BUP:
Con /Own: MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
.j,
Ins ector: L Date: __ /��
APPROVED _ DISAPPROVED /CALL FOR REINSP. CF CO