Permit CITY OF T MECHAN I CAL
i,,,d, \ DEVELOPMENT SERVICES PERMIT
:-4! '� l 13125 SW HaII Blvd., Tigard, OR 97223 (503) 639 -4171 PERMIT T S MEC97 -0346
DATE ISSUED: 09/16/97
PARCEL: 2S102CD -03500
SITE ADDRESS...: 13870 SW 100TH AVE
SUBDIVISION • SHILO ZONING: R -4.5
BLOCK • LOT •4 JURISDICTION: TIG
CLASS OF WORK..:ALT FLOOR FURN • 0 EVAP COOLERS: 0
TYPE OF USE •SFA UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:R3 VENTS W/0 APPL: 0 VENT SYSTEMS: 0
STORIES • 0 BOILERS /COMPRESSORS HOODS • 0
FUEL TYPES 0 -3 HP • 0 DOMES. INCIN: 0
: 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: 1 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =100K BTU: 0 > 10000 cfm: 0
Remarks: Add a natural gas furnace.
Owner: FEES
MICHAEL LEACH type amount by date recpt
13870 SW 100TH AVE PRMT $ 25.00 GEO 09/16/97 97- 299272
TIGARD OR 97223 SPCT $ 1.25 GEO 09/16/97 97- 299272
Phone #: 620 -9061
\
Contractor:
BELL HEATING
(GREG MILLETT)
15550 SE PIAZZA AVE $ 26.25 TOTAL
CLACKAMAS OR 97015
Phone #: 656 -1184
Reg #..: 000000
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 Heating Unt Insp
approved plans. This permit will expire if work is not started Misc. Inspection
within 180 days of issuance, or if work is suspended for more Final Inspect ion
than 180 days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952 -001 -0010 through OAR 952- 0011080. You may
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
Issue By: Permittee Signature:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + ++ + ++ + + + + + + + + + + ++
Call 639 -4175 by 6:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + ++ ++ + + + + ++
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 'SW Hall Blvd. APPLICATION Permit # ilf� -0
Tigard, OR 97223
(503) 639 -4171
N. 01 Dovwoom.nt Description
Table 3A Mechanical Code 0TY PRICE AMT
Atl3.N
Job 13 eid ii,.i 100 4 L 1) Permit Fee -0- -0- 10.00
Address 739
' ' K (} rt. 7 ORE 2) Supplemental Permit 3.00
N0!n (« woo a w.n.s.T Furnace to 100,000 B I U C1 C
1) incl. ducts & vents 6.00 rc�
"�� Plww Furnace 100,000 81U +
Owner 1 ?)S 70 SA-) i0d1 ,\✓e- 2) incl. ducts & vents 7.50
Floor Furnance
-- j ( Q (' /10
1 0 3 3) incl. vent 6.00
� ,r,, t none a ) Suspended heater, wall heater
ce �
r.f 4) or floor mounted heater 6.00
Mailing Ma «. VW* Vent not Incl. in
Occupant
5) appliance permit 3.00
GH /S"" zo Repair of heating, retng.
6) cooling, absorption unit 6.00
N. r Boiler or comp, heat pump, air cond.
g.filL 11 6 7) to 3 HP; absorp unit to 100K BTU 6.00
Phom Boiler or comp, heat pump, air cond.
Contractor t - S E P/4 � 8) 3 -15 HP; absorp unit to 500K BTU 11.00
ca„.. / aP Boiler or comp, heat pump, air cond.
� c 4N4f O 9 )W.Y 9) 15 -30 HP; absorp unit .5 -1 mil BTU 15.00
SW. R.g.tamon No. Qty 6i..T.r No. Boiler or comp, heat pump, air cond.
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 fan connected
15) to a single duct 3.00
Ventilation system not
16) included in appliance permit 4.50
Sgnabre rownw or agony Oa. Hood served by
17) mechanical exhaust 4.50
Describe work new U addj1Lon alteration U repair U Commercial or industnal
to be done residential non- residential 0 18) type incinerator 30.00
Existing use of o Other i.e., woodstove, water
building or property II - _k 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
T
yp 0 natural gas b" LPG 0 electric 0
NOTICE
( Minimum Fee $25.00 SUBTOTAL S
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE 1 „p l
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. - 1
TOTAL 6,
Special Conditions
Date issued by
kwMECHPMT
wooncomdev
•
', CI OF TIGARD B T , DING INSPECTION DIVISION 24 -Hour Inspection Line. 3 9 -4175 Business Phone: 639 -4171 � '/ L ` /
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-
Date Requested: l0 -d ` " 7 7 A.M. P.M. MST: - v / y
Location: / �j 3 70 / , / / j CD 7' (2 BUP:
- 1 (
Tenant: C / Suite: Bldg: MEC: 'q 7 "O3 %
Contractor: '/ , 4/1 1A. / Phone: tp d i - / 7 7c PLM:
Owner: "( h if Phone: , _ ELC:
•- .i At #L c /lL 1A id /P' ./ /i LR:
1 ;,,I . fe 7—fil - �. , / /Pi SIT:
BUILDING BLD I n't) /' LUMBING __ _ ±__ "MO ELE • CAL SITE
Site Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Tint!" no Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm 4=0 Temp Service MISC.
Masonry Ceiling am , Y UG Slab
Shear /Sheath Fire Spklr /Alm (�°und Dr 11 Low Volt EA-A �h
Am, . Approved Approved Approved Approved
Appr /Sdwlk of :.n, o .• Not Approved o ,.oved Not Approved Not Approved
i ----Iwyr-.......- FINAL I FINAL FINAL
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411 111,0 i i
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4 w.„ ...„, o- /4.._--
0 IN ,D 36: 5 6y , P _
0 Call for re' ion O Reinspection fee of $ required before next inspection 0 Unable to inspect
Inspector: Date: )' '-' d Page of
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