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Permit MECHANICAL PERMIT C ITY OF TI GA PERMIT #......: MEC94-01 DATE ISSUED: 05/13/94 COMMUNITY DEVELOPMENT D FAR � �ENT 13125 SW Hall Blvd Tigard, Oregon 97223~8199 (503 aom���n � PARCEL: 2S110AB-03600 SITE ADDRESS...: 14245 SW 114TH AVE SUBDIVISION....: COLES ACRES ZONING: R-2 BLOCK ^ LOT....... ...... :16 __ CLASS OF WORK..:ADD FLOOR FURN ^ EVAP COOLERS: TYPE OF USE....:SF UNIT HEATERS..: VENT FANS...: OCCUPANCY GRP..:R3 VENTS W/O APPL: VENT SYSTEMS: STORIES........: BOILERS/COMPRESSORS HOODS.......: FUEL TYPES 0-3 HP....:1 DOMES. INCIN: :/ELE/ / / 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: <= 10000 cfm: GAS OUTLETS.: FURN >=100K BTU: > 10000 cfm: Remarks: AIR CONDITIONER Owner: ----- — FEES TIM ANDERSON type amount by date recpt 14245 SW 114TH AVE PRMT $ 25.00 JG 05/13/94 — SPOT $ 1.25 JG 05/13/94 — TIGARD OR 97224 Phone #: Contractor: ENERGY MASTERS INC 7470 SW 76TH PORTLAND OR 97223 — — Phone #: 244-8880 $ 26.25 TOTAL Reg #..: 58556 REQUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Final Inspection Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 1: days. Permittee Signature Issued By: SjLta Call for inspection — 639-4175 - / City-of Tigiird MECHANICAL PERMIT Planck/Rec. # 13125 SW Hall Blvd. APPLICATION Permit # 1f'}.,G 1"U -0, d Tigard, OR 97223 (503) 639 -4171 Nam* of 6e'aopmmem Descnption f `li LI 5 S U -6- Table 3A Mechanical Code QTY PRICE AMT Job G ©r 7 °�� �J 1 Permit Fee -0- -0- 10.00 Address C "'I LP 2) Supplemental Permit 3.00 Name (« name a K) Furnace to 100,000 B (U I Iry� � 1� wSt�l 1,40 -t 5 b 1) incl. ducts & vents 6.00 . f9O M>Jn idd oK Phone Furnace 100,000 B1 U + Owner Id 5 a ' -� SUJ ) I 9 44k 2) incl. ducts & vents 7.50 Floor Furnance - , ,r (IQ ()r 9 -7a01 3) incl. vent 6.00 Aa^° ( q nam 'K) Suspended heater, wall heater JCLt'Yt2_ 4) or floor mounted heater 6.00 Maing &fares. Phone Vent not incl. in Occupant 5) appliance permit 3.00 CHy.5 tam Lp Repair of heating, refrig. 6) cooling, absorption unit 6.00 Boiler or comp, heat pump, air cond. 7) to 3 HP; absorp unit to 100K BTU P 6.00 Boiler or comp, heat pump, air cond. Contractor L 1� b `�� 7( 8) 3 -15 HP; absorp unit to 500K BTU ° 11.00 ° L p Boiler or comp, heat pump, air cond. d Q( al 3 9) 15 -30 HP; absorp unit .5 -1 mil BTU 15.00 ° .a�« ° . C igeus. T.. No. Boiler or comp, heat pump, air cond. _5E-55C 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 ner « V«") U Hood served by /G t i p, 1 I 17) mechanical exhaust 4.50 i escn work n- U addition t alteration U repair U Commercial or industnal to be done res' & =ntial 0 non - residential 0 18) type incinerator 30.00 • Existing 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 Type of fuel -oil natural gas LPG 21) More than 4 -per outlet T yp g 0 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 k° MECHPMT rord,conWov INSPECTION NOTICE (■/ City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec -O- Phone): 639 -4175 Business � Phhone: 639-4171 �, Inspection: t ic - ( / 'C/) � )'e' f Footing Plbg. Underslab Mech. Rough -in Appr /Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post /Beam Struct. San. Sewer Framing -Bldg. Post /Beam Mech. Rain Drain Insulation - Plumb. Plbg. Underfloor Water Line / Gyp. Bd. J Date Requested: J er- `7- 9 C/ Time: AM PM PM Address: / 4 � / q - P it i /� (� 7 // l� - /� Builder: �y / r ?c/ /j OY7 lS CO c 060 THE FOLLOWING CORRECTIONS ARE REQUIRED: V-. (1 C.4 /-- / / c�- r \- -P Inspector: v �" w Date: ' _� ' I APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE _____Call For Reinsp. INSPECTION NOTICE e... City of Tigard Building Department 13125 SW Hall Blvd. Tigard, Oregon 97223 Inspection Line (Rec- O- Phone): 639 -4175 Business Phone: 639 -4 Inspection: ,9/ - (7. c n rii A Footing Plbg. Underelab Mech. Rough -in Appr /Sdwlk Found. Plbg. Top Out Gas Line FINAL: Post /Beam Struct. San. Sewer Framing -Bldg. Post /Beam Mech. Rain Drain Insulation - Plumb. Plbg. Underfloor �Waterr Line Gyp. Bd. -Mech. Date Requested: / ste / d: ` JJ c J/ - / '-/ % C �/ Time: AM PM / Address: `/ p�- y.� /1 6 Perm t 9z--/ / #: ' ( J L) Builder: �ik r�,t y / r C ,� tsei) � THE FOLLOWING CORRECTIONS ARE REQUIRED: 6 9.2 _ �3 9 y r ,P.Q / t? .e .zd 5-, / - 9g b-e. Ail e eK.- R i 00 41 •9t- 970 4 ) nice-k e_ ai p " 1 5 / [ ,, c i i 1 1(4-1i ,, Inspector: \`�4v Date: 'J 3 I 1 I f �,,ZPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinsp. 6/6/00 Activities for Case #: MEC94 -00122 3:26:32 PM Assigned Hold Updated Activity Description Date 1 . Date 2 Date 3 To Done By Disp. Level By Updated Notes . MECA010 Plan check by 5/13/94 'JG 5/13/94 MECA799 Final Inspection 5/26/94 RB FAIL RB 5/27/94 UNABLE TO INSPECT- NO ONE HOME MECA060 (F) Issue permit 5/13/94 JLG PASS JG 5/13/94 MECA715 Mechanical Insp 5/18/94 RB PASS RB 5/19/94 PENDING- SHUT -OFF VALVE TO FURNACE SHALL BE SEPARATE FROM THAT OF HOT WATER TANK. NC- OK • NO GAS TEST PERFORMED - • ALREADY HOOKED UP TO GAS MECA715 Mechanical Insp 5/27/94 RB PASS RB 5/27/94 • MECA•99 Final Inspection 5/27/94 RB PASS RB 5/27/94 MECA800 Case Fineled 5/27/94 RB PASS RB 5/27/94 MECA799 Final Inspection 5/31/94 RB PASS RB 5/31/94 ALREADY APPROVED THIS INSPECTION ACCORDING TO RECORDS. • • Page 1 of 1 .