Permit CITY OF TIGARD MECHANICAL
• 440
, I DEVELOPMENT SERVICES PERMIT
PERMIT # • MEC98 -0005
,1- :_.. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 01/06/98
F op '7 , PARCEL: 1S134CA -00503
SITE ADDRESS...: 11205 SW 119TH AVE O
SUBDIVISION • PANORAMA NO.2 ZONING: R -4.5
BLOCK • LOT -014 JURISDICTION: TIG
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/0 APPL: 0 VENT SYSTEMS: 0
STORIES • 0 BOILERS /COMPRESSORS HOODS • 0
FUEL TYPES 0 -3 HP • 0 DOMES. INCIN: 0
:ELE 3 -15 HP : 1 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 < 1O0K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Remarks: Installing outdoor A/C unit. Unit oust not encroach into five foot
rear or side yard setback.
Owner: FEES
PAUL STRICKER type amount by date recpt
11205 SW 119TH PRMT $ 25.00 B 01/06/98 98- 302302
TIGARD OR 97223 5PCT $ 1.25 B 01/06/98 98- 302302
Phone #:
Contract or:
A —TEMP HEATING & COOLING
16000 SE EVELYN ST
$ 26.25 TOTAL
CLACKAMAS OR 97015
Phone #: 650 -5014
Reg %..: 000718
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Misc. Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance with
approved plans. This persit will expire if work is not started
within 180 days of issuance, or if work is suspended for sore
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- 001 -0080. You lay
obtain copies of these rules or direct questions to OIJNC by calling
1503)246 -9187.
Issue B y: . '—� ____ P e r m i t t e e Signature : ( N/(G�i lJ�-e
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + ++ + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Plan Check #
CITY OF TIGARD Mechanical Permit Application Recd By
131'25 SW HALL BLVD. Commercial and Residential Date Recd 1 -(P -
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DS c �� _M �
Print or Type Permit # (� U;U7
Called
Incomplete or illegible applications will not be accepted
Name of oay.lopmenvProt.j Description .
S'T R \ L 1L E R Table 1A Mechanical Code OTY PRICE AMT
Job Street Addres Suss* A) Permit Fee -0- -0- 10.00
Address 1 17 05 Sw l t q 'TO
6iags CayIState Zip 8) Supplemental Permit 300
'V\ U>sRU 97 Z'L?
Name for rare or Duanessl 1.) Furnace to 100,000 BTU 6
Owner NA) \. S 2■ 1..\I-.E� incl. duds & vents
Mooing A Ones 2.) Furnace 100,000 BTU + 7.50
11 v ��- SW t l `1 14 incl. ducts & vents
City/Slats Zip Peron 3.) Floor Furnace 6.CO i
- 7 l (_,11,R- O 0.Q ` t'7Z23 590. 9 Li L incl. vent
Name (« name business) 4.) Suspended heater, wall heater 6.00
S Ntv\ Imo. S I> r3 J v ^ _.,_ or floor mounted heater
Occupant " amin e r1Octrels 5.) Vent not incl. in
3.00
appliance permit
CayfStab Zip Phone 6.) Boiler or comp, heat pump, air cond. 6.00
to 3 HP: absorp unit to 100K BTU
NiR1e 7.) Boiler or comp, heat
t, •"�Z =N..R ! -\_A i hy U tr- (..)3(:).....‘ v..) L- Pump. air cord. 11.00
3-15 HP absorp unit to 500K BTU
Contractor mailing Aden as 8.) Boiler or comp, heat pump, air cond. 15.00
∎C� °o SE- Eve - `` - `r N S 15-00 HP: absorp unit .5 -1 mil BTU
Attach copy of d aP Phone 9.) Boxer or comp, heat pump, air cond. 22.50
Current licenses <- Lt \(„✓ 1a>\r.AS • OR 9 1715 (pC.o .50 t 30-50 HP: absorp unit 1 -1.75 mil BTU
Oregon Cane_ Cont. Beau tics Exp. Date 10.) Boiler or comp, heat
pump, air cond. 37.50
-'] 1 Ca. - 1 6 > 50 HP: absorp unit 1.75 mil BTU
COT Business Tax or Metro Exp. Dare 11.) Air handing unit to 4.50
10,000 CFM
Architect Nie '
R1 12.) Air handing unit 7.50
10.000 CTM +
or Ma•mg AOOtess 13.) Non portable 4
evaporate cooler
Engineer CaysState Lp Phone 14.) Vent fan connected 3.00
to a single dud
I Describe work New 0 Addition 0 Alteration 0 Repair 0 15.) Ventilation system not 4.50
to be done Residential 0 Non - residential 0 included in appliance permit
I Additional Description of work 16.) Hood served by
mechanical exhaust 4.50
17) Domestic incinerators 7.50
Existing use of 18.) Commercial or industrial 30.00
building or property 9 ---e-, \ 'm-t- type incinerator
19.) Clothes dryers, etc 4.50
Proposed use of
20) Other units • 4.50
building or property �E 01 i......
Type of fuel - oil 0 natural gas 0 LPG 0 electric 21) Gas piping one to four outlets 2.00
I hereby acknowledge that I have rear this application, that the 22) More than 4-per outlet (each) .50
information given is correct. that I am trine owner or authorized agent of
the owner, /J th at at pta hmitte,3 m fiance with Oregon State QTY. SUBTOTAL i °C> taws. /j/ ��- 1 \ ,
Signature of OwnedAgent Date 'SUBTOTAL O,
ZS
5% SURCHARGE
Et:z\k/,q .- �1EOR Cns0- SO i 4 25
• Contact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL 2. 2_;
M■�La W u c..H�S -rte;. C
TOTAL j Z 5 0
.` n
dst\r ecrtpmtdoc 'Minimum permit fee is 525 + 5% sum Marge
Rev 7/96
•
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0
‘=CD• -7 f 2 (
1 t 1
5/9/00 Activities for Case #: MEC98 -00005
4:49:56 PM EXPIRED
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECA007 Application received 1/6/98 MAI RECD CTR 1/6/98
MECA008 Create Permit 1/6/98 B DONE CTR 1/6/98
MECA799 Final Inspection CTR 1/6/98
MECA750 Misc. Inspection 1/6/98 CTR 1/6/98
MECA060 (F) Issue permit 1/6/98 B PASS CTR 1/6/98
MECA845 Request inspection research 3/28/00 JMT DONE No Hold JMT 3/28/00
MECA880 Expired by limitation 4/18/00 HAP DONE No Hold AKJ 4/18/00
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