Permit CITY OF TIGARD
MECHANICAL
PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT N1T FERMI r # MEC�)4 -0214
13125 SW Hall Blvd. Tigard, Oregon 97223.8196'1 3) 4171 DATE ISSUED: 08 /02/94
PARCEL: 2S1O9AD -01900
SITE ADDRESS...: 14516 SW 130TH AVE
SUBDIVISI ON. . ° °: WOODFORD ESTATES ZONING: R -7
BLOCK— ......... LOT...°°..° ..... :11
•
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:
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 ) =1O0K BTU: ) 10000 cfm:
Remarks: ADD AIR CONDITIONER
Owner: -- FEES
MARY ROSSMAN type amount by date recpt
14516 SW 130TH PRMT $ 25.00 SW 08/02/94 –
SPCT $ 1.25 SW 08/02/94 –
TIGARD OR 97224
Phone ##: 598 -9611
Contract or:
TRI– COUNTY TEMP CONTROL
13651 SE AMBLER RD
CLACKAMAS OR 97015 - - --
Phone ##: 777 -3874 OR $ 26.25 TOTAL
Reg #..: 72623
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Mechanical Insp
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 permit will expire if work is not started
within 1:rt days of issuance, or if work is suspended for more
than 18e days.
Permittee Signature: MA A-64
Issued By: 4 30.-L -
Call for inspection – 639 -4175
INSPECTION NOTICE
(\
City of Tigard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec- O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection:
Footing Plbg. Underalab 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 -Mec/
Gyp. Bd. h )
Date Requested: S-1- V 0 rye " \ � T � i p me 4 AM /( PM
Address: 1 ! �1 to l. Permit f: C1 /K - 3 Zk4
Builder: S4 — 31 'S
THE FOLLOWING CORRECTIONS ARE REQUIRED:
- 61)�� c_ - Q -- ;.. -z-9 - - % — 94 k<k
, .
k....1 .(//___,_)19:
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si
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Inspector: k `� Date: S '--- ( () - ' 54 t
,.../101 DISAPPROVED APPROVED SUBJECT TO ABOVE
c- Call For Reinap.
f
City of Tigard MECHANICAL PERMIT Planck/Rec. # .
13125 SW Hall Blvd. APPLICATION . - Permit # 1�1/ .Gal —O-I�(
Tigard, OR 97223 e
•
(503):639-4171
Name of c«. mma>< Description -
17 1. �� Table 3A Mechanical Code QTY PRICE AMT
• Job L,/I(� � .SLi / 3 o • 1) Permit Fee 0
Address , rsa. p —
"1 K «/` p � �i4 e , /yi / � 4 ( 2) Supplemental Permit 3.00
* '�TM• ' / u Furnace to 100,000 B I U
¢a • 1) inc.!. ducts & vents " 6.00 -
" "^o �� Furnace 100,000 [DU U +
• Owner " 's - ,._Henn I.� �,t,0. 6-h07-4-.-: 2) incl. ducts & vents - . - 1:7.50 •
Floor Furnance .
59 g -9&// 3) incl. vent 6.00
. Name for nano of ° ""`1 Suspended heater, wall heater
4) or floor mounted heater 6.00
"`""a "tivis F Vent not Incl. in • '
Occupant
5) appliance permit • 3.00
L.w.i.i Lv Repair of heating, refng. •
6) cooling, absorption unit 6.00.
Name Boiler or comp, heat pump, air cond.
(,S 4 37 /S e 62 1 �a 7) to 3 HP; absorp unit to 100K BTU l
Contractor 6.00
Boiler or comp, heat pump, air cond.
/3 {es'� 5 " A y �„_44 8) 3 -15 HP; absorp unit to 500K BTU 11.00
/J� �j' Boiler or comp, heat pump, air cond.
7o /tr 9 ) 15 -30 HP; absorp unit .5-1 mil BTU 15.00
s IG City . I No. Boiler or comp, heat pump, air conc.
74. 7/90 10) 30 -50 HP; absorp unit 1 -1.75 mil BTU 22.50
I hereby acknowl ge 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 ,S
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
• •
I. • °' °i' Hood served b / / 17) mechanical exhaust 4.50
Descn.- work new U d
lteration U repair U Commercial or industrial
to be done residential 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 0
21) More than 4 -per outlet
T
yp O natural gas 0 LPG 0 electric
NOTICE
Minimum Fee $25.00 SUBTOTAL GO
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE /.c
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 . 9,5
Special Conditions .
Date issued by
.. MECNPMr