Permit MECHAN ------
PERMIT
PERMIT # ^ MEC96-0193
CITY OF TIGARD DATE ISSUED: 06/24/96
COMMUNITY DEVELOPMENT DEPARTMENT
PARCEL: 2S104AC-05200
SI T 31 ���d 6
SUBDIVISION ^ MORNING HILL 8 ZONING: R-25
BLOCK..........: LOT ^196
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/O APPL: 0 VENT SYSTEMS: 0
STORIES ^ 0 BOILERS/COMPRESSORS HOODS ^ 0
FUEL TYPES 0-3 HP....: 0 DOMES. INCIN: 0
3-15 HP ^ 1 COML. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP....: 0 REPAIR UNITS: 0
F IRE 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 <= 10000 cfm: 0 GAS OUTLETS. : 0
FURN >=100K BTU: 0 > • 10000 cfm: 0
•
Remarks: Installing 3-5 Hp air cond. unit.
Owner: - - - FEES -
ROBERT QUIJARRO type amount by date recpt
12772 SW 133RD PRMT $ 25.00 CJS 06/24/96 96-280193
5PCT $ 1.25 CJS 06/24/96 96-280193
TIGARD OR 97223
Phone #:
Contractor:
ROSE HEATING CO
9945 NE 6TH DR
PORTLAND OR 97211
Phone #: 503-283-5183 $ 26.25 TOTAL
Reg #..: 002084
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 Misc. Inspection
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: frcI/'Lp~t _
Issued By: ^-L c(t)es .
Call for inspection - 63974175
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^ - ' ' '
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City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Bivd. , APPLICATION Permit* Ec 9'6 o 1 3
.
Tigard, PR 97223
(503) 639 -4171
1 14Table 3A Mechanical Code QTY PRICE AMT
wo
'
Job 1) Permit Fee -0- -0- 10.00
Address 07 —
_ AA Supplemental Permit 3.00
- -�-+ mace so 100.E S U
Z DA > 1) Ind. duds & vents 6.00
Furnace 100,000 BTU +
Owner 2) Ind. ducts & vents 7.50
Floor Fumartce
3) inch vent 6.00
• MA Of - Suspended wall heater
z(V 1 . 4) or floor mounted heater 6.00
Occupant Vent not incl. in .
P 5) appriance permit 3.04 •
11111111111.111/1111 Repair of heating, ruing. -
6) cooling, alboption unit 6.00
eviler or comp. heat pump. air cond.
• 6 � t-1 7) to 3 HP absarp unit 100K BTU 6.00
'^•e ' –• • "'r r 1 4 . Boiler or Comp, heat pump, air cond_ CC' A' i . . 7 5S� 0) 3-15 HP abarp unit to 500K BTU 1 11.00 i 1
Contractor ' �,.••. >,,, q f Boiler er comp, heat pump. air fond_
.
Pt. /F ' # � 6' �9 1 ' 9) 15.30 HP absorp unit .5-1 ml BTU IIIIMIIIIIIIIIIMMI Boiler or camp. heat pump, air on •.
10) 30-50 RP absorp unit 1.1.75 ml BTU I 22.50 -
re •y : • ow • • ge . at = ve rasa r is apt, =Win, ■ t . e Miler or comp, heat pump, air cond_
, . information given is correct, that 1 am the owner or autharrsed agent 11) a 50 HP absorp unit 1.75 mil BTU 31.50
at the owner, that plans submitted are in compliance with State . Air handling unit to
taws, that I am registered with the Construction Contracsco's Board, 12) 10,000 CFM 4.50
that the number given.is correct (If exe State'rt�gistration, rhandling unit
_) i � `
' please give reason below 'f. '.
�� 13) 10,000 CTM + 7.50
Non portable
14) evaporate cooler 4.50
rt t ;:• ' s' , „ Vent7an connected
• _ .:, . , 15) . to a :Ingle dud
' t , , 7 1. - • t. • stem not .
'j, ,: ; • • I • ' 16) included in eppGance permit 4.50
Hood saved by
:, . ;'' - �'',. • '• : ' . ' :r, .1 .;�; ;,., .T "l,t_,<':;? °•' I .17) mechanical exhaust 4.50
' 1 Describe w• . new • a•lilion • ' alteration •_ `..•;'cepaw., • tale ' Commardal or industrial
• 'be done residential -.� non-residential Q ' I.' 10) type incinerator 30.00 —
Existing use a i - Othef Le woodstvve, water
building or prnpany , ' 4 _ _ 19) heater. solar, clothes dryers, eta. 4.50
Proposed use of ,. r 20) Gas piping one to faun outlets 2.00
building 'or property _ ' 1-.. ' • , ''' " —
, ;Pi' '• - t . ; ..;. ' ;,:,,. .�I 21) More than 4- perotdett
I ,, , Type of fuel oil 0 natural gas Q i, LPG 0 ., • .ele:hid,; •' ,1 , , •
,' i. ' NOTICE .; •i ' : i •
Minimum Fee $25.00 SUBTOTAL
I, ' ''. PERMITS BECOME :VOIp.1F,WORK,OR,CONSTRUCTION `''I ,
' : AUTHORIZED IS NOT' COMMENCED' WITHIN:1A0 DAYS 5 %SURCHARGE 11 .25
IF CONSTRUCTION OR. WORK IS SUSPENDED ORI "I .• • -
ABANDONED FOR A PERIOD OF 160 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL
AFTER WORK IS COMMENCEO' . �.� •, '''•� - - —r--
��� • TOTAL
• • .
Special Conditions
TO Date issues! (7- a Y -96 by (
w taGCuILT I , 1'.4',', , •
.. ` FAX ' '8 S
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19—c / I
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
PIbg.Und /Flr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other:
Date: / /y) 9 k A.M. P.M. Entry:
Address: _ ��- / / . '7 - 3
Tenant: Ste: MST:
BUP:
Con /Own: MEC.'7 —
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
In pector: Date/6/9%
APPROVED DISAPPROVED /CALL FOR REINSP. CF CO
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