Permit '
/ :! MEC9683 � � l� � ��� TIGARD PERMIT �w��� � � �w�� �
DATE ISSUED: 09/12/96
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd Tigard, Oregon 97223.8199 (503) mom��r�
� ' ' PARCEL: 1S134DC-00300
SITE ADDRESS...: 14650 SW 97TH AVE
SUBDIVISION ^ ZONING: R-4.5 •
BLOCK... ....... : LOT............. :
_____
CLASS OF WORK..:ALT FLOOR FURN ^ 0 EVAP COOLERS: 0
TYPE OF USE. . .. :ED UNIT HEATERS..: 0 VENT FANS.. . : 3
OCCUPANCY GRP..:E1 VENTS W/O APPL: 0 VENT SYSTEMS: 0
STORIES........: 0 BOILERS/COMPRESSORS HOODS ^ 0
FUEL TYPES 0-3 HP....: 3 DOMES. INCIN: 0
:/GAS/ / / 3-15 HP....: 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP ^ 0 REPAIR UNITS: 0
FIRE DAMPERS?..: Y 30-50 HP ^ 0 WOODSTOVES..: 0
GAS PRESSURE... : M 50+ HP.... : 0 CLO DRYERS.. : 0
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS. :20
FURN < 100K BTU: 1 <= 10000 cfm: 0 GAS OUTLETS.: 1
FURN >=100K BTU: 1 ) 10000 cfm: 0
1
Remarks: Interior remodel
Owner: ------- - - FEES --
TIGARD TUALATIN SCHOOL DIST type amount by date recpt
13137 SW PACIFIC HWY PRMT $ 142.50 DST 1219/12/96 96-283913
PLCK $ 35.63 DST 09/12/96 96-283913
TIGARD OR 97223 5PCT $ 7.13 DST 09/12/96 96-283913
Phone #: 684-2353
Contractor: .
CARROLL MECHANICAL CO
2305 SE 50TH AVE
PORTLAND OR 97215 -
Phone #: 231-3842 $ 185.26 TOTAL
Reg #..: 33403
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. Al} work will be done in accordance with Heating Unt Insp _
approved plans. This permit will expire if work is not started Cooling Unt Insp
within 18N days of issuance, or if work is suspended for more Duct Inspection ____ .
than 18N days. Fire Alarm Insp ___
Fire Damper Insp _ - _____
_
Misc. Inspection
Final Inspection _
'%--------
Permittee Signature: _________� _____ _i
'
____ ______
Issued By: � ____ __ _ _ ___� ___
[� Call for inspection - 639-4175
9 ti l l - N3 ' / ���� Ww' y�7 66A-:/1
•
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspectioe 639-4175 Business Phu 8394171
Inspection:
Footing Susp. Ceiling Appr/Sdwlk
Foundation Plbg.Umemlab Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech San. Sewer
-Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Undorf|r.|nnui Shear Wall Gyp. Bd. -Elect.
Date Req o _ Time:
� � /�
Addroo : � / " ��~&� c^ ~`� / 9
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--------------- / c —/�/ _�� /
Builder: / Permit #: �7 �� �� /
THE FOLLOWING CORRECTONS�REREOU|RED� �.c��~~- 067 � REQUIRED: /.^� ���
-
AY
^�~
��
61=
�mp
Inspector. Date:
/��~Date: , �� / _
. '
APPROVED DISAPPROVED _ APPROVED SUBJECT TO ABOVE
_ Call For Reinsp.
- p. 4-q-16 (Jd k a9, 6,- a.o -MI r d L( 0 4
City ,of.Tigard MECHANICAL PERMIT Planck/Rec. # '
1 SW Hall Blvd. . / APPLICATION Permit # MCC e f l< - 00g3
Tigard, OR 97223 f 4
(503) 639 -4171 G /Iv.
Name of Development Description
T IVIVN M17n15, 9A-1D t Table 3A Mechanical Code QTY PRICE AMT
ea.
Job IL(v5D cj q1+h 1) Permit Fee -0- -0- 10.00
Address C/ ate d1 n � aP
�ll ARO L '12222) 2) Supplemental Permit 3.00
Name (or name of ) /� Furnace to 100,000 BTU
liCv arJA 11 1>tlPcTlt∎tNH. 01ST• 1) incl. ducts & vents 1r 6.00 6 '
Furnace 100,000 BTU +
Owner I'137 50 P 1 FtC TI 2) incl. ducts & vents 61011 Vii t. 7.50
7 0
Floor Fumance
' f laPtg D( &tJ 17'Z2, 3) incl. vent 6.00
Name of name of Wailes,' Suspended heater, wall heater
iI( n.- i 'T 1� �°�� , Da. 4) or floor mounted heater -, 6.00
``'^''// Vent not incl. in
Occupant 7
f3j31-513-1 f w , .st F �n rlrl 1 ,F-1∎A f . 5) appliance permit , - 3.00
Ca+r sta e ►'�( l� ' "' " � Repair of heating, refng.
1iC,F -0 Oh'i.4. 'HIV 172'l 6) cooling, absorption unit ./ 6.00
Name /�� / Boiler or comp, heat pump, air cond.
Car roll l Meth I ic6. ( 7) to 3 HP; absorp unit to 100K BTU 3 . 6.00 ke
Maen9 Address Phone I Boiler or comp, heat pump, air cond.
8) 3 -15 HP; absorp unit to 500K BTU 11.00
Contractor
CrtylState /`- w _. so �S Boiler or comp, heat pump, air cond. _ 9) 15-30 HP; absorp unit .5-1 mil BTU 15.00
SeDta He9anaeen No. 0dy Bus. lax 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 11) > 50 HP; absorp unit 1.75 mil BTU 37.50
agent of the owner, that plans submitted are in compliance with Air handling unit to ��
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM Z11R0 k 4.50
Board, that the number given is correct. (If exempt from State Air handling unit
registration, please give reason below.) 13) 10,000 CTM + - 7.50
Non portable
14) evaporate cooler -' 4.50
Vent fan connected r) 15) to a single duct 3.00 1
Ventilation system not
' I (Q 16) included in appliance permit 4.50
° ° °9°n D° Hood served by
17) mechanical exhaust / 4.50
Describe work new 0 addition U alteration 0 repair U Commercial or industrial l
to be done residential 0 non - residential • 18) type incinerator / 30.00
Existing use of `` � Other i.e., woodstove, water F 0 -
building or property DOUCAiTtQN 19) heater, solar, clothes dryers, etc. 4.50 Gf. i
Proposed use of /��.� 20) Gas piping one to four outlets / 2.00 7
building or property T/v1�(.rV t(' N '
21) More than 4 -per outlet (each) % 2.00
Type of fuel - oil 0 natural gas 0 LPG 0 electric 0
NOTICE a
• Minimum Fee $25.00 SUBTOTAL )1)),'
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE 7 U'
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 / 1 ( Z
Special Conditions / (O
F• /
Date issued by I
H;ILOGIMDSTSIMECHPMT