Permit (!1i'v ( I TIGARD
MECHANICAL
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639-4171 PERMIT #.......: MEC94-0340
639-4171 DATE ISSUED: 11/29/94
PARCEL: 2S111CB-01705
SITE ADDRESS...: 10275 SW HOODVIEW DR
SUBDIVISION....: HOOD VIEW ZONING: R-3.5
BLOCK..........: LOT.............:4
CLASS OF WORK..:ALT FLOOR FURN : EVAP COOLERS:
TYPE OF USE....:SF UNIT HEATERS : VENT FANS...:
OCCUPANCY GRP..:R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES.. ..... .:1 BOILERS/COMPRESSORS HOODS.......
FUEL TYPES 0-3 HP : DOMES. INCIN:
:/GAS/ / / 3-15 HP : COML. 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:1 <= 10000 cfm: GAS OUTLETS.:3
FURN >=100K BTU: > 10000 cfm: /
Remarks: OIL TO GAS FURNACE CONVERSION
Owner: --- — — FEES --
TOM GILLIHAN type amount by date recpt
10275 SW HOODVIEW PRMT $ 25.00 JF 11/29/94 —
' 5PCT $ 1.25 JF 11/29/94 —
TIGARD OR
Phone #:
Contractor: --- -----
AIRFLOW ENGINEERING •
PQ BOX 2328
LAKE OSWEGO OR 97035
Phone #: 635-4637 $ 26.25 TOTAL
Reg #..: 96146
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. 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: ",40%,
-
Issued By:
f Call for inspection — 639-4175
City of4i ir
MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit # `7 q — e v,
Tigard, OR 97223
(503) 639 -4171
Nano of o.wi.an nt Descnption
6--t L14 , - J Table 3A Mechanical Code QTY PRICE AMT
Job
Add .N
Address 4 r 2-7 -3(..,.. 1 ' 1 \.'' 6 1) Permit Fee -0- -0- 10.00
- 1/6-74/ 9 .--L ,-i-- 17'L2+ 2) Supplemental Permit 3.00
Nan. (O( ^0"" oI 007111144111) Furnace to 100,000 8 tU
Tile. J4 J t L EfA N) 1) incl. ducts & vents 6.00
Phone Furnace 100,000 BTU +
Owner 10 27 5 5 v.) (4z:7041 U I efrJ 2) incl. ducts & vents 1 7.50
'-aYi""' ‘11) Floor Fumance
\ C I-'-6 3) incl. vent 6.00
Name (.f n'n. of Mamma) Suspended heater, wall heater
ilcgt4C-. 4) or floor mounted heater 6.00
Hating Adel "^a" Vent not incl. in
Occupant 5) appliance permit 3.00
CVStat° ZIP Repair of heating, refng.
6) cooling, absorption unit 6.00
N°°» Boiler or comp, heat pump, air cond.
f}. . ,e 7) to 3 HP; absorp unit to 100K BTU 6.00
�,�„e "
Phone Boiler or comp, heat pump, air cond.
Contracto f X 2 2-6 X
� 35 t� 3 7 8) 3 -15 HP; absorp unit to 500K BTU 11.00
" '° Boiler or comp, heat pump, air cond.
.QSI.l16.- t9 0 1.70 1' 9) 15 -30 HP; absorp unit .5 -1 mil BTU 15.00
Slob ".Mann No. city sus. Tau No. Boiler or comp, heat pump, air cond.
q to f Li-0 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 Contractors 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
jJ 7 L OW O --01,1/4-__J 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
T' °w " ° ' °r 'p ° OaO• Hood Served by
jf Z�1 "'�-4- 17) mechanical exhaust 4.50
scnbe wo ne -(„) addition alteration kJ repair U Commercial or industnal
to be done residential Q' 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 ( 3; 1 2.00
building or property
Type of fuel -oil natural gas LPG 21) More than 4 -per outlet
YP 0 g 0 electric 0
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
k0MECNPMT
wadband.v
CRY RD BUILDING INSPECTION NOTICE
Inspection Line •Phone): 639 -4175 Business Phone: 639 -4171
Inspection: !_ ` . A // L _ l
Footing Susp. Ceiling Sprink. Rough -in Appr /Sdwlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
Post /Beam Struct. Plbg. Top Out Elec. Rough -in FINAL:
Post /Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing - Plumb.
Alarm Water Line Insulation 0253
Underflr. Insul. Shear Wall Gyp. Bd. `� -Elect.
Date Requested: - 7/--1 /5-- Time: /� AM PM
Address: ! 0 �7 7 /V-er---e5-71 (�.(�J 7 �� � Gam" �-
Builder: (3s (16,3 7 Permit #: 1'[ Q9y-6 3 ( 1-0
THE FOLLOWING CORRECTIONS ARE REQUIRED:
•
Inspec Date: 7/ / /3-
PROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.