Permit CITY OF T • I CAL
: DEVELOPMENT SERVICES PERMIT
• PERMIT # MEC99 -0078
13.125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 05154 / 99
PARCEL; 5S111DC -14700
SITE ADDRESS...: 15993 SW KREICK PL
SUBDIVISION • KREICK MEADOWS ZONING: R -7
BLOCK • LOT °001 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
3 -15 HP ° 0 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: 1 <= 10000 cfm: 0 GAS OUTLETS °: 0
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Remark : Replace and install a gas furnace.
Owner: • FEES
FRED PASSMORE type amount by date recpt
7501 SW 195TH PLACE PRMT $ 55,.00 GEO 02/24/99 99- 313226
BEAVERTON OR 97007 SPCT $ 1.25 GEO 02/24/99 99- 313226
Phone #: 642- 159.1
Contractor:
ALLIED MECHANICAL CONT
1300 NE 48TH AVE --
STE 1000 $ 26.25 TOTAL
HILLSBORO OR 97124
Phone #: 693 -7553
Reg 44.. : 005807
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Heating Unt 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 180 days of issuance, or if work is suspended for more
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 may
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
40e,
Issue By: �//�i -/' Permittee Signature. / �//`lr%,it.
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + ++ + + + + + + + + + + + + + ++ + + + + + + ++
Call 639 -4175 by 7:00 p.m° for inspections needed the next business day
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Plan Check #
CITY OF TIGARD Mechanical Permit Application Rec'd By
-13125 SW HALL BLVD. Commercial and Residential Date Rec'd
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST
Print or Type Permit #,/life F9-
Incomplete or illegible applications will not be accepted Called
Name of Development/Project Description
Table 1A Mechanical Code Qty Price Amt
Job Street Address Suite# A) Permit Fee , " ' M * 10.00
Address is ,.W Iliee1d(p/ 1) Furnace to 100,000 BTU / including ducts & vents 6.00 (pr tv
"Bldg# City /State Zip 2) Furnace 100,000 BTU+
including ducts & vents 7.50
Name (or name o business 3) Floor Furnace
Owned 'Y" i9 S_c1flOY1'0 including vent 6.00
Mailing, Address
4) Suspended heater, wall heater
,LIs or floor mounted heater 6.00
7.50/ �-SiA.) / G O `S 4-� e 5) Vent not included in appliance permit
City /State Zip y Phone 3.00
/C3e1'e✓" i) E/ T0 G 92 / CHECK ALL *Boiler Heat Air
Name orna business) ' / THAT APPLY: or Pump Cond Qty Price Amt
t '-I —6t/1 (V aG � Comp ..
6) <3HP; absorb unit to
Occupant Mailing Address 100K BTU 6.00
7) 3 -15 HP;absorb unit
City /State Zip Phone 100k to 500k BTU 11.00
8) 15 -30 HP; absorb .
Contractor Name `,� unit .5 -1 mil BTU 15.00 •
/ 7�
> /EOV k / / u) 30 -50 HP; absorb
,v /C /g unit 1-1.75 mil BTU 22.50
Prior to permit ailing Address mac— 10) >50HP; absorb unit
issuance, a copy /�()#0E q4 — SLIIIe,DDO • >1.75 mil BTU 37.50
• of all licenses 2
City /Scat / � I � Zip Phone 11) Air handling unit to 10,000 CFM '
/b ovD �
are required if M qv g xr-T 3 4.50
expired in COT Oregon Const. Cont oard Lic.# Exp. Date 12) Air handling unit 10,000 CFM+
database 7 S sC9 - 7 • .3 -- ze 4 A9 7.50
Architect Name 13) Non - portable evaporate cooler
4:50
or Mailing Address 14) Vent fan connected to a single duct -
3.00
• 15) Ventilation system not included in •
Engineer City /State Zip Phone appliance permit • 4.50 '
' 16) Hood served by mechanical exhaust ...
Describe work to be done: 4.50
17) Domestic incinerators
New 0 Repair 0 Replace with like kind: Yes No 0 7.50
Residential _. Commercial 0 18) Commercial or industrial type incinerator
30.00
Additional information or des;ription of work: 19) Repair units
G A� �iO "�e d s sr�� �� 4 -50
20) Wood stove
_ g �$ ka ;S . ce /14 4.50
l 21) Clothes dryer, etc.
!/g e h� e - - ' 4.50
Type of fuel: oil 0 natural gasX LPG 0 electric 0 22) Other units
4.50
I hereby acknowledge that I have read this application, that the information 23) Gas piping one to four outlets
given is correct, that I am the owner or authorized agent of 2.00
the owner, that plans submitted are in compliance with Oregon State laws. 24) More than 4 -per outlet (each)
.50
Signature of 0 1 • Agent Date
I Minimum Permit Fee $25.00 SUBTOTAL , M .
• / .......c.„....4..----^- ,> — z� / / 5% SURCHARGE •., _ . hl/.5
Contact on Name Phone PLAN REVIEW 25% OF SUBTOTAL
1,, - -- - - -- - -- - - Required -for ALL commercial - permits -only, -
. l lv i . � i� 6 .7 7-- $ TOTAL Z6 e s
*State Contractor Boiler Certification required
"Residential A/C requires site plan showing placement of unit
I:\rnechperm.doc rev 07/20/98