Permit MECHANICAL
PERMIT \�
cITY � TIGIARD
PERMIT #.......: MEC96-0274
'COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 08/08/96
`n1usaw Hall Blvd. Tigard, Oregon 97223°81e9 (503) 639-4171
PARCEL: 2S104CA-02500
SITE ADDRESS...: 13599 SW LAUREN LN •
SUBDIVISION....: HILLSHIRE ZONING: R-7 PD
BLOCK.... . . . ... : LOT.. .. .. ... .... :025
CLASS OF WORK..:ADD 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 ^ 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 < 100K BTU: 0 <= 10000 cfm: 1 GAS OUTLETS.: 0
FURN >=100K BTU: 0 > 10000 cfm: 0
Remarks: Adding a A/C unit to 10K CFMs.
Owner: � — — • FEES --
STELLAJ RICO type amount by date recpt
13599 SW LAUREN LN PRMT $ 25.00 CJS 08/08/96 96-282700
5PCT $ 1.25 CJS 08/08/96 96-282700
TIGARD OR 97223
Phone #:
Contractor: --- — —
SKY HEATING & AIR CONDITIONING
1637 SE NEHALEM •
PORTLAND OR 97202 — -------------- —
Phone #: 235-9083 $ 26.25 TOTAL
Reg #..: 50244
------- 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: _ _________
Issued By: _ - ' ------
Call for inspection — 639-4175
•
•
________ ____
City of T =and '�� MECHANICAL PERMIT Planck/Rec. # C 6 . " -- & - D,72)
< v\
13125 SW Hall Blv ■ APPLICATION Permit # inFC qc- o'a-7
Tigard, OR 97223 .
(503) 639 -4171
- Name of Development Description
Table 3A Mechanical Code QTY PRICE AMT
AddreU
Job ] �3599 .5 Lai/Re/1 Zn y7 2 1) Permit Fee . -0- -0- 10.00
Address W y'State Lp '
Tl GHQ e._D 6 2) Supplemental Permit 3.00
Name to name of business) Furnace to 100,000 BTU
•
,5 ,L �!t, RA l D 1) incl. ducts & vents 6.00
Mating aeaa Phone Furnace 100,000 BTU +
Owner
call � Q9 .5/ / 1 ) /.I petit Lv(�! 7� S 2) incl. ducts & vents 7.50
ca t° ° Floor Furnance `
r OR 3) incl. vent 6.00
Name for name of Wetness) Suspended heater, wall heater
S- / /, "P_/ea ., 4 6 F e 2-- 4) or floor mounted heater 6.00
Mating drew Vent not incl. in
Occupant
/35799 ,e_a_et a-#9 17 ,123 5) appliance permit 3.00
utyate Lp Repair of heating, refrig.
Mao
a n 7e__ q 7 3 6) cooling, absorption unit 6.00
Boiler or comp, heat pump, air cond.
£1 /le '1 �2' — -40 7) to 3 HP; absorp to 100K BTU 6.00
Mati 3a `, «�° Boiler or comp, heat pump, air cond.
6,_->i '7 1/4_,* % 7 ;L. 8) 3 -15 HP; absorp unit to 500K BTU 11.00
Contractor ry o' 'P Boiler or comp, heat pump, air cond.
f' 7 r Pk, /73, 7 9) 15 -30 HP; absorp unit .5-1 mil BTU 15.00
State Regatratwn No. Gry Bus. lax No. Boiler or comp, heat pump, air cond.
bey 10) 30 -50 HP; absorp unit 1 -1.75 mil BTU 22.50
I hereby acknowledge t at 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 / 4.50 56
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
15) to a single duct 3.00
Ventilation system not
/e J Sy G � 16) included in appliance permit 4.50
agnature owner or agent) Date Hood served by
--- 17) mechanical exhaust 4.50
Describe work new 0 addition (l alteration 0 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 f' . �11_✓ d..."--) 19) heater, solar, clothes dryers, etc. 4.50
1
Proposed use of Gas piping one to four outlets 2.00
building or property _ a.n,Q .till
21) More than 4 -per outlet (each) 2.00
Type of fuel - oil 0 natural gas 0 LPG 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 ? JC,plal
Special Conditions
Date issued e- g - 96 by CS,
H:LLOG I NIOSTS\M ECHPMT
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