Permit CITY OF TIGARD MECHANICAL
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DEVELOPMENT � P SERVICES PERMIT #PERMIT MEC97 -0152
13125 DATE ISSUED: 05/23/97
PARCEL: 2S1O4BA -10700
SITE ADDRESS...: 13643 SW LIDEN DR
SUBDIVISION • CASTLE HILL NO. 3 ZONING: R -12 PD
BLOCK • LOT •137 JURISDICTION:
CLASS OF WORK..:ALT FLOOR FURN • 0 EVAP COOLERS: 0
TYPE OF USE -SF UNIT HEATERS..: 0 VENT FANS...: 1
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: 0 <= 10000 cfm: 1 GAS OUTLETS.: 0
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Remarks: Installing air handling unit and vent fan
Owner: FEES
JANET TEAFF type amount by date recpt
13643 SW LIDEN DR PRMT $ 25.00 B 05/23/97 97- 295036
TIGARD OR 97223 5PCT $ 1.25 B 05 /23/97 97- 295036
Phone #:
Contract or:
TRI— COUNTY TEMP CONTROL /HEATNG
13651 SE AMBLER RD
CLACKAMAS OR 97015
Phone #: 654 -3115 $ 26.25 TOTAL
Reg #..: 000007
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 Si nature: ii. / / .� . /
Issued By: - /
Call for inspection — 639 -4175
City of Tigard MECHANICAL PERMIT PiancwRec. #
13125 SW Hall Blvd. APPLICATION Permit # AleCg7 - 0152_
Tiga , 3
(503) 639 -4171 •
•
� v�.� T able 3A
— I Table 3A Mechanical Code OTY PRICE AMT
Job L3104 - 3 S ) /V) Q'' 1) Permit Fee -0- -o- 10.00 !a
• Address ws-r
�� •��S 2) Supplemental Permit 3.00
Mao et Furnace to 100,000 BTU
1) ind. duds & vents 6.00
using ActImp Awes Furnace 100,000 BTU +
Owner az, Al DOV'. 2) incL ducts & vents • 7.50
corsam• Floor Fumance
. 3) incl. vent 6.00
Nave (Q nano of lawn* Suspended heater, wall heater
4) or floor mounted heater 6.00
' Yd' ddb «. ' Phone Vent not Incl. in • •
Occupant 5) appliance permit • 3.00
ws.1 • Repair of heating, refrig.
6) cooling, absorption unit 6.00
Nana Boiler or comp, heat pump, air cond.
! 1 ! t �✓ ,, iemp 4,a- , / 7) to 3 HP absorp unit to 100K BTU 6.00
1�v �w
Phone Boiler or comp, heat pump, air cond. - •
Contractor /54`S/ ��Ailei 5 3�� 8) 3 -15 HP absorp unit to 500K BTU 11.00
// w y s � .. zP Boiler or comp, heat pump, air cond.
C:lgekA /n45 e2 47D /S 9) 15-30 HP absorp unit .5-1 ml BTU 15.00
-
sow a.9.a..m N.. car &AL T.. N.. Boiler or comp, heat pump, air cond.
7.2 3 f /24, 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 • 31.50
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 I 4.50 4.5Z.
that the number given is correct (If exempt from State registration, Air handling unit
please give reason below.) 13) 10,000 CTM + • 7.50
/y 7 Non portable
- 5 `a Ai G 14) evaporate cooler 4.50
Vent fan connected
15) to a single duct ( 3.00
Ventilation system not
• - J _< <� �'jj i_, � 16) included in appliance permit 4.50
'� Hood served by
17) mechanical exhaust 4.50
Desch • : work new Q addition alteration Q repair 0 Commercial or industrial
to be done residential Q non - residential 0 18) type incinerator • 30.00 •
Existing use of Other Le., woodstove, water
building or property /`C/ 1 9) heater, solar, dothes dryers, etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property -
I 21) More than 4 -per outlet
Type of fuel - oil 0 natural gas 0 LPG 0 electric Q
NOTICE { ,` pi ^ i --
Minimum Fee $25.00 SUBTOTAL //'(, 1 /' /lam ' w
PERMITS BECOME VOID IF WORK OR CONSTRUCTION / /
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE 0/
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 41)--;-13
Special Condtions
Date issued by Z6- ZS
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Page No. 1 . CASE HISTORY FOR CASE NO.: MEC97 -0152
JANET TEAFF
13643 SW LIDEN DR
12/29/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MECA007 Application received / / / / 05/23/97 RECD B 05/23/97 BON
MECA060 (F) Issue permit / / / / 05/23/97 PASS B 05/23/97 BON
MECA715 Mechanical Insp 05/23/97 / / 05/29/97 FAIL RC 05/31/97 J *H
MECA799 Final Inspection / / / / 06/10/97 PASS RC 06/11/97 J *H
MECA800 Case Finaled / / / / 06/13/97 06/13/97 JT
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