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Permit CIWOFTIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT DEPARTMENT PERMIT # • MEC96 -0204 13125 SW Hall Blvd. Tigard. Oregon 97223.8199 (503) 839 -4171 DATE ISSUED: 06 /28/96 PARCEL: 2S104BA -09100 SITE ADDRESS...: 13895 SW LIDEN DR SUBDIVISION • CASTLE HILL #2 ZONING: R -25 PD BLOCK LOT •126 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/ APP L: S 0 L. 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: Installing a residential air handling unit to 10,000 CFM. Owner: FEES SCOTT GUDEMAN type amount by date recpt 13985 SW LIDEN DR PRMT $ 25.00 CJS 06/28/96 96- 281134 5PCT $ 1.25 CJS 06/28/96 96- 281134 TIGARD OR 97223 Phone #: Contractor: SKY HEATING & AIR CONDITIONONG 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: Ma/ S - Issued By: GlC.cc /Ps . T Call for inspection — 639 -4175 City of Tigard MECHANICAL PERMIT Planck/Rec. # 4g 1 s e-/ 13125 SW Hall Blvd. APPLICATION Permit # /Yl &C9G 2A09 Tigard, OR 97223 . • (503) 639 -4171 - Name of Development Descnption - Table 3A Mechanical Code QTY PRICE AMT Address Job 595 6 Li 7 - 1) Permit Fee -0- -0- 10.00 Address r? 6dgo OR 97..13 2) Supplemental Permit 3.00 Nome for name of hne.) Furnace to 100,000 BTU ., e z% 6ubema0 1) incl. ducts & vents 6.00 o Address Phone Furnace 100,000 BTU + Owner /3,Y 95— £ W 1-1 Oen Dg 2) incl. ducts & vents 7.50 w,nste. Floor Furnance T/ OR- 99223 3) incl. vent 6.00 Name )or name of bowlegs) Suspended heater, wall heater sego /I G .a erna h 4) or floor mounted heater 6.00 Maim Address Phone Vent not Incl. in Occupant • / 32e/ „SW Zi_oeh DP— 5) appliance permit 3.00 CO/Stele LP Repair of heating, refng. 17 6QPD by 5 6) cooling, absorption unit 6.00 C ° , Boiler or comp, heat pump, air cond. ilk. , � .7 rig' 7) to 3 HP; absorp unit to 100K BTU 6.00 Maang A d o�Ea. l Phone Boiler or comp, heat pump, air cond. '&39 .5 /V r id 42bn 8) 3-15 HP; absorp unit to 500K BTU 11.00 Contractor u,,sla1e Boiler or comp, heat pump, air cond. 'T R. 9 7 OD 2- 9) 15-30 HP; absorp unit .5-1 mil BTU 15.00 State Repotrehn No. City Sus. Tas No. Boiler or comp, heat pump, air cond. /730 10) 30-50 HP; absorp unit 1 -1.75 mil BTU 22.50 I hereby acknowledge tat 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 Contractors 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 Cy �� %e ten` Ventilation clu ion system not �C.� 16) included in appliance permit 4.50 S.p aw a ,Diner or apart) 6/J3796 Dale Hood served by 17) mechanical exhaust 4.50 Describe work new 0 addition 0 alteration 0 repair 0 Commercial or industnal to be done residential ©-- 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 2.00 building or property Type of fuel -oil n gas 21) More than 4 -per outlet (each) 2.00 YP 0 9 0 LPG Q electric 0 NOTICE Minimum Fee 525.00 SUBTOTAL „).57o., PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE /. S 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 6 -D8- 96 by cT? H:LLOGIMDSTStMECHPMT CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639 -4175 Business Phone: 639 -4171 Footing Rain Drain Cover /Service FINAL: Foundation Water Line Ceiling - Plumb. Post/Beam Mech. Shear /Sheath Framing 4 Plbg.Und/FIr/Slab Plbg. Top Out Insulation lect. Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr /Sdwlk Reins. Other: Date: 7 - Er-- b A.M. P.M. Entry: Address: / 3 h-q .5 5 &i L' r'� � A) Tenant: Ste: MST: BUP: Con swn: �� _ _�4.� /A. - . - MEC:2 L —OZOS< Or PLM: - 23 ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: Inspe or: ../ Date: 7-g-? APPROVED DISAPPROVED /CALL FOR REINSP. CF CO