Permit MECHANICAL
CITY OF TIGARD PERM � ='E RMIT
IT # • MEC96 -0120
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 05/06/96
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171
PARCEL: 28111BD -03800
SITE ADDRESS...: 09846 SW PEPPERTREE LN
SUBDIVISION • ZONING: R -3.5
BLOCK • LOT •
CLASS OF WORK..:ADD FLOOR FURN • 0 EVAP COOLERS: 0
TYPE OF USE •SF UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:A1 VENTS W/0 APPL: 0 VENT SYSTEMS: 0
STORIES • 0 BOILERS /COMPRESSORS HOODS • 0
FUEL TYPES 0 -3 HP • 1 DOMES. INCIN: 0
: /GAS/ / / 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 C 100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =100K BTU: 0 > 10000 cfm: 0
Remarks: Installing a residential air conditioner uni t 3HP and 100K BTU.
Owner: XP� D
JAN GOODHEAD type amount by date recpt
9846 SW PEPPERTREE LN PRMT $ 25.00 CJS 05/06/96 96- 279001
SPCT $ 1.25 CJS 05/06/96 96- 279001
TIGARD OR 97223
Phone #:
Contract or:
BELL HEATING
15550
SE PIAZZA AVE
CLACKAMAS OR 97015
Phone #: 656 -1184 $ 26.25 TOTAL
Reg #..: 000447
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Mechanical Ins p
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mi sc. 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 Signa ture: (/lager,(
IssUed By: (i4 rl Sr 1 d/ _
Call for inspection — 639 -4175
City of Tigard MECHANICAL PERMIT Planck/Rec. # 96 - a .7
13125 SW Hall Blvd. APPLICATION Permit # N►rc96 an
Tigard, OR 97223
(503) 639 -4171
"'"" °f U K fli DesCnptlOn - -
VI6 Table 3A Mechanical Code OTY PRICE AMT
NINNY
Job Address SO PE PPE1( E€ ,J h 1) Permit Fee -0- -0- 10.00
2) Supplemental Permit 3.00
MON (Of ONO. p * Amami Furnace to 1 UU,000 B I U
t7� c cc t (� 1) incl. ducts & vents 6.00
mum 9 ,cbo 1 E PPtk�E. J. Furnace Incl. duc 100,000 H I U +
Owner � " � 2) Incl. ducts 8 vents 730
Favor Fumance
Grard> oat. 9 - 13 , :11 -
7 L 3) Ind. vent 6.00
Ear romp w e...... Suspended heater, wall heater
- 3 ei b• 4) or floor mounted heater 6.00
gym... 1 Vent not incl. to
Occupant 5) appliance permit 3.00
W DP Repair of heating. refng.
6) cooling, absorption unit ��''''----.—„,, 6.00
Roder or comp, heat pum cortd(
f 7) to 3 HP; absorp unit to 100K BTU / 6.00 Ga
Phone �= (� Soder or comp, heat pump, air cond.
Contractor �w S & 04 (a56 ! 8) 3 -15 HP; absorp unit to 500K BTU 11.00
'� �Q� � ° p Roder or comp, heat pump, air cond. .
al-411;24 V '7 7Q /,f 9) 15-30 HP; absorp unit .5-1 mil BTU 15.00
Blob w.gisf.lon H0. a 'Y WI. ‚WOO. Roder or comp, heat pump, air cond.
10) 30 50 HP; absorp unit 1 -1.75 ml BTU 22.50
I hereby acknowledge that I have read this apple bon, that the Roder 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
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
- Hood served by
17)
i p� - IJ 1p mechanical exhaust 4.50
Desch - be work new t;) a • • mon al - bon V � 1 () 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 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 - on 0 natural gas LPG 0 electric 0 21) More than 4-per outlet
NOTICE
Minimum Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 1,- 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 0(
Special Conditions
Date issued 3- 6- 94 by lialtEDIPUT
warcondev
3/27/00 Activities for Case #: MEC96 -00120
4:29:16 PM
•
Assigned Hold Updated •
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECA007 APPlication received 5/6/96 CJS RECD CJS 5/6/96
MECA799 Final Inspection CJS 5/6/96
MECA715 Mechanical Insp 5/6/96 CJS 5/6/96
MECA725 Misc. Inspection 5/6/96 CJS 5/6/96
MECA060 (F) Issue permit 5/6/96 CJS PASS CJS 5/6/96
MECA880 Expired by limitation 3/23/00 HAP DONE No Hold AKJ 3/23/00
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