Permit - CITY OF TIGARD MECHANICAL PERMIT
i� DEVELOPMENT SERVICES PERMIT #: MEC2000 -00223
' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 06/06/2000
PARCEL: 2S109DD -01900
SITE ADDRESS: 12515 SW PRINCE ALBERT CT
SUBDIVISION: ZONING:
BLOCK: LOT: JURISDICTION: KIN
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
3 - 15. HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: < =10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Replace existing gas furnace with like kind, and add new air conditioning unit.
Owner: FEES
LOUISE FINCHER Type By Date Amount Receipt
12515 SW PRINCE ALBERT ST PRMT GEO 06/06/20( $50.00 KING CITY
KING CITY, OR 97224 5PCT GEO 06/06/20( $4.00 KING CITY
Total $54.00
Phone:
Contractor:
BLAIRCO INC
7609 MACARTHUR BLVD
VANCOUVER, WA 98664 REQUIRED INSPECTIONS
Heating Unt Insp
Phone: 360- 695 -1476 Cooling Unt Insp
Reg #: LIC 85750 Final Inspection
n GINAL
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other 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 in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080.
You may obtain opi- the les or direct questions to OUNC by calling (503 6 -9189.
Issue By: �� % / � �" Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
MAY - 25 -00 THU 11:00 AM City of King City FAX:503 639 3771 PAGE 2
P lan Check #,
CITY OF TI • Mechanic Permit App Recd By _
13125 SW HALL BLVD. Commercial and Residential • • ..
Date Recd •
TIGARD, OR 97223 / ICJ le to P.E. /
J) Oate to D.ST -2-c • (503) 639 - 4171., X304 Date Permit o
Pr int Or Type ' Called
Incomplete or illegible applications will not be'accepted' • • ' Name of 0evalopmcnt/Proied D escriptle 1A ion echanical Code. •
/ 0 U j �1 �, f a ^ Tab M Qty. Price: Amt
L vt+"' • A) Permit Fee • -./; $ • • 16.00}
•
Job street/Warass s 1 " , a � . ' • 1) Furnace to 100,000 BTU
Address aZ S15 S 1,1 �/ /a e 8 7 including ducts & vents see footnote 1,2 9.65
Bilge - Cny/State ZIp • . • 2) Furnace 100,00015W+
�I M f C r y OAR p 9 including dud Floor Furnace
s $vents see footnote 1,2 12.00 . ,
1 v.La.p . (or name of busines.$ 3 ) '
a � � D , . I vent . see footnote 1,2 9.65.
Owner Td . C/L� .• ' Suspended heater, wall heater '
Mailing Address
or floor mounted heater see footnote 1,2 9,65 • _
. - 5) .Vent not included in appliance permit . 4.75 •
City/Slate . . Zip • . Prone , . • Check all that apply: 'Boiler. • Heat IN
• . . • For items 6-10, see or ' • Pump • and Qty Price Amt
Name (or name.of business) . ' footnotes 1,2 . Comp . ' . " .. . ' •
.. _ 6) <3HP:absorb un .
. 100K BTU , . 9,65
Occupant Marrin Address 7) 3-15 HP;absorb unit .
• .100k to 500k BTU -- , 17.65
. city/State. • is phone . .. : 8) 15 -30 HP; absorb : • .
: unit .51mI1 BTU • 24.15
_ •9) 3050 HP; absorb . '
Contractor Na1e ' . • • , unit 1 -1.75 mil BTU • •• 36.00 •
. 13• L 4) / YZ C. Q . T -1.4 C... - . 10) >5OHP; absorb unit
Prior to permit Mailing Address n ' �' p A: >1'.75 mil BTU 60.15 '
issuance; a copy ' 7 6 0 9 . JNl A C f wyy , p ti I51'v 11•Air handling unit to 10,000 CFM
of all licenses CilylSlate • Zip Phone 3.605 . 7.00
are required if V /• -V. • t,A/A . ?ill, 6 y S l.y J,( . ' 12) Air handling unit 10,000 CFM+
expired in COT Orson coma. . Board ard t.ic.s • " i ;rp. Date • • ' 11.85 .
database • i' g 5 7S Q .2.. j 01.• • . 13)Non- portable evaporate cooler :
Architect N8f1e 7.00
id /9 14) Vent fan connected to a single duct
4.75
Of Mailing Address '15) Ventilation system not included In .
•
. appliance permit 7,00
Engineer • Cny/State ' . Lp • P"" • . • .16) Hood served by mechanical exhaust .
7.00
� .( fa ti F f1 17) D omesti c in c inerators •
'
'pescnbe work�to be done; • t �F�/t�ltcP R�r� art ®` 12.00 •
II 4...1 /i k e kind: Yes C' • '�18) Commercial or industrial type incinerator
New 0 Repair 0 • Rep ate with like No O 48.25
Residential Commercial 0 19) Repair units ; •
• .. 8.40
'Additional information or description of work: • • .
• 20) Wood stove /gas FP /other units/clothe dryer /etc.
7,00 •
NOTE: For Commercial projects only Units over 400 lbs. require 21) Gas piping one to four outlets
• structural gas talcs. : See footnote 1 . • . . . 3.75 •
Type of fuel: oil 0 natural gas LPG 0 electric O. 22 More than 4-per outlet (each) .75
, ,. ; . ,, • ,
Minimum Permit Fee $50.00 'SUBTOTAL :. S0. rry
I hereby acknowledge that I have read this application, that the information,' ' • . . 8% SURCHARGE �. r f/.0-t)
given is correct, that I am the owner or authorized agent of '• PLAN REVIEW 25% OF SUBTOTA.:',;•••;:,'••'::". li.1..1". ,4 .,
Required for ALL commercial permits only ' `
the owner, that plans submitted are•in compliance with Oregon State laws.. • TOTAL .' -;r Sir; CO
Signature of owneNAgent. Date • . . Other Inspections and Fees: •
1. Inspections outside of normal business hours (minlnum charge-two
Contact t Pers Name Q'lo ..c.- D Phone hours) $50.00 per hour
. �7 . 2. Inspections 'for which no fee is specifically indicated (minimum
•
S �C .v oRi is • , t) 3- 2.g 3` -? `11, - • . . charge -half hour) $50.00 per hour •
Foonotes for commercial projects only: E 3. Additional plan review required by changes, additions or revisions to.
• 1. Provide full schematic of existing and proposed gas line and pressure. • Plans (minimum charge - one- half. $50.00 per hour
2. Provide drawings to scale showing existing and proposed mechanical : ' • 'State Contractor Boiler Certification required •
units. "'Residential A/C requires site plan showing placement of unit
L'Vnechperm.doc rev 7/19/99 • . •
•