Permit .
MECHANICAL
..CITY OF TIGARD PERMIT
PERMIT # • MEC96 -0277
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 08/13/96
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171
PARCEL: 26111AD -08500
SITE ADDRESS...: 08845 SW REILING ST
SUBDIVISION • SCHECKLA PARK ESTATES ZONING: R -4.5
BLOCK • LOT :6
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/0 APPL: 0 VENT SYSTEMS: 0
STORIES 0 BOILERS /COMPRESSORS HOODS • 0
FUEL TYPES - -- 0 -3 HP • 0 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 ( 100K BTU: 0 (= 10000 cfm: 0 GAS OUTLETS.: 5
FURN ) =100K BTU: 0 ) 10000 cfm: 0
Remarks: Gas piping to 20 outlets.
Owner: FEES
RON FLORES type amount by date recpt
8845 SW REILING PRMT $ 25.00 CJS 08/13/96 96- 282847
5PCT $ 1.25 CJS 08/13/96 96- 282847
TIGARD OR 97224
Phone #: 503 - 683 -6980
Contractor:
ABLE MECHANICAL INC
PO BOX 7176
BEAVERTON OR 97007
Phone #: 640 -4141 $ 26.25 TOTAL
Reg #..: 069114
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Gas Line I n s p _
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
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.
I Permittee Signa ure:
- i �'t _'. J'
Issued By: A V �C���,.
Call for inspection — 639 -4175
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Plan Check # /1// -
CITY OF TIGARD Mechanical Permit Application Rec'd By c:3
131.25"SW HALL BLVD. Commercial and Residential Date Rec'd Q - 13 -
TIGARD, OR 97223 Date to P.E. I / /4
(503) 639 -4171, x304 Date to DST r
Print or Type Permit # lal EC 4 -()R
Called Coun7a.r
Incomplete or illegible applications will not be accepted
Name of Development/Project Description
Table 1A Mechanical Code OTY PRICE AMT
Job Street Address Suites A) Permit Fee -0- -0- 10.00
Address L 5 SLJ k \,
Bldg# City/State Zip B) Supplemental Permit 3.00
TigaJA l OK
• Name (or name of business►..) 1.) Furnace to 100,000 BTU 6.00
Owner (j b -- I Oi e..\ inc. ducts & vents
Mailing Address 2.) Furnace 100,000 BTU +
R e \ i nq _ incl. ducts & vents
City/State p con Q 3.) Floor Furnace 6.00
,Q n v A c low f 7 -10 / incl. vent
Name (or name of business) 4.) Suspended heater, wall heater 6.00
or floor mounted heater
Occupant Mailing Address 5.) Vent not incl. in
3.00
appliance permit
city/state Zip I Phone 6.) Boiler or comp, heat pump, air cond. 6.00
to 3 HP; absorp unit to 100K BTU
/a Name 7.) Boiler or comp, heat pump, air cond. 11.00
b \e_ V e 11 Qt.ical . i,nc . 3-15 HP; absorp unit to 500K BTU
Contractor ding Address 8.) Boiler or comp, heat pump, air cond. 15.00
0. --?- -- '117(,) 15-30 HP; absorp unit .5-1 mil BTU
Attach copy of City/State Zip Phone 9.) Boiler or comp, heat pump, air cond. 22.50
Current Licenses QVP,, t C7 97C01 1,04() l 30-50 HP: absorp unit 1 -1.75 mil BTU
Oregon CConst ont. Board Lie Exp. Date 10.) Boiler or comp, heat pump, air cond. 37.50
D /
� 1 ( I to ( r$ 19c, > 50 HP; absorp unit 1.75 mil BTU
COT Business Tax or Metro # Exp. Date 11.) Air handling unit to 4.50
1 (og , fib/ ('So 10,000 CFM
Architect Name 12.) Air handling unit 7.50
10,000 CTM +
or Mailing Address 13.) Non portable 4.50
evaporate cooler
Engineer City/State Zip Phone 14.) Vent fan connected 3.00
to a single duct
Describe work New 0 Addition 0 Alteration) Repair 0 15.) Ventilation system not 4.50
to be done Residential 0 Non - residential 0 included in appliance permit
Additional Description of work 16.) Hood served by
_ ^ Q^ dZ mechanical exhaust 4.50
RA
n v 3 f'it6P`ACQS �C
v 17) Domestic incinerators 7.50
Existing use of 18.) Commercial or industrial 30.00
building or property type incinerator
19.) Clothes dryers, etc. 4.50
Proposed use of 20) Other units 4.50
building or property
Type of fuel - oil 0 natural gas)R LPG 0 electric 0 21) Gas piping one to four outlets 2.00
y c2c
I hereby acknowledge that I have read this application, that the 22) More than 4 -per outlet (each) .50
information given is correct, that I am the owner or authorized agent of ) i .5j
the owner, that plans submitted are in compliance with Oregon State QTY. SUBTOTAL
laws.
Signature of Owner /Agent Date 'SUBTOTAL . Zs 4,
�� �,a,�l, gJ 13\ c ).26
5 % SURCHARGE s
Con � erson Name Phone PLAN REVIEW 25% OF SUBTOTAL
f \ l!/ ( I V V <1 14 TOTAL • 2(,,�5
i:\dst4rlechpmt.doc 'Minimum permit fee is $25 + 5% surcharge
Rev 7/96
3/30/00 Activities for Case #: MEC96 -00277
6:20:46 PM
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Assigned Hold Updated
' • , Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECA007 Application received 8/13/96 CJS RECD CJS 8/13196
MECA799 Final Inspection 8/13/96 8/14/96 TLP PASS TLP 8/19/96
MECA060 (F) Issue permit • 8/13/96 CJS PASS CJS 8/13/96
MECA800 Case Finaled 8/14/96 TLP PASS - TLP 8/19/96
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Pagel of 1
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service illarS
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing IMO
Plbg.Und/FIr/Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. G ' Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other: j
Date: 31 / I q (e A. P.M. Entry:
Address: ' S'' 'a 4 4 S C .
Tenant: Ste: MST:
BUP:
or /Own: 6 ye) W (.11 MEC: X77
PLM: �r �T
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
�. #/
Insp ctor: i" Datea� / G
PPROVED _ DISAPPROVED /CALL FOR REINSP. CF CO