Permit MECHANICAL
CITY OF TIGARD PERMIT PERMIT
# • MEC96 -0127
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 05/13/96
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171
PARCEL: 251 10CC -05000
SITE ADDRESS...: 16165 SW ROYALTY PKWY
SUBDIVISION ZONING:
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 ( 100K BTU: 1 (= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =100K BTU: 0 > 10000 cfm: 0
Remarks: Installing one gas furnace to 100K BTU and b. boiler or a compressor to
HP.
Owner: FEES
LAURENCE HANSON type amount by date recpt
16165 SW ROYALTY PKWY PRMT $ 22.00 CJS 05/13/96 KING CITY
5PCT $ 1.10 CJS 05/13/96 KING CITY
KING CITY OR 97224
Phone #: 503- 620 -0955
Contract or:
SPECIALTY HEATING/ FABRICATION
9528 SW TIGARD
TIGARD OR 97223
Phone #: 620 -5643 $ 23.10 TOTAL
Reg #.. : 66578
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
applicable laws. All work will be done in accordance with Misc. Inspection
approved plans. This permit will expire if work is not started Final Inspection
within 180 days of issuance, or if work is suspended for more
than 180 days.
Permittee Signature: n1o_i /eI
Issued By: Ciic I.o SI,m,;./-
Call for inspection — 639 -4175
• MAY -12 -' 96 SUN 23:52 ID: 5 - 13 - 96 FAX NO: 1:1054 P01
•
City Ti gard MECHANICAL PER M°$`-k'°brandfaxtransmittal memo 7671 #e ►
13125 SW Hall Blvd. APPLICATION Pl:t4"4.,„. �'' p rom
Tigard, OR 97223 /nFC96- of a7 1 1 `-- p on � L'
5 -/3 -9 6 / 3 ' z
(503) 639 -4171 tax #
&g� 72q (n39 -377/
a aa+aasarg Description
Table SA Mechanical Code OTY PRICE AMT
Job //t.1/ I, 1 1) Permit Fee . -0- 10.00
Acores MOM. / I d" -0 '
2) Supplemental Permit 3.00
name t« MVP « pr w ■. Furnace to 100,000 B N
I//�. , f .42'a --0 i 1) incl. ducts & vents 6.00
-
.er,p+or.e inco Furnace 100.000 BTU •
Owner /C /65 1." 9 /4 Pt 2) Ind. ducts & vents n
7.50
r � NM t - una
e 'e r f9-2-1-ye 3) incl. vent 6.00
puie ca mow nrwwriew) Suspended heater. wall heater
0t'Ye 4) or floor mounted heater 6.00
. Hiding a*«e rim. vent not uta. in
Ocoupa 1t 5) appliance. permit 3.00
' wersee so Repair or heating. relrtg.
6) cooling, absorpdon unit 6.00
name Boiler or comp. neat pump, of eon&. '
S�ei ,„ !q� / 7t �4 � 2.O ^�t� 7) to 3 HP abcorp unit to 100K BTU i 6.00
� fu., `� 8) Bader or comp. heat pump, air cond
Contractor „ 7 r �' f °� 3 -15 HP abcorp unit to 500K BTU 11.00 a. Nolen or Comp, treat pump, aft tend,
�I���ei: f r .., OY ¢9. 2- , 2- 9) 15.30 HP abcorp unit .5-1 and BTU 15.00
wipmmamm ryrer till 116. ' Boiler or comp, heat pump, air cond.
6 l , -3-e 10) 30-50 HP abcorp unit 1 -1.75 and BTU 2250
I hereby acknowledge that I have read thla application, that the boiler or comp, heat pump, au Pond.
Information given Is correct, that Iam t h e owner or authorized agent 11) > 60 HP abs*" unit 1.75 mil BTU 37.50
of the owner, that plane submitted am In compliance with State Air handling unit to
laws, that I am registered with the Construction Contractor's 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 + 7.60
- Non portable
14) evaporate cooler 4.50
vent tan connected
15) to a single duct 3.00
ventilation system net
' viOrd 77141.8° . S---/- � 2 16) included In appliance permit 4.50
1 Q '•" Hood served by
17) mechanical exhaust 4.50
Uesaibe walK new t..) mutton vs-- alteration U repair tJ Commercial or industrial '
to be done residential0 non - residential 0 18) type Incinerator 30.00
existing use of - Other i.e., woodstove, water
building or property _ 19) heater, solar, dollies dryers, etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property
21) More than 4 - per outlet
Type of fuel - oil 0 natural gas LPG 0 electric '
NO r,CE
Minimum Fee $25.00 SUBTOTAL • aZ Z(,
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 6% SURCHARGE 4,21-,
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 5 16- JSF' by 70.._-.662.4-
5 -13 -96 CIS
3/27/00 Activities for Case #: MEC96 -00127 •
4:31:30 PM
•
Assigned Hold Updated "
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECA007 Application received 5/13/96 CJS RECD CJS 5/13/96
MECA799 Final Inspection 6/4/96 KS DIS ST 9/28/99 #-1- need clearance at B vent
touching insulation FS paper
#-2- insulate entire return air
• supply duct ( new) #-3- need
electrical finaled issued from
• washington county
Inspection request (research) to
Hap 9/28/99
MECA705 Gas Line Insp 5/13/96 6/4/96 KS A/N KBS 6/5/96 #-1- gas line existing
MECA060 (F) Issue permit 5/13/96 CJS PASS CJS 5/13/96 •
MECA880 Expired by limitation 3/26/00 HAP DONE No Hold AKJ 3/26/00
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