Permit CHANICAL
CITY OF TIGARD M E PERMIT
, iA DEVELOPMENT SERVICES PERMIT # : MEC98 -0273
�� '� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 07/20/98
PARCEL: 1S133DD -04400
SITE ADDRESS...: 11577 SW SHOREVIEW PL
SUBDIVISION • VILLAGE AT SUMMER LAKE PARK 3 ZONING: R -4.5
BLOCK • LOT :083 JURISDICTION: TIG
CLASS OF WORK..:OTR 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.: 1
FURN < 1O0K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =1O0K BTU: 1 > 10000 cfm: 0
Remarks : Installation of heater and venting system for swilling pool.
Owner: FEES
MASSOUD MOLLAGHAFFARI type amount by date recpt
11577 SW SHOREVIEW PL PRMT $ 25.00 JSD 07 /20/98 98- 30749E
TIGARD OR 97224 PLCK $ 6.25 JSD 07 /20/98 98- 307496
SPCT $ 1.25 JSD 07/20/98 98- 307496
Phone #:
Contract or:
SNYBECK NORTHWEST
11745 SE PINE
32.50 TOTAL
PORTLAND OR 97216
Phone #: 771 -5857
Reg #..: 128061
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 Final Inspect ion
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 by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952 - 081-0010 through OAR 952 - 001-0080. You may
obtain copies of these rules or direct questi to OUNC by calling
(503)246 -9187.
Issue By: iii tij Permittee Signature: 6:)
.r
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
r CITY OF TIGARD Mechanical Permit Application Rec'd By
1311k5 SW HALL BLVD. Commercial and Residential Date Rec'd ® ",
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST 1
Print or Type Permit# i _
Incomplete or illegible applications will not be accepted Called
Name of Development/Project k Description
1; Il�.q C AA 5i� f� \e 12- LA k L Table 1A Mechanical Code Qty Price Amt
Job Street Address Suite# A) Permit Fee .- , . 10.00
Address 1) Furnace to 100,000 BTU
ddress i
including ducts & vents 6.00
:Idg# City /State Zip 2) Furnace 100,000 BTU+.
\C t3Q 9 79)4 including ducts & vents 7.50
Name (or name of business)J 3) Floor Furnace
1 including vent 6.00
Owner S c rn A A 1 \ ( ' ' kcc Qv' k 4) Suspended heater, wall heater
Mailing Address
or floor mounted heater 6.00
1I, 5 Yi 5 k) Shot eU\ e tc.) 5) Vent not included in appliance permit
City /State Zip Phone 3.00
C C( 70lti CHECK ALL Boiler Heat Air
Na (or name of business) J THAT APPLY: or Pump Cond Qty Price Amt
Comp
6) <3HP;absorb unit to
Occupant Mailing Address 100K BTU 6.00
7) 3 -15 HP;absorb unit
Crty /State Zip Phone 100k to 500k BTU 11.00
8) 15 -30 HP; absorb
unit .5 -1 mil BTU 15.00
Contractor Name 9) 30 -50 HP; absorb
Y\ybeQ\ \ 10 `- l'\ •5t unit 1 -1.75 mil BTU 22.50
Prior to permit Mailing Address 10) >50HP; absorb unit
issuance, a copy 1 01.-i 5 S 1.., P\ yl e >1.75 mil BTU 37.50
of all licenses City /State Zip Phone 11) Air handling unit to 10.000 CFM
are required if 2. C p AA A • _ - 5 r ' 4.50
expired in COT Oregon Const. Cont. Bo=rd Lic.# Exp. Date 12) Air handling unit 10,000 CFM+
database . • a , - ! ' 7.50
Architect Name 13) Non - portable evaporate cooler
3/10'62 4.50
or
Mailing Address 14) Vent fan connected to a single duct
3.00
15) Ventilation system not included in
Engineer City /State Zip Phone appliance permit 4.50
16) Hood served by mechanical exhaust
Describe work to be done: 4.50
17) Domestic incinerators
New 0 Repair 0 Replace with like kind: Yes 0 No O 7.50
Residential 0 Commercial O 18) Commercial or industrial type incinerator
30.00
Additional information or description of work: 19) Repair units
C��LV_ 4.50
S\A.s \` ■ ./ ° �\ 1\ 20) Wood stove
4.50
21) Clothes dryer, etc.
4.50
Type of fuel: oil 0 natural gas LPG 0 electric 0 22) Other units
4.50
I hereby acknowledge that I have read this application, that the information 23) Gas piping one to four outlets
given is correct, that I am the owner or authorized agent of 2.00
the owner, that plans submitted are in compliance with Oregon State laws. 24) More than 4 -per outlet (each)
.50
Signature of Owner /Agent Date �s��66
'SUBTOTAL !I�-/
Contact Person Nam Phone - / SURCHARGE , PLAN REVIEW 25 %OFSUB SUBTOTAL - L
Required for ALL commercial permits only ..,,=:.+- . , . (., ' 2
- e���V "� 77 1 - S8s / TOTAL • 35.4)
'Minimum permit fee is $25 + 5% surcharge
**Residential NC requires site plan showing placement of unit
I:\mechprm3.doc rev 06/23/98
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N.T.S.
CHANICAL
CITY OF TIGARD M E PERMIT
, iA DEVELOPMENT SERVICES PERMIT # : MEC98 -0273
�� '� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 07/20/98
PARCEL: 1S133DD -04400
SITE ADDRESS...: 11577 SW SHOREVIEW PL
SUBDIVISION • VILLAGE AT SUMMER LAKE PARK 3 ZONING: R -4.5
BLOCK • LOT :083 JURISDICTION: TIG
CLASS OF WORK..:OTR 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.: 1
FURN < 1O0K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =1O0K BTU: 1 > 10000 cfm: 0
Remarks : Installation of heater and venting system for swilling pool.
Owner: FEES
MASSOUD MOLLAGHAFFARI type amount by date recpt
11577 SW SHOREVIEW PL PRMT $ 25.00 JSD 07 /20/98 98- 30749E
TIGARD OR 97224 PLCK $ 6.25 JSD 07 /20/98 98- 307496
SPCT $ 1.25 JSD 07/20/98 98- 307496
Phone #:
Contract or:
SNYBECK NORTHWEST
11745 SE PINE
32.50 TOTAL
PORTLAND OR 97216
Phone #: 771 -5857
Reg #..: 128061
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 Final Inspect ion
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 by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952 - 081-0010 through OAR 952 - 001-0080. You may
obtain copies of these rules or direct questi to OUNC by calling
(503)246 -9187.
Issue By: iii tij Permittee Signature: 6:)
.r
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++