Permit C IWOFTIGARD AL
I
MECHANC
PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT # MEC96 -0119
DATE ISSUED: 05/02/96
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171
PARCEL: 1S133DA -01400
SITE ADDRESS...: 11095 SW SUMMER LAKE DR
SUBDIVISION AMART SUUMMER LAKE ZONING: R -7
BLOCK • LOT •36
CLASS OF WORK..:ADD FLOOR FURN 0 EVAP COOLERS: 0
TYPE OF USE •SF UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:11 VENTS W/O APPL: 0 VENT SYSTEMS: 0
STORIES 0 BOILERS /COMPRESSORS HOODS 0
FUEL TYPES 0 -3 HP • 0 DOMES. INCIN: 0
3 -15 HP • 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15 -30 HP • 0 REPAIR UNITS: 1
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.: 0
FURN ) =100K BTU: 0 ) 10000 cfm: 0
Remarks: Installing a carrier air conditioner
Owner: -- FEES —•
BOB MILLER type amount by date recpt
11095 SW SUMMER LAKE DR PRMT $ 25.00 CJS 05/02/96 96 -278897
5PCT $ 1.25 CJS 05/02/96 96- 278897
TIGARD OR 97223
Phone #:
Contractor:
SUNSET FUEL CO
PO BOX 42287
PORTLAND OR 97242 —
Phone #: 503-234-0611 $ 26.25 TOTAL
Reg #..: 002374
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 Misc. 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 sore
than 180 days.
Permittee Signature: Mal led —
Issued By: Ci c _ ( -Celirh:c// -
Call for inspection — 639 -4175
;*
City t Tigard MECHANICAL PERMIT Planck/Rec. # 96- a7g'897
13125 SW Hall Blvd. APPLICATION Permit # /7)EC%-0//9
Tigard, OR 97223
(503) 639 -4171
Non. a D..d.P.+.+ Description
Table 3A Mechanical Code CITY PRICE AMT
Aar...
Job 1 I D S SL•3 `jL &lgj \lckS.)r 1) Permit Fee -0- -0- 10.00
Address tea- bp
- T ■ I . ca.._ ^ 1,:30- 2) Supplemental Permit 3.00
Nor. (' a a•c^»a) Furnace to 100,000 B I U
( ( %C1 ■ \ 1-e.SA 1). incl. ducts & vents 6.00
Pilaw Furnace 100,000 BTU +
Owner \ \ Ct S� `5k- ram9.nk-lkD DC 2) incl. ducts & vents 7.50
c.y,s,.k. TAP Floor Fumance
-- Tk d 9 �a- 3) incl. vent 6.00
Nom (or a e,..,...) Suspended heater, wall heater ,
4) or floor mounted heater 6.00
urea . Prone Vent not incl. in
Occupant 5) appliance permit 3.00
caws. z Repair of heating, refrig.
6) cooling, absorption unit I 6.00 .C.I.C)
Nam. r`-‘1?--9 Boiler or comp, heat pump, air cond. .
� �- 7) to 3 HP absorp unit to 100K BTU 6.00 -
MIN A4Groes Phan. Boiler or comp, heat pump, air cond. • D eo)r 1 4p v 4 -01011 8) 3 -15 HP absorp unit to 500K BTU • 11.00
Contractor .
'V S,w Lo Boiler or comp, heat pump, air cond.
i� ;,( 0 " 9) 15 -30 HP absorp unit .5.1 mil BTU 15.00
Soto 1184..ao«+N._ Coy y B. Tao Na. Boiler or comp, heat pump, air cond.
c 3�'`.( CP ` 10) 30 -50 HP absorp unit 1 -1.75 mil BTU 22.50 .
I hereby acknowledge that I have read this application, that the Boiler 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 31.50
• of the owner, that plans submitted are 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 + 7.50
Non portable
14) evaporate cooler . . 4.50
Vent fan connected
15) to a single duct 3.00
• Ventilation system not .
16) included in appliance permit 4.50. • .
sg..., (a.,.. or Nang ' °°' • Hood served by
17) mechanical exhaust 4:50
Describe work new 0 a ition t' alteration 0 repair i Commercial or industrial
to be done residential V non - residential 0 18) type incinerator 30.00 .
Existing use of Other i.e., woodstove, water •
building or property 19) heater, solar, dothes 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 0 LPG 0 electric 0
NOTICE
Minimum Fee 525.00 SUBTOTAL 9.CC
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN .180 DAYS, OR 5% SURCHARGE 1 • r. 5
- IF CONSTRUCTION OR WORK IS SUSPENDED OR . • • . .
ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME • PLAN REVIEW 25% OF SUBTOTAL
AFTER WORK IS COMMENCED. •
�— - � r ( `Qv' TOTAL p'1l0 �-
Special Conditions �..pQ
O..A \ C _\C) , -\:Qr.A.Q.f\ Date issued 5- - % by CO •
k.n.ECNPI.r
I
SUMO PLE
2944 S.E. POWELL BLVD.
P.O. BOX 42287
PORTLAND, OREGON 97242
234-0611
sunse
FUEL COMPANY
2944 S.E. POWELL BLVD. P.O. BOX 42287 PORTLAND, OR 97242 -0287 TELEPHONE 234 -0611 FAX # 503 -234 -0380
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing
PIbg.Und /FIr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr / Sdwlk.
Other:
Date: . Z q 3 1 ` (e A.M. , P.M. Entry:
Address: I 4 I d14 441 /A - A_. ' &L../
Tenant: Ste: MST:
BUP:
Con /Own: — 5 ( 4 — d (e ! ( MEC.
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
- Mr
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Inspe L rAM Date: 'b
APPROVED DISAPPROVED /CALL FOR REINSP. CF CO
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