Permit CITY TIGARD MECHANICAL PERMIT
l DEVELOPMENT SERVICES PERMIT #: MEC1999 - 00483
,` 1 ° 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/10/1999
PARCEL: 1S135DC-05000
SITE ADDRESS: 09390 SW TANGELA CT
SUBDIVISION: TANGELA ZONING: R -
BLOCK: LOT: 005 JURISDICTION: TIG
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: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WpODSTOVES:
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 electric furnace with like kind.
Owner: FEES
DENNISON, MICHAEL C + JENNIFER Type By Date Amount Receipt
18142 E DORADO AVE PRMT DST 11/10/19. $50.00 99- 319705
AURORA, OR 80015 5PCT DST 11/10/19 $4.00 99-319705
Total $54.00
Phone:
Contractor:
GEORGE MORLAN PLUMBING
5529 SE FOSTER
(CCB EXP 6/2002) REQUIRED INSPECTIONS
PORTLAND, OR 97206 Heating Unt lnsp
Phone: 771 -1145 Final Inspection
Reg #: LIC 00002734
PLM 26 -60p
ORIGINAL
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 copies of these rules or direct questions to OUNC by
calling (503)246 -9189. D
Issue By: Permittee Signature: G�-� -�-� o�-
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
NUV - 104 - 1 7 77 1 / • 1J ' • "�
1 .011 I v■ .•v••.. ...-- ---- •• - --- . • - I I , wv % ul ,
131261 SW HALL BLVD. Commercial and Residential Date Recd
TIGAAD, OR 97223 Date to P.E.
1503) 639 - 4171, x304 Date to DST
Pri nt or Type Pemv 11766 11766 l q ? u °Y�3
�jQ / d 5 3 / '7 8 T YP Called t#
Incomplete or illegible a plications will not be accepted .
Name of Development/Project -. - Description
,T j Per D , Table 1A Mechanical Code Q Price Amt
�J A) Permit Fee , ;`•a'.! , 446044- 4 16,00
Job street Address
cc 1) Furnace to 100,000 BTU i D (_,.
U
Address • J 0 • / • > 4 . including ducts & vents see footnote 1,2 L l t!�
saga cIty/state Zip Furnace 100,000 BTU+
1'4 acid 9
2) 7 ./c33 including ducts & vents see footnote 1,2 12.00
Name (or name of business) t , 3) Floor Furnace
Owner I • • 1 e � �, including vent see footnote 1,2 9.65
Melting Address 4) Suspended heater, wall heater
� - or floor mounted heater see footnote 1 9.65
1 B / a E. . 1� A Vl° , 5) Vent not included in appliance •ermlt 1,2
4.75
city/state Zip enema Check all that apply: 'Boller Heat Air
A . ' r V'� " For Items 6 -10, see or Pump Cond Qty Price Amt
Name (or name or bu ineas) footnotes 1 r 2 Comp
• 6) <3HP;absorb unit to
100K BTU _ 9.65
Occupant Melling Address 7) 3-15 HP :absorb unit
100)C to 500k BTU 17.65
City /State Zip Phone 8) 15 - HP; absorb
unit .5-1 mil BTU 24.15
9) 30-50 HP; absorb
CpntractAr Neme • unit 1 -1.75 mil BTU 36.00
ec) . Mor la an pi u,rnbi rt 10) >50HP; absorb unit
Prior to permit N inn Address C , >1,75 mil BTU 60.15
issuance, a copy `1 CXp C 1 1 a rd ,S-4 -. 11 Air handling unit to 10,000 CFM
of all licenses C fate J Zip Phone 7.00
are required if d 6-, c)-745 6aq- ,# , • 12) Air handling unit 10,000 CFM+
expired In COT m g eQ anat. Co Baerq Lic.# t� D a ......„ 11
database OQ �r c3 _ O / ) 2 13) Non- portable evaporate c:ucl:;;
Architect Name 7.00
14) Vent fan connected to a single duct
4.75
Or Mailing Address
0- 15) Ventilation system not Included In
• � appliance permit 7.00
Engineer City /state Zip Phone 16) Hood served by mechanical exhaust
7.00
`
Describe work to be done: 17) Domestic incinerators
12.00
New 0 Repair 0 Replace with like kind: Yes No O 18) Commercial or industrial type incinerator
Residential, Commercial 0 k 48,25
19) Repair units
Additional information or description of work: 8.40
20) Wood stove /gas FP /other units /clothe dryer /etc.
1 nS4 -011 1_r n1. e.1�/ 7.00
NOTE: For Commercial projects only; Units over 400 lbs. require 21) Gas piping one to four outlets
structural gas calm. See footnote 1 3.75 ,
Type of fuel: oil 0 natural gas LPG 0 electric y,4 , 22) More than 4 -per outlet (each) .75
Minimum Permit Fee $50.00 SUBTOTAL ,j�1.., e0; ^ ;I< .' ' _ s 4 - 1_ ) r T ;; , •
I hereby acknowledge that I have read this application, that the information _te% SURCHARGE p " A•+ - •
iven is correct, that I am the owner or authorized agent of • • PLAN REVIEW 25% OF SUBTOTAL ;:42717,, ' ; k.
Required for ALL commercial permits only 40,,
he owner, that plans submitted are in compliance with Oregon State laws. .
TOTAL 4 4_ r. ;7i
l
3Ignatu of Owner /Agent Date � � ^��
p /J Other Inspections and Fees:
,y//Q 1/ - g 9 1. Inspections outside of normal business hours (minlnum charge -two
tact Person Name ' `� Phone hours) $60.00 per hour
i }�0 C (O
/ ^ w 2. Inspections for which no fee is specifically Indicated (minimum
_7 y t � E., v charge -half hour) $50.00 per hour
'oonotes for commercial projects only: 3. Additional plan review required by changes, additions or revisions to
I. Provide full schematic of existing and proposed gas line and pressure. plans (minimum charge -one -half hour) $50.00 per hour
1. Provide drawings to scale showing existing and proposed mechanical
*State Contractor Boiler Certification required
units.
"Residential A/C requires sit° plan showing placement of unit
l:`,mechperm.doc rev 7/19/99
TOTAL P.02