Permit 'v
CITY TIGARD MECHANICAL PERMIT
PERMIT #: MEC1999 -00511
_ ` � I i DEVELOPMENT HO BMENg Tigard, ) 639 -4171 DATE ISSUED: 11/24/1999
PARCEL: 2S109BD -05600
SITE ADDRESS: 14685 SW PEACHTREE DR
SUBDIVISION: MOUNTAIN GATE ZONING: R -7
BLOCK: LOT: 038 JURISDICTION: URB
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: 1 DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS
FURN > =100K BTU: 1 <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Replace gas furnace with like kind and install air conditioning unit in single family dwelling.
Owner: FEES
ANDERSON, ALLEN R /FRANCES M Type By Date Amount Receipt
14685 SW PEACHTREE PRM4 KJP 11/24/19c $50.00 99- 320019
TIGARD, OR 97224 5PC2 KJP 11/24/19c. $4.00 99- 320019
Total $54.00
Phone:
Contractor:
GEORGE MORLAN PLUMBING
5529 SE FOSTER RD
PORTLAND, OR 97206 REQUIRED INSPECTIONS
Heating Unt Insp
Phone: 771 -1145 Misc. Inspection
Reg #: LIC 02734 Final Inspection
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 obtai co ' of these rules or direct questions to OUNC by calling (503)246 -9189.
Issue By: Permittee Signature:_cz
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
Plan Check #
CITY OF TIGARD Mechanical Permit Application Recd By
13125 SW HALL BLVD. Commer ' Residential � EC � 'VEp Date Recd
TIGARD, OR 97223 l , /J Date to P.E.
(503) 639 - 4171, x304 / � f " 1 � / / Date to DST •
GOO # /D5 .2 30.,. Print or Type NOV 24 1999
Caed # mac ��
�y -00511
Incomplete or illegible applications wil� •-
Name of Developmen rojed Description
-1 /, / Table 1A Mechanical Code Qty Price Amt
Job Street Address ��r /// A) Permit Fee ,, t' t.):1 ),:r 16.00
/ J'3 3 tJ Peack. rree 1) Furnace to 100,000 BTU
Address
�r including ducts & vents see footnote 1,2 9.65
Bldg# 1 City/St to Zip 2) Furnace 100,000 BTU+ /
- 17 3arell_ 9 7�,/ including ducts & vents see footnote 1,2 / 12.00 /19,0r0
Name (or name of usiness) 3) Floor Furnace
Owner n C 1
R / / �.J including vent see footnote 1,2 9.65
j �� 4) Suspended heater, wall heater
Mailing Address
or floor mounted heater see footnote 1,2 9.65
1 �11v85 Sr,,� e Qc�l �f rP �r 5) Vent not included in appliance permit 4.75
City/Sate Zip - Phone Check all that apply: *Boiler Heat Air
l rnl (. G 7 For items 6 -10, see or Pump Cond Qty Price Amt
Name name of bu footnotes 1,2 Comp
6) <3HP;absorb unit to j
100K BTU / / 9.65 9
Occupant Mailing Address 7) 3 -15 HP;absorb unit
100( to 500k BTU 17.65
city /state zip I Phone 8) 15-30 HP; absorb • .
unit .5-1 mil BTU 24.15
Contractor Name 9) 30-50 HP; absorb •
Ian Q / r
unit 1 -1.75 mil BTU 36.00
C7e.0 • / / �y� lor' n T I wl r 10) >50HP; absorb unit
ai g A
Prior to permit d � >1.75 mil BTU 60.15
issuance, a copy �-/ W SO I ' t� '-� rd , 11 Air handling unit to 10,000 CFM
of all licenses C �� /� to Zip Phone 7.00
are required if I I d &jt' 707 6D.ci ) 12) Air handling unit 10,000 CFM+
expired in COT Drego anat. cant Board Lic.# F � ic p.pa 11.85
database Oc 73 (� (p (� 1 1 13) Non - portable evaporate cooler
Architect Name 7.00
14) Vent fan connected to a single duct
or Mailing Address 4.75
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 Re air 0 Replace with like kind: YesIANo O 18) Commercial or industrial type incinerator
Residential Commercial 0 48.25
19) Repair units
Additional information or description of work: 8.40
�uxC� . - ( , I• On 20) Wood stove /gas FP /other units /clothe dryer /etc.
4- W e--ir c O i 7.00
NOTE: For Commercial projects only; Units over 400 lbs. require 21) Gas piping one to four outlets
structural gas talcs. See footnote 1 3.75
Type of fuel: oil 0 natural ga91 LPG 0 electric 0 22) More than 4 -per outlet (each) .75
Minimum Permit Fee $50.00 SUBTOTAL •.:" ss.'r '' ° , 0 '
I hereby acknowledge that I have read this application, that the information 8% SURCHARGE "?i' •. ;` , r` : 'ji �,
given is correct, that I am the owner or authorized agent of • PLAN REVIEW 25% OF SUBTOTAL . I, .µ;; ‘ 1,-,-;::,1.
the owner, that plans submitted are in compliance with Oregon State laws. Required for ALL commercial permits only "" ' • i.`s 'r
P P 9 TOTAL V2; : .^ `:;':- 00
Signatu , f Owner /Agent Date x ' r "' "
Other Inspections and Fees:
� %�� 1. Inspections outside of normal business hours (mininum charge-two 5 2
Co tact Person Name Phone hours) $50.00 per hour l
2. Inspections for which no fee is specifically indicated (minimum
-� - ��- bie Vi S . 74 'COv3 charge-half hour) $50.00 per hour
Foonotes for commercial projects only: 3. Additional plan review required by changes, additions or revisions to•
1. Provide full schematic of existing and proposed gas line and pressure. plans (minimum charge -one -half hour) $50.00 per hour
2. Provide drawings to scale showing existing and proposed mechanical
*State Contractor Boiler Certification required
units. •
"Residential A/C requires site plan showing placement of unit
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