Permit A /
; . CITY OF TIGARD MECHANICAL
;, & DEVELOPMENT SERVICES PERMIT
,L "'� �
�l .. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PERMIT # - MEC98 -0063
DATE ISSUED: 02/19/98
PARCEL: 25102BC -01300
SITE ADDRESS...: 10230 SW WALNUT ST
SUBDIVISION • NORTH TIGARDVILLE ADDITION ZONING: R -4.5
BLOCK • LOT •027 JURISDICTION: TIG
CLASS OF WORK..:ALT 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
:OIL 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: Replace oil furnace with like kind.
Owner: FEES
TONEY ZIGLINSKI type amount by date recpt
10230 SW WALNUT PRMT $ 25.00 DRA 02/19/98 98- 303450
TIGARD OR 97223 SPCT $ 1.25 DRA 02/19/98 98- 303450
Phone #:
Contractor:
ACME HEATING SERVICE
RANDALL OLE STEWART
PO BOX 375 $ 26.25 TOTAL
OREGON CITY OR 97045
Phone #: 657 -7036
Reg #..: 39357
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 Heating Unt 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. ATTENTION: Oregon law requires you to follow rules
adopted by 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 -9187.
r
Issue B Permittee Signature:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + ++ + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Plan Ch
CITY OFFIGARD Mechanical Permit Application Recd B
13125 S HALL BLVD. Commercial and Residential Date Recd A_
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST
Permit # M15 3
Print or Type Called
Incomplete or illegible applications will not be accepted
Name of Development/Project Description
Table 1A Mechanical Code QTY PRICE AMT
Job Street Address Surtefl A) Permit Fee -0- -0- 10.00
Address l 0 2:1D S(A (441100
eldgn City/State zip 1.) Furnace to 100,000 BTU 6.00
.% \ C�J (2. ci 7 ZZ3 including ducts & vents .
Name (or name of business) 2.) Furnace 100,000 BTU+ 7.50
Owner JJ CI 2 (G L\ £ 1 r including ducts & vents
Mailing Address l q 3.) Floor Furnace 6.00
10 2-'3D 1/4.0 i S � �� t} - including vent
City /State Zio Phone 4.) Suspended heater, wall heater 6.00
- LC �9- CI- (� _ , 43(x9 or floor mounted heater
Nam (or name of business) 5.) Vent not included in appliance permit 3.00
c
Occupant Mailing Address 6.) Boiler or comp, heat pump, air cond. 6.00
to 3 HP; absorb unit to 100K BUT
City /State Zip Phone 7.) Boiler or comp, heat pump, air cond. 11.00
3-15 HP; absorb unit to 500K BTU"
Contractor N /
RI{'tJ'D 'claw p} Crt - 8.) Boiler or comp, heat pump, air cond. 15.00
R C Mq._ 0 5 `/1/49c( Sct J(.9t ( 15-30 HP; absorb unit5-1 mil BTU"
Prior to permit r kl aiIing Address 9.) Boiler or comp, heat pump, air cond. 22.50
issuance, a copy 'O `( 3 ?S td.' 7 703E 30-50 HP; absorb unit 1- 1.75mi1 BTU"
of all licenses Cityistate r , Zip Phone 10.) Boiler or comp, heat pump, air cond. 37.50
are required if O(L (J 0/0 c.S d. c 7D4S > 50 HP; absorb unit 1.75 mil BTU"
expired in COT Oregon 5-2 Cont. BoaaSoak! LicLicit Exp. Date �9� 11.) Air handling unit to 10,000 CFM 4.50
database
Architect Nafe 13.) Non - portable evaporate cooler 4.50
or Mailing Address 14.) Vent fan connected to a single dud 3.00
Engineer Crty/State Zip - Phone 15.) Ventilation system not included in 4.50
appliance permit
Describe work New 0 Addition 0 Alteration 0 Repair 0 16.) Hood served by mechanical exhaust 4.50
to be done Residential 0 Non - residential 0
Additional Description of work: 17.) Domestic incinerators 7.50
1-,(s t s - C A.)-,, . Q.A\ c'f.- JV, c A- a.L (ti c 1.0E L. 18.) Commercial or industrial type 30.00
Incinerator
Existing use of 19.) Repair units 4.50
building or property
20.) Wood stove 4.50
Proposed use of 21.) Clothes dryer, etc. 4.50
building or property
22.) Other units 4.50
Type of fuel - oil* natural gas 0 LPG 0 electric 0 23.) Gas piping one to four outlets 2.00
I hereby acknowledge that I have read this application, that the 24.) More than 4 -per outlets (each) .50
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with Oregon State QTY. SUBTOTAL
laws.
Signature of Owner /Agent Date *SUBTOTAL co d
.e.'o.._A_C:1kmA_Ajt---„,:tj, 5% SURCHARGE /91)
�
Contact Pe [�S ?7D 3(0. on Name Phone PLAN REVIEW 25% OF SUBTOTAL
TOTAL t �<
i:lmechpmt.doc (rev 9 'Minimum permit fee is $25 + 5% surcharge
"Residential NC requires site plan showing placement of unit.
7/20/99 Activities for Case #: MEC98 -00063
2:33:49 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes •
MECA007 Application received 2/19/98 DRA RECD DST 2/19/98
MECA008 Create Permit - 2/19/98 DRA DONE DST 2/19/98
MECA799 Final Inspection DST 2/19/98
MECA715 Mechanical Insp 2/19/98 DST 2/19/98
MECA725 Heating Unt Insp 2/19/98 DST 2/19/98
MECA750 Misc. Inspection 2/19/98 DST 2/19/98
MECA060 (F) Issue permit 2/19/98 DRA DONE DRA 2/19/98
MECA98 Expired by limitation 7/20/99 AKJ DONE No Hold AKJ 7/20/99
J Z 3d
Page 1 of 1