Permit P -
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PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT
PERMIT # • MEC96-0072
1o1ooaw Hall Blvd. Tigard, Oregon 9722388199 (503) 639-4171
DATE ISSUED: 03/25/96
•
PARCEL: 2S104AD-02900
SITE ADDRESS...: 12955 SW WALNUT ST
SUBDIVISION�.'': ZONING: R
BLOCK ^ LOT ^
• �
CLASS OF WORK..:NEW FLOOR FURN ^ 0 EVAP COOLERS: 0
TYPE OF USE :SF UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:A1 VENTS W/O 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. : 0
FURN < 100K BTU: 1 <= cfm: 0 GAS OUTLETS.: 1
FURN >=1600)K BTU: 0 > 10000 cfm: 0
Remarks: INSTALL A CARRIER GAS FURNACE TO 100K BTU AND GAS PIPING ONE TO FOUR
OUTLETS.
Owner: — FEES --------
HAZEL SELLICOM type amount by date recpt
12955 SW WALNUT ST . PRMT $ 18.00 CJS 03/25/96 96-277410
• 5PCT $ 0.90 CJS 03/25/96 96-277410
TIGARD OR 97223
Phone #:
Contractor: — —
SUNSET 'ELECTRIC
1635 SE ENTERPRISE CIRCLE •
HILLSBORO OR 97123 ---
Phone #: 503-640-0734 $ 18.90 TOTAL
Reg #..: 203
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical 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. .
•
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Permittee Signature: -- ' --
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Issued By: —J���/ /°/,'
Call for inspection — 639-4175 •
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1 -
City of Tigard MECHANICAL PERMIT Planck/Rec. # 96- 0Z 779/O
13125 SW Hall Blvd. APPLICATION Permit # 41 EC 16 - 0b7.2
Tigard, OR 97223
(503) 639 -4171
N.mo of a. Description
Table 3A Mechanical Code CITY PRICE AMT
Am .N
Job 1 aG E) ( nom- 1) Permit Fee -0- -0- 10.00
Address
2) Supplemental Permit 3.00
Norm (or n..,o of 000i Furnace to 100,000 BTU
NCcZe-k S \ \ \ L - � 1) incl. ducts & vents 6.00 Lo 00
►�•+•e�• Ph... Furnace 100,000 BTU + ,,
1 9 j � 1 rA 2) incl. ducts & vents 7.50
Owner ate. (� zu Floor Fumance
T■ O Clete 3) incl. vent 6.00
Nome (oe nal» of b..,..0 Suspended heater, wall heater ,
4) or floor mounted heater 6.00
u••••a Aecr ••• Pm.* Vent not Incl. in
Occupant 5) appliance permit 3.00
cuo LP Repair of heating, refng. ,
6) cooling, absorption unit 6.00 .
Nam. Boiler or comp, heat pump, air cond.
.C - 7) to 3 HP absorp unit to 100K BTU 6.00
M•+ra Aoa... Ph... Boiler or comp, heat pump, air cond.
2) a f V 8) 3 -15 HP absorp unit to 500K BTU 11.00
Contractor Boiler or comp, heat pump, air cond.
r , 1CA cD(L, GiPO1D 9) 15 -30 HP absorp unit .5.1 mil BTU 15.00
S. R.g..,..a. No coy B... tit No Boiler or comp, heat pump, air cond.
c.--1'44 p T3 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
(l 2 (.,,�� Ul Ventilation system not
�' �LU- �Q (�`- (�( \�(•\-C vLq (Q 16) included in appliance permit 4.50
ow. Hood served by • -
17) mechanical exhaust 4:50
Descnbe work new' addition 0 alteration 0 repair 0 Commercial or industrial
to be done residential— non - residential 0 18) type incinerator 30.00
Existing use of Other ie., 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 a.0 O
building or property
21) More than 4 -per outlet
Type of fuel - oil 0 natural gas ?-_ LPG 0 electric 0
NOTICE
Minimum Fee $25.00 SUBTOTAL S7. :
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE 1 -
IF CONSTRUCTION OR WORK IS SUSPENDED OR • -
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL
AFTER WORK IS COMMENCED. - .
TOTAL oZto,a`
Special Conditions —_\_...c C_Cr. 'r r", Q .- /
r(Gt -� Date issued 3- ,,,.5 - 96 by Cl�jc , /er 5 4 ,,..'x( -
owNorcorodoo
CITY OF TIGARD BUILDING INSPECTION NOTICE
1 ;
Inspection Line: 639 -4175 Business Phone 639 -4171
Footing Rain Drain Cover /Service INAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing ech.
PIbg.Und /Flr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer as Lin- Appr /Sdwlk Reins.
Other: (
Date: l A.M. < P. M. nn Entry:
Address: j �--� S3 ' (L Q'Y1A
Tenant:- Ste: MST:
BUP:
Con /Own: MEC: 4 1 . 007
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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t�xs�ri 7,9,4 t•elz c//z,.._
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Ins ➢ector:- Date: A1✓ 7!
APPROVED DISAPPROVED /CALL FOR REINSP. CF CO