Permit MECHANICAL
,,CITY OF T PERMIT # PERMIT e MEC96-0216
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/05/96
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171
PARCEL: 2S104BB -01500
SITE ADDRESS...: 14341 SW WINDSONG CT
SUBDIVISION CASTLE HILL ZONING: R -12 PD
BLOCK ° LOT °052
CLASS OF WORK..:REP 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
: /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 <= 10000 cfm: 0 GAS OUTLETS.: 1
FURN > =100K BTU: 0 > 10000 cfm: 0
Remarks: Repairing a furnace to 100K BTU and gas piping to four outlets.
Owner: FEES
DAVID JOHNSON type amount by date recpt
20560 SW 98TH AVE PRMT $ 25.00 CJS 07/05/96 96- 281353
5PCT $ 1.25 CJS 07/05/96 96- 281353
' TUALATIN OR 97067
Phone #: 781 -9871
Contractor:
ROBBEN & SONS HEATING
2300 SE 7TH AVE
P 0 BOX 14867
PORTLAND OR 97214
Phone #: 233 -5841 $ 26.25 TOTAL
Reg #..: 001884
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 Final Inspection
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.
Permittee Signature: /"t14lI�eQ _
Issued By: C AO `Ns
Call for inspection — 639 -4175
•
City of Tigard MECHANICAL PERMIT Planck/Rec. # 9r-, 735
13125 SW Hall Blvd. APPLICATION Permit # 0
Tigard, OR 97223
(503) 639 -4171
Name el w••kP..«. Description - -
(���
1 � / Table 3A Medwnical Code OTY PRICE AMT
Job 3J 9',2 lJ'K/ Z i 1) Permit Fee -0- -0- 10.00
Address �— n
4..........,4 (� • % tft 2 ) Supplemental Permit 3.00
Furnace to 100.000 BTU
1) inc. ducts & vents � 6.00 4 , oo
717j-:// r . I t , - ,�
Plow Furnace 100.000 BTU +
Owner lr-A! iU 2) incl. duds & vents 7.50
w, """ • Floor Fumance
/12 (O{' . 3) incl. vent 6.00
"""• t loan•• Suspended heater, wall heater
4) or floor mounted heater 6.00
liana Add.. flaw Vent not loci in
Occupant 5) appliance permit 3.00
°" ze Repair of heating, refrig.
6) cooling, absorption unit 6.00
/ ‘- ■ (? 7(� _ Boiler or comp, heat pump, air cond.
�/ 7 ) to 3 HP absorp unit to 100K BTU 6.00
"° Address Boiler or comp, heat pump, air cond.
Contractor pi '5
OPG (511 8) 3-15 HP absorp unit to 500K BTU 11.00
(Q /� Boiler or comp, heat pump, air cond.
V 9��/� 9) 15-30 HP absorp unit .5-1 and BTU 15.00
say. ••o, o r r„ N,. Boiler or comp, heat pump, air cond.
toff 10) 30-50 HP absorp unit 1 -1.75 m4 BTU
22.50
I hereby acknowledge at have read this application, that the Boiler or camp, 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 handing 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 handing unlit
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
*949 16) included in appliance permit 4.50
s w o p op ar Hood served by
17) mechanical exhaust 4.50
Describe work new 0 _ ad dition 0 alteration 0 repair (% Commercial or industrial
to be done residential 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 tour outlets X 2.00 2- DO
building or property �/
Type of fuel - oil 0 natural gas ® LPG Q electric Q 21) More than 4-per outlet
NOTICE
Minimum Fee $25.00 SUBTOTAL 0751e)
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE / d5
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 Z a5 ,
Spodal Conditions - — —1
Date issued i //S by S,TJ
barttECIVIaT
�•idmwd.•
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain C 1Z INA
Foundation Water Line Ceiling 64,&" - Plumb.
Post/Beam Mech. Shear /Sheath Framing
PIbg.Und /FIr /Slab Plbg. Top Out Insulation - Elect. U/ /
Post/Beam Struct. Mech. Rough -in Gyp. Bd. Id
San. Sewer Gas Line Appr /S wlk Reins.
Other: Q.1/�� Q
Date: / I I /a- I q A. M. P.M. / � Ent : P/
Address: / 3 q/ ntry: ?i
Tenant: Ste: 'MST: 76 0 /7
BUP:
Con /Own: c 5 5 _0 6 MEC 'Iinor_Ar.,
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
1
1 ‘‘
Inspector: 1- 4 Date: 14 `'l 9 1GP
PPROVED DISAPPROVED /CALL FOR REINSP. CF CO