Permit CITY OF TIGARD MECHANICAL
1 ,i rtp,,, DEVELOPMENT SERVICES PERMIT
� PERMIT # • MEC99 -0120
. �i1+� ...NJ 13125 SW Hall Blvd., Tigard, OR 97223(503) 639-0171 DATE ISSUED: 03/23/99
PARCEL: 15134CC -03800
SITE ADDRESS...: 12414 SW WINTERLAKE DR
SUBDIVISION • CAPSTONE ZONING: R -4.5 PD
BLOCK LOT •005 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 • 1 DOMES. INCIN: 0
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: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =100K BTU: 0 > 10000 cfm: 0
Remarks : Install an air conditioning unit. A/C units cannot be placed within
the required setback areas.
Owner: FEES
MATT ZAPP type amount by date recpt
12414 SW WINTERLAKE DR PRMT $ 25.00 GEO 03/23/99 99- 313905
TIGARD OR 97223 5PCT $ 1.25 GEO 03/23/99 99- 313905
Phone #:
Contract or:
SERVICE NOW OF OREGON INC
PO BOX 551 $ 26.25 TOTAL
WEST LINN OR 97068
Phone #: 655 -7558
Reg #..: 001102
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Cooling Unt Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
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 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.
Issue By: ,/ / Permittee Signature: /yj,d(
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Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
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City of Tigard RECEIVED MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall BIvdMAR 1 9 1999 APPLICATION Permit # / e99 0/A6
Tigard, OR 97223 .
(503) 639 -4171 COMMUNITY DEVELOPMENT k/C A. 21-1-130 4 6. //
NaTe Cl Devessemem Description _
Table 3A Mechanical Code QTY PRICE AMT
.Address
Job 1) Permit Fee -0- -0- 10.00
Address - utyrState im
2) Supplemental Permit 3.00
Name to name of busereul Furnace to 100,000 BTU
11 PITT -a of 5 1) incl. ducts & vents 6 00
Maxon) A ddress 7t City` two)
'J Furnace 100,000 BTU +
Owner I o? I i S1A) IA); nk'r AKe.(T w 2) incl. ducts & vents 7.50
Cityr Slate Floor Furnance
Ti 9C�rit f 02 9 -7,4A3 3) incl. vent 6 00
wme , me ° snne) Suspended heater, wall heater
4) or floor mounted heater 6.00
Mauna .ladress Phone Vent not Incl. in
Occupant 5) appliance permit 3.00
CiryIState '+P Repair of heating, refrig.
6) cooling, absorption unit 6.00
Name ���� t�V^ Boiler or comp, heat pump, air cond.
Maine .iddrnar r e IAN )1, r c' O r e con P , 1nc_, 7) to 3 HP; absorp unit to 100K BTU 6.00
Boiler or comp, heat pump, air cond.
14°4 S � d>°T('r FP 8) 3 -15 HP; absorp unit to 500K BTU 11.00
Contractor „ryrState__ /� l zw _ - Boiler =or- comp,- heat =pump, air. cond.- -
O r t. .t fir Q /Q 4 7045 9) 15 -30 HP; absorp unit 5 -1 and BTU 15.00
State R No J r City Boo Tae No Boiler or comp, heat pump, air cond.
,1 a a/ y 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 11) > 50 HP; absorp unit 1.75 mil BTU 37.50
agent of the owner, that plans submitted are in compliance with Air handling unit to
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4.50
Board, that the number given is correct. (If exempt from State Air handling unit
registration, 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
16) included in appliance permit 4 50
NQua a owner or agent) / Date Hood served by
��/�or R£� 17) mechanical exhaust 4 50
escribe w ' new U addition x alteration U repair 0 Commercial or industrial
to be done residential 0 non - residential 0 18) type incinerator 30.00
Existing use or Other i e., woodstove. water
building or property 19) heater, solar, clothes dryers, etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property .
21) More than 4 -per outlet (each) 200
Type of fuel - oil 0 natural gas 0 LPG 0 electric 0
NOTICE
Minimum Fee S25.00 SUBTOTAL 07.5.
PERMITS BECOME VOID IF WORK OR CONSTRUCTION / 0/5" AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE
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 c)6. a J
Special Conditions
Date issued by
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