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FMECHANICAL
PER111111"
CITY OF TIGARD
V PERMIT #. . . . . . .
MEC94--0k'iEi.=,
COMMUNITY DEVEWIMENT DEPARTMENT DATE ISSUED: 03/25/94
13425 SW Hal!Blvd. Tipaid,OraW:i e7223.8199 (503)639.4171
PARCEL: 2SI14BB-07800
SITE ADDRESS. . . : 161-'33 SW 104TH AVE_
SLIBD IV I S I ON. . . . : SWANSONS GLEN ZONING: R-12 F'I)
BLOCK. . . . . . . . . . .I LOT. . . . . . . . . . . . . . i
CLASS OF WORK. . :APD FLOOR TURN. . . . : EVAP COOLERS:
T YPE OF USE. , . . :SF ON I T HEATERS. . : 1 VENT F=ANS. . . :
OCCUPANCY GRP. . : R3 VENTS W/O ADPL: VENT SYSTEMS:
STORIE=S. . . . . . , . : ` BOILERS/COMPRESSORS HOODS. . . . . . . :
FULi-. 'TYPES_.__....________._ 0-3 HP. . . . : DOME_f3. INCIN:
: /GAS/ / / 3-15 HP. . . . : COMML. INCIPr-
MA X INPUT: BTU 15-30 HP. . . . : REPAIR UNI-f l-
F I FTE= DAMPERS':'. . : 30-5+11 HP. . . . : WOODSTOVES. . :
GAS PRESSURE. . . : 50-V HP. . . . : CLO DRYERS. . :
NO. OF UNI'TS--------•--- AIR HANDLING UNITS OTHER UNITS. :
TURN ( 100K BTU: l= 10000 cfm: GAS OUTLETS. : 1
FURN ) =100K BTU: > 101600 cfm :
R-trArl<s . INSTALL GAS FIREPLACE INSERT WITH FLUE LIN-:-:R & NEW GAS
Owner: -___.__.__-__-____ ______-- FEES
ROBERT LEE type amar-rnt by date recpt
16;2233 SW 104 PRMT t 25. 00 JG 03/25/94
;PCT $ 1. 25 JG 03/2'5/94 -
TIGARD OR 97224
Phone #:
Contractor: ------------.--------------.---_.
HOMESTEAD STOVE CO, INC
x'7,:`9 NE BROADWAY
PORTLAND OR 9723: _--_--_-___.-_--___-__-__-_
;:-Ti on e 4117: 282--3615 26. 25 TOTAL
Reg #. . : 85707
RE UU I RED INSPECTIONS
This permit is issued subject cc the regulations contained in the ,As Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Meehan i ca I Insp
apolicahle laws. All work will be done in accordance with Final Inspection
approved plans. This permit will expire if woo is net star ed _
within 160 days of issuance, or if wort+ is suspended for more
than IB0 days.
P e r m i t t Y a
J
Issued By: _
I' C.cill for inspection - 639-4175
Xt B,gRCT_LON NOTICE
Vitt of Tigard Building Departmmt
13125 nW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Roc--O-Phone)e639- 75 Business Phone: 3 .71
InspectionsS
Footing Plbg. Underslab Mach. Rough-in App dwlk.
Found. Plbg. Top Out Gam L _ FINAL
Post/Beam Struct. Dan. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor L.!Water Line Gyp. Bd. -Mach.
Date Requesttedt / _ / % Time: _PM
Address: /&,?(J 3 Permit f e �C 7y �7�GSrJ
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIREDe
u.
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Inspectnr: �" bates
_-_APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
__Call For Ralnsp.
cl TY OF TIAICIRD
'I P I OF. P y I'l F N'T RVI-FI.PT NO. 094 }';",i `j P 4
(,W'A`K 0111AIN'T P6. 2
HCA11FATFAD !4TOVE, C"O CASIA AMOUNT 0. 00
R F.1'3(13 a PAYMEN'T DAIT x PI'VF-25/94
SUP 1)1 V.1 9 1 ON
or-, t::-ri y m F'.iq T, Al,lf*)(JNIPAIRPOSE, 11F, 1-lAY10:1,11, (11,10111,11 IIIAID
..........--.-............. .........
C, P5.14M ST. HI1I.1.0 I F.R
LLI
1.E,P.83 Sw t(44114
AMOUNT PAID 6 LIS
City of Tigard MECHANICAL PERMIT Planck,'Rec. # _
13125 sw tai► Blvd. APPLICATION Permit #
Tigard, OR 97223
(503) 639-4171
-n aa, - iesuipuon
Table 3A Mechanical Code QTY PRICE AMT
Job / �/ Q/Z. 9'712r>✓ 1j Permit Fee -0- -0 10.00
-set v
Address 300
2) Supplemental Permit
Furnace
�0 O C P,T w , .LEE 1) incl,ducts d vents 6.00
_ umace, +—
/(a ,50
2 R3 St-t7 �O y 2) incl.ducts S vents 7
Owner ---zp urnano9—
�/. q✓� �� C�)2-Z y 3) ind. vent 6.00
.��-�-- � uspen�d�eater,waifheater ���
4) or floor mounted heater 6.00
sU✓ P
,q�csT.w entno i '.m
00
Occupant 5 appliance permit 3
---- - -7-Fe-pair of heaung,re ng
q cooling, absorption unit 600
_
comp, a pump,a-,
�� s ��e ��jL Lt►', 7) to 3 HP absorp unit to 100K BTU 6,00
Dlll� fF♦
c w i er or comp,compal air co
8 3-15 HP absorp unit to 5(10K BTU 11.00
Contractor r i er or comp, a pump,air co
v� 97.E/ 9 9) 1530 HP absorp unit .5-1 mil ETU 15.00
�» .. . i er or comp, eat pump,air con
V c�r7 v r1 �C jxo 9.;3j, 7 10) 30-50 HP absorp unit 1-1.7F mil BTU _ 2250
0 l i er or comp heat pump,air co
Tiere y ac ow ge a nave rea is app ica ion, a ,e 31 50
information given is correct,that I am the ov;ner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU of the owner,that plans submitted ars in compliance with State it an mg and to 450
laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM
that the number given is correct (If exempt from Stale registration, an rng urn 750
please give reason below.) 13) 10,000 CTM+ _
Ron p�Te
14) evaporate cooler _ 4.50
-�- ent an connec
�� 15) to single dun
3.00
enti aoorl system not
hand permit 4.50
f'1tl!✓ G �� _�(/i�•tiL t-
16) included in app•
s y
17) mechanical exhaust 4.50
scn wn,ry addition U alteration U repair commeircisal or to stna
18) type incinerator 30.00
to be done residential(D'- non-residential O -
xrshrg ------of-- ler i.e.,w __7
save,wa er
40 19) heater,solar,clothes dryers,etc. 4.50
erty
building or prop —
4
20i Gas piping one to Ioar cutlets
Proposed use of 2
y building or property
21 r More than 4-per outlet
T ype of fuel -oil O naturn ;•,s(7 LPG O electric O
ri? Y Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 2 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 251;6 OF SUBTOTAL
AFTER WORK IS COMMENCED. 5
TOTAL C,
Special Conditions ----- - --
onte issued by.
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