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CITY OF TIGARD
MECHAN 11- �
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FERMIT #. . . . . . . : MEC94-0048
COMMUNITY DEVELOPMENT DEPAPTNr;NT DATE. ISSUED: 02/07/94
13125 SVV Heil Blvd.Tigard,Oregon 97223.8109 (503)839-4171
PARCEL: 1 S 133DD--1 1900
LA i L ADDRESS. . . 11664 SW 126TH F'L_
SUBDIVISION. . . . : VILLAGE AT SUMMER LAKE PARK 4 ZONING: R--4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .. 1.56
CLASS OF WORK. . :NEW FLOOR FURN. . . . : EVAP COOLERS:
TYPE OF USE. . . . :SF UNIT HEATERS. . : VENT FANS. . . :
OCCUPANCY GRP. . :R3 VENTS W/O APPI__: VENT SYSTEMS:
STORIES. . . . . . . . : 1 BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL TYPES- lb HP. . , . : DOMES. I IVC I N:
: /GAS/ / / 3-15 HP. „ , . : COMMI_.. INCIN:
MAX INPUT: BTU 15-30 Hr-'. . , . : REPAIR UNITS:
F f.RI DAMPERS?. . : 30--5`0 HP. . . . : WOODSTOVES. . :
GAS PRESSURE. . . : 50+ HP. . . . : CLQ DRYERS— :
NO. OF UNITS----------- AIR HANDLING UNITS OTHER UNITS. :
FURN ( 100K BTU: (= 10000 cfm : GAS OUTLETS. : .l
FURN ) =100K BTU: > 10000 cfm :
Remarl<s : INSTALLING GAS FIRE PLACE
Uwner: ------------------------------------------------------- FEES ----------
GN0W type amoLint by date recpt
118E+4 SW 126TH PL PRMT $ :25. 00 BLT 02/07/94
5PCT $ 1. 23 BLT 02'/0-7/94
TIGARD OR 97223
Phone #l :
Contractor:
ABLE MECHANICAL
17845 SW PIKE
BEAVE:RTON OR 97007 ----------------------------
Phone
-------------------------_Phone #: 642-4478 $ :26. 25 TOTAL_
Reg #. . : 69114
- ---- - REPUIRED INSPECTIONS -
This perait is issued subject to the regulations contained in the Final Inspection
Tigard MuTiic:pal Code. State of Ore. Specialty Codes and all other
applicable laws. All wore will be done in accordance with
approved plans. This perait will expire if work is not started
within 181 days of issuance, or if work is suspended for sore —
than. 180 days.
CCr
`n Permittee Signat'.ire : /
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sued By RY�
Call for inspection - 639--4175
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INSPECTION NOTI�
City of Tigard Building Depa�-taent
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:__
Footing Plbg. Underslab Mach. Rough-in Appr/Sdwlk
Pound. Plbg. Top Out Gas Lina FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Rd. -Meth.
Data Requeated: D TlN: AM PN
i
Address: I I mil ^- '� ft=Lt tomrC1/-7
1L1-(_611 u
Bundler: y Q (,0� 7 (/`t
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspectov Date:
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--APPROVED ZJISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Rei nap.
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OTAL AMULINT PAID P6. P19
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit #
Tigard, OR 97223
(503) 639-4171
Description--
54-10
escription54-1 G Table 3A Mechanical Code QTY PRICE AMT
.lob ����,� � �+. PL, 1) Permit Foe •0- -0- 10.00
Address - --
-22 2.3 2) Supplemental Permit 3.00
"'"" Furnace
1) incl.duds 8 vents 6.(YJ
" Furnace � T
Owner 2) incl.ducts 8 vents 7.50
—-- oor Furnance — -
3) incl. vent 6.00
" " Suspended heater,w eaull�i ter
.M 4) or floor mounted heater 6.00
OCCt,pant en no mTa7n V -
5) appliance permit 3.00
ZIP Repair o eating,re ng. —
6) cooling,absorption unit 6.00
Boiler or comp.-heT mp,a+ Eon-
/44k
-
:f /44 V c G�ir�rh i ;.��` 7) to 3 HP absorp unit to 100K BTU 6.00
"' +er or comp,ri-eat pump,air con .
8) 3-15 HP absorp unit to 500K BTU 11.01
Contractor CAY B,
+er or comp,heat pump,air co
41) d". 7 7 U % j 9) 15-30 HP abscrp unit.5-1 mil BTU 15.00
°
61 R¢r h . Boiler or comp hoat pump,air cond.
10) 30.50 HP absorp unit 1-1.75 mil BTU 22.50
hereby acknowledge that ;have read is application, a e Boiler or comp,heat pump,air con .
information given is correct, that I am the r einer or authorized agent 1 1) >50 HP absorp unit 1.75 mil BTU 31.50
of the ownw,that plans submitted are in compliance with State it 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, -r handling unit —`
please give reason below.) 13) 10,000 CTM 4 7.50
on
portable
14) evaporate cooler 4.50
Vent an connect --
15) to a single dud 3.00
,/ o�in fatTi>n system not
16) included in appliance permit 4.50
Hood seiv ISy
17) mechanical exhaust 4.50
srn w T new U aEUilionkoj alteration repair U Go-m-m-er-FT-orindustnal
to be done residential A!0 non-residential O 18) type incinerator 30'310
x+stinq uT se- - her i.e.,woodsfove,water
building or yoperty 19) heater,solar,clothes dryhvs, 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property _ -- - - —
T of fuel •oil 21) More than 4-per outlet
Type O natural gas, LPG 0 electric O
> — —
hNOTICE � j
Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
L AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE /
i� IF CONSTRUCTION OR WORK IS SUSPENDED OR ----- -
-� ABANDONED FOR A PERIOD OF 180 DAYS AT ANY'l1ME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED. --- /-
V
TOTAL 2
Special Conditions --- -
Date issued by
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