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10330 SW MEADOW ST
CITY OF TIGARD MECHANICAL
PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : MEC 96-0345
DATE ISSUED: 10/06/96
13125 SW Hall Blvd.,Tigard,OR 87123 (503)6JO4171
PARCEL: 1S135CC-01900
SITE ADDRESS. . . : 10330 SW MEADOW ST
SUBDIVISION. . . . : THE MEADOW ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . 16
CLASSOFWORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :R3 VENTS W/O APPL: 0 VENT' SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES------------ 0-3 HP. . . . : 0 ',OMC3. INCIN: 0
: /GAS/ / / 3-15 HP. . . . : 0 uOMML. INCIN: 0
MAX INPUT: 0 BTU 15--30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . s 0
GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS----------- AIR HANDLING UNITS OTHER UNITS. : 0
FURN < 100K BTU: 1 <- 10000 r_fm: 0 GAS OUTLETS. : 0
FUN.N > =100K BTU: 9 > 10000 cfm: 0
Remarks : Adding gas furnace
Owner: ------------------------•----------------------------- FEES -.-------------
ROY PYLE type amount by date recpt
10330 SW MEADOW PRMT f 25. 00 DST 10/06/96 96-284686
5PCT f 1. 25 DST 10/08/96 96-284886
TIGARD OR 97223
Phone #: 639-5751
Contractor: ---------------------•_-------.-
SOUTHWEST SHEET METAL
10415 SW 72ND
PORTLAND OR 97223 --------------------------------------
Phone
----------------------------'---------
Phone #: 503 --246--6284 ! 26. 215 TOTAL
Reg #. . : 45089
--- REDU I RED INSPECTIONS --------
This pernit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ere. Specialty Codes and all other Mechanical Insp
applichale laws. All Mork Mill 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
4. than 180 days.
Permittee Signature -
Issued By :
W
-i all for inspection - 639--4175
CITY OF TIGARD Mechanical Permit Application ate
13125 SbV HALL BLVD. Commercial and Residential on.eel
TIGARD, OR 97223 Own to P E---'
(503) 639-4171, x304 --
oar.to UST
Print or Type Pend" �y6
Incomplete or illegible applications will not be accepted c'*
Job Sswe As�aw` Tabic 1A Mechalicai Code OTV PRICE Mdf
S`r'a A) Fame!Fear -0- � ^10.00
Address I 3 X) �1c�1 r e+b�ocJ _
eco• U"34,a � �p
1_I K" L P��1. Z j B) SuRO�entst Permd` 3.ao
le•�`� r 1.) Fuennm to 100.Oo0 B.U
Owner ind ducts a vents I 6.00 �OG
Fum.oa'100.00o t�Tu
ti ince ducts&vents 7.30
.�e+�... 21p °1!
ftrw3.I Floor Furtreoa
'631 S ,j ind vent 'j.00.0vent
Isew"daN WW; 4.) apaded11a�r,warttliWr
4) 500
It
Occupant %IN"
A*W*ft ---- «AQor mwaMad Mahar ��
3) Vent not ind in 3.00 _
6 or conw. prim.sir conaL QOf1
tD 3 H unt to 100K BTU
jTkL'j L- _r I ,7 . ,, 7.) Bod3.15 «c bsorov.Met 0 a I u 1.Q0
Contractor M@+ra Ake.. 1� "7 /,�I its FP; alt b 30dC BT1l
f Oct 15- tJ 7 1� 6.) sour«oon>p.hart ptr,-� ad►calf 1S O11
Anach copy 15.10 t. unit-%-1 mi BTU
C""e"t Licenses j� V 2 1 N b 6 a.fl 9.) BOW«came.Mat Pconp,ek Calc SO
30.90 HP;a"unit 1-1.75,rd BTU
Carc.c ea. Lies to.) Bahr«
S-0 ���f aamv.Haat pump,air ooncl. 37.30
COT tknmaea aR ar Irwe a ';3 sV HP unit 1.79 Rd BTU
_(I__-_r 11.) Air lu-d ung to
Aerhieeci Naa.I1 ) r i 10.000 CFM 4.50
12) Airhand*1p ue,rt or Aft""ream ----_- 10.000 CTM 7.30
13) Non portable 4.�
Engineer coow
�T Prnn. 14.) Vast ilsn coelelaC%d
3.00
Desertme wok NOW O Vii-+-� m a duct
to be done Reaids UOW' No�„� 0 E mir o 15.) VaMtiMlon sTsern eat in FF- I me pen.14 4.50
Additional Ocscnpbon of -
WI Hood sarad by
n' ejAwa 4.50
17) Oorr+aatic ielcrnaralcrs 7.50
16.) coerrrardN or irwleaoriat :T!4
00buftVorpet1r. irW* radlr .50 ".
NProposed use of
bol7rknr oroperty 450
J Type or hies-of O nattaai g LPG O electric O 2 t) Gas piping oer to char outlets
M 2.00 +�e
ackraww"e that I have read this spptieatkm,that the 22) More than
W nbrrntrtm 9iwen is carted that 1 am the owner«autfarized agent Of �po outlet (each) .50
J tM owwner•that ins uArntted am in gnu with Oregon State _
laws. qTV.SUBTOTAL
S
*SUBTOTAL
5%SURCHARGE
Coenact Person Nam' Phone PLAN REVIEW �S
b9�u Z74 cy/ EW 2S%OF SU9 TOTAL
TOTAL
�dstlmechprtt.doc 'MeYnlan permit 1Ye is 3%sue>:fgege
7/96 sn
[— CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 6394175 Business Phone:839-4171
Footing Rain Drain Cover/Servicb INAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing ech.
Plbg.Und/Fir/Slab �Plb—g..-Top Out Insulation -Elect.
Post/Beam Struct. ��Meah. Rough-Ire ryp. Bd, -Bldg.
San. Sower �as ine Appr/Sdwlk Reins.
Other: _
Date: _/ ZA.M.—"P1Vf-- Entry: _--- —
Address: �Q_,'� {gAOC� ST
Tenant: _-//ILJ`lA�Llc�� T1 L.-r Ste: MST
�t �,�S SUP:
Con/OwnMEC:
G28y 4jSG-3,7Gd PLM: _
ELC: —
i:aF FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
'S`�C'✓�.� "TLS �.4�,vTh<...c
nspector: _ Date:
APPROVED _y DISAPPROVED/CALL FOR REINSP. CF CO
ra -