16590 SW MONTEREY LANE rn
Ln
�D
O
r�
O
O
rt
H
!D
r
I
y�.
1
I�
,1
16590 SW MONTERU LANE
—KING CITY —�-
CITY OF TIGARD MECHANICAL PERMIT Receipt#
Permit #
Description
Table 3A Mechanical Code - QTY PPICE AMT
City of Tigard - �--- ------ -- - -- --_----
13125 S.W. Hall Rivd. 1) Permit Fee -0- -0- 10.00
P.O. Box 23397 --- - --- ----
Tigard, OR 97223 I 2) Supplemental Permit 3.00
639-4175 ' 1 Furnace to 1�J,000 BTU -
\ 1) incl.ducts&%er,ts 6.00
Furnace 100,0009Tl I -
2) incl.ducts&vents 7.50
Name of Development _ Floor Furnace
3) incl.vent 6.00
Job Address--+'T- Suspended heater,wall heater
Address -V-- �_,: �/1Gr1/>i�;/� (� �.� j 4) or floor mounted heater 6.00
Ta,,Lot Map No. N 5) Vent riot incl.in 3.00
Lot Block Subdivision applipnce permit _-- --
Name(or name of business) Repair of heating,rear ig.,
'If, r 4 6) cooling,absorption unit 6.00
Mailing Address7 pito -- Boiler or comp to 3 HP 6.00
Owner G absorp.unit to 100,000 BTU
City slate ZiPBoiler or comp to 3 HP-15 HP
j 8) absorp.unit to 500,000 BTU 11.00
— Name 9) Be. or or comp 15-30 HP
J, y� absorp.unit'/2-1 million - 15.00 - -
Mailing Address plwne 10 Boiler or comp to 30-50 HP
Address
) absorp.unit 1 -1.75 million 22.50
_ _
u
Contractor City/state Zip 11) Boiler or comp to 50 HP 31.50
` absorp unit 1.750,000 BTU - -_- -
State Registration No, City Bus.lar No. 12) Air handling unit to 4.50
10,000 CFM
I hereby acknowledge that I have read this application that the information given is 13) Air handling unit 7.50
correct,that I am the owner or authorized agent of the owner,that plans submitted are in — 10,000 CFM --
,:ompliance with State laws,that I am registered with the State Bullders'Board,that thei 4 Non portable
number given is correct.(If exempt from State registration please give reason below). ) evaporate cooler 4.50
Vent fan connected
5) to a single duct 3.00
--------- - --- ---- --
-`- ----- - Ventilation system not
18) included in appliance permit 4.,�0
'�� •',� -- -- -. 17 t lOod served by —A---- -
mechanical exhaust 4.50
Sicnhtueb(owner or Agent) _ Date Domestic type
Describe work I i _ addition 0 alteration [I repair 1 1 18) incinerator 7.50
to be done--residential [J non-residential IJ_ 19) Commercial or Indus;irlal 30.00
Existing use of type incinerator
building or properly__ ` __. lily,1A, 20) Other i.e.,woodstove,water 4.50
�- d
th
l
solar,, clothes dryers,etc.
Proposed use of heater, �building or property �,' 1 -_ -----_._ 21) Gas piping one to four outlets 2.00
L type Of fuel- Oil I I natural gas f,1 LPG I 1 electric 1 1 1 �- -
22) More than 4-per outlet
NQTICE �-�
SUS-TOTAL
THIS PERMIT BECOMES. NULL AND VOID IF WORK OR CON-
STRUCTION
ON STRUCTION AUTHORIZED IS NOT COMMENCED WITP,IN 1804%SURCHARGE
DAYS, OR IF CONSTRU%,i'ON OR WORK IS SUSPENDED OR - PLAN REVIEW 25%OF SU9-TOIk�
ABANDONED Fort A PERIOD OF 180 DAYS AT ANY If IME AFTER -- -- ---- - --
WORK IS COM1`4ENCED. TOTAL
Special Condition; -
i r
--- - - - ----- ----..__ Date issued '� ---by
INSPECTION NOTICE
City of 1 igard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phoney 639-4175
Type of Inspection
Date Requested
Address
Permit
Owner
Lot #
Builder
T4e following Building Code deficicncies are equired to 14 corrected:
Presented to Approved
Inspector Disapproved
Date
CALL FOR REINSPECTION
Cl YES U NO