Permit ' ^�^
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT MECHANICAL
13125 SW Hall Blvd. Tigard, Oregon 9722 308199 (503)53m-41v1 PERMIT
PERMIT #.......: MEC94-0363
639-4171 DATE ISSUED: 12/21/94
PARCEL: 29113AD-01900
SITE ADDRESS...: 16600 SW 72ND AVE
SUBDIVISION • ROSEWOOD ACRE TRACTS ZONING: I–L
BLOCK ^ LOT ^9
• ---- – – –
CLASS OF WORK. .:ALT FLOOR FURN • EVAP COOLERS:
TYPE OF USE ^COM UNIT HEATERS..: VENT FANS...:
OCCUPANCY GRP..:B2 VENTS W/0 APPL: VENT SYSTEMS:
STORIES ^1 BOILERS/COMPRESSORS HOODS
FUEL TYPES 0-3 HP ^ DOMES. INC IN:
:/GAS/ / / 3-15 HP. ...:2 COML. INCIN:
MAX INPUT: BTU 15-30 HP ^ REPAIR UNITS:2
FIRE DAMPERS?..: 30-50 HP • WOODSTOVES..:
GAS PRESSURE... : M 50+ HP... . : CLO DRYERS.. :
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.:
FURN < 100K BTU: (= 10000 cfm: GAS OUTLETS. :1
FURN >=10NK BTU: > 10000 cfm:
Remarks: Flight Dynamics repair units= ducts
Owner: FEES
FLIGHT DYNAMICS type amount by date recpt
16600 SW 72ND AVE PRMT $ 46.00 JF 12/21/94 –
PLCK $ 11.50 JF 12/21/94 –
TIGARD OR 97223 5PCT $ 2.30 JF 12/21/94 –
Phone #:
Contractor: –
ACCURATE HEATING INC
PO BOX 2276
CLACKAMAS OR 97015
Phone #: 650-1229 $ 59.80 TOTAL
Reg #..: 88423
REQUIRED INSPECTIONS --
This permit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
applicable laws. All work will be done in accordance with Duct Inspection _
approved plans. This permit will expire if work is not started Final Inspection __ ___
within 180 days of issuance, or if work is suspended for more ____
than 180 days.
_– � _
�
Permittee Signature: �, �~iv~~— ___ ___ �
Issued By: __�
�Call for inspection – 639-4175
'
City of Tigard MECHANICAL PERMIT Planck/Rec. # ) " Ct)C
13125-SW Hall Blvd. APPLICATION Permit # /174e94
Tigard, OR 97223
(503) 639 -4171
Nan. Of Manlam■ t Descnptton
Table 3A Mechanical Code CITY PRICE AMT
,gym,...
Job 1) Permit Fee -0- -o- io.00
Address Ca MOP Da
2) Supplemental Permit 3.00
Plante tat name of arr,w) Fumace to 100,000 BTU
1) incl. ducts & vents 6.00
ro Memo Wnno Fumace 100,000 BTU +
Owner 2) incl. ducts & vents ;'' 7.50
'* Floor Fumance
3) incl. vent 6.00
Hanle (« none of wea»w) Suspended heater, wall heater
FI. - er r v N A M t e—% 4) or floor mounted heater 6.00
M 0 ISO rna. vent not inct. in
OCCUpant (l0 LOO SW 12- ME- 5) appliance permit 3.00
' ll. at) Repair of heating, refng.
PO 21 A 0 re- C r l 2L'4 . 6) cooling, absorption unit 4,,,d-
U � , 6.00 ) CD
ten» Boller or comp, heat pump, air cord.
I GGU 2R'rt. 1A EATi fJls T-0 • 7) to 3 HP; absorp unit to 100K BTU 6.00
yea«. �
ph.... l . Boiler or comp, heat pump, air cond.
Contractor / '� "x 221(0 6 C ' 8) 3 -15 HP; absorp unit to 500K BTU 11.00 0 °4)
Boiler or comp, heat pump, air cond.
PH # Gt.- Acic -ftMAs o(... Cili )tC 9) 15.30 HP; absorp unit .5-1 mil BTU 15.00
(05b .1221 Sado Nop"wuonNo. Cow Bus. Tao No. Boiler or comp, heat pump, air cond.
es 3 10) 30-50 HP; absorp unit 1 -1.75 mil BTU 22.50
I hereby acknowledge that 1 have read this application, that the Boiler or comp, heat pump, air cond.
information given is correct, that I am the owner or authorized agent 11) > 50 HP; absorp unit 1.75 mil BTU 37.50
of the owner, that plans submitted are in compliance with State Air 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, Air handling unit
please give reason below.) 13) 10,000 CTM + 7.50
Non portable
14) evaporate cooler 4.50
( Vent tan connected
15) to a single duct 3.00
Ventilation system not
t SS /2 - 9 , y 4 16) included in appliance permit 4.50
S9neWro (owner er agent) ' Hood served by
17) mechanical exhaust 4.50
Describe work new Q addition U alteration U repair 0 Commercial or industnal
to be done residential 0 non - residential ® 18) type incinerator 30.00
Existing use of 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 2,66
building or property
21) More than 4 -per outlet
Type of fuel - oil 0 natural gas ® LPG 0 electric 0
NOTICE U ,�,{{ _
Minimum Fee $25.00 SUBTOTAL ] g9
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE a.
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL / 1. Sa
AFTER WORK IS COMMENCED.
TOTAL s Y , QC
Special Conditions
Date issued by
k MEOHPMT
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ClTY OF llSARU - HE[LIPl OF PAYME:Nl RECL-lPT NU. :94-;::59816
CHECK AMOHN1 : b9.60
NAME : 8LACKMON, MICHAEL CAbH AMUUN1 : 0,wW
AUDRF5S
PAYMENl DIE : 12/�1/94
:
sU8ulV1b{ON
PURPOSE OF PAYMENT AmUUN[ PAIO PURPu:IE of- PAYMEN[ HM//UN| p1-111)
___________ __ _________ _-_-___-____-_
PLUMBING PERM 46.0W Sl. BUILD PER e,.1,@
PLAN CHECK FE 11.50
PLM94-0363
16600 SW 72ND/FLIGHT DYYNAMICS
TOTAL AMOUNT PAID - - - -> 59.8o
INSPECTION NOTICE / - f / /C/
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection: , 4 �1- 1) c c_4-----) _
Footing Plbg. Underslab Mech. Rough -in Appr /Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post /Beam Struct. San. Sewer Framing -Bldg.
Post /Beam Mech. Rain Drain Insulation - Plumb.
Plbg. Underfloor Water Line Gyp. Bd. 412:16r.
Date Requested: / d: CZ /c ( / t � Time: /y) 7 AM PM
Address: // i OO 7 . 4 t Permit #.//v "0363
2
Builder: -
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector Date:/-Z-/297P7
Z /
APPROV
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.