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Permit CITY OF T MECHAN I CAL /,4,00)0 --EL DEVELOPMENT SERVICES PERMIT ' PERMIT # : MEC97 -0366 - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 09 / 29 / 97 PARCEL: 25111AC -01300 SITE ADDRESS...: 14590 SW 92ND AVE SUBDIVISION...•: PINEBROOK TERRACE ZONING: R -4.5 BLOCK LOT •054 JURISDICTION: TIG CLASS OF WORK..:ALT FLOOR FURN • 0 EVAP COOLERS: 0 TYPE OF USE •SF UNIT HEATERS..: 0 VENT FANS...: 0 OCCUPANCY GRP..:R3 VENTS W/0 APPL: 0 VENT SYSTEMS: 0 STORIES • 0 BOILERS /COMPRESSORS HOODS • 0 FUEL TYPES 0 -3 HP • 0 DOMES. INCIN: 0 3 -15 HP • 0 COMML. INCIN: 0 MAX INPUT: 0 BTU 15 -30 HP • 0 REPAIR UNITS: 0 FIRE DAMPERS ?..: 30 -50 HP • 0 WOODSTOVES..: 0 GAS PRESSURE...: 50+ HP • 0 CLO DRYERS..: 0 NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.: 0 FURN < 100K BTU: 1 <= 10000 cfm: 0 GAS OUTLETS.: 1 FURN > =1O0K BTU: 0 > 10000 cfm: 0 Remarks : Install new furnace 1.'.,' : BTU incl. ducts and vents and gas piping for an exisiting single family dwelling. Owner: FEES HASKETH, DUANE & HAZEL type amount by date recpt 14590 SW. 92ND PRMT $ 25.00 GEO 09 /29/97 97- 299616 TIGARD OR 97224 5PCT $ 1.25 GEO 09/29/97 97 -299616 Phone #: EP Contractor: ANCTIL SHEET METAL CO 4320 N WILLIAMS AVE $ 26.25 TOTAL PORTLAND OR 97217 Phone #: 503- 281 -0752 Reg #..: 008897 REDUIRED 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 I n s p • applicable laws. All work will be done in accordance with Heating Unt Insp approved plans. This permit will expire if work is not started Duct Inspect ion within 180 days of issuance, or if work is suspended for more Misc. Inspection than 180 days. ATTENTION: Oregon law requires you to follow rules Final Inspect ion adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 through OAR 952401-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -9187. 7 , op / Signature: Issue By: ,,� /, � /LL��i� i Permittee Signat. ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 6:00 p.m. for inspections needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ City of Tigard MECHANICAL PERMIT Planck/Rec. # 13125 SW Hall Blvd. 'APPLICATION Permit # 1 q7 • Tigard, OR 97223 (503) 639 -4171 4 k" ) eS .,_-_\1r\ _ Name of Development Description fir ee :a_ g` "(by/ p J Table 3A Mechanical Code QTY PRICE AMT Job ` A21" r t ~ S `�� • �~ � ±— 1) Permit Fee -0- -0- 10.00 Address --Ks■- C � o smes � � lk (k`'10.Lk 2) Supplemental Permit 3.00 Name (or n am Furnace to 100,000 BTU O ■..)..,p,X.42_1/4- Z�\ '‘Q..5(-‘.4tikr\ 1) incl. ducts & vents _4 6.00 Mailing Address Phone Furnace 100,000 BTU +. Owner S tate zp Floor Furnance , c 9: .k Uk C\'"p`{ 3) Incl. vent 6.00 Name (or me o busmes ) Suspended heater, wall heater ��� Q \� � 4) or floor mounted heater 6.00 • Ma g A ddress one Vent not Incl. in Occupant �� i . S • Cr y& 5) appliance permit 3.00 Cd State 'm Repair of heating, refrig. . c.. t Q .30r 6) cooling, absorption unit 6.00 ame J iS _ Boiler or comp, heat pump, air cond. '\\'- _C e 0.'R � cv,� 7) to 3 HP; absorp unit to 100K BTU 6.00 -\. mess hone ' Boiler or comp, heat pump, air cond. L , ' : N , - 8) 3-15 HP; absorp unit to 500K BTU 11.00 • Contractor �jry/Sa � Boiler or comp, heat pump, air cond. �s. ' - , Lq�c- j C.i 9) 15 -30 HP; absorp unit .5-1 mil BTU 15.00 Staiee�eg on No. (Ay Bus. Tax No. Boiler or comp, heat pump, air cond. %( i\ \. \.-,v 10) 30-50 HP; absorp unit 1 -1.75 mil BTU 22.50 I hereby acknowledge that I have read this application, that the Boiler or comp, heat pump, air cond. information given is correct, that I am the owner or authorized 11) > 50 HP; absorp unit 1.75 mil BTU 37.50 agent of the owner, that plans submitted are in compliance with Air handling unit to State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4.50 Board, that the number given is correct. (If exempt from State Air handling unit registration, please give reason below.) 13) 10,000 CTM + 7.50 Non portable 14) evaporate cooler i' D 1 .50 Vent fan connected - J L1-3 `3 15) to a single duct 00 Ventilation system not 16) included in appliance permit 4.50 n - a v^ m, ,, gem — - `�� ae Hood served by 17) mechanical exhaust 4.50 D ery ibe wcr n ee., ! 1 .c iditi'n _r : g t r ' isr repair 0 Cc ..mc -sla.! z: Ind to be done residential (l non- residential 0 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 , ),Cp building or property 21) More than 4 -per outlet (each) 2.00 Type of fuel - oil 0 natural gas LPG 0 electric 0 NOTICE Minimum Fee $25.00 SUBTOTAL Ate' PERMITS BECOME VOID IF WORK OR CONSTRUCTION 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 25% OF SUBTOTAL AFTER WORK IS COMMENCED. TOTAL t40-= Special Conditions Date issued by HiLOGINIDSTSIM ECHPMT • 1b d�'Mcz 3 � � 0 CI TY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 Date Requested: 10 - /3 - A.M. P.M. MST: Location: 0 .3-( C) BUP: Tenant: �� �7�► Suite: y Bldg: MEC: -/ 7-0366 Contractor: 1 `L I��SLV/ X1/ _ dr Phone: e oZ — 57 0 PLM: Owner: . I/. - , LL L ■ , P one: 6 B9- V ELC: 97-06 I - - ELR: !`k( a-k- - 1 SIT: BUILDING BLDG (con't) PLUMBING CHANIC II . :.1� SITE Site Post/Beam Post/Beam os eam Cover /Service Sewer /Storm Footing Roof UndFl/Slab Rou -In Ceiling Water Line Slab Framing Top Out as me Rough -In UG Sprinlder Foundation Insulation Sewer ood/Duct. Reconnect Vault Bsmt Damp Drywall Storm Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt Approved Approved Ei' f, r ',�!� s Approved fir. . Appr /Sdwlk Not Approved Not Approved • o , . 'roved .... �. ov: Not Approved FINAL FINAL �_ INAL ` i i FINAL i.• 1 - _--4 �- P , ., r s � ■�_� _:mot .j._ / i .' . `� r . t EXPO itED • ' aC�C 11 for rein ction O Reinspection fee of $ required before next inspection to spe pe q spec O Unable t inspect Inspector: i' ^ Date: / ©- /? - 9 7 Page of l X026 P.MlieFLOL aen CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 Date Requested: // / – 17 _ % 7 A..M. P.M. MST: Location: ) L/ S 9Q SW 9 a h d lave_ ^ BUP: Tenant: M 7- E �, /J C..._ Suite: Bldg: EC: 9' 0 3 6 �j Contractor: r --a J' /Aii V1 l.0 / v �( E- Phone: Zge - – 5 7 PLM: Owner: A . # A! Er 'ht. "'L'$ P ne: ,, 39- 5' t0 3 777-0605S PEASE WA!T Fog ELBE -(2LY 1L HOMED( lA1Ed2. 97 -OQ? q TO aeT 70 - n-FE DOOR. / : 0/a-ettAetthg& BUILDING BLDG (con't) PLUMBING iuixN: /:hlOni� -- ELECTRICAL SITE Site Post/Beam Post/Beam Po �_ �'` Cover /Service Sewer /Storm. Footing Roof UndFI/Slab «1' mil -___. Ceiling Water Line Slab Framing Top Out 61O � — 01�,�4 -In UG Sprinkler % . Foundation Insulation Sewer +'i uct 1 ' gconnect Vault j p1 Bsmt Damp Drywall Storm J a o temp Service MISC. W Masonry Ceiling Rain Drain 4 '61 UG Slab 1 if Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt Approved Approved Approved Approved 1 r Appr /Sdwlk Not Approved Not Approved -. of A..ro - • Not Approved Not Approved 1 FINAL FINAL A ` � FINAL FINAL , Q Q ,N N. \\ 7 57 .5' /L A/6 � e .5 // of t � 6 0 ,L, • ,2 rn . ./P' . . / /9 v f/ i r /t c Q / t---- lc_ /C NO /A/ c/ si-iigaced a ci r 66 -fizr-e" c /iLi 5q//q /ib4/, �7r1 ljn Call for re' .pectin . O Reinspection fee of $ required before next inspection O Unable to inspect Inspector: L Date: kV / y7 Page of i