Permit CITY OF T MECHANICAL
DEVELOPMENT SERVICES PERMIT
'480 I ��, PERMIT #.......: MEC97 -0404
z:_.. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/16/97
PARCEL: 25111BA -03800
SITE ADDRESS...: 14140 SW 98TH CT
SUBDIVISION....: MCDONALD ACRES ZONING: R-4.5
BLOCK........... LOT....... ...... :013 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
:GAS 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 < 1O0K BTU: 1 (= 10000 cfm: 1 GAS OUTLETS.: 1
FURN )=1OOK BTU: 0 > 10000 cfm: 0
Remarks: Mitchelitch
Owner: FEES
JOHN MICHELITCH type amount by date. recpt
14:140 SW 98TH PRMT $ 25.00 JSD 10/16/97 97- 300121
TIGARD OR 97223 SPCT $ 1.25 JSD 10/16/97 97- 300121
Phone #: 684 -3356
Contractor:
ABLE GABLE INC
4033 SE MILWAUKIE
26.25 TOTAL
PORTLAND OR 97202
Phone #: 239-5570
— :- 000-1 -17 —
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Heating Unt Insp
applicable laws. All work will be done in accordance with • Cooling Unt Insp
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. ATTENTION: Oregon law requires you to follow rules _
adopted by the Oregon Utility Notification Center. Those rules are .
set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may .
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187,
I i,
Issue By: 4 Permittee Signature: DePV.
+-h- l- +i- -h+-F - i --i- -h - 1 --1- -F i- i-- i-- 1-i- -1 --I- -F t -i--i- -I--F i--F - 1- -t-++-i-- i- +- F-i- i- -i --i- -h - t --t•-F i- +-F -F-h -F -h-f - i-- I-- I-- I- -F-F- h- f•- l-- i- i-- h- 1--l- -F• -h-h -F ^F-F-h -F -i- i- -i--I-
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++±+++++++++++- f-++++±±±+++++- h+±++±+++++++++++++ +++++++++++++++++++++±+++++++++
_ d
- Plan Check tr
CITY OF TIGARD Mechanical Permit Application Recd By c-
13125 SW HALL BLVD. Commercial and Residential Date Recd /0 /6_7
TIGARD, OR 97223 Date to P.E.
(503) 639 -4171, x304 Date to DST
Print or Type Permit It ✓ t C 9 7 - Cc - 16Y -
Incomplete or illegible applications will not be accepted Called v "��
Name or Devetopm WP ore Description -
Table IA Mechanical Code QTY PRICE AMT
Job Street Address /1 S"aea A) Permit Fee -0- -0- 10.00
Address /4/4o StiJ 9 171 ,
eldgs ' Cay(sute Zip B) Supplemental Permit 3.00
Name (or n
name of buwess , / 1.) Furnace to 100,000 BTU 6.00
incl. dugs & vents f 6, 02 IL) J/ 4iit . _1 f ._ / ... .L . -
i L 2.) Furnace 100,000 BTU + 7.50
l4/ cSLI.� 6/8 incl. ducts & vents
C: sate Zip Ptrone 3.) Floor Furnace 6.00
. i �.�li A i ./ - ` z6 . ind. vent
. to name • • • . ) I 4.) Suspended heater, wall heater 6.00
'I ' Al 1 ' / . ..1. !u' flc.r mourt!vd heater
Occupant I • '' ,/ 5 Vent not incL in 3.00 zg /4/41 H- n! appliance permit ,
Laif./1.. f CJ & 7 ' ∎M 6.) Boiler -, T comp. heatpump. aBoed. 6.00
• i ,� to 3 HP; absorp unit to 100K BTU
(1.1)-&-) 7.) Boiler or comp, heat pump, air cond. 11.00 4/41i-e- 3-15 HP; absorp unit to 500K BTU
Contractor 148irr4 A " reSi I ° 8.) Boiler or comp, heat pump, air cond. 15.00
' I I I comp, �.l_ _ . /t- ! 15-30 HP; absorp unit .5-1 rrl BTU
Attach copy of a _ • . ~ . , i Zip Prime 9.) Boiler or arnp, heat pump, air cond. 2250
Current Licenses .., , / / / / /_/' .#1 # . +. / ,j . " , 0 30 HP; absorp unit 1 -1.75 mil BTU
Oregon Car+.sa. Cant. - • Exp. date 10.) Boiler or comp, heat pump, air cond. 37.50
ArrAill. • - , / � ' > 50 HP; absorp unit 1.75 mil BTU
C07 Buse>esy� or Mntto s 11.) Air handling unit to 4.50 4 //1
/� Exp. 10.000 CFM f �''
Architect Nal". 12.) Air handling unit 7.50
10.000 CTM +
or Maim address 13.) Non portable 4.50
evaporate cooler
Engineer cay,State Zip Prone 14.) Vent fan connected 3.00
to a single duct
Describe work New 0 Addition 0 Alteration < i Repair 0 15.) Ventilation system not 4.50
to be done Residential (V Non- residential 0 included in appliance permit
-- -Additional wor( - - -- - - - 16 :) Hood served -
mechanical exhaust 4.50
• 17) Domestic incinerators 7.50
Existing use of 18.) Commeraal or industrial 30.00
budding or property _ type incinerator
19.) Clothes dryers, etc. 4.50
Proposed use of 20) Other units 4.50
building or property
Type of fuel - oil 0 natural gas € LPG 0 electric 0 21) Gas piping one to four outlets / 2.00 c‘ 70 . 0
I hereby adcno*Iedge that I have read this application, that the 22) More than 4 - per outlet (each) _50
information given is correct, that I am the owner or authorized agent of a
the owner, that plans submitted are in compliance with Oregon State QTY. SUBTOTAL 00
laws. ;0?5
Signature of Owner/Agent Date 'SUBTOTAL �.�•
SX SURCHARGE � /yr,
kiLitA pktbh /6 - /G9 - ' Contact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL
liD L a l-65, 90 T
TOTAL i', CA ,
"dst rnechpmt.doc 'Minimum permit fee is 525 + 5% surcharge
, .ev 7/96 l Op-c--
•
•
•
/yl y0 -r 1 41 ?I 1
•
Z`. - - - 1-1NQS
4
•
IC