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Permit • A CITY OF TIGARD MECHANICAL DEVELOPMENT ������U����� PERMIT ~�m��n�"~~�" "�"=~"� " ~�°�""�"��"�~� PERMIT # MEC96-0368 & 11. /3125 SW Hall Blvd., Tigard, ~��� '� DATE ISSUED: 10/29/96 PARCEL: 1S134CA-00512 .SITE ADDRESS...: 11180 SW 1'19TH'AVE SUBDIVIS1ON. . ...: 'PAN8RAMA N8.2' ' ` iQNING: R-4.5 BLOCK..........: LOT ^23 CLASS OF WORK..:OTR 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 DOMES. INCIN: 0 /_ ' ' ' ^ MAX INPUT: 0 BTU 15-30 HP....: 0 REPAIR UNITS: 0 FIRE DAMPERS?.. ' ` �' 30-50 HP,...: 0 . ' WOODST8VES. . : 0 GAS PRESSURE...: 50+ HP ^ 0 CLO DRYERS.. : 0 NO. .OF UNITS- ` " . AIR' HANDLING UNITS/ OTHER UNITS. T. 0 - FURN < 100K BTU: 1 <= 10000 cfm: 0 GAS OUTLETS.: 0 FURN >=100K' BTU: 0 `, ` > 10000'cfm:• 0. Remarks: Installing furnace to 100,000 BTU's Owner: FEES ROBERT BUTZ type amount by date recpt 11180 SW 119TH ` ` PRMT $- 25.00 B '10/29/96 96-285829 5PCT $ 1.25 B 10/29/96 96-285829 TIGARD OR 97223 Phone #: ' Contractor: - SERVICE NOW OF OREGON, INC. 615 RAILROAD AVE OREGON CITY OR 97045 --- - Phone #: 503-655-7558 $ 26.25 TOTAL Reg #..: 87788 `' ^ : ------- REQUIRED INSPECTIONS This permit, is issued subiectto`thp regulations cootainedtothe' • Gas Line Insp • Tigard Municipal Code; State , of Ore. Specialty Codes and other • Mechanical Insp ' ~ ' app�icabl�' �wa All work be. done- in accordance. with ' • ^'� Final Inspect ion approved plans. •Thi* permit will expire if work is , mot . started within 180 days of issuance,' or. if work is suspended for more • ' • than 180 days. . • Permittee Si ature: a : = .f' • ' _ �p p Issued By: ` � ' ` � Call' for` ins.pection`-'639774175 City of Tigard MECHANICAL PERMIT Planck /Rec. # 131'25 SW Hall Blvd. APPLICATION Permit # 1 M(0'0 Tigard, OR 97223 (503) 639 -4171 , Name at Development , Description /7 L AS tAA9'V\0>f i ,v Table 3A Mechanical Code QTY PRICE AMT Ador sa Job 1) Permit Fee -0- -0- 10.00 Address CapState BP 2) Supplemental Permit 3.00 Name to name of busness) Furnace to 100,000 BTU fil D. f Pres 9 b p�`f g ��� 1) incl. ducts & vents 6.00 p 0 la Mang s A Phone Furnace 100,000 BTU + ' Owner Li I S © co.) ) / 77 jteo, O ,>.9 2) incl. ducts & vents 7.50 uryratare Floor Furnance Co ci ec) e) -7 A'3 3) incl. vent 6.00 Name f or name ofbustness) Suspended heater, wall heater 4) or floor mounted heater 6.00 Malang Address Phone Vent not Incl. in Occupant 5) appliance permit 3.00 uty State Bo Repair of heating, refrig. 6) cooling, absorption unit 6.00 Name A404(...1 Boiler or comp, heat pump, air cond. SWrU `C.� . 1/1)-(-- 7) to 3 HP; absorp unit to 100K BTU 6.00 Malang Andrea ° Phone Boiler or comp, heat pump, air cond. 4 ,/5 IC LLe t / � Q,i11 - -- T 8) 3 -15 HP; absorp unit to 500K BTU 11.00 Contractor C /Std1e � � '-5 _ Boiler or comp, heat pump, air cond. Q/b jj r r fI bi / ©5/S 9) 15-30 HP; absorp unit .5 -1 mil BTU 15.00 'tale Re N a. CSy Bus. lax No. Boiler or comp, heat pump, air cond. 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 4.50 Vent fan connected 1 0A, 4 15) to a single duct 3.00 4_, `� ? Ventilation system not /O S 9k) 16) included in appliance permit 4.50 Signature owner or agent) (/ " uaie Hood servea by 17) mechanical exhaust 4.50 Describe work new U addition U alteration -0 repair U Commercial or industrial to be done residential Q non - residential 0 18) type incinerator 30.00 Existing use or 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 ;Oa building or property 21) More than 4 -per outlet (each) 2.00 Type of fuel - oil 0 natural gas 44 LPG 0 electric Q NOTICE Minimum Fee S25.00 SUBTOTAL q2`� PERMITS BECOME VOID IF WORK OR CONSTRUCTION _ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE I ; Lb 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 ZOy, Special Conditions Date issued by H:ILOGIMGSTSWECHPMT IMP rilli CITY OF TIGARD BUILDING INSPECTION NOTICE Ilir Inspection Line: 639 -4175 Business Phone: 639 -4171 , Footing Rain Drain Cover /Service Foundation Water Line Ceiling - Plume Post/Beam Mech. Shear /Sheath Framing < PIbg.Und /FIr /Slab Plbg. Top Out Insulation - Elect. Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr /Sdwlk Reins. / i Other: h _, _ .:ice _. AI__ r/� l Date: / / A.M. f P Entry: Address: Tenant: 5 d- 9' 7Y Ste: MST: BU (9/Own: M E C: LL i n ..777? ,L6' PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: G__ Sr� /,'a2 . —, / 1% ? M C/96t t �� � I /4 gC Date: //f44 (o DISAPPROVED /CALL FOR REINSP. CF CO 05/30/2000 Activities for Case #: MEC96 -00368 . 11:50:53 AM • Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MECA007 Application received 10/29/1996 B RECD BON 10/29/1996 MECA010 Plan check by 10/29/1996 BON 10/29/1996 MECA799 Final Inspection 11/07/1996 KS DIS KBS 11/08/1996 #-1- see mechanical inspection notes MECA705 Gas Line Insp 10/29/1996 10/30/1996 GS APP GES 10/31/1996 MECA715 Mechanical Insp 10/29/1996 10/30/1996 GS N/R GES 10/31/1996 use metal duct thru firewall; no access to house for duct insp [pit bull]; furn venting not in MECA060 (F) Issue permit 10/29/1996 B PASS BON 10/29/1996 MECA715 Mechanical Insp 11/07/1996 KS DIS KBS 11/08/1996 #-1- flex duct not allowed to penetrate garage firewall #-2- support ducts at crawl space #-3- insulate exposed wye's ducts #-4- provide protective barrier adjacent to B vent storage MECA799 Final Inspection 11/20/1996 KS APP KBS 11/20/1996 MECA800 Case Finaled 11/20/1996 KS APP KBS 11/20/1996 Page 1 of 1