Permit , CITY OF T MECHANICAL
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A DEVELOPMENT SERVICE PERMIT
n i �p°NP �6 PERMIT # • MEC98 -0347
1 3125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4410-4, j DATE ISSUED: 08/18/98
�� ++ ®�� PARCEL: 1S134CC -02700
SITE ADDRESS...: 11985 SW 122ND CT
SUBDIVISION....: YE OLDE WINDMILL ZONING: R-4.5
BLOCK • LOT -013 JURISDICTION: TIG
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....: 1 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 < 1O0K BTU: 0 (= 10000 cfm: 0 GAS OUTLETS.: 0
FURN )=1O0K BTU: 0 ) 10000 cf in: 0
Remarks: Add A/C unit to an existing single family dwelling. A/C units cannot
be placed within the required setback areas.
Owner: FEES
JUDITH C MCDANIEL type amount by date • recpt
11985 SW 122ND COURT PRMT $ 25.00 GEO 08/18/98 98- 308370
TIGARD OR 97223 • SPCT $ 1.25 GEO 08/18/98 98- 308370
Phone #:
Contract or:
SUNSET FUEL CO
PO BOX 42287
$ 26.25 TOTAL
PORTLAND OR 97242
Phone #: 503-234-0611
Reg #..: 000083
REQUI RED INSPECTIONS
This permit is issued subject to the regulations contained in the Cooling Unt Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
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 -.A1 -0010 through OAR 952001 -0080. You may. - _
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
Issue By: `//,„� / /.�' Permittee Signature: „,,
O
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Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
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I
City of Tigard RECEIVED M E C H , A.N I CAL P ERIMIrI FcDPlanck/Rec. # _D
13125 s w Hall Blvd. A PPLICATION Permit #g6 S 7
-' AUG 18 1998 JUL 2 1998 �-- 1 7 1999
Tigard, OR 97223 COM NEITY DEVE!VMENT
(503) 639 - 41791° -MDNIn DEVELOPMENT CO MMITY DEVELOPMENT .
N..... avolop Z-0 - Description - • YE r_DE a / 4 V - - i 3 Table 3A, Mechanical Code QTY PRICE AMT
,Job 1.1965 s to. 1 -a Cif ' 1 ) Permit Fee - _ -0- -0- ; 10.00 .
Address •
G /91.A 0C- '7.d P- 2) Supplemental Permit 3.00
Nam. (« name of bucnett) Furnace to 100,000 BTU
4 1 \ t rri C D4fliel 1) ind: ducts & vents 6.00
' Mailing .dor." Phone Furnace 100,000 BTU +
Owner i 1985 5-4). l as "°'cf 2) incl. duds & vents 7.50
` a.Yrs to Floor Fumance
T ( yq !��- �7aa� 3) incl, vent 6.00
. , Nam. (or cur. of Loral.") Suspended heater, wall heater
4) or floor mounted heater 6.00
I.u+.,B Poo. Vent not incl. in
Occupant 5) appliance permit 3.00
cny5tiu bP Repair of healing, reiriy.
6) cooling, absorption unit 6.00
Nam. Boiler or comp, heat pump, air cond. / Oa
S \c.-� �.t21 7) to 3 HP absorp unit to 100K BTU i 6.00
Marling Addr.cc Phone Boiler or comp, heat pump, air cond.
Po e ' x y 0 : 073Q_01/401I 8) 3 -15 HP absorp unit to 500K BTU 11.00
Contractor c,,,,stiu zw Boiler or comp, heat pump, air cond.
Po( (., Ad Oe.. cst 1 ;.1/41 a 9) 15 -30 HP absorp unit .5 -1 mil BTU 15.00
S t. a.g.r.00n No. E y f . Gay . T. No. Boiler or comp, heat pump, air cond.
Ca "1'1 O 61 a4A 10) 30-50 HP absorp unit 1 -1.75 mil BTU 22.50
I hereby acknowledge that have rea is app ,cation, 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 31.50
' 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 fan connected
15) to a single duct 3.00
Ventilation system not
�� 7/ 16) included in appliance permit 4.50
x s,a o ,w„« r o>w Hood served by .
17) mechanical exhaust 4.50
Describe work new*" addition 0 alteration Q repair 0 Commercial or industrial
to be done residdnga ) non - residential 0 18) type incinerator 30.00
Existing use of Other i.e., woodstove, water
building or property 19) heater, solar, dothes dryers, etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property
21) More than 4 -per outlet
Type of fuel - oil Q natural gas 5 LPG 0 electric 0
NOTICE - rJ �-
Minimum Fee $25.00 SUBTOTAL O`✓
PERMITS BECOME VOID IF WORK OR CONSTRUCTION r
. AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE I ' �
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL 10'
AFTER WORK IS COMMENCED.'
TOTAL 064
Special Conditions
Date issued by _
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FUEL COMPANY
2944 S.E. POWELL BLVD. P.O. BOX 42287 PORTLAND, OR 97242 -0287 TELEPHONE 234 -0611 FAX # 503 -234 -0380
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• 5/10/00 Activities for Case #: MEC98 -00347 EXPIRED •
1:19:31 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECA007 Application received 8/18/98 GEO RECD CTR 8/18/98
MECA008 Create Permit 8/18/98 GEO DONE CTR 8/18/98
MECA799 Final Inspection CTR 8/18/98
MECA730 Cooling Unt lnsp 8/18/98 CTR 8/18/98
MECA060 (F) Issue permit 8/18/98 GEO PASS CTR 8/18/98
MECA845 Request inspection research 3/28/00 JMT DONE No Hold JMT 3/28/00
MECA880 Expired by limitation 4/18/00 HAP DONE No Hold AKJ 4/18/00
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