Permit ' |
` -
QII OF M ECHANICAL
PERMIT
i�U�U�����UTY ��E��EL��PU�EKNl[��EP����TME��l[ PERMIT #.......: MEC96-0176
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503)m39-41n DATE ISSUED: 06/12/96
PARCEL: 2S111CB-01743
SITE ADDRESS...: 10395 SW HOODVIEW DR
SUBDIVISION....: HOOD VIEW NO.2 ZONING: R-3.5
BLOCK ^ LOT ...... .......:42
CLASS OF WORK..:ADD FLOOR FURN....: 0 EVAP COOLERS: 0
TYPE OF USE....:SF UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:A1 VENTS W/O APPL: 0 VENT SYSTEMS: 0
STORIES........: 0 BOILERS/COMPRESSORS HOODS ^ 0
FUEL TYPES 0-3 HP ^ 1 DOMES. INCIN: 0
: /ELE/ / / 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: 0 <= 10000 cfm: 0 GAS OUTLETS. : 0
FURN }=100K BTU: 0 > 10000 cfm: 0
Remarks: Installing 3Hp air cond. unit.
Owner: FEES
ULRICH HUGEL type amount by date recpt
10395 SW HOODVIEW DR 'PRMT $ 25.00 CJS 06/12/96 96-280500
5PCT $ 1.25 CJS 06/12/96 96-280500
TIGARD OR 97223
Phone #:
Contractor:
PIONEER FURNACE
3615 NE BROADWAY
PORTLAND OR 97232
Phone #: 249-5000 $ 26.25 TOTAL
Reg #..: 36102
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 Misc. Inspection
applicable laws. All work will be done in accordance with Final Inspection
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.
Permittee Signature:
Issued By: /—� -
. .
Call for inspection — 639-4175
•
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City of Tigard . MECHANICAL PERMIT Planck/Rec. #Q asoa
13125 SW Hall Blvd. APPLICATION Permit #/716 c
Tigard, OR 97223
(503) 639 -4171
NiTM or o t Description
Table 3A Mechanical Code QTY PRICE AMT
A4iau
Job
Address 10395 1 Permit Fee -0- -0- 10.00
A (X L 7f2,--3 2) Supplemental Permit 3.00
a m. a �^ °•) Furnace to 100,000 BTU
t ) ,, �ss 1) incl. ducts & vents 6.00
v4
Homy .. 1L�
, r t/ 7 n , ! Rooms Furnace 100,000 BTU +
Owner 1 Q 5 �"'-''. J 2) incl. ducts & vents 7.50
Floor Furnance
-110 amA_ � 3) incl. vent 6.00
Nam* (o a w
name anasc) Suspended heater, wall heater
s eA 4) or floor mounted heater 6.00 •
Mai.g Ad:toss Phone Vent not incl. in
Occupant 5) appliance permit 3.00
zv Repair of heating, refrig.
6) cooling, absorption unit 6.00
• Boiler or comp, heat pump, air cond. / •
� � 7) to 3 HP absorp unit to 100K BTU • / 6.00 6 r
M0 k'8-^�f� f��/' Phaw Boiler or comp, heat pump, air cond. i
Contractor 3U 1 S I v ,-� LOa 8) 3 -15 HP absorp unit to 500K BTU 11.00
�/Jk /, I �j^ Boiler or comp, heat pump, air cond.
e L 1u IJi /� L- ! ( 9) 15 -30 HP absorp unit .5 -1 mil BTU 15.00 I
S o Hayctaaon No. CityBuc a xNo. Boiler or comp, heat pump, air cond.
(OZ 10) 30 -50 HP absorp unit 1 -1.75 mil BTU 22.50 I
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 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 y
laws, that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50 I
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 I
14) evaporate cooler 4.50
' - Vent tan connected
15) to a single duct 3.00
/ Ventilation system not
%l/� - Q
16) included in appliance permit 4.50
--R.. goner Of • - - Hood served by
17) mechanical exhaust 4.50 I
Describe work new 0 addition ell alteration U repair U Commercial or industrial
to be done residential ® 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
i '
building or property
Type of fuel - oil 0 natural gas 0 LPG 0 electric O 21) More than 4 -per outlet .
NOTICE
Minimum Fee $25.00 SUBTOTAL 2 , .
PERMITS BECOME VOID IF WORK OR CONSTRUCTION ' . • . .
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR . 5% SURCHARGE ti t
IF CONSTRUCTION OR WORK IS SUSPENDED OR _ -
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL
AFTER WORK IS COMMENCED.
TOTAL
Special Conditions
Date issued 1� -- / r - 96 by C0 S
t4VECHPMT
. �Cq( -U0i7� .
. .... , ?'L. TERMS Q iin
• ' 11 ll N G , 4 I FURNA .r `' ..
3615 N.E. Broadway • Portland, Oregon 253gliEl) o t ,ez.D-- � •
JOB # ____942L 503/249 -5000 FAX 503/249 -826 TG - ID
, ,,.. �,.��.....
TO U I$ C.f.‘ 1-10c--,6 DATE
(:) U�4Vi Jrivt,- 1. 0.� 0C PHO 7 �- � / O m F,
t - 1tx�p c� c.� � — �►�
(iZy —RSy3
WE PROPOSE TO FURNISH AL M AND PERFORM ALL ABOR ECESSARY TO COMPLETE THE
P FOLLOWING: • Lgoe —I- Iv—
1 r
[ ]Removal and disposal of existing equipment [ ]Gas piping / O� . r .. % 1 ��• .- •
[ ] Removal and disposal of asbestos — [ ] Thermostat 1 : ; - —
[ ] Electrical wiring Z• ] Venting ` : N, IMMITZIMI w/i
[ ] � ew equipment to be installed ; : _ I i . eir 4 + 4� , ,, '' a
r �� Ik,
�Le`! ` l .. .� ►� � ��c fi�� � , 1����1�� 1- 1 . .
I j� T AA —qr.—
investment amount $ ,frf, •
0
1 AVAILABLE OPTIONS:
I A s"-,fas water heater
So CipIIo)\ C, PIS el WOeb , �� IAAgr/i —
Air conditioning $ ��
, [ ] Electronic c r' a, au op 41' M $ ��•�'•;
i. ,•4 Dig programmable thermostat $
s ' • •wer -Vac duct cle. • :service i F rifiM�e' _ . lr $ ^�' ��
�5 ► 1't .� t. S - i % - - • , jA t _ . 1 $ , bh C'etar
.- -y $
a . r►. o -1eI I rs ron •.• $ - 4,
All of the above work to be co pleted for the sum of $ "DOLLARS, with payment to be made as follows:
1 °2
[ ] $50.00 discount for cash ( 5° o on accep ce, b ce on installation)
[ ] Bank financing (on approved credit): $0 down, no prepayment penalty,
APR: 1 - 60 months: %, APR: 60 - 120 months:
Financing rate subject to change % V ,
[ ] Other payment option quo-1 I ci 0C 51 %21
EXCLUSIONS TO WORK ABOVE: 6,1\-c1(49 7' ei(f
Pioneer Furnace is not responsible for the upgrading of existing duct work or insulation unless mentioned above, nor any •
caused by current debris in duct work, nor any upgrades to electrical system if found to n e t codes. P1 initial :1:„.
THANK YOU FOR CONSIDERING PIONEER HEATING AND COOLING. BY: 1 ==i
This proposal is valid for thirty (30) days �� AN v` O(� `''� O .
ACCEPTANCE:
You are hereby authorized to furnish all material and labor required to complete the work mentioned in the above proposal, for which
the undersigned agrees to pay the amount mentioned in said proposal, and according to the terms stated. It is further agreed that if the
charges made remain unpaid for a period of 30 days beyond the pay period above, that any balance remaining unpaid, bear interest at
the highest legal rate permitted by law. In the event, that any suit or action is instituted to collect any amount due under my account,
whether principal or interest or bo - - to pay in addition to the costs provide by law, a reasonable sum for attorneys fees.
DATE: 7 " 541I CLIENT:
Firri $ . WHTR
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
PM Date Requested 3/ 2 -7 ! e , AM .9%‘0 0 PM BLD
Location /6 3 / 5 3W ( t Vieed Suite 41Arg4 7-0/76;
Contact Person /0(5 ffiu1i( Ph 6; r - 37/ 0 PLM
Contractor QQ Ph a SWR
i BUILDING - Tenant/Owner L- r S &t._ _ ELC
Retaining Wall ELR '
Footing
F g Dration ain Access: P � FPS
Ft Dr alto/ p�
Crawl Drain Inspection Notes: SGN
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING •
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
CHANICA
Post n
Gas - Line
S I nkLDampers
F'• -
`7+ PART FAIL
ELECTRICAL
Service
Rough In •
UG /Slab
Low Voltage
Fire Alarm
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA 1
Approach /Sidewalk
Other Date 312- M Inspector WanA0A Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site •