Permit . .
CITY OF TIGARD A
�� „ MECHANICAL
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,,,, > DEVELOPMENT SERVICES PERMIT
N 11 A 1 11 PERMIT #.......: MEC98 -0203
-n 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 06/04/98
PARCEL: 2S112CC -10700
SITE ADDRESS...: 08323 SW LANGTREE ST
SUBDIVISION ° LANGTREE ESTATES ZONING: R -12
BLOCKS........... LOT ............. :039 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/O 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 C 100K BTU: 0 (= 10000 cfm: 1 GAS OUTLETS.: 0
FURN ) =100K BTU: 0 7 10000 cfm: 0
Remarks: Installation of 3 ton a/c unit.
Owner: -- FEES
ERIC THOMAS type amount by date recpt
8323 SW LANGTREE • PRMT $ 25.00 DEB 06/04/98 98- 306256
TIGARD OR 97224 5PCT $ 1.25 DEB 06/04/98 98- 306256
Phone #: 649 -7442
Contract or:
SUN GLOW
2428 SE 105TH AVE
$ 26.25 TOTAL
PORTLAND OR 97216
Phone #: 253 -7789
Reg it..: 000481
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 Cooling Unt Insp
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. 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- ' -'.;' . You may . •
obtain copies of these rules or- direct questions to OUNC by calling -
(503)246 -9187.
Issue B' : �_ aa/3-4/1k- . Permittee Signati_ire: l
+ +++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
+ +++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
• Plan Check /
CITY OF TIGARD Mechanical Permit Application Rec'd B
`13125 S W HALL BLVD. C ommercial and Residenti . 0 'J ® Date Rec'd Gr -` 0
TIGARD, OR 97223
,601r) Date to P.E.
(503) 639-4171, x304 h NIA 4, 199 Date to DST
�p'.6���� Permit# 1� =`�g - D'J
v'< Print or Type Called
Incomplete or illegible applications willt cce
Name of Development/Project Description
Table 1A Mechanical Code QTY PRICE
Job Street Address Suite# A) Permit Fee -0- -0- C
Address
Bldg# City /State Zip 1.) Furnace to 100,000 BTU 6.00
including ducts & vents
Name or name of business) . 2.) Furnace 100,000 BTU+ 7.50
Owner ..-Y V Ma) including ducts & vents
ailing Address , • 3.) Floor Furnace 6.00
a ,\)) \-4m �'t(� including vent
Cif , e _ Zi • hone _ 4 Suspended heater, wall heater 6.00
II l.tit 11 OYC 11 - ,J1 or floor mounted heater
Na' a (.r name o business) 5.) Vent not included in appliance permit 3.00
Occupant Mailing Address 6.) Boiler or comp, heat pump, air cond. 6.00
to 3 HP; absorb unit to 100K BUT" _
City /State Zip I Phone 7.) Boiler or comp, heat pump, air cond. 11.00
•
3-15 HP; absorb unit to 500K BTU"
Contractor N V ` mem , � 8 .) Boiler or comp, heat pump, air cond. 15.00
1 15-30 HP; absorb unit.5 -1 mil BTU"" Prior to permit •e • =dr ._!.\k) 105-1-1/-- 9.) Boiler or comp, heat pump, air cond. 22.50
issuance, a copy � 30-50 HP; absorb unit 1- 1.75mi1 BTU"
of all licenses t•:e zip ff ,^� v 10.) Boiler or comp, heat pump, air cond. 37.50
are required if i$ Y ` q� ` W tit.• - I rl > 50 HP; absorb unit 1.75 mil BTU"
expired in COT Oregon Glgt•, Cr o1rd Lic.# eEx Dat� 11.) Air handling unit to 10,000 CFM 4.50 Tit. database l- t 1 i � ° / ) I
Architect Name 12.) Air handling unit 7.50
10,000 CTM+
or Mailing Address 13.) Non - portable evaporate cooler 4.50
Engineer City /State Zip Phone 14.) Vent fan connected to a single duct 3.00
Describe work New 0 Ad • ion 0 Alteration 0 Repair 0 15.) Ventilation system not included 4.50
to be done Residential Non - residential 0 in appliance permit
Additional Description of work: 16.) Hood served by mechanical exhaust 4.50
`\'� ^ j L- 17.) Domestic incinerators 7.50
Existing use 18.) \�� o \ \ v V `l 18. Commercial or industrial 30.00
building or property type incinerator
19.) Repair units 4.50
Proposed use of 20.) Wood stove 4.50
building or property
21.) Clothes dryer, etc. 4.50
Type of fuel - oil 0 natural gas 0 LPG 0 electric 0 22.) Other units • 4.50
I hereby acknowledge that I have read this application, that the information 23.) Gas piping one to four outlets 2.00
given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with Oregon State laws. 24.) More than 4 -per outlet (each) .50
Signature of Owner /Agent Date Q
*SUBTOTAL '� u � " ��� Q rr11
U )\ - 0 , x2 7 U- 5% SURCHARGE r I : . ( C /)
Con . ct Person Name Phone PLAN REVIEW 25% OF SUBTOTAL
N f \WCO - V\ o4-viriter for all commercial per only ;; � -. 0;0\ 4 I 'Minimum permit fee is $25 + 5% surcharge
"Residential A/C requires site plan showing placement of unit.
I:\rnechprmt.doc rev 4/15/98
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