Permit CITY OF T MECHANICAL
PERMIT
. ; DEVELOPMENT SERVICES PERMIT 97 -0180
� OR T C ISSUED: O6 /OMECC
PARCEL: 2S1O4BA -15400
SITE ADDRESS...: 13546 SW LIDEN DR
SUBDIVISION • CASTLE HILL NO.3 ZONING: R -12 PD
BLOCK • LOT •184 JURISDICTION:
CLASS OF WORK..:ADD FLOOR FURN • 0 EVAP COOLERS: 1
TYPE OF USE •SF UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP.. :R1 VENTS W/0 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 < 1O0K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Remarks : INSTL Ti EVAPORATE COOLER /1 AIR CONDITIONING UNITS CANNOT BE PLACED IN
SETBACKS
Owner: FEES
LINDA FUSS type amount by date recpt
13546 SW LIDEN DR PRMT $ 25.00 TAT 06/06/97 97- 295619
TIGARD OR 97223 PLCK $ 6.25 TAT 06/06/97 97- 295619
5PCT $ 1.25 TAT 06/06/97 97-295619
Phone #:
Contractor:
TRI— COUNTY TEMP CONTROL /HEATNG
13651 SE AMBLER RD
CLACKAMAS OR 97015
Phone #: 654 -3115 $ 32.50 TOTAL
Reg #..: 000007
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 wore
than 180 days.
Permittee Sign: a e:
Issued By: , AL—c..Li_ ki
'a all for inspection — 639 -4175
City of Tigard MECH PERMIT Planck/Rec. #
13f25 SW Hall Blvd. APPLICATION " Permit # P10.47
Tiga , 3 .
(503) 639 -4171 -
f Table �able 3A Mechanical Code CITY PRICE AMT
Job 13 )L1 lSI J),.) Li a q) Die _ 1) Permit Fee -0- -0- 10.00
Address 18,- k ( 2 - • 2) Supplemental Permit 3.00
••••w Furnace to 100,000 BTU
gy PoSS . 1) incl. duds & vents 6.00
Phone Furnace 100,000 BTU +
Owner 2) incl. ducts & vents • 7.50
mo Floor Fumance
3) incl. vent 6.00
rm.. ka n..e d d..w.q Suspended heater, wall heater
4) or floor mounted heater 6.00
liming /skied& Phan • Vent not incl. in •
Occupant 5) appliance permit 3.00
cars•• Jo • Repair of heating, refrig.
6) cooling, absorption unit 6.00 - - --
Boiler or comp, heat pump, air cond.
r 6uh7 i »i ip (j,,,/ 7) to 3 HP absorp unit to 100K BTU 6.00
Phone Boiler or comp, heat pump, air cond.
Contractor / s/ .e 4/rl'6�Ct ‘,6-7/... 3/45 - 8) 3 -15 HP absorp unit to 500K BTU 11.00
LP Boiler or comp, heat pump, air cond:
(:bid (cq /l9A.$ c 2 470/5 9) 15-30 HP absorp unit .5 -1 mil BTU 15.00
$p. AnpeiaoonNo. Coy BTao Boiler or comp, heat pump, air cond.
7c242 3 f /Z(, 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 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 ..7 4 . 511 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
AC> Non portable
14) evaporate cooler 4.50 S�
Vent fan connected • _
15) to a single duct • 3.00 " •
• Ventilation system not
• • - • - " 16) included in appliance permit ... 4.50
• (ce+ « agony Da Hood served by
17) mechanical exhaust 4.50
Describe work new 0 addition alteration 0 repair Q Commercial or industrial
to be done residential 0 n : dential 0 18) type incinerator 30.00 .-
Existtng use of n Other i.e.. woodstove, water
building or property 1CQ ..
/1C , 19) heater, solar, clothes dryers, etc. 4.50
Proposed use of . .. 20) Gas piping one to four outlets 2.00
building or property . _
I 21) More than 4 -per outlet •
Type of fuel -• oii 0 natural gas- LPG 0 electric 0
I41.SZ)
NOTICE -
. Minimum Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION / 9-5-f AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR •
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL 6...
• AFTER WORK IS COMMENCED. •
TOTAL # 3 9°5- °
Special Condtions
Date issued by
• Y({›.iY1
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: G — , 3— 9 7 A.M. _ P.M. MST:
Location: 1 3 59-4 , Sd ,c J BUP:
Tenant: Suite: Bldg: MEC: q 7-0/80
Contractor. P Mal — Phone: 5 311.x'' PLM:
Owner CaiN / 7 Phone: ELC:
TEMP GDM M) L-- ELR:
__...... SIT:
BUILDING BLDG (con't) PLUMBING , • ELECTRICAL SITE
Site Post/Beam Post/Beam • I :earn Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved (Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved N roved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
3 (
O Call for re' io O Reinspection fee of $ required before next inspection - - - - O Unable to inspect
Inspector: Date: `v / 3/. 7 Page of