Permit CITY OF TIGARD MECHANICAL
PERMIT
AA DEVELOPMENT SERVICES IT #
: 06 /1 CMEC97 -0186
"'n.. 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 PERM ISSUED:
PARCEL: 2S104BA -15900
SITE ADDRESS...: 13644 SW LIDEN DR
SUBDIVISION • CASTLE HILL NO.3 ZONING: R -12 PD
BLOCK • LOT •189 JURISDICTION:
CLASS OF WORK..:ADD FLOOR FURN • 0 EVAP COOLERS: 1
TYPE OF USE •SF UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:H2 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 < 100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =100K BTU: 0 > 10000 cfm: 0
Remarks : instl 1 non - portable evaporator cooler II air conditioning units cannot
be placed inside setbacks
Owner: FEES
DAM LUU type amount by date recpt
13644 SW LIDEN DR PRMT $ 25.00 TAT 06/11/97 97 -295809
TIGARD OR 97223 SPCT $ 1.25 TAT 06/11/97 97- 295809
PLCK $ 6.25 TAT 06/11/97 97- 295809
Phone #:
Contract or:
TRI— COUNTY TEMP CONTROL /HEATNG
13651 SE AMBLER RD
CLACKAMAS OR 97015
Phone #: 654 -3115 $ 32.50 TOTAL
Reg #..: 000007
REQUI RED 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 Un t 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.
P e r m i t t e e Sign ur ,Q,(/�
Issued By: L A 4 .. , AA Li
'1 1 for inspection — 639 -4175
•
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit # i'�'1�(- -CY��
. • Tigar , 3
(503) 639 -4171
w..e a o..r.a..r+ Descnption •
Table 3A Mechanical Code OTY PRICE AMT
J ...
ob 1) Permit Fee -0- -0- 10.00
Address w �� Ll�n DL,
_� � .i. 1' () R 2) Supplemental Permit 3.00
.. t.
How d Pommy Furnace to 100,000 BTU
\Tha inn LU_u 1) Ind. ducts & vents 6.00
�+arv+a.a Pima Furnace 100,000 BTU +
Owner 2) incl. ducts & vents 7.50
ws.r zn Floor Fumance
3) incl. vent 6.00
Na.. (as name a bun.* Suspended heater, wall heater
4) or floor mounted heater 6.00
Liming Am... • P" Vent not incl. in .
Occupant 5) appliance permit • 3.00
cease. Za Repair of heating, refrig.
6) cooling, absorption unit 6.00 -
Na Boiler or comp, heat pump, air cond.
(9 r eDU•17 /Enp d r / 7) to 3 HP absorp unit to 100K BTU 6.00
n Rum Boiler or comp, heat pump, air cond.
/345/ Se 6 2(fC? /- 3//j' • 8) 3 -15 HP absorp unit to 500K BTU 11.00
Contractor n ,„, s ,,, 4. Boiler or comp, heat pump, air cond.
C.:IAet C.V 470/5 9) 15-30 HP absorp unit .5 -1 mil BTU 15.00
SSW woe.•... NO. mar era Tax No. Boiler or comp, heat pump, air cond.
7724621 //26, 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 •
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 mason below.) 13) 10,000 CTM + • 7.50
Non portable
14) evaporate cooler I 4.50 L SD
Vent fan connected
15) to a single dud • 3.00
Ventilation system not
16) included in appliance permit .. 4.50
ta won ew
tamps « wa Oa* Hood served by
to 17) mechanical exhaust 4.50
scn addition' alteration Q repair Q Commercial or industrial
be done residential Q 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 0 natural gas 0 LPG 0 electric 0 '
NOTICE V
Minimum Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
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 to
AFTER WORK IS COMMENCED. —
TOTAL e
Special Conditions
Date issued by
..YCI•Wi
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: & f) / ? 7 A.M. P.M. MST:
Location: /36 7' AA_ BUP:
Tenant: Suite: Bld ` g MEC: 677-01 8'6
1
Contractor: (77Zf W L{ ) hone: Q� — 3 l PLM:
Owner: �� 7 /3 P C,Q Q) L hone: ELC:
Vil�A C 7) : /. I ` J ELR:
SIT:
BUILDING BLDG (con't) PLUMBING MECHANIC • ELECTRICAL SITE
Site Post/Beam Post/Beam • os ' : eam 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 ched „a/6(.4_
Shear /Sheath Fire Spk1r /Alm Crawl/Found Dr Heat Pump Low Volt
Approv =• Approved Approved Approved Approved
Appr /Sdwlk of , pproved Not Approved Not A roved Not Approved Not Approved
FINAL FINAL i L FINAL FINAL
0 . - - o �� C,gG . ,rte
CI Call for v• - • 0 Reinspection fee of $ r ed be re next inspection 0 Unable to inspect
N
Inspector: - Date: J — 7 f7 Page of .