Permit MEUITINTCPL L/4
CITY OF TIGARD PERMIT
PERMIT # C
DATE ISSUED: 05/23/ -0148
6
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171 PARCEL: 25104BB -04500
SITE ADDRESS...: 14133 SW LIDEN DR
SUBDIVISION • CASTLE HILL ZONING: R -12 PD •
BLOCK LOT '022
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/0 APPL: 0 VENT SYSTEMS: 0
STORIES • 0 BOILERS /COMPRESSORS HOODS • 0
FUEL TYPES 0 -3 HP • 1 DOMES. INCIN: 0
: /GAS/ / / 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 one air cond. unit to 3HP.
Owner: FEES
TROY CHRISTIANSON type amount by date recpt
14133 SW LIDEN DR PRMT $ 25.00 CJS 05/23/96 96- 279769
5PCT $ 1.25 CJS 05/23/96 96- 279769
TIGARD OR 97223
Phone #: 503- 590 -2556
Contractor:
BELL HEATING
15550 SE PLAZZA AVE
CLACKAMAS OR 97015
Phone #: 503 -656 -1184 $ 26.25 TOTAL
Reg #..: 000447
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 Inspect ion
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.
Perm i t t e e Signature: Ma led
I ssued By: Cho rle:s Sri, i :di-
Cal 1 for inspection — 639 -4175
City of Tigard M tUI LAIN I UHL 1 C I1IVI I I Planck/Rec. # 96-a 79769
13125 SW Hall Blvd. APPLICATION Permit # inFC 96 - < ' - (R
Tigard, OR 97223
(503) 639 -4171
N.m. of tea+ Descnption
Table 3A Mechanical Code CITY PRICE AMT
•
Job C.r^.�• 3 (SAJ �yJ QZ 1) Permit Fee -0- -0- 10.00
Address
�, 2) Supplemental Permit 3.00
Name (0/ fame o Furnace to 100,000 lb I U
YI�� c tsr+v - sOJ 1) incl. ducts & vents 6.00
Furnace 100,000 1370 +
Owner 0 ( 31 5&) 2.or 1. btz5 f. 2) incl. Floor du�v 7.50
e l/Cc 9 '7 3 3) incl. vent 6.00
Name (a erne a erawy Suspended heater, wall heater
4) or floor mounted heater 6.00
� -» Mae Vent not incl. in
Occupant 5) appliance permit 3.00
CAtbilgo Jai. Repair of heating, retng.
6) cooling, absorption unit 6.00
NCI a r boiler or comp, heat pu '•
Ah�. 7) to 3 HP; absorp unit to 10$ • 6.00 G� 00
gp.s. ! Boiler or comp, heat pump, air cond.
Contractor 1 s" S PIA (5L///� 8) 3 -15 HP: absorp unit to 500K BTU 11.00
Boiler or comp, heat pump, air cond.
COW C / � ,�r V K c / Okc 9) 15 -30 HP; absorp unit .5-1 mil BTU 15.00
No. COY Bus. Tata°. Boiler or comp, heat pump, air cond.
10) 30-50 HP; absorp unit 1 -1.75 mil BTU 22.50
I hereby acknowledge that I have read this apple tion, tha 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
laws, that I am registered with the Construction Contractors Board, 12) 10,000 CFM 4.50
that the number given is correct. Of 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 tan connected
15) to a single duct 3.00
Ventilation system not
�� 16) included in appliance permit 4.50
bid• Wane/ of wow YJJ• Hood served by
17) mechanical exhaust 4.50
Describe work new U add n) alteration tJ repair kJ 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
building or property
21) More than 4 -per outlet
Type of fuel - oil 0 natural gaskl LPG 0 electric O
NOTICE - 0
Minimum Fee $2 SUBTOTAL Qs jo
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE t f°
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 O S
Special Conditions
— — — — Date issued 5 - a 3- 46 by CT — -
k.MECNPMT
mareandre
5/17/99 Activities for Case #: MEC96 -00148
3:18:16 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECA007 Application received 5/23/96 CJS RECD CJS 5/23/96
MECA799 Final Inspection 12/22/98 KS PASS VLN 1/29/99 Inspection request for research
to Hap W. 12/17/98 Research
Inspection: 1. Need electrical
final (was finaled 080296 -
MJR). 2. Extend condensate
line to exit. Also slope for
positive drain.
MECA715 Mechanical Insp 5/23/96 CJS 5/23/96
MECA725 Misc. Inspection 5/23/96 CJS 5/23/96
MECA060 (F) Issue permit 5/23/96 CJS PASS CJS 5/23/96
MECA075 (F) Reprint Permit 5/23/96 CJS 5/23/96
MECA800 Case Finaled 2/8/99 JT 2/8/99
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