Permit CITY OF TIGARD MECHAN I CAL
�i�,,,,di�� ° V DEVELOPMENT SERVICES PERMIT
...° -'�_� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PERM I T # MEC98 -0258
DATE ISSUED: 07/02/98
PARCEL: 2S111DA -01300
SITE ADDRESS...: 08605 SW LODI LN
SUBDIVISION....: APPLEWOOD PARK NO. 1 ZONING: R -7 PD
BLOCK • LOT °009 JURISDICTION: TIG
CLASS OF WORK..:OTR FLOOR FURN • 0 EVAP COOLERS: 0
TYPE OF USE -SF UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:R3 VENTS W/0 APPL: 0 VENT SYSTEMS: 0
STORIES • 0 BOILERS /COMPRESSORS HOODS ° 0
FUEL TYPES 0 -3 HP • 0 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 C 1O0K BTU: 0 t= 10000 cfm: 1 GAS OUTLETS.: 0
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Remarks : Install a/c unit, lust coeply with standard setbacks.
Owner: FEES
ALLEN, JAY & JUDY type amount by date recpt
8605 SW LODI LN PRMT $ 25.00 DEB 07/02/98 98- 307032
TIGARD OR 97223 5PCT $ 1.25 DEB 07/02/98 98- 307@
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Phone #:
Contractor:
SUN GLOW
2428 SE 105TH AVE
$ 26.25 TOTAL
PORTLAND OR 97216
Phone #: 253 -7789
Reg #..: 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 Lint 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 - 0014010 through OAR 952 -001 -0080. You may .
obtain copies of these rules or direct questions to OUNC by calling • •.•
(503)246 -9187.
Issue y: 62_41W1 t Permittee Signature:, j
+ +++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p..m. for inspections needed the next business day
+ +++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Plan Cheek ,
LITY'OF TIGARD Mechanical Permit Application VED Recd Byt.
13125 SW HALL BLVD. RECEIVECD ommercial and Residential Date Recd -,
TIGARD, OR 97223 JU Date to P.E.
(503) 639 -4171, x304 JUL ® 9 4d 1998 j 1998 Date to DST
COMMUNITY DEVELOPMENT Print or Type COMMUNITY DEVELOPMENT Permit# A 9g- Ct
Called
Incomplete or illegible applications will not be accepted
Name of Development/Project Description
L e:a)e,, A k uoL Table 1A Mechanical Code QTR' PRICE AMT
Job Street mfg jress 'Stilted A) Permit Fee -0- -0- 10.00
Address Ic6®s St,-, ' .,
Bldg# City /State Zip 1.) Furnace to 100,000 BTU + 6.00
'�r`�.G.r�... 0/ 7271 including ducts & vents
Name (or name of business) (/ 2.) Furnace 100,000 BTU+ 7.50
Owner - 5 - 0,v a- - Judy 74-1 1 -e,.., including ducts & vents
Mailing Address 1 3.) Floor Furnace 6.00
mil, () SLR.) Cdd. ltc,,>✓ including vent
City /State Zip Phone 4.) Suspended heater, wall heater 6.00
Ti /1 4 c2 f7,221( 42e -39, f or floor mounted heater
Nam r name bf 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 ^Ci: BUT"
City /State Zip Phone 7.) Boiler or comp, heat pump, airond. 11.00
3-15 HP; absorb unit to 500K BTU"
Contractor Name 8.) Boiler or comp, heat pump, air cond. 15.00
6 t1--.. 6-- 111 ^e...-- 15-30 HP; absorb unit.5 -1 mil BTU"
Prior to permit Mailing Address � � Ave-- 9.) Boiler or comp, heat pump, air cond. 22.50
�
issuance, a copy 72 s L f 30-50 HP; absorb unit 1- 1.75mi1 BTU"
of all licenses city/state zJ� Pho Boiler or comp, heat pump, air cond. 37.50
are required if e��// me__ 'FJ 7 > -50 HP; absorb unit 1.75 mil BTUBTU"' expired in COT Oregon CAM. Cont. Board Lic.# Exp. to 4 10.) 11.) Air handling unit to 10,000 CFM 4.50
database k) -- / Q
Architect Name 12.) Air handling unit 7.50
10,000 CTM+ - .
or Mailing Address 13.) Non - portable evaporate cooler 4.50
C ity /State Zip Phone
Engin p 14.) Vent fan connected to a single duct 3.00
Describe work New 0 Addition 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
�yt s-e C.. j /Ayr- Co rd. t 1 OH. 17.) Domestic incinerators 7.50
Existing use of (2._. 18.) Commercial or industrial 30.00
building or property S �;F type incinerator
19.) Repair units 4.50
Proposed use of nn 20.) Wood stove 4.50
building or property S F9
-
21.) Clothes dryer, etc. 4.50
Type of fuel - oil 0 natural ga 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
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Signature of Owner /Agent Date *SUBTOTAL `\ ' ° , r _ oq
�� /obi C /P3 / r 5% SURCHARGE " .
Contact Person Name V Phone PLAN REVIEW 25% OF SUBTOTAL g� s�
���/// Required for all commercial permits only. x '
4 Z T2 T1 TOTAL W r /)6 a�
'Minimum permit fee is $25 + 5% surcharge
""Residential NC requires site plan showing placement of unit.
I:\mechprmt.doc rev 4/15/98
Page No. 1 CASE HISTORY FOR CASE NO.. MEC98 -0258
ALLEN, JAY & JUDY
08605 SW LODI LN
09/08/98
Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
MECA007 Application received / / / / 07/02/98 MAIL DEB 07/02/98 DRA
MECA008 Create Permit / / / / 07/02/98 DONE DEB 07/02/98 DRA
MECA060 (F) Issue permit / / / / 07/02/98 DONE DEB 07/02/98 DRA
MECA715 Mechanical Insp 07/02/98 / / 08/04/98 PASS TLP 08/05/98 TLP
MECA730 Cooling Unt Insp 07/02/98 / / 08/04/98 PASS TLP 08/05/98 TLP
MECA799 Final Inspection / / / / 08/04/98 PASS TLP 08/05/98 TLP
MECA800 Case Finaled / / / / 09/01/98 09/01/98 JT