Permit CITY OF TIGARD MECHANICAL �y� ,,,,�,p, ����; DEVELOPMENT SERVICES I HA NI"t
I'EKRIYI T• 0.. „ .... — „ :: 1YIEC98••••0144
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 04/27/98
PARCEL: :i- s sL ::3.';I)1)••••CtJ::3E:,(%l::•s
4'i:rri.° f1I)I ?Fii:::ss....... 11425 SW I_-OMI T A AVE
SUBDIVISION....: 1 -OlY ITA TERRACE ZONING: R-4.5.
5.
BLOCK..........: l_Cl•T .. ........ ...... „ „ .. „ ,, :CSC r JURISDICTION: TIG
CLASS OF WORK,, .. : fal_- T FLOOR F URN.. „ a ..: Cl L :Vfal : :' COOLERS: 0
TYPE OF Usi :. :.. ,. „ :: bF UNIT HEATERS„.: :Rs...: Cpl VENT FNS...... :: 0
OCCUPANCY OR,::'a ..: Fi:3 VENTS W/O AI::'I::'i_-: 1 VENT SYSTEMS: C
STORIES........: 0 BOILERS/COMPRESSORS HOODS.......: fl
FUEL ' T• YF' 1::: isi•-••- __-- •- •.- ..----- ------ --- -_.- -- 0• -3 HP....: 1 DOMES.. :I :NCIN::
:GAS 3• -:LS HP....: C!I . COMM. :I :NCIN C!
MAX INPUT: 0 BTU 15 -•3() I••1F:'.......:: 0 REPAIR UNITS 0
F• :l:RE:: DAMPERS?..: 30 - -50 i•1P.......: 0 WOODSTOVE :i:i....: C
GAS PRESSURE...: 50+ HP....: C) CLO DRYERS....: 0
NO. OF UN:[TS- ___ - -_ -- ---- AIR HANDLING UNITS OTHER UNITS.: 0
is U1: N 4 100K BTU: 0 4= 10000 c fm: 0 GAS OU•TL E •TS.:: 0
FURN >:::1.0014 BTU:. () > :l.0000 c•Cnn 0
Remarks: INSTALLATION OF tU EXTERIOR A/C UNIT.
E ]: CC)Sl•IOW type amount by date •rcwcpt
11425 SW L.-OM :I:TA ;°rpC:T s :1... E'5 DE}3 04/27/` E 98••••305290
T I GARD OR 97223 23 I°'RMT $ r:3.. 4,; DEB 04/27/98 98-3052 90
PR MT $ :I...55 I)EB 04/27/98 98- •305288
Phone #:
Contractor: --__----_-__--_..____-_.-...- -._--- __- _- _- _- ____.:_.. -__ -_
NORTHWEST I- I[:ATINc & COOLING IN
8 304 SE STARK ST ___.-....._..__.. ....._._._._.__....._...___.__.
$ 26.25 TOTAL
PORTLAND OR 972 :16
Phone #:: 252-6656
Reg #....: 00 :L172
------- REQUIRED RE:I) I hic ?t••'EC. T I OIIc3 -------
This permit is issued subject to the regulations contained in the Mechanical :[ n p
Tigard Municipal Code, State of Ore. Specialty Codes and all other Cool. :i.nEl tint I iii p
applicable laws. All work will be done in accordance with 11isso.. Inspect io on _
_
approved plans. This permit will expire if work is not started ' Final 1 I nss pc ct i an _
F•
within 189 days of issuance, or if work is suspended for more __
than 188 days. ATTENTION: Oregon law requires you to follow rules . _
adopted by the Oregon Utility Notification Center. Those rules are _,- _- • - ,_ „--- „__, - - - „
set forth in OAR 952- 861 -8@18 through OAR 952-001-0880. You may _.........._........_.._.... _..._ _ ..... ........
obtain copies of these rules or direct questions to C by calling _ '
OM>N
(503) 246 -9187.
_____ ...... _____ .......... _ _--_
Issue I: +Y= k'y1A .. ...._._ I Sig n< t:c,c•ro::,../}
.+--+--+--+.-+•-+--+••+••+-•+••+••+••+-•+•-+-•+.4-4-+-•+••+••+--+••+••+--+--+.-+--+-• a•+-•+••+-• a•+ ••+••+••+••+••+••+••+••+••+••+- --+••+••+-•+•+••+-•+-•+--+••+••+••+-- a4•-+••+•-+--+-•+•-+••+• •+••+•++••+••+••+•-a.+.•+. -+ --a
Call 639-4175 by 7::00 p.m. for inspections needed the next business ci y
-+•.+- -+..+-•+••+••+••+--+••+• •+.1- 4- -+- -+••+• •+••+• •+••+•-+• •+-•+--+--+--+•-+--+• •+• •+-•+•-+ ++ +• •+•-+••w +••+••+• •+-•+•-+••+••+••+ •+-•+• •+•• +• -+-•+• •a -+--+--+--+--+--+--+--+-•+-• +--+--a.+•- +--+- •+- -+- •+--+••+• •+--+• •+• •+•-+-
06/16/97 10:34 $503 684 7297 CITY OF TIGARD Z002/002
, Plan Cho
CITY OF T IGARD Mechanical Permit Application - Ret d s
13125 SW HALL BLVD. RECE ttTimercial and Residential Date Reed / 7
TIGARD, OR 97223 Date to P.E. _
(503) 639.4171, x304 APR 1 7 1998 Date to DST
Print or Type • Permit* /4I'%( -o ly
Inc®iii jil ' 6rlillegible applications will not be acce tad
called
Name PT oeaelopmenvvroJeet Description
Table 1A Mechanical Code Qt PRICE AMT
JOb Street**dross \ - Suite* A) Permit Fee -0- 0- 10.00
Address
crags MY /State � 1.) Furnace to 100,000 BTU 6.00
�. including ducts & vents
Name (or name el business) 2.) Furnace 100,000 BTU+ 750
Owner I . Oct 'Imo . including ducts & vents
Mailing Address 3.) Floor Furnace 6,00
1 • a • 40 includin • vent
CigdStane O a 4.) Suspended heater, wall heater 600
. , IM ET r e s _, or floor mounted heater
5.) Vent not included in appliance permit In 3.00
Op 6.) Boiler or comp, heat pump, air cond. , . M
to 3 HP; absorb unit to 100K BUT., r1 •
7.) Boiler or comp, heat pump, air cond. 11.00
3.15 HP; absorb unit to 500K BTU"
Conb'actor ` 8.) Boiler or comp, heat pump, air cond. 15.00
(Prior
to I& s 1.1 t 15-90 HP; absorb unit.5.1 mil BTU"'
issuance 9 Boller or comp, heat pump, err Bond. 50 _
applicant 4
_ 4- n- � 30-50 HP; absorb unit 1- 1.75mi1 BTU"
must provide all r r 10.) Boiler or comp. heat pump. air pond. 37.50
contractor i,_ • i • e a 50 HP; absorb unit 1.75 mil BTU"
license oragen Cont. Cont. Boers uc.s • beta • ' ,
� �
11.) Air handling unk to 10,000 CFM 4.50
information 1 3- • i
for COT "'• -as Tax et Meta I Exp. Date 12.) • Air handling unit 10,000 ' M . "0 -
database). • a
Architect Name 13.) Non portable evaporate cooler 4.50
Of �� 14.) Vent fan connected to a Single duct Ell 3.00
Engineer bilinr• P h e r�e 15.) Ventilation system riot Included in 4,50
a • • fiance permit
Describe work New 0 Addition& Alteration 0 Repair O 16.) Hood served by mechanics' exhaust 4.50
to be done Residential- Non-residential 0
Additional r - ., n of work 17.) Domestic incinerators 7.50
■ n S \'` ‘) C n C C /4C-LO (f I 18.) Commercial or industrial type 30.00
Incinerator
Existing use • 19.) Repair units 4.50
building or property (Lt 7 i .) fl Cie :P
20.) Wood stave 4.50
Proposed use of l 21.) Clothes dryer, ete. 4.50
building or property �1 \ ) t ' )rho e
22.) Other units 4.50
Type of fuel - oil 0 natural gas :. LPG 0 electric 0 23.) Gas piping one to four outlets 2.00
I hereby acknowledge that I have read this application, that the 24.) More than 4-per outlets (each) .50
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with Oregon State QTY. SUBTOTAL
laws.
S
-
ignature of OwneHAgent Date L • Oct
. ei 596 SURCHARGE --
at = ! Phone - LAN REVIEW 25% OF SUBTOTAL -
i� � h ‘ r 1 be ea a I • TOTAL MIME
ctdattntethpmt.docrev 9 'Minimum Permit fee le 526 + 5% surcharge
"Residential NC requires site plan showing placement of unit.
.N A3. zi S
ik--t te... i4 1 , ` _ , 1 5-
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: '/S A.M. 9U P.M. MST:
Location: / / Li- 2 zJ S-14) BUP: p�
I
Tenant: �•y� , u) r Suite: Bldg: MEC: q �-V �ti
Contractor: {.t / [� , cj (lb Phone: sa ° 6 C 5 PLM:
Owner: ///
Phone: ELC:
I > . 1 / I A di 4 _ ' ELR: '
ii.. 2. / ' ,. a ' I. Co' SIT:
BUILDING BLDG (con't) LUMBING ' H
MECANICAL ) EL W CAL ' SITE
Site Post/Beam Post/Beam Post/Beam o . ice Sewer /Storm
Footing Roof UndFl/Slab Rough -In Cei Water Line
Slab Framing Top Out Gas Line Rou ; • In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Rec' ect Vault
Bsmt Damp Drywall Storm Furnace T. • Service MISC.
Masonry Ceiling Rain Drain A/C 140-(A) ■ G S , b b
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low V • It /YI U? el-- . /, 4- ei
Approved Approved Approve Approved Approved
Appr /Sdwlk ' Not Approved Not Approved o proved Not Approved Not Approved
FINAL FINAL ( Ili FINAL FINAL
,
< < L�� e?-.: Z--, rd _ Z - Ari 1 - C - di ; 3
■
O Call for reins • .� • - / O Reinspection fee of $ required before next inspection O Unable to inspect
Inspector: • y e fir 41‘ '5 "' 2 g Page of