Permit Cii? OF TIG
.. PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT # : MEC96-0050
.......
1o1osmm*ana^m.nemu.owmonm�u°o1oo (503) 639-4171 DATE ISSUED: 02/29/96
PARCEL: 1S135DD-03603
SITE ADDRESS...: 11425 SW LOMITA AVE '
SUBDIVISION....: LOMITA TERRACE ZONING: R-4.5
BLOCK . .. .. . .. . : LOT.... . ... . . . . . :2
_
CLASS OF WORK.. :ALT FLOOR FURN....: 0 EVAP COOLERS: 0
TYPE OF USE.... :SF UNIT HEATERS.. : 0 VENT FANS...; 0
OCCUPANCY GRP..:A1 VENTS W/O 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 COML. INCIN: 0
MAX INPUT: 100 BTU 15-30 HP....: 0 REPAIR UNITS: 0
FIRE DAMPERS?..: 30-50 HP.. .. : 0 WOODSTQVES.. : 0
S PRESSURE...: 50+ HP....: 0 CLO DRYERS. . : 0
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.: 0
FURN < 100K BTU: 1 <= 10000 cfm: 0 GAS OUTLETS.: 1
FURN >=100K BTU: 0 } 10000 cfm: 0
Remarks: Alteration of a gas furnace to 100K BTU and gas piping to four outlets.
Owner: -------------------- ------------------------ FEES — —
ELIZABETH COSHOW type amount by date recpt
11425 SW LOMITA PRMT $ 25.00 CJS 02/29/96 96-276484
5PCT $ 1.25 CJS 02/29/96 96-276484
TIGARD OR 97223
Phone #:
Contractor: -- — —
B & T GAS SERVICE, INC.
8528. SW 190TH AVENUE
BEAVERTON OR 97007 --------- — --------
Phone #: 642-7243 $ 26.25 TOTAL
Reg #.. : 91104
REQUIRED INSPECTIONS — _-----
This permit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp _
applicable laws. All work will be done in accordance with Misc. Inspection
approved plans. This persit will expire if work is not started Final Inspection _ _____
within 180 days of issuance, or if work is suspended for moro
than 18N days. •
' ' ------- — --
Permittee Signature: __
Issued By -------- ---
Call for inspection — 639-4175
City of Tigard MECHANICAL PERMIT Planck/Rec. # 46 -, 7• , •
• 13 SW Hall Blvd. APPLICATION Permit # MEC96- 64)50
•
Tigard, OR 97223
(503) 639 -4171
W... el Doveleposons Description
Table 3A Mechanical Code QTY PRICE AMT
Job
Address ), 5 c) Li ve't uq-C). AP
Permit Fee -0- -0- 10.00
2) Supplemental Permit 3.00
Nom (et woe N tusks.* Furnace to 100,000 BTU '
..
ei-tY2.0-10.ei'L. CO,YVI (W\ 1) incl. ducts & vents / 6.00 7,,
Furnace 100,000 BTU +
Owner 114 a 5 ) Lew,;.-1-a_, C ai -3a 2) ind. ducts 8 vents 7.50
M1. av Floor Furnanoe
`4v,ua a i) iZ - - 7 a a 3) incl. vent 6.00
Wale Norse el business) Suspended heater, wall heater
4) or floor mounted heater 6.00
imam Pear... e11e Vent not incl. in
Occupant 5) appliance permit 3.00
■ bDe 4 I Repair of heating, refrig.
6) cooling, absorption unit 6.00
Warne Boller or camp, heat pump, air cond.
( ED t (3&j l,c� L - L. 7) to 3 HP absorp unit to 100K BTU 6.00
Mary Ad'*ea• ^1eae Boiler or comp, heat pump, air cond.
65). Sc_<. I QO Cola -2 8) 3 -15 HP absorp unit to 500K BTU 11.00
Contractor ,,,, O A Boiler or comp, heat pump, air cond.
E -,.�- 1. , OIL Z -2C)7 9) 15 -30 HP absorp unit .5-1 mil BTU 15.00
Cie lies. Ta. We. Boiler or comp, heat pump, air cond.
g (t 7 ---37,o 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 coned, 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 handing unit to
laws, that I am registered with the Construction Contractors Board, 12) 10,000 CFM 4.50
that the number given is correct (If exempt from State registration, Air handing una - --
please give reason below.) 13) 10,000 CTM + • • 7.50
Non portable - •
14) evaporate cooler 4.50
Vent fan connected •
15) to a single dud 3.00
e.g. entilation system not
aw l.� ,,-. j . ( 6 A c �•,sfl r�' A pfra 16) u appliance permit 4.50
/ 17) mechanical exhaust 4.50
Describe work new Q addition 0 alteration 0 repair 0 Commercial or industrial
to 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, clothes dryers, etc. 4.50
Proposed use of 20) Gas piping one to four outlets ` 2.00 a - CO
building or property
Type of fuel - od 21) More than 4-per outlet
ype 0 natural gas Q LPG 0 electric Q
NOTICE ' ,
_ Manimu ee $25.00 )UBTOTAL 2,510D
PERMITS BECOME VOID IF WORK OR CONSTRUCTION . • - -
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS. OR 5% SURCHARGE /, 25
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 2(025
Special Conditions -
Date issued a - a9- 9- s by �s
keA.EQ4P/.T
e+a0nme0ee
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service '411M®
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing
Plbg.Und /Flr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough-in / Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other: _
Date: L — Li A.M. P.M. Entry:
Address:
Tenant: a Ste: MST:
Co /Own:
40 3 S'S 2 MEC: 00.50
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
4 it < �� �GXI 5'77 5"
Z i
4-Sa A-e/ 0//4 ?,.‘ <
Inspector: r Date:
*PROVED DISAPPROVED /CALL FOR REINSP. CF CO