Permit CITY OF T MECHANICAL
� . DEVELOPMENT SERVICES PERMIT
.eilii PERMIT # • MEC97 -0221
:- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 06 / 27 / 97
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CEL: 2S111AD -10400
SITE ADDRESS...: 08790 SW REILING ST
SUBDIVISION • SCHECKLA PARK ESTATES ZONING: R -4.5
BLOCK • LOT •55 JURISDICTION: TIG
CLASS OF WORK..:ALT 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 : 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 < 1O0K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Remarks : Installing A/C unit. Unit oust not encroach into side or rear yard
setbacks.
Owner: FEES -•
CHRIS BLOOM type amount by date recpt
8790 SW REILING PRMT $ 25.00 B 06/27/97 97- 296543
TIGARD OR 97224 5PCT $ 1.25 B 06/27/97 97- 296543
Phone #: 624 -7906
Contract or:
SPECIALTY HEATING & FABRICATIO
9528 SW TIGARD ST
$ 26.25 TOTAL
TIGARD OR 97223
Phone #:
Reg #..: 006657
REQUIRED INSPECTIONS
This peroit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for sore
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- 001 -0010 through OAR 952- 001-0080. You lay
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
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Issue By: L.--� Permittee Signature?' 11 / //
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 6:00 p.m. for inspections needed the next business day
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Plan Check 4
CITY OF TIGARD Mechanical Permit Application Rec'd By
13125 SW HALL BLVD. Commercial and Residential Date Rec'd
TIGARD, OR 97223 Date to P E.
(503) 639 - x304 Date to DST
Print or Type Permit4 NIEC�7-
Called
Incomplete or illegible applications will not be accepted
Name of Dr gi� ic... pl _ e5 De
- � ^ ^ , �I S - `/ S Table 1A Mechanical Code OTY PRICE AMT
Job Street Address Sudee A) Permit Fee -0- -0- 10.00
Address g 4 9" ft,., ge/ /N
Bldge City/State Zip B) Supplemental Permit 3.00
Name for name of business) 1.) Furnace to 100.000 BTU 6.00
Owner GM2-/5 j, (7 O kit incl. ducts & vents
Mailing Address 2.) Furnace 100,000 BTU + 7.50
8 "no S w 6 . /L / , J sr- incl. ducts & vents
Cd i tate Zip I Phone 3.) Floor Furnace 6.00
! Q,---4 6 Zg 7 incl. vent
Nameor name of business) g ^/ 4. Suspended heater, wall heater - 6.00
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c . / •t or floor mounted heater
Occupant Mailing Address 5.) Vent not incl. in 3.00
appliance permit
CityiState Zip Phone 6.) Boiler or comp, heat pump, air cond. ' 6.00
to 3 HP; absorp unit to 100K BTU
Contractor Name 7.) Boiler or comp, heat pump, air cond. 11.00
Prior to Sfb /i4 II Y / 3-15 HP; absorp unit to 500K BTU
issuance Mailing Address / 8.) Boiler or comp, heat pump, air cond. 15.00
applicant 1,5 2- 5t.0 7i f7 15-30 HP: absorp unit .5-1 mil BTU
must provide all City�e _ Zip Phone 9.) Boiler or comp, heat pump, air cond. 22.50
contractor 9 7 6 zo --54 Iv 30-50 HP; absorp unit 1 -1.75 mil BTU
license Oregon Cons Cont. Board Licit Ex, . Date_ 10 Boiler or comp, heat pump, air cond. 37.50
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information S - 78 Sp' r -/ 8 > 50 HP; absorp unit 1.75 mil BTU
for COT COT Business Tax or Metro a Exp Date 11.) Air handling unit to 4.50
database). 10.000 CFM
Architect Name 12.) Air handling unit 7.50
10,000 CTM +
or Mailing Address 13.) Non portable 4.50
evaporate cooler
Engineer City/State Zip Phone 14.) Vent fan connected 3.00
. to a single duct
Describe work New 0 Addition 0 Alteration Repair 0 15.) Ventilation system not 4.50
to be done Residentit Non - residential 0 included in appliance permit
Additional Description of work 16.) Hood served by mechanical exhaust 4.50
17) Domestic incinerators 7.50
Existing use of 18.) Commercial or industrialtype 30.00
building or property S/l incinerator
19.) Repair units 4.50
Proposed use of 20) Woodstove 4.50
building or property
21) Clothes dryer. etc. 4.50
Type of fuel - oil 0 natural gas LPG 0 electric 0 22) Other units 4.50
I hereby acknowledge that I have read this application, that the 23) Gas piping one to four outlets 2.00
information given is correct, that I am the owner or authorized agent of
the owner, that plans submitted are in compliance with Oregon State 24) More than 4 -per outlet (each) .50
laws 4 Co/z 7/9
Signature of Owner /Agent Date QTY.SUBTOTAL L�X
D 6 as 'Sb g3 • - SUBTOTAL
Contact Person Name Phone 5% SURCHARGE 4
1, Z
PLAN REVIEW 25% OF SUBTOTAL /
TOTAL g 'L
i:ldstlmechpmt.doc (rev 7 196) 'Minimum permit fee is 525 + 5% surcharg bbb
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5/19/00 Activities for Case #: MEC97 -00221 ��P� •
2:48:38 PM EXPIRED
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECA007 Application received 6/27/97 B PASS DST 6/27/97
MECA799 Final Inspection JMT NOTE JT 11/19/98 11/19/98 inspection request
(research) sent to Hap W
MECA715 Mechanical lnsp 6/27/97 • DST 6/27/97
MECA060 (F) Issue permit 6/27/97 B PASS DST 6/27/97
MECA060 (F) Issue permit 6/27/97 B PASS DST 6/27/97
MECA880 Expired by limitation 5/10/00 HAP DONE No Hold AKJ 5/10/00
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