Permit • CI1YOFTIGARD
COMMUNITY DEVELOPMENT DEPARTMENT MECHANICAL
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171 PERMIT
PERMIT # • MEC94 -0337
639 -4171 DATE ISSUED: 11/23/94
PARCEL: 28115AD -05501
SITE ADDRESS...: 10669 SW RIVER DR
SUBDIVISION • DOVER LANDING ZONING: R -4.5
BLOCK LOT '38
CLASS OF WORK.. :A$D FLOOR FURN • EVAP COOLERS:
_ TYPE OF USE •SF UNIT HEATERS..: VENT FANS...:
OCCUPANCY GRP..:R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES • 1 BOILERS /COMPRESSORS HOODS •
FUEL TYPES 0 -3 HP DOMES. INCIN:
: /GAS/ / / 3 -15 HP • COMML. INCIN:
MAX INPUT: BTU 15 -30 HP • REPAIR UNITS:
FIRE DAMPERS ?..: 30 -50 HP WOODSTOVES..:
GAS PRESSURE...: 50+ HP • CLO DRYERS.:
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.:
FURN < 100K BTU: <= 10000 cfm: GAS OUTLETS.:1
FURN > =100K BTU: > 10000 cfm:
- Remarks: gas log
Owner: -- FEES - - --
TED SCHROEDER type amount by date recpt
- 10669 SW RIVER DR PRMT $ 25.00 JF 11/23/94 —
SPCT $ 1.25 JF 11/23/94 —
TIGARD OR
Phone #:
Contractor: •
ALADIN HEATING
. 14895 NW HUNTERS DRIVE
BEAVERTON OR 97006 --
Phone #: 629 -5463 $ 26.25 TOTAL
Reg #.. : 44097
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Gas' Line Ins p
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
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. .
,Permittee Signature:
Issued By:
Call for inspection — 639 -4175
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit # 1 % -- 6 3 3 7
Tigard, OR 97223
(503) 639 -4171
- Noma a °^w°pno^t Description
Table 3A Mechanical Code OTY PRICE AMT
NXIIIHIS
Job
Address 10 (Q, (Qs, S \,, 1) Permit Fee -0- -0- 10.00
oo✓A -k 101(22 2 ) Supplemental Permit 3.00
name is O °a"aa i Furnace to 100,000 BTU
1 SG{.•,r 0 2 w- 1) incl. ducts & vents 6.00
P"°" Furnace 100,000 BF U +
Owner 1 0 GIVE 'W ye la—. 2) incl. ducts & vents 7.50
l °o Floor Fumance
' 4 a O 9,. Z ZK 3) incl. vent 6.00
Norio cce now a 01 p1a" Suspended heater, wall heater
4) or floor mounted heater 6.00
urnp AMMO PhOiM Vent not Incl. in
Occupant 5) appliance permit GROtilb VP Repair of heating, refng.
6) cooling, absorption unit 6.00
"an' //' � /� �,/ boiler or comp, heat pump, air cond.
4 -& • �J�, 01/ -z-w 7) to 3 HP; absorp unit to 100K BTU 6.00
1 O * ° Phone Boiler or comp, heat pump, air cond.
Contractor 8) 3 -15 HP; absorp unit to 500K BTU 11.00
`"' al) Boiler or comp, heat pump, air cond.
9) 15-30 HP; absorp unit .5 -1 mil BTU 15.00
blot* wgwamn No cnr Bus. Tax No. Boiler or comp, heat pump, air cond.
Yt7 l 1 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 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 (If 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
grab,* (ow 2S �IO L( " 16) included in appliance permit 4.50
ab'• (ow au°0a"0 Hood served by
17) mechanical exhaust 4.50
Descnbe work new Q addition O alteration U repair U Commercial or industnal
to be done residential 0 non - residential 0 18) type incinerator 30.00
Existing use of y.. J Other i.e., woodstove, water -q �9 1 4.50
building or property L�vo� -v•�,� ciC 19) heater, solar, dothes dryers, etc. I
Proposed use of I.- I 's p 20) Gas piping one to four outlets 1 2.00
building or property fly �9�/tL W
Type of fuel -oil 21) More than 4 -per outlet
yp 0 natural gas (i LPG 0 electric O
NOTICE
Minimum Fee $25.00 SUBTOTAL 2 S, a
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE /12S
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 2S
Special Conditions
Date issued by
kvMECHPMT
weiecaww
5/23/00 Activities for Case #: MEC94 -00337
2:08:51 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECA010 Plan check by 11/23/94 JF 11/23/94
MECA799 Final Inspection 12/9/94 TLP PASS TLP 12/9/94
MECA705 Gas Line Insp 11/23/94 12/9/94 TLP PASS TLP 12/9/94
MECA715 Mechanical Insp 11/23/94 12/9/94 TLP PASS TLP 12/9/94
• MECA060 (F) Issue permit 11/23/94 JF • JF 11/23/94
MECA800 Case Fineled 12/9/94 TLP PASS TLP 12/9/94
Page 1 of 1
INSPECTION NOTICE
City of Tigard Building Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 63 -
Inspection:
Footing Plbg. Und rslab Mech. ugh -in Appr /Sdwlk
Found. Plbg. Top Out Gas Line �FZ�
Post /Beam Struct. San. Sewer Framing `` -Bldg.
Post /Beam Mech. Rain Drain Insulation - Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
Data Requested: /D ' q 19 C / // /� Time: AM PM
Address: /0 / /`C/C. DR._ Permit il:07 - 6 9 y 0 337
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
ego- yl7l (w)
6-1-9 - a d 85(+1)
(2C/. s
9 9778
Inspector:
Date :/ ���
l PROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.