Permit [ MECHANICAL ' -
PERMIT ~^
PERMIT # ^ MEC96-0197
� � OF � IGARD DATE ISSUED: 06/25/96
COMMUNITY DEVELOPMENT DEPARTMENT
PARCEL: 2S114BC-00700
131Blvd. Tigard, greeqn eroox°xm9 ]��) wom�1
SITE ADDRESS...: 10185 SW RIVERWOOD LN
SUBDIVISION ^ PICKS LANDING NO.1 ZONING: R-4.5
BLOCK ^ LOT ^62 .
_
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/O APPL: 1 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 < 100K BTU: 1 <= 10000 cfm: 0 GAS OUTLETS.: 1
FURN >=100K BTU: 0 > 10000 cfm: 0 •
Remarks: Residential
Owner: — FEES —
PAT FROST type amount by date recpt
10185 SW RIVERWOOD LN PRMT $ 27.00 JSD 06/25/96 96-280969
5PCT $ 1.35 JSD 06/25/96 96-280969
TIGARD OR 97224
Phone #: •
.
Contractor: — —
GAROKEN ENERGY COMPANY
3975 SW 113TH •
BEAVERTON OR 97005 ---
Phone #: $ 28.35 TOTAL
Reg #..: 043124
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. Al} 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. ---
— ^
---
Perm ittee --- ----- Signature: — -- —
Issued Gb /
/ Call for inspection — 639-4175 --' --
.
'
^'
'
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit # 7Y/C
Tigard, OR 97223
(503) 639 -4171
Name or Development Description
Table 3A Mechanical Code QTY PRICE AMT
Address
•
Job J 0115 ow e`ven0«x. 40.7P_ 1) Permit Fee -0- -0- 10.00
Address Gty /soot, Lip
) 1 a r Q g7as 4/ 2) Supplemental Permit 3.00
Name ( iCfne of soeoo) Furnace to 100 00 BTU
P w
A� R'C'S t 1) incl. ducts & vents / 6.00 Gj
Madng Address Phone Furnace 100,000 BTU +
Owner 54 ( -G 7 2) incl. ducts & vents 7.50
Goy /State zw Floor Furnance
3) incl. vent 6.00
Name (or name of busness) Suspended heater, wall heater
S Qy 4) or floor mounted heater 6.00
• Mang Address p Vent not incl. in
Occupant 5) appliance permit
/ 3.00 SCO
Gry/State zip Repair of heating, refrig.
6) cooling, absorption unit � 6.00
Name (' Boiler or comp, heat pump, (air cond.
�r Fe�n rim-rs 7) to 3 HP; absorp unit to 10 TU f 6.00 6'
Mailing Address / Phone Boiler or comp, heat pump, air cond.
Contractor C.1 S J 1IrYk 'Qt � 8) 3 -15 HP; absorp unit to 500K BTU 11.00
s ate Boiler or comp, heat pump, air cond.
B • A 4\1 9'7o05 9) 15 -30 HP; absorp unit .5-1 mil BTU 15.00
State Regstra°on No Cti Bus. Tax No. Boiler or comp, heat pump, air cond.
Li 3P / 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 11) > 50 HP; absorp unit 1.75 mil BTU 37.50
agent of the owner, that plans submitted are in compliance with Air handling unit to {
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM 4.50
Board, that the number given is correct. (If exempt from State Air handling unit
registration, please give reason below.) 13) 10,000 CTM + 7.50
Non portable
14) evaporate cooler 4.50
Vent fan connected
15) to a single duct 3.00
C 1,- E , I t - at Ventilation system not
' ' l 16) included in appliance permit • 4.50
stpnakrre'r°wner or agent) 1 Date Hood . served by
17) mechanical exhaust 4.50
Describe work new e addition 0 alteration 0 repair 0 Commercial or industrial
to be done residential non - residential 0 18) type incinerator 30.00
Existing use of (-- ( _ - Other i.e., woodstove, water
building or property .S I Ail e P- milt. 19) heater, solar, clothes dryers, etc. 4.50
�J
Proposed use of 20) Gas piping one to four outlets / 2.00 ez 9 ‘ ,60
building or property Zfr n
21) More than 4 -per outlet
• Type of fuel - oil 0 natural gas, LPG 0 electric 0
NOTICE
Minimum Fee $25.00 - SUBTOTAL +g't'
•
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
• AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE 1,1c
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 - 005` 5 5
Special Conditions
•
Date issued by
kdMECtPMT
w rdkomdev
5/23/00 Activities for Case #: MEC96 -00197
2:17:29 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECA007 Application received 6/25/96 JSD PASS JD 6/25/96
MECA010 Plan check by 6/25/96 JSD PASS JD 6/25/96
MECA799 Final Inspection 12/24/97 12/24/97 KS APP KBS 12/24/97
MECA705 Gas Line Insp 6/25/96 6/25/97 TLP PASS J *H 12/18/97 Per KS - report on job.
MECA715 Mechanical Insp 6/25/96 12/18/97 KS FAIL J *H 12/18/97 1. Need clearance at b -vent
touching roofing felt. 2. Provide
insulation shield at both b -vents
and secure also clearance at
gypsum (ceiling). 3. Extend
combustion air ducts at attic
above insulation line. 4. Extend
condensation line to exterior. 5.
Support b -vent horizontal at
attic. (Gas piping pt test
approved by TLP 062596. Also
rough mechanical; home owner
provided hard card of
inspection.)
MECA050 (F) Ready to issue 6/25/96 JSD PASS JD 6/25/96 Need CCB info
MECA060 (F) Issue permit 6/25/96 JSD PASS JD 6/25/96
MECA715 Mechanical Insp 12/24/97 KS APP KBS 12/24/97
MECA800 Case Finaled 12/29/97 JT 12/29/97
Page 1 of 1