Permit - CITY OF TIGARD ��
. ,ECHAN I CAL
�� ,.�� �� ; DEVELOPMENT SERVICES PERMIT #PERMIT• : MEC98 -0401
DATE ISSUED: 09/15/98
••� PARCEL: 25115BB -00900
SITE ADDRESS...: 16500 SW ROYALTY PKWY 7
SUBDIVISION - 6■ ZONING:
BLOCK LOT • ® JURISDICTION: KIN
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: 0 VENT SYSTEMS: 0
STORIES • 0 BOILERS /COMPRESSORS HOODS • 0
; FUEL TYPES - -- 0 -3 HP • 0 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 -F HP • 0 CLO DRYERS..: 0
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS. : 0
FURN < 100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 1
FLIRN > =100K BTU: 0 > 10000 cfm: 0
Remarks: Alteration to mechanical for residence.
Owner: FEES
HAZEL HANNA type amount by date recpt
16500 SW ROYALTY PKWY PRMT $ 25.00 DLH 09/15/98 KING CITY
KING CITY OR 97224 5PCT $ 1.25 DLH 09/15/98 KING CITY
Phone #: 620 -2660
Contractor: --- -- - - --
ROSE !-TEAT I NG CO
9945 NE 6TH DR - - - - -- --
$ 26.25 TOTAL
PORTLAND OR 97211
Phone #: 503- -283 -5183
Reg #..: 000020
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 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. 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 say _ _
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
Issue By: _ Permittee Signature: //6 ex
/ 49-L/ e /9 -770.J
+ + + + + ++ ++ ++ + + + + + + + ++ t++- 1-+++++++++++++++- F•+ + ++ + + + ++ + + + ++ + ++ + + + + + + + +- 1-+ +4• + + + + ++ + + ++
Call E39 -4175 by 7:00 p.m. for inspections needed the next business day
+ + + + +-f- + + + + + + + + + + + + + + + + + -F - F + + + + + + + + + + + + + + + +-F ++++++++ + + + + + + + + + + + + + + + + + + + + + + + +- F• + + ++
— , "SEP- 15 -'98 WED 14:07 ID: FAX NO: t051 P02 ._-c -ND
Mechanical Permit Application
Plan Check* B ��_
PIS Recd By .
• Commercial and Residential Date Reed 9'/�L'I'
GARE Date to P.E.
•
N� tJ Date to t]$T
�� �L \L Q lve. Print or Type K I Pe m/YE!' k'— elf" i r\ c _4 ‘.1143 19._ Incomplete or illegible applications will not be ac epted Called ltn
Name of De e,•pme uProJea Dsso npuon
• la • Ili e' Table 1A Mechanical Code MY PRICE 4eMr
JOD scree Aaariw R PY A) PeITtlit Fee -
°�' �• '0- •0- 10,00
Address ,,,,■
—
Dim 1 • B) Supplemental Permit I 3.00
norm O rrnnnamaor bu* 1.) Furnace to 100,000 BTU 6,00
•
Owner 9919 s -• ..,,. -` \ ilia. duds & vents
2 Furnace 100,000 BTU + 7.50
W �. _ ` = _ s 16 A - Incl. duos . vtintti
i IIC one 3.) Floor Pumaca c O.OG
■ "+ r< v -T � Ind. Vert
Naina or . ems at - as1) 4,) Suspended heater, wan neater 6,00
or floor mounted heater
Occupant • orinp Ai 5.) Vent not incl. in 3.00
appliance perfnit
•
My/Elsie lip Pnono 6.) Bp er or Comp, heat pump. air cond. 6.00
to 3 HP; abserp unit to 100K BTU
-
I. Nama 7.) Boller or comp, heat pump, air cond. 11 -00 `
— .- .. ' — 3-15 HP; ebaore unit to 500K BM
Qontractor 8,) Boiler or comp heel Pump. air cond. 15.00
% - lb ' --• 15-00 HP; abcora Unit .5.1 mil BTU
ut ach Dopy of C1114 -nte o Phana e.) Boller Pr comp, heat pump, air can • . 22.50
urrent Licenses b " �t - 1-, ■l ... 1 1 .1i 30-80 MP; absorp unit 1..1.79 coil BTU
* • en Cones, Com Board Uc.a Dote 10.) Boller or comp, heat pump, a r rand. 37,60 .
• r 1E a 50 HP: ebsorp unit 1.75 mil BTU
g • — Exp. Pato 1 l,) Air handling unit to 4,50
10.000 CFM
Architect 12.) Alr handling unit 7.50.
10,000 CTM +
or 13,) Non portable 4,50
evaporate cooler
Engineer c;ryrstale Zip -liana 14,) Vent Tan connected
3.00
to a simple duct -
?scribe work New 0 ,addition 0 Altetallon 0 Repair 0 15.) Ventilation system not 4,50 '
be done Residential 0 Non - residential 0 included in appliance permit
iditionel besc'iptIon of Work 16.) IMOgd maw by •
1 mechanical exhaust 4.50
Ne,U� v Z� n -
l 17) Domestic incinerators 7.50
dating use of • 18.) Commercial or lndUtitllal 30.00
Siding or properly _ T om , type Incinerator
10.) Clothea dryers, etc, a -50
oposea use or 20) Other units . 4.50
hiding or property
pe of fuel - ell O natural gas4 LPC 0 electric O 21) Gee piping one to four outlets 1 2.09 ,�
ereey ecAnowledOe that I have read this application, that the 22) More than 4-par outlet (each) .50
orrnatlon given le correct, that I em the owner or authorized agent of •
owner, that plane submitted we in compliance with Oregon Stale QTY. SUBTOTAL
vs.
anature of t]wrtai]Agen! Date 'SUBTOTAL r .�
+( e 911"8 5% SURCHARGE 1 •--
intact Person Name , Phone PLAN REVIEW 25% OF SUBTOTAL
a—
l / 1, 1J 1 _
J lt= ∎hG tf111 Y Ne- 1 TOTAL tea
tVnechpmt.dac `Minimum permit fen is $25+6% aurcharge
7/96
•
6/13/00 Activities for Case #: MEC98 -00401
2:25:29 PM eoloh
Assigned Hold Updated � ®
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECA007 Application received 9/15/98 DLH RECD CTR 9/15/98
MECA008 Create Permit 9/15/98 DLH DONE CTR 9/15/98
MECA799 Final Inspection CTR 9/15/98
MECA705 Gas Line lnsp 9/15/98 9/18/98 RC PASS J *H 9/18/98 Tag 304686
MECA715 Mechanical lnsp 9/15/98 CTR 9/15/98
MECA060 (F) Issue permit 9/15/98 DLH DONE CTR 9/15/98
MECA845 Request inspection research 5/22/00 ST DONE No Hold ST 5/22/00
MECA880 Expired by limitation 6/7/00 HAP DONE No Hold AKJ 6/7/00
Page 1 of 1