Permit CITY OF TIGARD MECHANICAL
1
% ,d, .,:, ,� DEVELOPMENT SERVICES PERMIT
:•�
__.. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 PERMIT # : MEC98 - 0288
� 4 414
' DATE ISSUED: 07/17/98
. 0 ORCEL: 25115BC -09400
SITE ADDRESS...: 16780 SW ROYALTY PKWY
SUBDIVISION • ZONING:
BLOCK • LOT • JURISDICTION: KIN
CLASS OF WORK..:OTR 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 . 0 DOMES. INCIN: 0
:ELE 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: 1 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Remarks : Installation of a furnace to SF dwelling.
Owner: FEES
RUBY BOHM type amount by date recpt
16780 SW ROYALTY PKWY PRMT $ 25.00 DLH 07/17/98 KING CITY
KING CITY OR 97224 5PCT $ 1.25 DLH 07/17/98 KING CITY
Phone #: 620 -3344
Contract or:
SUNSET FUEL CO
PO BOX 42287
$ 26.25 TOTAL
PORTLAND OR 97242
Phone #: 503- 234 -0611
Reg #..: 000023
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Heating lint 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 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 may
obtain copies of these rules or direct questions to OUNC by calling
(503)246 -9187.
Issue By: _ Permittee Signature: e/1"f /69 -770
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + ++ + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for inspections needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
JUL- 16 —'98 THU 23:31 ID: FAX NO: 14156 P02 —
CH AL
PERMIT Planck/Rec. Planck/Rec. #
'ity of Tiger• _ .; ...: ' w_ _ ._ :' :.,. �
1 3128 SW Hail Blvd. APPLICAT lip Permit # M6C 9f OrT� F 7p-7/9" 4944 .
Tigard, OR 97223
(503) 639 -4171 JUL 1 P 1998 1�' .
f N. w. a110.0449 Jana.
� h ' CTY _ AMT
+'Job Col rn ja. kn ya ltd .t Y ) 1 ) Perirtit Fee •o_ .o
. loo •
AiidreSS .r •-
�j ff 9 t 2 y 2) Supplemental Permit 3A0 ‘ ., U Fit.,k4 L (//_ umace to 100,0A 1 O
• 7 inc: ducts & vents H / 6.00 err. �J Bohm �0 33 '` y 1)
,,,M,,,, 1 v .-- Furnace 1 B 1 +
Owner
p7qt) 5,14)• "'�7I1 Po,/ PK 2) ind dusts 8 vents - 7.50
/I 7 / 3) , rgnumance , 6.00
CAN. al SUspe • - • heater, wall heater
4) or floor mounted heater 6.00
wi„ race. rw.,. Vent not md. in
O :cupant 5) appliance p9rtnli 3.00
tea - Repair of eating, re ng.
eC.8 ,3 y i,,, / 6) 000hng. absorption unit 6.00
N... l4ollor or comp, heat pump, air bond
L ■\' 'e.,: L.1.-e_ ` to 3 HP absorp loth to 100K BTU 6.00
,,, .,... Pron. Boiler or comp, heat pump, air cond.
Po (ii:nc'4 ?,,�1 „2341-c66,%1 8) 3 -15 HP absorp unit to 500K BTU 11.00
Contractor Q „, 8 „,. iip : • or or comp, - at pump, air • • -
„. -
Q< C.AC oe �1a4 Z, 9) 16-30 HP absorp unit .5.1 mil BTU 15.00
*rw ..•d•nN, c.I —T., Bader or comp, heat pump, air --
ca - 14.4 that y 10) 30.50 HP absorp unit 1 -1.75 mil BTU • 2250 •
I hereby acknowledge that have read this application, that the : •1 er or camp, -at pump, air co •. •
information given is correct, that I am the owner or authorized agent 11) > 50 HP ebsap unit 175 mil BTU 31.50
of the owner. that plans submitted are In compliance with State Air h. • mg unit to
Taws, that I am registered with the Construction Contractors Board, 12) 10,000 CFM &
that the number given Is correct. (If exempt from State registration. • • r 4^ 'mg unit
please give reason below.) 13) 10,000 CTM 4- 7.50
Non potlable
14) evaporate cooler 4 .50
Vent fan connected •
15) to a single dust 3.00
• G� Ventilation system not
i-191.v / / l L i g 16) included in appliance permit 4.50
�7 / o,. Hood served by
17) ntedtanical exhaust &
Describe work nowla addition 0 alteration 0 repair 0 Commercial or industrial '
to be done ivSi iia10 non-residential 0 15) type ir>eirrerator 30.03
Existing use of •'. er i • love, water
building or proper& 19) heater. .clan, dothes dryers. etc. 4.50
Proposed us* of 20) Gas piping one to four outlets 2.00
building or property
21) More than 4 - per oudot
Type of fuel - oil 0 natural gas 0 LPG 0 electric cia, •
NOTICE Ga
• Minimum Fee 525.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION • �
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS. OR 5% SURCHARGE 1.21
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. I / _ . ��
TOTAL 10
Special Conditions
Date issued by -
•
kaeaa.r*
...ado•
•
/ 5 7 - 9 - 7- 0'57
6/13/00 Activities for Case #: MEC98 -00288 tioh
2:28:31 PM ®
FO
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECA007 Application received 7/17/98 DLH RECD DLH 7/17/98
MECA008 Create Permit 7/17198 DLH DONE DLH 7/17/98
MECA799 Final Inspection DLH 7/17/98
MECA725 Heating Unt Insp 7/17/98 DLH 7/17/98
MECA060 (F) Issue permit 7/17/98 DLH DONE DLH 7/17/98
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
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