Permit PERMIT �~
CIT OF � DATE ISSUED: 07/23/96
tON0MUNUTY DEVELOPMENT DEPARTMENT
1o1oeSw He ll Blvd. Tigard, Oregon n72o°a1om (503) 839-4171 PARCEL: 15133CC-01500
EITE ADDRESS...: 14065 SW SPRINGBROOK LN
SUBDIVISION ^ PEB8LECREEK ZONING: R-25
8LOCK. . . . . .... : LOT. .. . .. . . . .... :009
•
CLASS OF WORK..:ADD FLOOR FURN.... : 0 EVAP COOLERS: 0
TYPE OF USE .SF UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRF..:R3 VENTS W/O APPL: 0 VENT SYSTEMS: �
STORIES 0 BOILERS/COMPRESSORS HOODS ^ 0
.
FUEL TYPES 0-3 HP....: 0 DOMES. INCIN: 0
3-15 HP....: 0 COML. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP....: 0 REPAIR UNITS: @
FIRE DAMPERS?..: 30-50 HP : 0 WOODSTOVES'' c 0
GAS PRESSURE...: 50+ HP... . z 0 CLO DRYERS..: 0
NO. OF UNITS----- AIR HANDLING UNITS OTHER UNITS.: 0
100K BTU: 0 <= 10000 cfm: 1 GAS OUTLETS.: 0
FURN >=100K BTU: 0 > 10000 cfm: 0
RemarksA Installing an air handling unit to 10,000 OEM.
Owner: FEES -----
COSTA PACIFIC HOMES type amount by date recpt
8625 SW CASCADE BLVD PRMT $ 25.00 CJS 07/23/96 96-281873
SPOT $ 1.25 CJS 07/23/96 96-281873
BEAVERTON GR 97005
Phone #: 503-646-8888
:_:ortrac-5cr: -----------'------ '--
SKY PEATING & AIR CONDITIONONG
1637 SE KEHALEM
PORTLAND OR 97202 —
Phone #% 235-9053 $ 26.2b TOTAL
Reg #..: 50244
REQUIRED INSPECTIONS
This permit is Issued subject to the regulations contained in the Mechanical lnsp
Tigard Municipal Code, State of [,e. Specialty Codes and all other Misc. Inspection
applicable laws. All work will be one in accordance with Final Inspection
approved plans. This permit will expire if work is not started
within ia days of issuance, or if work is suspended for more
than days. _ ___________________
_
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Permittee 6i�nature: ��l � � -- — ____—
,
Issued By Chap,. �� _ _ ____ _��__
Call for inspection — 639-4175
City of Tigard MECHANICAL PERMIT Planck/Rec. # X41873
13:i25 SW Hall Blvd. APPLICATION Permit # / 1Ec96 -0 39
Tigard, OR 97223
(503) 639 -4171
Name of Development Description
Table 3A Mechanical Code QTY PRICE AMT
Job °" 0 , 5W 5 p/2( r+gbl2ca rc,t..1
.. • 1) Permit Fee -0- -0- 10.00
Address Crrfsafe ala -
Tl G(12 b b (Z - . ' 1 7 9 03 2) Supplemental Permit 3.00
Name im name of brumes.) Furnace to 100.000 BTU
,, naoc 1- t Easf - 1) incl. ducts & vents 6.00
�a� �"°^° Furnace 100,000 BTU +
Owner ,1 (. 5(�Ett brcadl ne- 2) incl. ducts & vents 7.50
S'at° Li, Floor Furnance
77c zeo Qg 9 7a2� 3 3) incl. vent 6.00
Name for name of busarou) Suspended heater, wall heater
� -L
a D f ` ,-E� 4) or floor mounted heater 6.00
Malang Address Phone Vent not Incl. in
Occupant 44 IG �- �� C d pp & bR i-h 5) appliance permit 3.00
'State tv Repair of heating, refng.
Ti •
a o (7)2_ q 9PA 3 6) cooling, absorption unit 6.00
NOT° Boiler or comp, heat pump, air cond.
�ea77 y.. /1-/e.- 7) to 3 HP; absorp unit to 100K BTU 6.00
Hating r Phone Boiler or comp, heat pump, air cond.
Contractor /X3 aE/1/e1a /ern 8) 3-15 HP; absorp unit to 500K BTU 11.00
` ..dy " Sta1° L° Boiler or comp, heat pump, air cond.
Pe427r OR 8 7_02 9) 15-30 HP; absorp unit .5-1 mil BTU 15.00
State Reg.treoon No. Car Boa. Tax No. Boiler or comp, heat pump, air cond.
<5?0 .2 1 - / cl 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 / 4.50 456
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
Ventilation system not
7Atttee, 7 /6 `/� 16) included in appliance permit 4.50
(owner or agent) Date Hood served by
17) mechanical exhaust 4.50
Describe work new 0 addition A alteration 0 repair 0 Commercial or industrial
to be done residential 0 non - residential 0 18) type incinerator 30.00
Existing use of � Other i.e., woodstove, water
building or property /).P �fi/}�L 19) heater, solar, clothes dryers, etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property .42.41_Ae—z- e. J
21) More than 4 -per outlet (each) 2.00
Type of fuel - oil 0 natural gas 0 LPG 0 electric Q
NOTICE
Minimum Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION .
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE
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 o ,2`
Special Conditions
Date issued .. 96 by
H:LLOGIMDSTS\MECHPMT