Permit MECHANICAL
CITY OF TIG4RD M E PERMIT c_
PERMIT # MEC95 0182
COMMUNITY DEVELOPMENT DEPAR}13MENT DATE ISSUED: 06/16/95
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171
PARCEL: 2S115AA -06900
SITE ADDRESS...: 10756 SW TITAN LN
SUBDIVISION • BERKLEY ESTATES ZONING°
BLOCK LOT °001
CLASS OF WORK..:NEW FLOOR FURN ° EVAP COOLERS:
TYPE OF USE °COM UNIT HEATERS..: VENT FANS...:
OCCUPANCY GRP..:A3 VENTS W/O APPL: VENT SYSTEMS:
STORIES •1 BOILERS /COMPRESSORS HOODS.......:
FUEL TYPES - - - -- 0 -3 HP....: 1 DOMES. INCIN:
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.
FURN )=100K BTU: ) 10000 cfm:
Remarks: Adding 1 3 HP air conditioner
Owner: - - - -•- FEES - - - - - -• -
BELL HEATING, INC. type amount by date recpt
15550 SW PIAZZ AVENUE PRMT $ 25.00 JDA 06/16/95 95- 26686E
5PCT $ 1.25 JDA 06/16/95 95- 266862
CLACKAMAS OR 97015
Phone #:
Contractor: -.
BELL HEATING
15550 SE PIAZZA AVE
CLACKAMAS OR 97015 --
Phone 4#: 656 -1184 $ 26.25 TOTAL
Reg #k..: 00447
REQUIRED INSPECTIONS -- - - - - --
This peroit is issued subject to the regulations contained in the Mechanical 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 peroit will expire if work is not started
within 180 days of issuance, or if work is suspended for pore
than 180 days.
Permittee Signature: MAI 1_6"D
Issued By: �j(/tt
Call for inspection — 639 -4175
A
City of Tigard '� ; MECHANICAL PERMIT Planck/Rec. #
4 13125 SW Hall Blvd. APPLICATION Permit # M €C 95 -O) -
Tigard, OR 97223
(503) 639 -4171
Nan. of lloodooroont Descnption
•
Table 3A Mechanical Code QTY PRICE AMT
Job
IfO M /l�
Address , )54. S� 1) Permit Fee -0- -0- 10.00
2) Supplemental Permit 3.00
"°n` ^ "'01°""' Furnace to 100,000 WU
i f
�.1 (Q,�J' 1) incl. ducts & vents 6.00
k, / � ""ow Furnace 100,000 Bl U +
Owner / Q75‘, .AJ I 2) incl. ducts & vents 7.50
q Floor Fumance
% /a it� ! 7 3) incl. vent 6.00
1417(11. a INDIO aw.M -a) Suspended heater, wall heater
4) or floor mounted heater 6.00
rh0no Vent not Incl. in
Occupant 5) appliance permit 3.00
49 Repair of heating, retng.
6) cooling, absorption unit 6.00
" Boiler or comp, heat pumar Cora
/ / /N- 7) to 3 HP; absorp unit to 100K BTU / 6.00 6 OO
Prone Boiler or comp, heat pump, air cond.
Contractor 41- s f h 2Z� 8) 3 -15 HP; absorp unit to 500K BTU 11.00
n °p Boiler or comp, heat pump, air cond.
i� f 64 974/j 9) 15 -30 HP; absorp unit .5 -1 mil BTU 15.00
eac M.v. croon MO. Coy &°• Tax No. Boiler or comp, heat pump, air cond.
yT— 10) 30-50 HP; absorp unit 1 -1.75 mil BTU 22.50
I hereby acknowledge that I have rea this app iI cation, 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
/
1 � G.r�) b A/Y 16) included in appliance permit 4.50
egwk.o taw* or agony oar Hood served by
17) mechanical exhaust 4.50
Descnbe work new U add alteration U repair U 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 19) heater, solar, clothes dryers, etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property
1 T e of fuel - oil na tural as LP G 21) More than 4 -per outlet
yp Q g Q Q electric Q
NOTICE Od
Minimum Fee $25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE / ?S-
IP 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 .a-S—
Special Conditions / j ,(
Date issued (I `' 0 by C' ` (Utif
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