Permit C • 4 1-, 0 CITY OF TIGARD MECHANICAL PERMIT
1 � DEVELOPMENT SERVICES PERMIT #: MEC2001 -00186
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/1/01
PARCEL: 2S 114AD -03500
SITE ADDRESS: 08986 SW WAVERLY DR
SUBDIVISION: WAVERLY ESTATES ZONING: R -12
BLOCK: LOT: 034 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Installation of exterior NC unit. Unit cannot be placed in the required setbacks.
Owner: FEES
BURKE, E DAVID + KERRI E Type By Date Amount Receipt
8986 SW WAVERLY DR PRMT CTR 6/1/01 $72.50 2720010000
TIGARD, OR 97224 5PCT CTR 6/1/01 $5.80 2720010000
Total $78.30
Phone:
Contractor:
MILWAUKIE HEATING + COOLING
P.O. BOX 220216
MILWAUKIE, OR 97222 REQUIRED INSPECTIONS
Mechanical Insp
Phone: 557 -5562 Final Inspection
Reg #: LIC 104102
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other 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 in 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 dir- • estions to OUNC by
calling (503)246-189.
Issue By: .. i �` _ Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for inspection e, t next business day
Jun 01 01 01:27p Milwaukie Htg & C1g 503 - 557 -0790 p -1
05/31/2001 09:20 FAX 5036847297 City of Tigard 21002
d, ,
Mechanical Permit � n
Date received: , p Permit no. � . /0 / • i .
';_ , o City of Tigard
AY Expire dam.
Ctry Bond Add ess: 13125 SW Hall Blvd,Ti 9 223 ?�� i Gate issued!
= Receipt no.:
Phone: (503) 639 -4171
Fax: (503) 598 -1960 COMNIJI I Y DEVELOPMENT ETEM.111111 P aymeottype:
Land use approval: Building permit no.:
1 & 2 family dwelling or accessory 0 Commctoial/indasttiai O Multi - family 0 Tenant improvement
a New construction 0 Additlon/altaatiothpEacement 0 Other:
JOB 511L INFORMATION (.ONINILRC1VI. VALUATION SCHEDL:LE
lob address: e, �lri ep OMB - (r„ ]) / Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: Suite no.: / value of all mechanical materials, equipment, labor. overhead,
Tax map/tan Eot/aeeonat no.: profit. Value S .
Lac in lock: I Subdivision: •See checklist for important application information and
Project name: Jurisdiction's fee schedule for residential permit fee.
City/county: -i A Ur IZiP: q 7 ZL y i I & 2 FA:tilil.V D\TLL1.11G PEILJIIT FEE SCALD) LE
Description and location of work on premises: I • .ND CON1MERlCAI./INDUSTHI AL EQ :lPriE`' (SCE EDI:LE
Peeks.) Total
FsL date of completion/inspection: EOa+pdea Qty. Be. try Res.Oty
Tenant improvement or change of use: HVACt
Is existing space heated or condiltioned? Oates 0 No Air conditioning
handling unit CFM
insulated? es 0 Air ration fini ircplaorequlrod) /
Is existin
g spy - Alteration of e sistie HVAC system
3 !Et - HIANICAL CONTRACTOR : • 1- compressors
Business name: 1 1, A v k % j. 4 114 eCtA+ , ire boiler Tons BTU /H
Address Q 7 t 1 H U) 4/ - 2. / Fire/smoke dampers/
Ci : c. 4 State:O 7r: J - • eat` ! pum to plan re — y
Phone `J_,i sk Z. Fax:3".5 -c 7 ct E-mail: ns. rep ace , : . urner :TWH
Including ductwork/vent liner 0 Yes D No
MB no.: I O y /G7 / 2Y 03 Install/replace/felocateheaters— suspended.
City /metro lie. no.: ; m 0 . i wall. or floor mounted
Name (please print): . re' / 1 vent fora. ■ limn= °(her than furusce
( (INTACT PERSON ReIngerahom
Absorption units BTU/H
Manse: Chillers_ HP
Addttss:
S Q -f { Compressors
Eanre mteatal exhaust mid ventilation:
sty: 1 State: I ZIP: , Appliancevent
phone: Fax_ E-mail: i D ercah
� yp e l . tr�anlbaanat 1...._—
hood fee suppression system
a
N e: a
I) r- k .e , 1 Exhaust fan with singlc duct (bath faas)
Mailin g address' - Exhaust system a . brad heath or AC f.
City: / ' _ �T� ZIP: • 1 , Fee piping am . ,:.. 7 (up to 4 wilds)
T . LPG NG Oil Phone: .0 ., i l -mail: I Fun . r , n arb additions over 4 ou ets
LM1GINFFR -, mug Sc - enquired)
Name I Number of outlets
Address: Other listed 'Mime orequipmmt:
Decoradvofireptem .
City: I State: 1 ZIP.: I Insert —type
Phone: ( Fax: E-mail: Woodanvelpellerstove
r
'I Other:
Applicant's signature: � ✓v - h /r l � ' Other
Name (print): \ ' .,�C4 .. .... -A
1
B riar all lertercuer e imp cnd0 tads p=e 0111 ***Edna to MOM fafwsurfan, Permit fee S
°Visa 0 MasterCard Notice: This permit application Minimum fee g
eadu care =tiro: / 1 expires if a permit is not obtained plan review (al %) $
Enid as within 180 days after it has been State surcharge (8%) .... $
Nome of anmotde r as shwa as wail tad accepted as complete. $ TOTAL $
Cndhdder dances Moamar 410.1617 ganc
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Jun 01 01 01:27p Milwaukie Htg & C1g
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