Permit CITY OF TIGARD
MECHANICAL
A DEVELOPMENT SERVICES PERMIT
J i� PERMIT # • MEC97 -0136
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 05/16/97
PARCEL: 2S1O4CA -05700
SITE ADDRESS...: 13659 SW WESTRIDGE TERR
SUBDIVISION • HILLSHIRE ZONING: R -7 PD
BLOCK LOT °057 JURISDICTION: TIG
CLASS OF WORK..:NEW FLOOR FURN 0 EVAP COOLERS: 0
TYPE OF USE -SF UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:H VENTS W/0 APPL: 0 VENT SYSTEMS: 0
STORIES ° 0 BOILERS /COMPRESSORS HOODS : 0
FUEL TYPES 0 -3 HP 1 DOMES. INCIN: 0
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: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN > =1O0K BTU: 0 > 10000 cfm: 0
Remarks : instl 1 boiler /comp /heatpump II air conditioning units cannot be placed
outside setbacks
Owner: FEES
BRIAN O'DONALD type amount by date recpt
13659 SW WESTRIDGE TER PRMT $ 25.00 TAT 05/16/97 97- 294684
TIGARD OR 97223 5PCT $ 1.25 TAT 05/16/97 97- 294684
Phone #:
Contractor:
SUNSET FUEL CO
PO BOX 42287
PORTLAND OR 97242
Phone #: 503 -234 -0611 $ 26.25 TOTAL
Reg #..: 000023
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Post /Beam Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
applicable laws. All work will be done in accordance with Misc. Inspection
approved plans. This permit will expire if work is not started Final Inspection
within 180 days of issuance, or if work is suspended for more
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than 180 days.
Permittee Sign titre: iv(td./
Issued By: V„ ,/, 1, �►/� ,
!'all for inspection — 639 -4175
...
City-bf Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Permit # 22 13
Tigard, OR 97223
(503) 639 -4171
N... a O••iovl.■
Oescnption
Table 3A Mechanical Code QTY PRICE AMT
rm...
Job 1 .5 ( ■ ty. 1) Permit Fee -0- -0- 10.00
Address .�! ^
b
1 t( Q� 91 3 .) Supplemental Permit 3.00
6 t« a w..« umace to 100,000
r , c " ®% c9 1) incl. ducts & vents 6.00
•v» C Furnace 100,000 BTU + ,,
Owner �Ji 5� L T e'i1 ' " ) incl. ducts & vents 7.50
zo Floor Fumance
T 1 C 0 � 1 Di a3 3) incl. vent 6.00
Nam. (at w two�) Suspended heater, wall heater ,
4) or floor mounted heater 6.00
1.4.... . * en... Tint not incl. in '_-
OCCUpallt 5) appliance permit 3.00
cars.. za Repair of heating, refrig.
6) cooling, absorption unit 6.00 .
_ (� Boiler or comp, heat pump, air cond.
1r.' A �7` 7) to 3 HP absorp unit to 100K BTU 1 6.00 tD•00
ro.o«... pfr Boiler or comp, heat pump, air cond.
O lvvx ��a�1 i p�rl 8) 3 -15 HP absorp unit to 500K BTU 11.00 -
Contractor - 4, Boiler or comp, heat pump, air cond.
or4P &. P%c) c c_ 6%-.41.1- 9) 15 -30 HP absorp unit .5 -1 mil BTU 15.00
so'. N.p..se.n No. a.. Tax No. Boiler or comp, heat pump, air cond.
,y c:61045? " ? 10) 30-50 HP absorp unit 1 -1.75 mil BTU 22.50
I hereby acknowledge that I have re this application, 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 31.50
of the owner, that plans submitted are in compliance with State Air handling unit to
laws, that I am registered with the Construction Contractor's 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 fan connected
• 15) to a single duct 3.00 •
`, Ventilation system not •
( M�iY( g "4v� �I 1319 16) included in appliance permit 4.50
s ( we agony Dar Hood served by
r 17) mechanical exhaust 4:50
- Descrtb w ork new addition alteration 0 repair commercial or industrial
to be done residential non - residential 0 18) type incinerator 30.00
Existing use of Other Le -, 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
21) More than 4 -per outlet
Type of fuel - oil 0 natural gas 0 LPG 0 electric 0
NOTICE
Minimum Fee $25.00 SUBTOTAL p5 00
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
• AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE • �`
IF CONSTRUCTION OR WORK IS SUSPENDED OR '
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUBTOTAL
AFTER WORK IS COMMENCED. ••
'� ° ^.� o o /'� . �.
ondi TOTAL ?4:$.
Special Ctions _+ ` `"�'� `J e r 4 Q ✓
,r\ C �i % °
, v ^.00\ Date issued by
ka4AECNPUT
won:m,.s.r
RECEIVED
MAY 161991
UOMMUNIiy DEVELOPMLivr
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CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 .
Date Requested: S I D I 91 A.M. P.M. MST:
Location: / Cp 5 W Lezt,(.d�P BUP:
Tenant: Suite: Bldg: MEC:< 7 ®! 3 (o
Contractor: ,s4 ,:n • Phone: ,--)--, 4 f -0 ( I ( PLM:
Owner: Phone: ELC:
ELR:
SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct - Reconnect Vault
Bsmt Damp Drywall Storm . Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat.Pump Low Volt
Approved • Approved Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved roved Not Approved Not Approved
FINAL FINAL IN FINAL FINAL
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rbir-/
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0 Call for re' tion 0 Reinspection fee of $ required befor next inspection 0 Unable to inspect
Inspector: Date: 0 " '/7 Page of
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