Permit CITY TIGARD MECHANICAL PERMIT
_��^ DEVELOPMENT SERVICES PERMIT #: MEC1999 -00152
^`"I DATE ISSUED: 4/13/99
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1 S134CC -04700
SITE ADDRESS: 12443 SW WINTERLAKE DR
SUBDIVISION: CAPSTONE ZONING: R -4.5
BLOCK: LOT: 014 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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Add A/C unit to an existing dwelling. NC units cannot be placed within the required set back areas.
Owner: FEES
BRETT EICHENBERGER Type By Date Amount Receipt
12332 SW WINTERLAKE PRMT GEO 4/13/99 $25.00 99- 314455
TIGARD, OR 97223 5PCT GEO 4/13/99 $1.25 99- 314455
Total $26.25
Phone:
Contractor:
5F e ✓iet ko-r C9 0449-A.)
'1 0 K 5 0E,aoiedit,og Rp
8 REQUIRED INSPECTIONS
6 4.9c) TY, B 470sl9' Cooling Unt Insp
Phone: Final Inspection
Reg #:
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 copi of these rules or direct questions to OUNC by calling (503)246 -9189.
Issue By: Permittee Signature: (503) 639 -4175 by 7:00 P.M. for inspections needed thegex business day
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION REWMP# Ol. /ff9 oo?
Tigard, OR 97223
(503) 639 -4171 c"2/71— APR 1 1999
COMMUNITY DEVELOPMENT
- Name of Devebpmmt Description
Table 3A Mechanical Code QTY PRICE AMT
Addy eu
Job ge /c1 3 S� edzingr. ¢,a 1) Permit Fee -0- -0- 10.00
Address .tY
2) Supplemental Permit 3.00
Name cat name of business) Furnace to 100,000 BTU
rA A S f - f L / en ha ° f 1) r 1 Incl. ducts & vents 6.00
fJf'°'na� Furnace 100,000 BTU +
Owner /A443 s I J 10/ / C.C_ Lake, 2) incl. ducts & vents 7 50
'9 Floor Furnance
/ C(Qcl TQ 97aa3 3) incl. vent 6.00
Name w�ame of b° :nee Suspended heater, wall heater
4) or floor mounted heater 6.00
M0m admen P"0 Vent not Incl. in
Occupant 5) appliance permit 3.00
GMfSlate .+p Repair of heating, refrig.
6) cooling, absorption unit 6.00
'..me � ?� - Boiler or comp, heat pump, air cond.
ry ecc &j ��� (V """° j y 7) to 3 HP; absorp unit to 100K BTU 6.00
� (' Boiler or comp, heat pump, air cond.
Contractor 6" " S am t re S 8 ) 3 -15 HP; absorp unit to 500K BTU 11.00
of °'° - _ _ _ _ —Boiler -or_comp, =heat pump, air_cond.
rY1 ��,}� / t" 9) 15 -30 HP: absorp unit .5 -1 mil BTU 15.00
" "° awe r� ury a° t °° "° _ O Boiler or comp, heat pump, air cond.
J oa/ 4 /a - 2''- qq O'�' 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
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
16) included in appliance permit 4.50
Vei acute tovmer of a 1 pate Hood served by
t // ; /_ 7 / 17) mechanical exhaust 4.50
scnr1 work new addition Qg, alteration 0 repair 0 Commercial or industrial
to be done residential Cgf 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
21) More than 4 -per outlet (each) 2.00
Type of fuel - oil 0 natural gas 0 LPG 0 electric 0
NOTICE
Minimum Fee 525.00 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 a,$
Special Conditions
Date issued by
H CLO GIMOS T S,MECHPMT
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