Permit CITY TIGARD MECHANICAL PERMIT
,Ik DEVELOPMENT SERVICES PERMIT #: MEC1999 -00287
,�� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/6/99
PARCEL: 2S104DC -08700
SITE ADDRESS: 13285 SW WOODSHIRE LN
SUBDIVISION: MORNINGSTAR ZONING: R -4.5
BLOCK: LOT: 024 JURISDICTION: TIG
CLASS OF WORK: OTR 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:
ELE 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 a/c unit. Placement of a/c unit must comply with standard setbacks.
Owner: FEES
LEON PAULSON Type By Date Amount Receipt
13285 SW WOODSHIRE LN 5PCT DEB 7/6/99 $3.50 6002 •
TIGARD, OR 97223 PRMT DEB 7/6/99 $50.00 6002
Total $53.50
Phone: 524 -8375
Contractor:
SPECIALTY HEATING + FABRICATIO
9528 SW TIGARD ST
TIGARD, OR 97223 REQUIRED INSPECTIONS
Cooling Unt Insp
Phone: 620 -5643 Final Inspection
Reg #: SUP 2570RET
LIC 006657
ELE 34 -341 CR
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
Utilit i ica I Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080.
Yo may obtain co 'es f t ese rules or direct questions to OUNC
_ C by calling (503)246 -9189.
ue By: • Permittee Signature: k �J,�i.r,a — YUI a I G .tee/
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
cp-
CITY OF TIGARD Mechanical Permit Application 7- G - 97
13125 SW HALL BLVD. Commercial and Residential t/te.. i999 -ooag7
' 4.- TIGARD, OR 97223
(503) 639 -4171, x304 my�9 bo3''g
Print or Type
Incomplete or illegible applications will not be accepted
Name of Development/Project Description
Table 1A Mechanical Code Qty Price Amt
Job Street Address c, 1 / Surte# A) Permit Fee ,•• • • ,..;: >; :>``` :. ii 16.00
Address /3abr5 .5() I� hods4 /r(_ri. 1) Fumace to 100,000 BTU
including ducts 8 vents see footnote 1,2 9.65
Bldg# City/State Zip 2) Furnace 100,000 BTU+
r /Q(,/ ree ' '77a 23 including ducts & vents see footnote 1,2 12.00
N e (or name of usiness) < 3) Floor Furnace
Owner f ,� 0-y( including vent see footnote 1,2 9.65
Nailing Address 4) Suspended heater, wall heater
..1 �S 5 W /� ��,������� or floor mounted heater see footnote 1,2 9.65
,43 ortlYU 1_G t/vt,P- 5) Vent not included in appliance permit 4.75
City/State Zip Phone Check
- Check all that apply: 'Boiler Heat Air
- r land an , /J O� p C' 7J - - 5 - a 7. q3.0 Y For items 6 -10, see or Pump Cond Qty Price Amt
Nam namiof business) footnotes 1,2 Comp
6) <3HP;absorb unit to p 65
Lei 100K BTU / 9.65 9
Occupant Mail g Address 7) 3-15 HP;absorb unit
100k to 500k BTU 17.65
City /State Zip Phone 8) 15 - 30 HP; absorb
unit .5 -1 mil BTU 24.15
Contractor Name 9) 30 -50 HP; absorb
unit 1 -1.75 mil BTU 36.00 .
-
- -- - >50HP;=absorb unit - -
-
- -
Prior to permit Mailing Address >1.75 mil BTU
60.15
issuance, a copy 11 Air handling unit to 10,000 CFM
of all licenses Crty /state Zip Phone 7.00
are required if 12) Air handling unit 10,000 CFM+
expired in COT Oregon Const Cont Board Lic # Exp. Date 11.75
database 13) Non - portable evaporate cooler
Architect " We,6?,/ r 7.00
14) Vent fan connected to a single duct
Or M i Addre 4.75
G Er / ! y i Sc 15) Ventilation system not included in
C appliance permit 7.00
Engineer �Crty/ tale Zip Phone 16) Hood served by mechanical exhaust
/ l ai l O4 97.2-,?-3 (�o -s6 4E3 7.00
Describe work to be done 17) Domestic incinerators
12.00
New 0 Repair 0 Replace with like kind: Yes 0 Noit1 18) Commercial or industrial type incinerator
Residential V Commercial 0 48.25
19) Repair units
Additional information or [d - /� descrip 'on of work: 8.40
/4/1.04- �T 6 , . /1 20) Wood stove /gas FP /other units /clothe dryer /etc.
7.00
NOTE: For Commercial projects only; Units over 400 lbs. require 21) Gas piping one to four outlets
structural gas calcs. See footnote 1 3.75
Type of fuel: oil 0 natural gas 0 LPG 0 electric 22) More than 4 -per outlet (eac .75
Minimum Permit Fee $50.00 SUBTOTAL :' ..•
I hereby acknowledge that I have read this application, that the information 7 __5 4rSURCHARGE . >: >`•::: : >: :§ :iI >'• :: >• >::::a>*: •• 3,s°
given is correct, that I am the owner or authorized agent of PLAN REVIEW 25% OF SUBTOTAL :"
the owner, that plans submitted are in compliance with Oregon State laws. Required for ALL commercial permits only j :T t .. � rr `
7 110 1 " TOTAL
Signatu Owner /A t n D ate . .•:: • e. __ • , P - - Other Inspections and Fees:
L !eiriel16 /.iI /211 eZ �t�� 1. Inspections outside of normal business hours (mininum charge -two
..
Con e: P on Name Phone hours) $50.00 per hour
A� /� � 2. Inspections for which no fee is specifically indicated (minimum
(� charge -half hour) $50.00 per hour
Foono for commer ial projects only: 3. Additional lan review re uired b changes, additions or revisions to
P required by 9
1. Provide full schematic of existing and proposed gas line and pressure. plans (minimum charge -one -half hour) $50.00 per hour
2. Provide drawings to scale showing existing and proposed mechanical
units. *State Contractor Boiler Certification required
"Residential A/C requires site plan showing placement of unit
l:lmechperm.doc rev 02/4/99
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