Permit M1
' I C
. • . ME'CI - -1A f tli_
CI O F T I GRD PERM
r ER I T • • 44,.. -. ,.. -•. a . o PIEC9 C -3-. -01• .. /
• COMMUNITY,DEVELOPMENT DEPARTMENT , ' • . -
13125 SWTiall Blvd. Tigard, Oregon 97223.8199 (593)539-4171, ' ' ,
1 c 633 —.'` i 7I DOTE ISSUED': 06i07/93 '
' • - SITE ADDRESS... '1 4 3 IRONWOOD,•L -P ,. • PARCE,Ls -'iSI34AA- -'1G0�%I •
'�>u3DIVISION.. .. ENGLEWOOD . . , 20NINu ti, R -y.
LOSK. ........ 2 LOr...o.,.... .. o 9 ,.
•
' CLASS OF WORT -;.. ADD' - • FLOOR EURi-J.... - EA/AF COOLERS _ : , • ' •? YPE OF U:SE.,... :S1= 'UNIT HEATERS.. . VENT' FANS.' .. -
`''OCCU GRP.. R3 VENTS W/O APPPL o :VENT •SYSTEiv7S e ' '
STORIES— .. . DU1LEr S/CENPRES SIRS HOODS. ... ... ' , ' . • ,
• FUEL TYPES - -- : • 2,1-3 HP.... : 1 ' ' DOMES. • • INC I N: .
/ELE/ -I - ./ '3-15 HP— t ... CON : itIiL. - INCIN :
MAX INPUT : BTU ' 15-30 HP. e ... F?EPA I • R 'UNITS : ' ' .
F- .E r E , D:�i'iPERS'' . . n - • 3'Z -50 HP. . . . a WOODS i OVEN . a
GAS PRESSURE." •. . . - 50Y HP.... CLO DRYERS.. '
' NO„ /OF; UT, ITS•- ' ' - --- -- AIR HF-Th DL I NG ON I'i S OTHf<R UN I TS. e -: .. - - •
• •FURN C .f d irg S T U: ' f= 1,0+ 00 cfm: _ • GAS OUTLETS. : : •
' ,I=.URN. z- .1i<:i 'F: BTU ;, s 0 lZi c'Fri.
Remarks' s ,
Owner : -. -- ---- -- • - - - -- - - -- Fc S - -- __-
- DaiG_ PEA CF: — _` - - - - -- ---- - -- ---•'- — •- - =- - - - _ - _voe. _- amooun t _'_..bv_.� da;e_. - - - - -- __:veto',:_- - - ---= ---
, - 1135 SW IRQNWOQD LP _ _ _ __ _ -- , PRI�'1T 5.00 :CH' Q6/07/93 =
' '5PCT $ 1.25 ..YF4 ' 06/07/(:)3 •- ' ,
TIGARD OR 97223 '
. P. - !'o? E' 1i•. . - - _.
' - WOLFER'`S, • • 1'91-: - .
r i=9 V.I. •.YUAG. , ST - - .
-i OODDU,RN, OR 97071 ` ' . • •, , - -- -- - --
.Phone TM -
: 931. 45i 1 , Eta TOTAL TAL • Red - -1. z '0191'1 ,
- , , - - -•- -- REQUIRED I h1SPEC .a oNS . . "" -_
• This pen it is •i tsned subject: to the rFgurations contained i:7 the 'Fi,.r, a1 Inspsct ion' - �__ • '
Tigard. r‘unicipal Codes State •of the Specialty Codes and all other ,
'appii,cot a 'laws. Ali,'eisr1' • wili be, done in :accordance
3 ^hl "6e: i'ans Iris , ,Plans. Wail- expirF if ,irk is not Started , _
• _
ff.,t;i r'i Alt of issuance, or if worn, is- suspended for core' - _ -- ' . ••
•than 160' days. - --
•
P.6 rinitte'e S :ignat'_ir _ - - ---- ' ', - _..� _ __. ,
Cal I-' forte'; i ns sect i on' - 639 ' '
:•
„ X411 , '' , } - C� - ' ` '' - ^ - • -
City of Tigard Receipt
13125 S.W. Hall Blvd. MECHANICAL PERMIT
P.O. Box 23397 Permit #
Tigard, OR 97223 Description
639 -4175 I Table 3A Mechanical Code CITY PRICE Mil'
1) Permit Fee -0- -0- l 10.00
Name of
,,, y I 2) Supplemental Permit 3.00
Job Address 1) Furnace to 100,000 BTU
J ind. duds & vents 6.00
Address // 3y O 5.c.), lrtar✓i.J 1 J 1r, ,754
Tar ) Furnace 100,000 BTU +
No. 2 incl. ducts & vents 7.50
Lot Block SubSwision
Name (or name of business Floor Fuace
T a P G 3) ind. vent rn 6.00
J Suspended heater, wall heater
MMang Phone 4 ) 6.00
Owner
11 350 5,1..i • 1 (..) dam/ Z fl G3, -52. q G or floor m9unted heater
Vent not incl. in
�te ZIP 5) 3.00
/ /5c 4::z ) , Of 5'? 1.2-1 appuarlce permit
t�lame -- - -- - - - Repair of heating, refr A,C. ,
S q M 6) cooling. absorption unit .. J ( 1 6.00 / bi ac,
Boiler or comp to 3 HP
ess Phone absorp. unit 104,000 BTU 6.00
Occupant CitylStale ZIP 8) Boiler or comp to3HP -15 HP - -- 11.00
absorp. unit to 500.000 BTU
Name r Boiler or aornp 1530 HP
4 3 (. e' / r4 eA'S i' 9) absorp. unit 'h - million 15.00
/ X Malang Address P 10 Boiler or comp to 30 -50HP 22.50 2.7c) 5)ou N 1 5)-. yi-(0--// ) absorp. unit 1 -1.75 million Contracto 11) Boiler or comp to 50 HP 31.50
1. � c) b N , OA 7.7G 7 ) absorp. unit 1,750,000 BTU
State Registration No. city Bus. Tax No. 12) Air handling unit to 4.50
/ 57/ ��/ 5 10,000CFM
- I hereby acknowledge that I have read this appUcation that the i formation given is 13) Air handling un acknowledge 7.50
correct, e that I am the owner or aut orIzed agent of the owner, that plans submitted are M 10,000 t:FM +
compliance with State laws, that I am registered with the State Builders' Board, that the Non portable
number given is correct. (t exempt from State registration please give reason below). 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
•
• 17)
Hood served by 4.50
,�^ C. 6 -Z- mechanical exhaust 1 1.-X—. I Signature (ownega t! - Date I 118) Domestic type 7.50
D3s n woe: ore re additi n (]a' / alteration ❑ . epair ❑ incinerator
to be done residential Q non- residential ❑ 19) Commercial or industrial 3000
Existing use of
type incinerator
building or properly Rsk 51 e=le ^'.- 20) Other i.e., woodstove, water 4.50
Proposed use of heater, solar, clothes dryers, etc.
building or property 0'ti 21) Gas piping one to four outlets 2.00
Type of fuel - oil ❑ natural gas Er LPG ❑ electric 113"
22) More than 4-per outlet
NOTICE c.0
• /")) N/ el-, -.'"'n CL-¢ -1--4. SUB -TOTAL Z 5-
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON 5% SURCHARGE 1 25
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25% OF SUB -TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
WORK IS COMMENCED. TOTAL Z6 2y
Special Conditions
071 Go (a—Fl9
CITY OF TIGARD B ILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing o
PIbg.Und /Flr /Slab Plbg. Top Out Insulation rect.
PosUBeam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other: /7-1/7(,,
Date: to q A.M. P.M. Entry:
Address: I f 3S--z)
Tenant: Ste: MST:
BUP:
Con /Own: MEC:
PLM:
ELC:
T FOLLOW NG CORRECTIO S ARE REQUIRED: ELR:
Inspector: Date:
APPROVED _DISAPPROVED /CALL FOR REINSP. CF CO
Page No. 1 CASE HISTORY FOR CASE NO.: MEC93 -0117
DOUG PEACH
11350 SW IRONWOOD LP
06/27/96
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
- --- - -- --- -- - - ---
MECA007 Application received / / / / / / 06/07/93 JH
MECA010 Plan check by / / / / 06/07/93 06/07/93 JH
MECA060 (F) Issue permit / / / / 06/07/93 PASS JLH 06/07/93 JH
MECA715 Mechanical lnsp 06/25/96 / / 06/25/96 see final FAIL RB 06/26/96 RB
MECA799 Final Inspection / / / / 06/25/96 condensation line needs to termini - to FAIL RB 06/26/96 RB
the outside; -.ntingent to electrical
approval