12920 SW CARMEL STREET N
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12920 Stv CARMEL SIREE1
KING CITY
CITY OF TIGAR® MECHANICAL
PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : MEC97--0189
13125 SW Hall Blvd,, Tigard,OR 9722.3 1503)639.4171 DATE ISSUED: 06/12/97
PARCEL: 2SI16AD-17900
-W CARMEL ST
ADI)I�ESS. . .
SUBDIVISION. . . . : ZONING:
BLOCK.. . . . . . . . . . ., LOT. . . . . . . . . . . . . JURISDICTION. KIN
----------------------------------------------------------------------
CLASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . . 0 VENT FANO. . . : 0
OCCUPANCY GRP. . :H2 VENTS W/O ADPL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL. TYPES------------- 0-3 HP. . . . : I DOMES. INCIN: 0
-GAS
3-15 HP. . . . : 0 COMML. INCIN: 0
MAX INPUT: 0 13111 15 30 1 iP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS?. . : 30-50 HP. . . . -. 0 WOODSTOVES. . : 0
GAS PRESSURE. . . 504- HP. . . . -. 0 CLO DRYERS. . : 0
NO. OF AIR HANDLING UNITS OTHER UNITS. : 0
FURN ( 100K BTU: I (= 10000 cfm: 0 GAS OUTLETS. : I
FURN ) =100K BTU: 0 > 10000 cfm: 0
Remarks :
Owner: (7L—ES —
BILL MADDOX type E-,MOIAnt by date r-ecpt
129E0 SW CARMEL. ST PRMT $ 25. 00 TAT 06/12/97 KING CITY
KING CITY OR 97224 5PCT $ 1. 25 TAT 06/12/97 KING CITY
Phone #: '968-1543
Contractor--.
EASTSIDE HEATING
7200 SW JOHNSON CREEK
PORTLAND OR 97206 -----------
Phone #- 26. 25 TOTAL
Reg #. . : 000032
REQUIRED INSPECTIONS
This pproit is issued subject to the regulations contained in the Gas Line Insp
.iiyard Municipal Code, State of Ore. Specialty Codes and all other Meemanical Insp
;ipplirable laws. All work will be done in accordance with Heating Unt Insp
approved plans. This permit will expire if work is not started Cooling Unt Insp
within 180 days of issuance, or if work is suspended for sore Final Inspection
than 180 days.
AL
Permittee ag
"Fig t
�- 4
By :
Call for inspection — 639-41.75
JUN-11,'.9_7, WED 13:37 ID: mak'_ iu:r. kt6 P02 rlan wo
Mechanical Permit Application Rac'd 8y—T
CITY OF TIGARD ' l (_Date Rec'd _L
13125 SW I•TALL BLVD• Curnmerci�l and Residential Date to P E -
TIGARD, OR 97223 Dste to UST r�`ll ,R
(503) 639-15171, x304 Permit fr
Pi int ul i ype Called_
incomplete or illegible ;applications will w^t be accepted
--y— —�-' Ueicript:°n 01-Y PRIGS ^fir
Name of Vef JDM-.uProN�i
Table to Mer.hanlcal Code ,_ 0•
s�nert A) Permit Fee
Joh Street Address _
Address ,Z A.0 $,) CMZ"na"L �r'" 3,00
/state ZIP 8) upplemer Permit
ether -
vaF �,� e'+C• �� 72-L 6.90 40
rlgrce(�n rn"of eusineas) 1.) Nmees to 1 .000 BTU
Inl'.I duote a Wnta _
t:7wner
Marline AddnaR 2.) furnacj�60.000a B+ -
i 2 M y Incl.ducts&ventsCA
rlerni e1s(o•r WarnCe nrr Ins■•) 2bg-l: 34.)) incl,vent senutmps
-
6.00
SuspendedhealR,.mail
heater
-- or floor moi:nted heater _ ?O
Ven;not Incl.In
Occupant Mclltng ALdrt» a )lance ermit
Sorter or comp.heat pump,
air cond. 8.00 Gey`
c rrrst.r• i to 3 HP-ebsorp unit to 1o0K BTU
•) Boiler or comp.haat pump,
air rand. 1 1.00
Nims 3-15 HP;Ott- untt to 500K BTU
15.00
oiler or compheat pump,air send.
sling ax drou 15-30 HP:ebsorp unit.S•1 mil BTU
Contractor �� �tf a4 C-� �(��� Z2.5u
ode p ►t+one
A.) Bol er or comp.nest pump,air mnd.
Attain COPY Of (j'� c �-7yob '17`�-�L� 1 30 50 HP,obsorp unit 1.1.75 r c n U 37.50
Current Licenses ( ate 10.)B Boller or comp,hoot pump,air can 37.50
Onef.cont. Dara t ic.e >50 HP'abso unit 1,75 Frill BTU
.5-8 11 32
a para 11 ) Air handling Unit'.O
co ualnra rr. `, 4 ' 10,000 CFM
.50
_ _ •Z �— 12.) Air hen ng unit
Arcltitbct name 10,000 CTM
-- a..
or Maillnp�AAdreM id aporate choler 3.00
tryf.tote -'�� u pl,W 14.) Vont fan conne,'rd
Engineer to 7 sin le duct 4 50
1 ,) efntllation system not
Dsocribe wMk New O Addition O
oration Repairineludad in appliancr:permit
to be eons R!sldeMlel Non-rrsaidenilal O _ 16.) Hood sery y 4.50
Additional serlption of work mechanical exhaust
0
17) Domestic incinerators
18) Commercial it industriol
30.00
Ex sting use of ps ineinerator 4.50
building or property — - -` 1 g) lot res dryers.etc.
4 50
20) Other units
PropeMd use of _
building or prepoRy
—`N G O sl*m tc O
Z1I^Gas piping one'o four o ets � 200 j e�
1yP. I-ail O natural gas 10sp
_ �1` Mere than 4-per outlet (tach)
4
I enby ecknow edge that I have read this appitcat on•that the Q SUBTOTAL
information given is correct,that I am the owner or authorized ayent of I --
the ownerthat plans Submitted ere in compliance with Oregon State _
L
laws-
Sig tore of C`*meflAgent Dete _
URCHARGE
Phone � PLAN REv1EW 255.C' SUBTOTAL
Concoct arson Neme _
R ger£ 7 7 q t TOTAL
►�
- .�_,_ •►iAinimum 0-rMit fee is$25surcharge
. . u���a..•..1 rrnr
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 6394171
Date Requested. - A.M. P M. MST: —
Location: L,+��l7,�;oic, �^ BUR
Tenant: _ A Suite: _ Idrg: p _ MEC '-0
11:
Contractorr7 . f hone: PLM:
Owner: Phone: _ �j��_ �. 3 s.- _ ELC: —
ELR:
SIT: _
BUILDING BLDG(con't) PLUMBING <_,I!I HANICA>-� ELECTRICAL SITE
Site Post/Beam Posul3ewn Post/Beam Cover/Service Sewer/Storm
Footing Roof UndFVSlab Rough-In Ceiling Water Line
Slab Framing Top Out Gas Line Rough-In UG Sprinkler
Foundation !nsulation Sewer I ioomhct Reconnect Vault
Bsmt Damp Ikywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Thain A/C UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approvedppr
ova Approved Approv A
Appr/Sdwlk Not Approved Not Approvedoved Not Approved Not Approved
FINAL FINAL FINAL. FINAL FINAL
C1 Call for reinspection 171 Reinspection fee of S required before next inspection O Unable to inspect
�� 7 L/ Page_ of
7
Inspector: i:.G--- ------ IhteP
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