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15993 SW KREICK PLACE
CITY O TIGARD MECHANICAL.
DEVELOPMENT SERVICES PERMIT
13125 SN Hall Blvd„ Tigard.OR 97223(503)633.4171 PE RM T T #. . . . . . . : MEC99-0078
DATE ISSUED: 02/24/99
PARCEL: 2SIllDC-14700
SITE ra)DRE:SS. . . : 15593, SW NREJCF; PL.
:SUBDIVISION. . . . : K RE I CK MEADC;4S WN I NG: R--7
BLOCK. . . . . . . . . . ., LOT. . . . . . . . . . . . . .00.1. JURISDICTION: TIS,
CLASS OF WORN. . :ALT Ft._OOF; ;=URN. . . . : 0 EVAP COOLERS:-0__._________.._.
TY7,E OF' USE. . . . .SF= UNIT H' ATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :R;_, VENTS W/O APDL : 0 VENT SYSTEMS: 0
STOPIES. . . . . . . . : 0 BOILERS/COMPRE:SSORS HOODS. . . . . . . : 0
FUEL_ TYPES - ----- __ -- 0-3 HP. . . . : 0 DOMES. I NC I N: 0
• 3-15 HP. .. . . : 0 COMM'-.. I NC I N: 0
MAX INPUT: 0 BTU 1.5-;,0 HP. . . , 0 REP(""1 R UNITS: 0
FIRE DAMPERS7. . : 30-50 0 WOGOSTOVES. . : 0
GAS PRESSURE. . . : 50+ HP. . . . : 0 Cl-0 :)RYERS. . : N
NO. OF AIP H:)NDLTNG UNI'i OTHER UNT?S. : 0
F"UF'V < 10011 BTU: 1 ( = 10000 ,-fm : 0 GPS GUfLETS. : 0
FURi1 > =100'. BTU: 0 > 10000 cfm: 0
Rema lI s: Replace ana rnstail a gas furnace.
Owner: __.__._---------__ .___________.____._---.._________..--- _._-.___..___._.___.__ FEES
FhED PAS`3MOr,F type amorint by date rpcpt
7501 SW 195TH PL.ACE PRMT $ 25. 00 GEO 02/24/99 99-313226
DEAVERTON OR 97007 5PCT $ 1. 25 GEO 02/24/99 99-313226
Phone #: 642-1591
Contractor:
ALLIED MECHANICAL. CONT
1300 NE 48TH AVE
STE 1000 $ 26. 25 TOTAL_
HIl_LSBDRJ OR 97124
Phone #: 693-7553
Rog #. . : 005807
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Heat i.ng Unt Ir tip
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not star�.a
within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTi')N: Oregon law requir•et you to follow rules
Adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 952-081-0018 through OAR 952-001-8888. Yo-i may
obtain copies of these rules or direct questions to Ot1F{C by railing
(503)246-9187.
i
I Lie B y _ .�I: -�.'J-'�.G
++-1 4+4-+++4.++4-+-#-++++4..+++++•1-+++++++-F+4•-h+++t+-F#-+++4-+-h+++t+++++ F h+ t+i 1 •d•+•4•+....+t+
` Call 639-4175 by 7:00 p. m. fo- i.nspections npp(led the next bl_rsiness day
+-F++++4+++++++•4+++4 +•+++++++++++-t +++++++++41--4..........4................. : t++++++-}
Pian Check#__
CITY OF T?GARD Mechanical Permit Application Rer'd By _�
-13125 SW HALL BLVD. Commercial and Residential Date Recd-
TIGARD, OR 97223 Date to P.E.
(503) 639,4171, x304 D-,;e t"'CT
Print or Type -
F ermit
Incomplete or illegible applications will not be accepted Calwd
Narna of UevelopmenlfProlect Description —
Table 1A Mechanical Cede at Prim Amt
Job street Address sunPa -- A) Permit Fee
1) Furnace to 100,000 BTU
Address S 9 , Sit l /G4 including ductF A vents -- l 6.00
Pldg# City/State Zip 2) Furnace 100,000 BTU+
including ducts&vents 7.50
— � Name(or name /�� 6 0n
=�siness 3) FIUoI Furnace � A
- + �• ,� _includin vg est I
Owner Y e / /`� 5->I�Lv 4) Suspended heater,wall heater
Mailing Address r �.� or floor mounted heater _ 6.0_0
04L,. (L_ 5) Vent not included in appliance perm'
City/State Zip Phone — 3.00
V ,7--1 ��'.�,n� 7 6��?_�S�/ CHECK ALL "Boile�Heat Air
Namc,or name of Cualness) / THAT APPLY: or Pump Cond Qty Price Ami
n
V )-k3 I V �r — 6)<3'-IP,absorb'unit to +
OCCLIpant Mailing Address 100K BTU _ _ 6.00
7)3-15 HP;absorb unit
city/State Zip PhonT a--- 100k to 500k BTU 11.00
8) 15-30 HP;absorb
unit.5-1 mil BTU _- — 15.0_0
contractor Nam / 9)30.50 HP;absorb
t it
WA)K 4 unit 1-1.75 mil BTU 22.5
Prior to permit ailing Address 10)>50HP,absorb unit
>1.75 mil 8T11 L45
Issuance,a copy /,?���IU�y� -stl� t' fiS _F
_ L. _ _of all licenses City/St t°/ Zlp/ P/hone 11)Air handling unit to 10,000 Cl';
are equired if yl�s t' 71 `I 4r f/5 C5C ----- _
expired in COT n,gon Const Cont.Qoard 1.11 111 Exp Date 12)Air handling unit 10,000 CFM+
database ZlX _ ___ _ __ _ 750
Architect Name 13)Non-portable evaporate cooler
_ a 50
Mauing Address - 14)Vent fan cinnected to a single dud
�r _ 3.00
_ 15)%/entilalion system not included in
Engineer cnyrstate Zip Phone appliance permit __ 4.50 _
�� -V 16)Hood served by mechanical exhaust
�T 4.50
Describe work to be done: --- — -'—
�/ 17)Domestic incinerators
7.50
New O Re air O Replace with like kind: Yes D No O
Residential Commercial O '1 18)Commercial or industrial type incinerator
30.60
Additi nal information or description of work: f 19)Repair units
.r G�/4 S 41-A*f ee. - �- 4.50
;_0)Wood stove
Jc-�f� /V e/✓ ��.S �i7 j�f L� k7/�� _ 4.50
21)Clothes dryer,etc.
4.50
Type of fuel oil G natural ga9ff, LPG O electric O 22)Other units
4.50
I hereby acknowledge that I have read this appliratiun,that the information r2,,)
3)Gas piping one to four outlets
given is correct,that I am the owner r or authorized agent of 2.00
the owner,!nal plans submitted�e In compliance with Oregon State laws More than 4-per outlet(each) 50
I Signature of 0yi11r3i1 gent � --Da',) 1,5
5%
Minimum Permit Fee$25.00 SUBTOTAL 1
_ 5%SURCHARGE
Contact PiKon Name Phone PLAN REVIEW 25%OF SUBTOTAL
Required for ALL commerclal permits only
TOTAL t
*State Contractor Boiler Cerlificatio,t required
""Residential A/C requires site plan showing placement of unit
I Umechperm doc rev 07/20/98