14825 SW 81ST AVENUE-1 ADDRESS:
.�.. ay-
i:Vewr,dsVnicmflm\t,irgets\f)uilding.doc
F-
CITYOF T I G A R D MECHANICAL.
DEVELOPMENT SERVICESPERMIT
r--,ERMIT #. . . . . . . : MEC96-0429
13`25 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 1.2/10/96
PARCEL:
SITE f-)D D R E S SW 81ST AVE
SUBDIVISION. . . . : DURHAM ACRES ZONING: R-4. 5
BLOCK. . . . . . . . . . . L01.. . . . . . . . . . . . . :47
Cl-ASS OF WORK. . -ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE Or UqE. . . . .Sr- UNIT HEATERS. . : 0 VENT FANS. . . : 0
occurANCY GRP. . :R3 VENTS W/O APF-1I....: 0 VENT SYSTEMS: IZI
' STORIES. . . . . . . . : 0 BOILERS/COMPrZSSORS ROODS. . . . . . . : 0
FUEl- 0-3 HP. . . . : 0 DOMES. INCIN: 0
: /OTR/ 3-15 HP. . . . : Q, COMML. INCIN: 0
MAX INPUT: IZI 13 T t J 15 -.51� HP. . . . - 0 REIDAIR UNITS- 0
FIRE' DAMPERS?. . : 30-50 HPI— . : 0 WOODSTOVES. . : I
GAS PRESSURE. . . : 50+ HP. . . . : 0 CI-O DRYERS. . : 0
NO. OF UNITS------------ AIR HANDLING UNITS OTHER UNITS. - 0
TURN ( 100K BTU: 0 (= 10000 cfm : 0 GAS OUTLETS.. : 0
Fl 17,'N ) =100K BTU: 10 > 10000 C-fm : 0
Remarks : Add woodstove
Owner-,: FEES
CHARLES BABIN type ammint by date v-ecpt
14825 SW 81ST PIRMT $ 25. 00 DST 12110196 96-287509
5FICT $ 1. 25 DST 12/ 10/96 96-i---'87509
TIGARD OR 97224
Phone #: 639-4447
OWNFR
Phone $ 26. 25 TOTAL_
Reg #. . : 13125 REQUIRED INSPECTIONS
This pereit is issued subject to the regulations contained in the Woodstove Insp
Tigard Municipal Cole, Stitp of Ore. Specialty Codes and all other Final. Inspection
applicable laws. A,l war', will be done in accordance with
approved plans. This peroit will expire if work is not started
within 18e days of issuance, at, if work is suspended for ear@
than 180 days.
-J r SsIjed 13Y "
Call, for inspection 639-4175
Plan Check#
CITY OF TIGARD Mechanical Permit Application Recd by�6%
13125 SW HALL BLVD. Commercial and Residential
Date Recd / ` f b
Date to P E
TIGARD, OR 57223
Date to DST fG
(503) 639-4171, x304 Permit# 0Y;1
Print or Type Called
Incomplete or illegible applications will not be accepted —
Name of DeveiopmenvProad Description OTY PRICE AMT
, J Table 1A Mechanical Code _
F—J o b street Adcvau Suns$ A) Permit Fee -0- -0- 10.00
Address PiR2-'; SW�91`--f
Bldg$ cityrstate Zip B) Supplemental Permit 3.00
/L-t4 70 }
Name ter name of business) 1 ) Furnace to 100.000 BTU 600
Owner Jtil..t�i /;A�,iill/
incl.ducts 8 vents
Marling Addrou ,,// 2) Furnace 100,000 BTU + 7 5l1 I
�,T-'s �/��ryY� rr incl.ducts 8 vents
C ty)State 2Ip Ph nq 3) Floor Furnace 5 OJ
�. = �,,� '� incl.vent _
-- Name for narfie of business) 4.) Suspended her,er,wall heater 6.00
or floor mounted ne.,t�r
Occupant Marling Address 5) Vent not incl.in 3.00
P appliance permit
CnyrState zip Phorre 6) Boder or comp,heat pump,air Gond. 6.00
to 3 HP;absorp unit to 100K BTU
Name 7) Boder or comp,heat pun ip,air Gond 11.00
�GL3 A6161 3-15 HP',absorp unit to 500K BTU
Marcinq Addrou 8 1 Boder or comp.heat pump,au cond. 15.00
Contractor _ Ir 15-30 HP,absorp unit 5.1 and
-
(Pnor to City/Slate zip Onone 9) Boder or comp,heat pump,air ccnd. 22.50
_
30.50 HP;absorp unit 1-1.75 and BTU
issuance a copy
of aA licenses are Dre9o^Const.Cont.Board Uc$ Eap.Date 10.) Boder or comp,heat pump,au Gond. 37.50
required f >50 HP;absorp unit 1 75 mil BTU
expired in C 0 T COT Business Ta:or Metro$ Eap Data 11.) Air handling unit to 450
data base) 10.000 CFM
Architect Name 12.) Air handling unit 50
V .i 10.000 CTM+ _
Marling Address 13.) Non portable 4.50
or evaporate cooler
CdyrState zip Phone 14) Vent fan connected 3.00
Engineer to a single duct
1 Venhlatwri system not 4 50
Descnbe work New 0 Addition O Alteration 0 Repair O y
to be done ResidentiaP47 Non-residential O included in appliance permit
Additional Description`of work 16) Hood served by mechanical exhaust 450
��-
17) Domestic incinerators q00
Existinguse of
_ 19.) Commercial or industnaltype building or property L-D t incinerator
19.) Repair units _
Proposed use of 20) Woodstove 450
0
budding or property
21) Clothes dryer,etc 4 50
n Type of fuel-oil O natural gas O LPG O electric O
22) Other units 4 50
r.. -
I hereby acknowledge that I have read this application,that the i 23) Gas piping one to four outlets 200
`- information given is correct,that I am the owner or authorized agent of — 50
the owner,that plans submitted aro in compliance with Oregon Slate 24) More than 4-per outlet (ea h)
ii Date
Signature of Owne ant
'SUBTOTAL
X5.00
Contact Person Name Phone 5'/6 SURCHARGE
•�S
PLAN REVIEW 25'o OF SUBTOTAL
TOTAL
i',dstiinechpmt,doc (rev 7/96) •Minimum permit fee is S25+5%surcharge
1 C,, 2'7