15455 SW FINIS LANE i
y �
d
-u
c�D CJI
N cn
C) n
11)
N N
W
c Z
m
0
c
T.
0
Q
FINIS LANE
CITY O F TIGARD MECHANICAL
DEVELOPMENT SERVICES PERMIT
PERMIT #. . . . . . . . MEC98-031.3
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 08/03/98
L R4
PARCEL: 2SIO3091-02300
SITE ADDRESS. . . :---SW?,ULL MOUNTAIN RD
SUBDIVISION. . . . : ZONING: R7
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . JURISDICTION: URB
-------------------------------------------------------
CLASS OF WORK. . :OTR FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY 73RP. . :R3 VENTS W,'Q APDL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 EOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL 0-3 HP. . . . : 0 DOMES. INCIN: 0
:W)S 3-15 HP. . . . : 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS------------ AIR HANDLING UNITS OTHER UNITS. : 0
FURN ( 100K BTU: 2 10000 cfm: 0 GAS OUTLETS. : I
FURN ) =100K BTU: 0 > 10000 cfm: 0
Remarks: Installation of furnaces and gas piping to residence.
Owner: FEES
KEVIN DRESSLE type amoi.int by date reept
16050 SW BULL MOUNTAIN RD. PRMT $ 2'5. 00 DLH 08/03/98 98--307951
TIGARD OR 97223 5PCT $ 1. 25 DL.H 08/03/98 98-307951
Phone #: 579-8123 EXPIRED
Contractor-: ---------------------------------
HOME HEATING & COOLING
3831 PAF IFIC AVE
AP:3 $ 26. 25 TOTAL
FOREST GROVE OP 57116
Phone #: 639--8169
Reg #. . : 127033
-------- REQUIRED INSPECTIONS
This pervit is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanit-al Insp
applicable IAMB. All work will be done in accordance with Heating Urt Insp
approved plans. This pervit will expire if work is not started Final. Insotction
within IN days of issuance, or if work is suspended for sore
than IN days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forih ii MR 952-88I-8818 through OAR 952-8 I-M. You eay
obtain ropit-s of thelte rules or direct questions to OK by calling
(503)246 91.!I.
I s s 1.1 o By: Permittee Signat�_ire
....................... ............... ..........++++++++-, +++++-I-+++++-+
Call 639--% 175 by 7:00 p. m. for inspections needed the next bLisineis day
+++++++++•+++-++++++++++++++++++, .................$-+++-?........4-++4-+++++- +#+++++++++
Plan Check#-ZA—
CITY OF TIGARD Mevhanical Permit Application Recd By
13125 SW HALL QL,VD. Commercial and Residential Date Recd
TIGARD, ORr-11223 /l Date
(503) 639-4171, x304 Date to DST
Print or Type � ��.�f Permit#
_ Incomplete or illegible applications will not be accepted
callea
Name of DevelopmonuProlect Y" Description
Table 1A Mechanical Code at Price Amt
Job Street Address — SUNotr A Permit Fee 10.00
Address 1) Furnace to 100,000 BTU
including ducts&vents 6.00
eldga CRY/State zip 2) Furnace 100,000 BTU*
including ducts&vents 7.50
Name(or name of business) 3) Floor Furnace
including vent 6.00
Owner Ke V/ y,n !��ss f �
Melling Address 4) Suspended heater,wall heater
�
/
f~+uvn or floor mounted heater 6.00
sl,d 3-tom, -f3 cN ,a t�
wo
5) Vent not included in appliance permit
CNylState 71P Phone p 3.00
�( '�; �� �I'1 z��� 5")� G Id CHECK ALL 'Boiler Heat Air
Nam (or name of business) THAT APPLY: or Pump Cond Qty Price Amt
Com
yy1 _ E)<3HP;absorb unit to
Occupant Melling Address 100K BTU 6.00----
7)
.00 _7)3-15 HP;absorb unit
CNylState zip Phone 100k to 500k BTU 11.00
8)15.30 HP;absorb
unit.5-1 mil BTU 15.00
Contractor Name 9)30.50 HP;absorb
unit 1.1.75 mil BTU 22.50
Prior to permit Mailing Address 10)>50HP;absorb unit
issuance,a copy ` 3) 4 C_l{'�L v-1 f�'`t >1.75 mil BTU 37.5_0
of all licenses Nylstale zi phone 11)Air handling unit to 10,000 CFM
are required if USI 3 4 f iw Qs.R 11�� (�� K -0 4.50
expired In COT Oregon Cons( Cont Hoard l.Ic N Exp12)Air handling unit 10,000 CFM
database �� 7.50
Architect Name 13)Non-portable evaporate cooler
_ 4.50
or Mailing Addre 14)Vent tan connected to a single duct t-APIRED 3.00
15)Ventilation system not included in
Engineer CNyl3late zip Phone appliance permit 4.50
16)Hood served by mechanical exhaust
Describe work to be done, 4.50
17)Domestic Incinerators
New 0Repair 0 Replace with!Ike kind: Yes O No-" -- 7.50
Residential? Commercial O 18)Commercial or Industrial type incinerator
/ :10.00
Additional information or description of work !f) 19)Repair units
. 4.50
l._f f AHG : T-tA(tA.l I I C t' R-0 1`1 6 L EC.?1R.i(L. 20)Wood stove
4.50
21)Clothes dryer,etc
4.50
Type of fuel oi10 natural gas)", 'PG 0 electric 0 22)Other units
4.50
I hereby acknowledge that I have read this application,that the Information 23)Gas piping one to four outlets L
given is co l ner or authorized agent of
the - er miffed are in compliance with Oregon State laws 24)More than 4-per outlet(each)
.50
Signature of Owner gent Date /1
Minimum Permit FE*e$25.00 3U8TOTAL cr
5°1°SURCHAR3E
Contact Person Name _ Phone PLAN REVIEW 25%OF SUR'OTAL
_ Required for ALL commercial permlis onyx
�-) `( TOTAL
"State Contractor Eloper Certification reouired
"Residential A/C requires site plat;showing placement of unit
1lrttechperm doc rev 07/20198 WA