9620 SW FREWING STREETI
C�
I
9620 SW FRENIM SPRFM
CITY OF TIGARD
DEVELOPMENT SERVICES
131255W Hall Blvd., Tigard, OR 97223 (.503)639-4171
MECHANICAL
PERMIT
PERMIT #.......: MEC96-0394
DATE ISSUED: 11/13/96
Remar^ks: Oil to gas conversion
Owner:-_._____-____..------_._.___._______._.._.___---__.._.._.._--.--__.---- __-- FEES ____..-------
KAREN CONNOI-I._V type amount by date r^ecpt
9620 SW FREWING ST PRMT 4 25.00, JSD 11/13/96 96-286399
SPCT $ 1.25 JSD 11/13/96 96-86399
TICSARD OR 97223
Phone #:
Contractor --.
ENERGY MASTERS
7470 SW 76TH
PORTLAND OR 97224
Phone #: 2:44--8880
Peg #..: 058556
This permit is issued sut)ject to the regulations contained in th?
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. Ali work will be done in accordance with
approved plans. This permit will expire if work is not started
within 19P days of issuance, or if work is susovided for more
than IEIN days.
Permittee Signature:
Tssued Bye- 60.
-----------------------------
t 26.25 TOTAL
------- REQUIRED INSPECTIONS _
Mechanical Insp
Final Inspection
Call for inspection -- 639-4175
PARCEL: 2S 1 O2CD-•001-:500
SITE ADDRESS...: 09 620 SW
FREW I NG Fj'T
SUBDIVISION....: FREWINGS
ORCHARD TRACTS
ZONING -
ONING-BLOCK..........:
BLOCK .......... :LOT.............:P5
:LASS OF WORK..:ALT
FLOOR FURN....:
0
EVAP COOLERS:
0
TYPE OF USE.... :SF
UNIT HEATERS..:
0
VENT FANS...:
0
OCCUPANCY GRP..:R3
VENTS W/O APPL:
0
VENT SYSTEMS:
0
STORIES........: 0
BOILERS/COMPRESSORS
HOODS.......:
0
FUEL TYRES-------------
0-.3 HP....:
0
DOMES. INCIN :
0
:/GAS/ / /
3--15 HP.....,
0
COMML. INCIN :
0
MAX INPUT: 0 PTU
1.5--30 HP.....:
0
REPAIR UNITS:
0
FIRE= DAMPERS?..:
30--50 HP....:
0
WOODSTOVES..:
0
GAS PRESSURE...:
504- HP....:
0
CLO DRYERS..:
0
NO. OF UNITS------------
AIR HANDLING UNITS
OTHER UNITS.:
0
FURN ( 100K BTU: 1.
=- 10000 cfm :
0
GAS OUTLETS.:
1
FURN )=100K BTU: 0
> 10000 cfm:
0
Remar^ks: Oil to gas conversion
Owner:-_._____-____..------_._.___._______._.._.___---__.._.._.._--.--__.---- __-- FEES ____..-------
KAREN CONNOI-I._V type amount by date r^ecpt
9620 SW FREWING ST PRMT 4 25.00, JSD 11/13/96 96-286399
SPCT $ 1.25 JSD 11/13/96 96-86399
TICSARD OR 97223
Phone #:
Contractor --.
ENERGY MASTERS
7470 SW 76TH
PORTLAND OR 97224
Phone #: 2:44--8880
Peg #..: 058556
This permit is issued sut)ject to the regulations contained in th?
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. Ali work will be done in accordance with
approved plans. This permit will expire if work is not started
within 19P days of issuance, or if work is susovided for more
than IEIN days.
Permittee Signature:
Tssued Bye- 60.
-----------------------------
t 26.25 TOTAL
------- REQUIRED INSPECTIONS _
Mechanical Insp
Final Inspection
Call for inspection -- 639-4175
CITY OF TIGARD
13125 SW MALL BLVD
TIGARD, OR 97223
(503) 639-4171, x304
McChanical Permit Application
Commercial and Residential
Print or Type
Incomplete cr illegible applications will not be accepted
'dstlrmechpmt doc (rev 7/96)
Pfan Check At
Rec'd By
Date Recd
Date to P.E.
Date to DST
Permit # .r C S'r
Called 1 C
Descnpbon
Table 1A Mechanlczll Code0TY
Name of DevelopmentiProp•ct
KPs7 .� cc,W ULA
Street Address
MeN
Job
Address
—q4,? -0 mow, i~IZ�
t1�C� S
B) Supplemental Permit
Blapa CdyrStale L
tl�Rfi-n'UYL �j`�223
300
Name for name of business)
Owner
�C�iiZ_.1 C UU�ULC_
5.00
Melling Address
21 Furnace 100,000 BTU +
incl. duds & vents
Zip Phone
7.50
N wrna for name of business)
Occupant
M,i g fc--�—'
4.) Suspended heater, wall heater
or floor mounted heater
Cityi late Zip
Phone
Name
le frs IVB ,
Contractor
Melling Address
Attach copy of
Current Lice
Cdyistale Zip
— ori, pTZZ �i
Phone^
zq4 `093)
6.00
Oregon Const. Cons. Board Lnc a
dVt �dl� (YJ
Exp Date
11 00
T If' r" Sax o 1 a
�J lP
Exp Date
Architect
Name
9.) Boder or comp, heat pump, air Gond.
30-50 HP; absorp unit 1-1.75 mil BTU
22.50
Engineer
173TISIale Zip
Phone
Descnbe work New O Addition O AlterationRepair O
19-
to be done Residential O Non-residential O
Additional Descnption of work
Existing use of F E S 1 C C �^
building or property _A
Proposed use of
•(
building or property
Type of fuel - oil C natural gas LPG O electric O e
I hereby acknowledge that I have read this application that the
information given is correct, that I am the owner or authorized ?gent of
the owner, tt at plans submitted are in compliance with Oregon State
laws
Si nature of OwlerlAgent Date
/A
W
Contact Person Name Ph/one
YU
'dstlrmechpmt doc (rev 7/96)
Pfan Check At
Rec'd By
Date Recd
Date to P.E.
Date to DST
Permit # .r C S'r
Called 1 C
Descnpbon
Table 1A Mechanlczll Code0TY
PRICE
AMT
A) Permit Fee
0-
"0-
10.00
B) Supplemental Permit
300
1 ) Furnace to 100 000 BTU
incl. ducts & vents
5.00
21 Furnace 100,000 BTU +
incl. duds & vents
7.50
3.) Floor Fumace
incl. vent
600
4.) Suspended heater, wall heater
or floor mounted heater
6 00
5.) Vent not incl. in
appliance permit
300
6.) Boller or comp, heat pump, air Gond.
to 3 HP, absorp unit to 100K BTU
6.00
7.) Boder or comp, heat pump, air Gond.
_ 3-15 HP; absorp unit to 500K BTU
11 00
8.) Boller or comp, heat pump, air Gond
15 30 HP; absom unit 5-1 mil BTU
15.00
9.) Boder or comp, heat pump, air Gond.
30-50 HP; absorp unit 1-1.75 mil BTU
22.50
10) Boder or comp, heat pump, air Gond ~
_ � 50 HP, absorp unit 1.75 mil BTU
37.50
11) Air handling unit to
10,000 CFM
_
450
12) Air handling unit
10,000 CTM +
+750
13) Non portable
evaporate cooler
4.50
14) Vent fan connected
to a single dud
300
15) Venti'atlor system not
incluGad In appliance permit
450
16) Hood served by mechanical exhaust
450
17) Domestic incinerators
7 50
18) Commercial or tndustnaltype
incinerator
3000
19) Repair units
450
20) Woodstove
450
21) Clothes dryer, etc.
4.50
22) Other units
23) Gas piping one to four outlets
I
4.50
200
24) More than 4 -per outlet (each)
�OTY.SUBTOTAL
5t)
_. ——i— 'SUBTOTAL
5110 SURCHARGE
PLAN REVIEW 25% OF SUBTOTAL
TOTAL
Minimum permit fee Is 525 + 51/6 surcharge
Footing
Foundation
CITY OF TIGARD BUILDING INSPECTION NOTIC
Inspection Li : 639-4175 Business Phone: 639-4
Rain Drain Cover/Service IN
Water Line Ceiling mlb.
Post/Beam Mach.
Shear/Sheath
Framing
L Mech.
Plbg.Und/Flr/Slab
Plbg. Top Out
Insulation
-Elect.
Post/Beam Struct.
Mech. Rough -in
Gyp. Bd.
-Blog.
San. Sewer Gas Line Alppr/Sdwlk Reins.
Other:
Date: _/ II_ �� A.M. P.M. Entry: _ _ —
Address:—
Tenant: — Ste: MST:
gG G BLIP:
Con/Own: _y0___ MEC:
l � PLM:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
Inspector:
Date: f f —
0 __ DISAPPROVED/CALL FOR REIN SP. CF CO