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0 CITY OF TIGARD MECHANICAL
PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . . . . . . : MCC94-0229
125 SW Hall Blvd.Tigard,Oregon 97223•8i9p DATE ISSUED: 06/15/94
0
rf. r� Pf1RC'_L: 2S111AD--070014
"ITE: ADDRESS. . . : 0130JJ 3W L<CHECKLA DR
SUBDIVISION. . . . : SCHECKLA PARK ESTATES ZONING: R-4. 5
10 BLOCK. . . . , . . . . . . LUT. . . . . . . . . . . . . Lo
---------------------------------------------
CLASS OF WORK. . :NEW c:LOOW TURN. . . . : EVAP COOLERS:
'TYPE. OF USE. . . . :SF= UNIT HEATERS. . : VENT FANS— :
0 OCL'UPANCY 3RP. . :R3 VENTS W/9 APPL: VENT SYSTEMS: r
STORIES. . . . . . . . : BOILERS/COMPRESCCIRS HOODS. . . . . . . :
FUEL. 0-3 HP. . . . : 1 DOMES. INCIN:
: /GAS/ / / 3-15 HP. . . . : C:OMML. INCIN:
MAX INPUT: BTJ 15--30 HP. . . . : REPAIR UNITS:
FIRE DAMPERS?. . : 30•-50 HP. . . . : WOODSTOVES. . :
GAS PRESSURL. . . : 5111+ HP. . . . : CLO DRYERS— :
NO. OF UNITS-------- AIR HANDLING UNITS OTHER UNITS. :
FURN ( 100K BTU: 1 <- 10000 cfm : GAS OUTLE TS. : I
FURN ) =100K BTU: ) 116000 c f•m :
Remarks : GAS FURNACE/AIR CONDITIONER
Owner: -________._____._--------------•--.-•----------._.____________ FETES
GARY WILLEY typ'a amol_lnt by data recpt
8855 SW SCHECKLA rRIVE PRMT $ 25. 00 SW 08/15/94 -
5PCT f 1. 25 SW 08/15/94 -
TIGARD OR 97224
Phone r?:
Luntralctor : ---------_ .__–_------ --------___--_
SUNSET FUEL CO
r'(, BOX 42287
PORTLAND OR 97242 ------------------------.....____._..__._.– --•_-..
Phone #: E:34-0611 $ 26. 25 TOTAL
Reg #. . : 02374
REQUIRED INSPECTIONS -------
Th>s permit is issued subject to the regulations contained in the Gas Line T n s p
Tigard Municipal Cade, State of Ore. Specialty Codes and all other M e r_h a n i c a l I n s p
applicable laws. All work will be done in accordance with Final Inspection
approved plans. This permit will expire if work is not started
within 190 days of issuance, or if work is suspended for more
than 180 days.
Permittee Signature :
Isv.:ed By:
Call for inspection - 639-4175
City of Tigard MECHANICAL PERMIT Pianck/Rec. #
13125 sw Hall Blvd.
APPLICATION Permit #SFr l�22-
r Tigard, OR 97223
Sf'
(503) 639-4171 Y IN
uescnpuon
Table 3A Mechanical Code OTY PRICE AMT
Job p�$Jr� SVv {'1�CKIA 1) Permit Fee -0- -0- 10.00
=i Address .w
C�-7aa y 21 Supplemental Permit 3.00
�— iw nrwFurnace to 1 '000 BTU
c^ 1) incl.ducts&vents 6.00 Q
.,. Furnace 100,0 +
Owner 2) Incl,ducts b vents 7.50
,... Floor Fumancei
3) incl.vent 6.00
,.,.,. .. v..,...iSuspended heater,wall heater ,
4) or floor mounted heater 6.00 I
.. ---Vent not ind.in
Occupant 5) appliance permit 3.00
.,. LP Repair of heating,re ng.
6) cooling,absorption unit 6.00
-Boiler or comp,heat pump,air con .
lYl� I ZUZc II 7) to 3 HP absorp unit to 100K BTU 6.00 (� • (_`.(_
Q( ». Boiler or comp,heat pump,air can .
` �1L � 0-w(0- 8) 3.15 HP absorp unit to 500K BTU 11.00
Con C r Boiler or comp,heat pump,air con .
t-�aryi Ux- q �O;D, 9) 15-30 HP absorp unit.5.1 mil BTU 15.00
"' ""M PW &,t tfdoCq 1111A. " ' oder or comp,heat pump,air Gond.
/n f{tC I I eLI I 2.3--IU 10) 30.50 HP absorp unit 1-1.75 mil BTU 22.50
—FTjQ—r-qVy-Sc!mowIadg@ that I have read is app ieation,that the 87ar or comp, eat--pump, ir cond.
I information given is correct,that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50 _
of the owner,that plans submitted are in compliance with State Air handling unit to
laws,that I -im registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that the nurabar given is correct (If exempt from State regisL ation, a handing unit 1
please give reason below.) 13) 10,000 CTM+ 7.50
Non portable
14) k raporate cooler 4.50
"'•�; Vent fan connected
( 15) to a single duct 3.00
j
apvlj
Ventilation system not
9- `7 ( � 16) included in appliance permit _ 4.50
w Wq a" -Roodserved by
17) mechanical exhaust 4.50
Describe w new addition alteration repair Mmmercial or m stns
to be done residential non-residential Q 18) type incinerator 30.00
-Edsfing use ofOther i.e.,woodstove,water
building or property 19) heater,solar,clothes dryers,etc- 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
j buillifing or property
21) More than.4-per outlet
i Type of fuel-of Q natural gask LPG Q electric
1
NOTICE—
Minimum
CMinimum Fee$25.00 SUBTOTAL u
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AL.'14ORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE �• S
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERM-GF tft0AYS,AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK V9 COMMENCED. -�
/ ,.. TOTAL al0 a S
,c«tdtlan. •�'1SlL�l( ��j�� �]�•� �LCIYI�2
Date issued by
trMe�Mrf �� I�f
..rr.w+..
; I
i
Page No. 1 CASE HISTORY FOR CASE NO.: MEC94-0229
GARY NLLLPY
08855 SN SCHECRLA DR 1�
05/18/98
s;
i
Jction Description Req/ Schd/ End/ Action Notes Disp By Update Upd
code Sent Dane Done Date By ,I
..--
---------------------------- -------- ----------- ..----- -- -------- ---'--------- ---- --- -------- ---
k
i
MRCA007 Application received / / / / / / 08/15/94 Sit
MECA010 Plan check by / / / J 08/15/94 08/15/94 SN
M13CA060 (F) Issue permit / / / / 08/15/94 JP 09/15/94 Sit
MRCA080 Void Permit / / / / 05/26/95 05/26/95 JF I
MECA705 Gas Line Insp 08/15/94 / / / / 08/15/94 SN
MRCA715 Mechanical Inap 08/15/94 / / / / 08/15/94 SW `
MRCA799 Final Inspection / / / / / / 08/15/94 SN �
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