Permit A ,* MECHANICAL
CITY OF TIGARD
PERMIT
|���'��������������7 SERVICES
"IWO ���~� m~m~~~. nmou�o� v ~wm~nu�"~*�~�� PERMIT #. . . . . . . : MEC97-0096
~AI~ cll. /3125SN/ Hall Bhvd.. Tigard, OR9Z22J (03)639-4171 DATE ISSUED: 04/16/97
PARCEL: 2S111BD-01510
SITE ADDRESS...: 15060 SW 100TH AVE •
SUBDIVISIOp�.. � .': ALDERBROOK FARM ZONING: R-3.5
BLOCK ^ LOT ^7 JURISDICTION: TIG
_
CLASS 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 TYPES 0-3 HP ^ 1 DOMES. INCIN: 0
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.: �^
FURN < 100K BTU: 0 <= 10000 cfm: 0 GAS OUTLETS.: 0
FURN >=100K BTU :`0 > 10000 cfm: 0
Re mar ks: INSTL 8DlLER/C0MP/HEATPUMP- lNSTL AIR CONDITIONER
Owner: — FEES
DON COMEGYS type amount by date recpt
15060 SW 100TH PRMT $ 25.00 TAT 04/16/97 97-293255
TIGARD OR 97224 5PCT $ 1.25 TAT 04/16/97 97-293255
Phone #:
Contract or: —
HEATING SPECIALIST INC, THE
9300 NE HALSEY
PORTLAND OR 97220
Phone #: 257-7000 $ 26.25 TOTAL
Reg #..: 000566
REQUIRED INSPECTIONS
This permit is issued subject' to•the regulations contained in the Mechanical Insp
Tigard'Nunicipal Code, State of. Ore. Specialty Codes and all other Misc. Inspection'
applicable laws. All - work will be dune in accordance .with Final Inspect ion
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is .suspended ,for sore
than 180 days.
' ----
Permittee Sign —'
/
Issued By: _^^ ^ . / ^A ^ 11 ~�°
• Ca. for inspect ion. — 639-4175
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CITY OF TIGARD Mechanical Permit Application Recd By�
13125 StW HALL BLVD. Commercial and Residential Dato ReC'd
TIGARD, OR 97223 Oata to P.E.
(503) 639 -4171, x304 Date to OST
Print or Type Pen7■t a filE - __O
' 1 Incomplete or illegible applications will not be accepted C2t�d
Tabte 1A Wr_d-L nr-.a cc-se 0;1 PfuC.l3 t•1.cT
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wool er-cr r - 2.) Ft-n r 107.0 7 ETU o 7-50 J
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CzyStms _ i_rp } Poor,: 3.) F1os Fsrn,. 6.00
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• Nergi Kt oa..a a t.�m.os t 4.) Stetpar<lai tc. t. tv::G t>o:: 6.00
or Coot rn= srle. hr_ 4r.r
Ocou Platt b•eri.M17 /.:Erupa SS) Vent r,x i cL c. 7.07
a.,2,:wc pa,.rrt
CclrSuca Zb Pt.on ) comp t..;_. _-
• b 31-6 Corp uti'1 b 1001. BTU • 1 6.00 Co -UJ
.
HAT= 7.) Beau. cc carry, pump. ::r eccxi 11.00
The Heating Specialist, Inc. 3-.1s Hn• >•y,.mm t• b :t< BTU
Co n tX? c4Dr Y "Yq' va °cs t3) 9c rr caT t -
9300 NE Halsey 1 r u t��
fi r'! a' �� tom: 1 S.'rJ MP: -. tg;�,� u.•y4 S-1 tr3 BT
Ary.:t 9.) Bca1.s•orw
care∎∎( ca Portland,.Or 97220 257 -7000 '�'' •°� 22
70
. Cen Gast Bcrs t r t E rs o 10 a "
- 50 Imo; 2 _ �= _ :,. tr.3 i5.
56628 I .6=4_9 7 ` zrm.axd 77.50
COT Pwu.«. Ta cc 141.= a E ' HP- `'�' tn4 1.75 rtd p111
Metro 1370 ,;..t 17) A's
o,00 ca
4.50
prr-hitrct 1z) Akruzr T� -gt :` 7.50
10,000 CTI.1.-
or cs �Ti Fang is 13.) Non fort 3zj 4-50
Ersg i r m e r G - , w Frc-+o 1 4 . ) v nt tall cr"wC.r,- 3.00
to a •- =
tr •
Gr_crta>nxk Nosx 0 rc4it n 0 A....stion 0 Reirziir 0 15.) vezolvix ar..,trr rot 4.50
to Gs bxsu Roasktcro$I 0 k c=.4entiji 0 i d i arp^::' rs.-m
-
. Oesc t of 'crack 16.) Hoed :4TM1 try
m....tiat'Val L...tatz. 4.50
Q 17) Dan�4 - a
- r.•.ar: 7.50
��it• -¢•P, �Yt -Qz-e YtniC..)
use of 1 &) CamS cc rl3lrrr i.l 30.017
c
tr- cr7 cc pcv0."`ty °- tyfse ixamr c
• 19.) Cietl c:7cs, es..-_ • I 4.50 '
•
P;t c i use of 20) Ohs un • 4.50
ate _ •
Ty n of fort - c, 0 runual,gas 0 LPG 0 c ecaric O • 21) Gz . P4 d or_ b fry.,r ocm.-ts 2.00 '
•
1 btfotry ackmwteCge watt nave tea6 GIS appfcation. Cut n e 22) f.iov itian'. f+cr u. 4t (eacrt) .50
i g;secn is Ott aQ Utat 1 am t' twiner or au ltociczel av, a cf
L'o onixxr, tfwt skrs or1 aro ct cccz>ap. nee vr'61 Orogon Sbti QTY. SLlt3TOTAt-
1 Wcrs. 1 `
Sig rLa tura of OtirncdA gent . Datr - SUt3TOTAL
,,_e 1f- /�! -97 - SY. SUFLO -L RGc Q,a
c..,-, cz Pats•, hams Pboos PLA -1 REv1EW 25 OF SUBTOTAL
e !�./Srcz.0 5 7- 70v r 1C,,q,
TOTAL
: • cr3'ci rnl doe 1..Br irnu i ririt : t.-3 ;, 521 r 5% St. ^G•lz ^
- 3•e•v 7Ns
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