Permit - • '
TIRD MECHNICL CITYOF OTYOF WAND PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #.......: MEC92-0015
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6,1 uH/L ibbuLo: 101/
SITE ADDRESS...: 14980 SW 100TH AVE PARCEL: 0S000XX-00000
SUBDIVISION....: ZONING:
BLOCK..........: LOT.............
CLASS OF WORK..:ALT FLOOR FURN....: EVAP COOLERS:
TYPE OF USE SF UNIT HEATERS..: VENT FANS...:
OCCUPANCY GRP..:R3 VENTS W/O APPL: VENT SYSTEMS:
' STORIES ^ BOILERS/COMPRESSORS HOODS.......:
FUEL TYPES 0-3 HP ^ DOMES. INCIN:
:/GAS/ / / 3-15 HP....: COMML. INCIN:
MAX INPUT: BTU 15-30 HP ^ REPAIR UNITS:
FIRE DAMPERS?..: 30-50 HP....: WOODSTOVES..:
GAS PRESSURE,..: 50+ HP....: CLO DRYERS..:
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.:1
FURN < 100K BTU:1 • <= 10000 cfm: GAS OUTLETS.:1
FURN >=100K BTU: > 10000 cfm:
Remarks: ELECTRIC TO GAS CONVERSION AND 40'GAS LINE
Owner: --- ----- FEES
KERRY PRATT type amount by date recpt
14980 SW 100TH AVE PRMT $ 25.00 JLH 01/27/92 —
5PCT $ 1.25 JLH 01/27/92 —
TIGARD OR 97224-00690
Phone #:
Contractor:
MCKINSTRY COMPANY
834 NW COUCH ST •
P.O. BOX 12149
PORTLAND OR 97209 --------
Phone #: 238-4620 $ 26.25 TOTAL
Reg #..: 40981
REQUIRED INSPECTIONS
This peroit is issued subject to the regulations contained in the Final Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applioable laws. All work will be done in accordance with
approved plams. This peroit will expire if work is not started _____
within 180 days of issuance, or if work is suspended for oore
than 180 days.
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Permittee Signature: Zdot • __ ----' ---'
Issued By: '
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�� Call for inspection — 639-4175
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NAME MCKINSTRY
ADDRESS
PURPOSE OF PAYMENT
MECHANICAL PE
14980 SW 100TH
CITY OF TIGARD - RECEIPT OF PAYMENT RECEIPT NO.
CHECK AMOUNT
CASH AMOUNT
PAYMENT DATE
SUBDIVISION
AMOUNT PAID PURPOSE OF PAYMENT
25.00 ST. BUILD PER
TOTAL AMOUNT PAID - - -> 26.25
AMOUNT PAID
92-222490
26.P5
0.00
: 01/27/92
1.25
1 r
6/6/00 Activities for Case #: MEC92 -00015
3:24:53 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
MECA010 Plan check by 1/27/92 JLH 1/27/92
MECA799 Final Inspection 1/31/91 RT PASS BLT 11/2/93
MECA060 (F) Issue permit 1/27/92 JLH PASS JLH 1/27/92
MECA060 (F) Issue permit 1/27/92 JLH PASS JLH 1/27/92
MECA705 Gas Line Insp . 1/31/92 RT PASS BLT 1/31/92
MECA800 Case Finaled 11/3/93 BLT 11/3/93
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