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PERMIT #.......: MEC96-0075
DATE ISSUED: 06/24/96
C �� l� OF TIGARD � � �
COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: 2S102CB
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SUBDIVISION ^ NORTH TIGARDVILLE ADDITION ZONING: R-12
BLOCK..........: LOT ^41 •
___
CLASS OF WORK..:ALT FLOOR FURN....: 0 EVAP COOLERS: 0
TYPE OF USE....:ED UNIT HEATERS..: 0 VENT FANS...: 0
OCCUPANCY GRP..:E1 VENTS W/O APPL: 0 VENT SYSTEMS: 0
STORIES........: 1 BOILERS/COMPRESSORS HOODS ^ 0
FUEL TYPES – 0-3 HP....: 0 DOMES. INCIN: 0
:/GAS/ / / 3-15 HP....: 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP ^ 0 REPAIR UNITS: 0
FIRE DAMPERS?..: N 30-50 HP....: 0 WOODSTOVES..: 0
GAS PRESSURE...z M 50+ HP ^ 0 CLO DRYERS..: 0
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.: 0
FURN < 100K BTU: 0 <= 10000 cfm:10 GAS OUTLETS.: 0
FURN >=100K BTU: 0 > 10000 cfm: 0
Remarks: Interior tenant improvement
Owner: – FEES
TIGARD TUALATIN SCHOOL DIST. type amount by date recpt
13137 SW PACIFIC HWY. PRMT $ 55.00 B 06/24/96 96-280934
PLCK $ 13.75 B 06/24/96 96-280934
TIGARD OR 97223 5PCT $ 2.75 B 06/24/96 96-280934
Phone #: 503-620-1620
Contractor: ----
THERMAL MECHANICAL INC
4548 N ALBINA
PORTLAND OR 97217 – ----- –
Phone #: $ 71.50 TOTAL
Reg #..: 065429
REQUIRED INSPECTIONS --
This permit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Duct Inspection ____
applicable laws. All work will be done in. accordance with Fire Alarm Insp
approved plans. This peroit will expire if work is not started Misc. Inspection
within 180 days of issuance, or if work is suspended for more Final Inspection
than 180 days.
Permittee Signature: ___ ___ _ - - ---'
Issued By: EJVILADAJAki-- —
Call for inspection – 639-4175
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Cit Tigard MECHANICAL PERMIT Planck/Rec. # 3
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13125 SW Hall Blvd. y b APPLICATION Permit # MCC g /p-e0�'5
Tigard, OR 97223 WV
\ (503) 639 -4171 / 6
456C) Name of Development Description
77b/972p T )q 4 % Table 3A Mechanical Code QTY PRICE AMT
Address
\ Job
e ts 641-x7 r 1) Permit Fee -0- -0- 10.00
Address u r�t.te LP
N /4� J7 (2 7�- 2) Supplemental Permit 3.00
a me 1o, Dueness) of Dueess) Furnace to 100,000 BTU
,�e� " h//L/�/1 p,J � o&
A
. - L i 1) incl. ducts & vents 6 00
g dress Phone Furnace 100,000 BTU +
Owner /. 7'5, 54e4Fje, 40y 2) Incl. ducts & vents 7 50 Zth Floor Furnance
s ly .01C17 3) incl. vent 6.00
e (or name Dueness) Suspended heater, wall heater
4) or floor mounted heater 6.00
Mating Address Phone Vent not incl. in
Occupant 5) appliance permit 3.00
Cdy State Ztd Repair of heating, refrig. '
6) cooling, absorption unit 6.00
21C �l C K ,.L t Boiler comp, heat pump, air cond.
h" ' 7) to 3 HP; P; absorp unit to 100K BTU 6.00
M Address � Phone Boiler or comp, heat pump, air cond.
Contractor ry / y"-" " ( ( i _ .
:-0 8) 3 -15 HP; absorp unit to 500K BTU 11.00
Boiler or comp, heat pump, air cond.
!is
r/ N. ,euLy�, , �rt a '712/7 9) 15 -30 HP; absorp unit .5 -1 mil BTU 15.00
State Regtstranon No city Bus. Tax No Boiler or comp, heat pump, air cond.
D(, 5,t2 / 10) 30 -50 HP, absorp unit 1 -1.75 mil BTU 22.50
I hereby acknowledge that I have read this application, that the Boiler or comp, heat pump, air cond.
information given is correct, that I am the owner or authorized 11) > 50 HP; absorp unit 1.75 mil BTU 37.50
agent of the owner, that plans submitted are in compliance with Air handling unit to "
State laws, that I am registered with the Construction Contractor's 12) 10,000 CFM /0 4.50 —
Board, that the number given is correct. (If exempt from State Air handling unit
registration, please give reason below.) 13) 10,000 CTM + 7.50
Non portable
14) evaporate cooler 4.50
Vent fan connected
15) to a single duct 3.00
Ventilation system not
�
4)441,7
am' �� 4/ 16) included in appliance permit 4.50
° <' Of agent) / Hood served by
17) mechanical exhaust 4 50
Describe work new O addition (J alteration /" repair (} Commercial or industrial
to be done residential 0 non - residential) 18) type incinerator 30 00
Existing use of Other i.e., woodstove, water
building or property 4l D•pe, 19) heater, solar, clothes dryers, etc. 4 50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property 6e/JVP
21) More than 4 -per outlet (each) 2.00
Type of fuel - oil 0 natural gas 0 LPG 0 electric 0
NOTICE Sr
Minimum Fee 525.00 SUBTOTAL 0
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 5% SURCHARGE $,% , '
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME - ��' c
AFTER WORK IS COMMENCED.
PLAN REVIEW 25% OF SUBTOTAL _ _ , rat-
TOTAL 7 7 ��
Special Conditions ( �
Date issued by
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